» Articles » PMID: 26740973

Genomic Medicine: Why Do "Similar" Patients Have Different Outcomes?

Overview
Journal Rev Course Lect
Specialty Anesthesiology
Date 2016 Jan 8
PMID 26740973
Authors
Affiliations
Soon will be listed here.
Abstract

Genomic variation is an important factor in why supposedly "similar" patients react differently to drugs, have different disease course(s), and varying clinical outcomes. This review provides an update on concepts in modern genomic medicine with an emphasis on clinically relevant study approaches, disease/drug pathway analysis, and recent pharmacogenomic findings. The application of genomic medicine and its importance for rapid diagnosis of disease-causing agents, as well as its clinical application in human disease diagnosis/treatment and in cardiovascular disease are discussed. In addition to direct clinical applications, modern genomic approaches also play an important role in elucidating new mechanisms of disease. Finally, the role of the National Institutes of Health national pharmacogenomics research network in codifying "bench to bedside" translation of genetic results that impact drug therapy will also be discussed.

References
1.
Lee Y, Kim M, Han J, Yeom K, Lee S, Baek S . MicroRNA genes are transcribed by RNA polymerase II. EMBO J. 2004; 23(20):4051-60. PMC: 524334. DOI: 10.1038/sj.emboj.7600385. View

2.
Foulkes W, Smith I, Reis-Filho J . Triple-negative breast cancer. N Engl J Med. 2010; 363(20):1938-48. DOI: 10.1056/NEJMra1001389. View

3.
Josko D . Molecular bacteriology in the clinical laboratory. Clin Lab Sci. 2010; 23(4):237-41. View

4.
Kurtz T . Genome-wide association studies will unlock the genetic basis of hypertension.: con side of the argument. Hypertension. 2010; 56(6):1021-5. DOI: 10.1161/HYPERTENSIONAHA.110.156190. View

5.
Schickel R, Boyerinas B, Park S, Peter M . MicroRNAs: key players in the immune system, differentiation, tumorigenesis and cell death. Oncogene. 2008; 27(45):5959-74. DOI: 10.1038/onc.2008.274. View