Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA, 02115, USA,
Curr Allergy Asthma Rep. 2015 Jul;15(7):42. doi: 10.1007/s11882-015-0544-y.
There is evidence that genetic factors are implicated in the observed differences in therapeutic responses to the common classes of asthma therapy such as β2-agonists, corticosteroids, and leukotriene modifiers. Pharmacogenomics explores the roles of genetic variation in drug response and continues to be a field of great interest in asthma therapy. Prior studies have focused on candidate genes and recently emphasized genome-wide association analyses. Newer integrative omics and system-level approaches have recently revealed novel understanding of drug response pathways. However, the current known genetic loci only account for a fraction of variability in drug response and ongoing research is needed. While the field of asthma pharmacogenomics is not yet fully translatable to clinical practice, ongoing research should hopefully achieve this goal in the near future buttressed by the recent precision medicine efforts in the USA and worldwide.
有证据表明,遗传因素与β2-激动剂、皮质类固醇和白三烯调节剂等常见哮喘治疗类药物的治疗反应差异有关。药物基因组学探讨了遗传变异在药物反应中的作用,并且仍然是哮喘治疗中一个非常感兴趣的领域。先前的研究集中在候选基因上,最近则强调了全基因组关联分析。较新的综合组学和系统水平方法最近揭示了药物反应途径的新认识。然而,目前已知的遗传基因座仅能解释药物反应可变性的一小部分,因此需要开展进一步的研究。虽然哮喘药物基因组学领域尚未完全转化为临床实践,但在美国和全球范围内最近开展的精准医学工作有望在不久的将来实现这一目标。