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Pharmacogenomics and Precision Medicine, An Issue of the Clinics in Laboratory Medicine, E-Book

Pharmacogenomics and Precision Medicine, An Issue of the Clinics in Laboratory Medicine, E-Book

Kristen Reynolds | Roland Valdes

(2016)

Additional Information

Book Details

Abstract

This issue of the Clinics in Laboratory Medicine on “Pharmacogenomics” is being edited by Drs. Roland Valdes and Kristen Reynolds and will cover a wide variety of topics, including but not limited to, fundamentals of pharmacology, a review of pharmacogenetics guidelines, pharmacogenetic testing in pain management, pharmacogenetics of pain management, clinical and economic impact of pharmacogenetic genotyping analysis, exosome analysis in lab medicine, and implementation of pharmacogenetics in developing countries.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pharmacogenomics andPrecision Medicine i
Copyright\r ii
Contributors iii
EDITORS iii
AUTHORS iii
Contents vii
Preface\r vii
Fundamentals of Pharmacogenetics in Personalized, Precision Medicine\r vii
Pharmacogenetics in Oral Antithrombotic Therapy\r vii
Laboratory Medicine in the Clinical Decision Support for Treatment of Hypercholesterolemia: Pharmacogenetics of Statins\r vii
Pharmacogenetics and Personalized Medicine in Pain Management\r viii
Pharmacogenomics in Psychiatric Practice\r viii
Clinical Utility and Economic Impact of CYP2D6 Genotyping\r viii
The Pharmacist’s Perspective on Pharmacogenetics Implementation\r viii
The Future of Precision Medicine in Oncology\r ix
Understanding the Food and Drug Administration’s Jurisdiction Over Laboratory-Developed Tests and Divisions Between Food, D ... ix
Extracellular Vesicles Move Toward Use in Clinical Laboratories\r ix
CLINICS IN LABORATORY MEDICINE\r x
FORTHCOMING ISSUES x
December 2016 x
March 2017 x
June 2017 x
RECENT ISSUES x
June 2016 x
March 2016 x
December 2015 x
Preface xi
DEDICATION xiii
Fundamentals of Pharmacogenetics in Personalized, Precision Medicine 447
Key points 447
PERSONALIZED AND PRECISION MEDICINE 447
OVERVIEW OF THERAPEUTIC DRUG MONITORING, PHARMACOLOGY, AND PHARMACOGENETICS 448
PHARMACOGENETICS IS FUNDAMENTAL TO PHARMACOTHERAPEUTICS 450
OVERVIEW OF PHARMACOGENETICS 451
Introduction to Genetic Concepts 451
Genetic Polymorphism in Pharmacogenetics 451
EXAMPLE OF CYTOCHROME P450 AND DRUG METABOLISM 452
CLINICAL APPLICATIONS OF PHARMACOGENETICS 453
THE CLINICAL LABORATORY AS CATALYST 456
REFERENCES 457
Pharmacogenetics in Oral Antithrombotic Therapy 461
Key points 461
INTRODUCTION 461
ANTICOAGULANTS 462
Vitamin K Antagonists 462
Direct Oral Anticoagulants 463
Direct thrombin inhibitor—dabigatran 463
Factor Xa inhibitors—rivaroxaban, apixaban, edoxaban 464
ANTIPLATELET AGENTS 464
Acetylsalicylic Acid 465
P2Y12 Inhibitors 465
Thienopyridine P2Y12 inhibitors—clopidogrel and prasugrel 465
Nonthienopyridine P2Y12 inhibitor—ticagrelor 466
SUMMARY 467
REFERENCES 468
Laboratory Medicine in the Clinical Decision Support for Treatment of Hypercholesterolemia 473
Key points 473
PERSONALIZED MEDICINE OF STATINS 474
STATIN EFFICACY 474
STATIN SAFETY 476
Hypothesis-Free Approach: Genome-Wide Single Nucleotide Polymorphism Associations 477
Hypothesis-Led Approach: Validation of Candidate Genes 478
COQ2 480
DMPK 480
CLN8 481
MULTIGENE MODELS 481
BIOTECHNOLOGY DRUGS FOR TREATMENT OF HYPERCHOLESTEROLEMIA 484
Clinical Scenarios 485
Scenario 1 485
Scenario 2 486
Scenario 3 486
CLINICAL PHARMACOGENETIC TESTING 486
REFERENCES 487
Pharmacogenetics and Personalized Medicine in Pain Management 493
Key points 493
INTRODUCTION 493
GENETICS OF PAIN 494
Candidate Gene Studies in Pain 494
Low Back Pain 497
Migraine 497
Fibromyalgia 497
Hereditary Pain Disorders 498
GENETICS OF ANALGESIA 498
Cytochrome P450 2D6 Gene 499
COMT 499
OPRM1 118G 499
COMT/OPRM1 Interactions 499
Melanocortin-1 Receptor Gene 500
JOINING THE GENETICS OF PAIN AND ANALGESIA FOR CLINICAL UTILITY 500
The Spectrum of Medication Response 500
Initiating Methadone: A Clinical Scenario 500
Adverse Drug Reactions 501
SUMMARY 501
ACKNOWLEDGMENTS 501
REFERENCES 501
Pharmacogenomics in Psychiatric Practice 507
Key points 507
METHODS 508
P450 MARKERS 508
MOOD DISORDERS 510
Treatment Outcome 510
SLC6A4 510
Catechol-O-methyltransferase 510
Serotonin receptors, HTR2A, HTR1A, and HTR1B 510
Brain-derived neurotrophic factor 513
Potassium channel 513
ATP binding cassette subfamily B member 1 protein 513
FK506 binding protein 5 513
GNB3 513
PPP3CC 513
Methylenetetrahydrofolate reductase 514
PSYCHOSIS 514
Treatment Response 514
Polymorphisms and Neurocognition 514
Metabolic Disturbances 514
SUBSTANCE USE DISORDERS 515
Alcohol Use Disorders 515
Naltrexone 515
Acamprosate 515
Stimulant (Cocaine, Methamphetamine) Use Disorders 515
Disulfiram 515
Opioid Use Disorders 516
Naltrexone 516
Buprenorphine 516
THE FUTURE OF PHARMACOGENOMICS IN PSYCHIATRY 516
REFERENCES 516
Clinical Utility and Economic Impact of CYP2D6 Genotyping 525
Key points 525
INTRODUCTION 525
CLINICAL UTILITY: 2D6 STRONG GENE-DRUG CORRELATIONS 527
PSYCHIATRY 527
Tricyclic Antidepressants: Amitriptyline, Clomipramine, Doxepin, Imipramine, and Nortriptyline 529
Venlafaxine 529
Antipsychotropic Medications: Risperidone, Haloperidol, and Aripiprazole 530
Risperidone 530
Haloperidol 530
Aripiprazole 530
PAIN MANAGEMENT 531
Codeine 531
CARDIOLOGY 532
Metoprolol 532
COST-EFFECTIVENESS 533
Costs to Treat Psychiatric Disorders 533
Treatment-resistant depression 533
Psychoses 534
Cost to Treat Heart Failure: Metoprolol 537
DISCUSSION AND SUMMARY 538
REFERENCES 538
The Pharmacist’s Perspective on Pharmacogenetics Implementation 543
Key points 543
INTRODUCTION 543
PHARMACOGENETICS IS MORE THAN JUST DRUG METABOLISM 544
Pharmacokinetics 544
Pharmacodynamic Partners 547
PHARMACY-GUIDED IMPLEMENTATION OF PHARMACOGENETICS INTO CLINICAL SETTINGS 548
Hospital Pharmacy and the Health System Pharmacy 548
Medication Therapy Management and the Wellness Pharmacy 550
SUMMARY AND FUTURE PERSPECTIVES 554
REFERENCES 555
The Future of Precision Medicine in Oncology 557
Key points 557
NEED FOR PRECISION MEDICINE IN ONCOLOGY 557
TYPES OF BIOMARKERS: DIAGNOSTIC, PREDICTIVE, PROGNOSTIC, AND PHARMACODYNAMIC 558
FOOD AND DRUG ADMINISTRATION–CLEARED TESTS VERSUS LABORATORY DEVELOPED TESTS 559
PRECISION MEDICINE IN BREAST CANCER 559
DIAGNOSTIC, PROGNOSTIC, OR PREDICTIVE TESTS 560
PRECISION MEDICINE IN NON–SMALL CELL LUNG CANCER 560
DIAGNOSTIC, PROGNOSTIC, OR PREDICTIVE TESTS 561
PRECISION MEDICINE IN PROSTATE CANCER 562
DIAGNOSTIC, PROGNOSTIC, OR PREDICTIVE TESTS 562
PRECISION MEDICINE IN MELANOMA 563
DIAGNOSTIC, PROGNOSTIC, OR PREDICTIVE TESTS 564
PRECISION MEDICINE IN COLORECTAL CANCERS 564
DIAGNOSTIC, PROGNOSTIC, OR PREDICTIVE TESTS 565
INTRODUCTION TO LIQUID BIOPSIES 566
CIRCULATING TUMOR CELLS 566
CELL-FREE NUCLEIC ACIDS 567
EXTRACELLULAR VESICLES 569
FUTURE OF PRECISION MEDICINE IN ONCOLOGY 569
REFERENCES 570
Understanding the Food and Drug Administration’s Jurisdiction Over Laboratory-Developed Tests and Divisions Between Food, D ... 575
Key points 575
FRAMING THE LEGAL ISSUES 576
Are In Vitro Diagnostic Devices Defined Narrowly as Packaged Kits or Something Broader? 576
Are Tests That Never Leave the Laboratory in Interstate Commerce for Commercial Distribution? 577
Can Laboratories Ever Be Manufacturers? 577
POLICY IMPLICATIONS 579
A FRAMEWORK FOR DIVIDING FOOD, DRUG, AND COSMETIC ACT–REGULATED FROM UNREGULATED ACTIVITIES 582
Public Health Criteria 583
Legal Criteria 583
SUMMARY 584
REFERENCES 584
Extracellular Vesicles Move Toward Use in Clinical Laboratories 587
Key points 587
INTRODUCTION 587
CURRENT EXTRACELLULAR VESICLE NOMENCLATURE 588
PREANALYTICAL SAMPLE PREPARATION CONSIDERATIONS 588
EXTRACELLULAR VESICLE ISOLATION METHODS (ADVANTAGES AND DISADVANTAGES) 589
Ultracentrifugation 590
Density Gradient Centrifugation 590
Polymer-Based Precipitation 590
Size Exclusion 590
Affinity 590
Microfluidic 591
EXTRACELLULAR VESICLE DETECTION AND CHARACTERIZATION METHODS 591
Focus on Morphology, Concentration, and Size Distribution Analysis 591
Electron microscopy 591
Atomic force microscopy 591
Nanoparticle tracking analysis 591
Resistive pulse sensing 592
Dynamic light scattering 592
Focus on Biochemical Analysis 592
Flow cytometry 592
Enzyme-linked immunosorbent assays 592
Western blots 592
Mass spectrometry 593
EXTRACELLULAR VESICLE CLINICAL SIGNIFICANCE 593
SUMMARY 594
REFERENCES 595