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Pharmacogenomics Overview
Pharmacology Exam 4
46
Pharmacology
Professional
04/15/2013

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Term
phase 1 emzymes
Definition
CYP450
Term
DNA microarray
Definition
microscopic DNA spots (or probes) attached to a solid surface (glass slide); high-throughput screening, measure the expression levels of large numbers of genes
Term
DNA microarray analysis for cancer
Definition
it is the analysis of tumor vs adjacent normal tissue
Term
what are the gene expression differences when you over-express cells with gene X
Definition
gene X vs. its plasmid control vector
Term
What are the gene expression differences when you over-express cells with agent X?
Definition
agent X vs. liquid the agent is dissolved in (termed ‘vehicle’)
Term
pharmacogenetics
Definition
Refers to genetic differences in metabolic pathways which can affect individual responses to drugs, both in terms of therapeutic effect as well as adverse effects
Term
single nucleotide polymorphisms (SNPs)
Definition
single base pair change and they may result in a change of a single amino acid within the coded protein
Term
synonomous SNPs
Definition
does not change protein sequence but there is a change in the THIRD nucleotide
Term
non-synonomous SNPs
Definition
change in protein may significantly impact protein function, there is a change in the SECOND nucleotide
Term
deletions/insertions
Definition
may be small or large, single base pair change causes a frame shift in the coding region, almost always results in significant alterations in or loss of activity and encompasses 'copy number varients' (CNVs)
Term
Polymorphism/SNP detection
Definition
PCR & restriction fragment length polymorphism(RFLP)analysis; Sequencing; Real-time PCR; Array-based assays; Genome-wide association studies (GWAS); Next-Generation (‘Next-Gen’) sequencing
Term
Uridinediphosphate glucuronosyltransferase (UGT1A1)
Definition
Phase II detoxification enzyme; Glucuronidates many xenobiotics & endogenous substrates; UDP-glucuronic acid as co-substrate
Term
Polymorphism in UGT1A1 promoter designated UGT1A1*28
Definition
Causative mutation in Gilbert’s syndrome; TA repeats in TATA box increases from 5 to 8 in *28; Decreased transcription from UGT1A1*28 promoter; Associated with decreased glucuronidation activities; Jaundice from decreased billirubin glucuronidation activity
Term
Genomic DNA sources
Definition
WBCs, buccal cells from cheek swabs, tissue samples from surgery
Term
Tissue sources for RNA
Definition
must express gene(s) of interest, RNAses may be presence and splicing varients
Term
Controls for DNA/RNA
Definition
"housekeeping gene," DNA contamination of RNA and vice versa
Term
Tamoxifen
Definition
binds to estrogen receptor that blocks estrogen which is used in breast cancer
Term
aromatase inhibitors
Definition
prevents CYP19 from converting testosterone androstenedione to estrone estradiol; used for breast cancer
Term
Therapeutic efficacy of TAM
Definition
those that take it for 5 years exhibit a 30-50% reduction in both the rate of disease
recurrence after 10 years of patient follow-up, and in the occurrence of
contralateral breast cancer
Term
Toxicities of TAM
Definition
hot flashes (severe), endometrial cancer, thrombosis
Term
Toxicities of AIs
Definition
osteoporosis & bone fractures(decreased bone density), hot flashes, altered lipid profiles
Term
TAM vs AI Pharmacogenetics
Definition
targeted interventions for individualized cancer prevention and treatment; focus on metabolism of TAM and exemestane
Term
endoxifen
Definition
metabolite of tamoxifen that is active against breast cancer
Term
CYP2D6 and CYP3A4
Definition
enzymes needed for the conversion of tamoxifen to its active metabolite endoxifen
Term
CYP2D6
Definition
Phase I enzyme, hydroxylates variety of substrates; Important in the metabolism of a variety of drugs; Exhibits several polymorphic alleles, several of which have been linked to altered CYP2D6 expression or activity; Whole-gene deletion: 5% allelic prevalence
Term
Glucoronidation
Definition
major phase II metabolism pathway; increases water solubility for excretion; inactivation of agent; mainly hepatic, though some UGT enzymes found in extra-hepatic tissues including brease
Term
working hypothesis for anti-breast cancer agents
Definition
Altered patterns of glucuronidation of primary TAM metabolites contribute to inter-individual variability in patient response to TAM
Term
UDP glucuronosyltransferases (UGTs)
Definition
endogenous compounds, exogenous compounds
Term
endogenous compounds broken down by UGT
Definition
C18 and C19 steroids, bilirubin
Term
Exogenous compounds broken down by UGTs
Definition
drugs(eg, acetomeniphen, ibuprofen, morphine); carcinogens (PAHs, nitrosamines, heterocyclic amines); chemotherapeutic/preventive agents(eg, irinotecan, tamoxifen)
Term
Pharmacogenomics
Definition
how genetic makeup of an individual affects his/her response to drugs
Term
pharmacogenetics
Definition
refers to genetic differences in metabolic pathways which can affect individual responses to drugs, both in terms of therapeutic effect as well as adverse effects
Term
optimize drug therapy
Definition
ensure maximum efficacy with minimal adverse events
Term
Germ-line variations
Definition
examine genetic variations against phenotype or disease symptom
Term
gene regulation: epigenetic differences
Definition
occurs at DNA level, example is methylation events
Term
gene regulation: transcription alerations
Definition
causes differences expression of mRNA
Term
gene regulation: alternate splicing
Definition
result in alterations of mRNA species
Term
gene regulation: microRNA
Definition
regulate the exression of mRNA species that code for proteins
Term
gene regulation: translations
Definition
translating messanger RNA into protiens
Term
signal transduction
Definition
extracellular signaling by cell-surface receptors or intracellular signaling by nuclear receptors
Term
cell-cycle control
Definition
inhibition of cell-cycle progression/ checkpoints and apoptosis
Term
DNA replication and DNA repair
Definition
control by checkpoint and blocking re-replication, maintenance of genomic stability
Term
phase II
Definition
glutethione, UGTs, etc.
Term
Phase III
Definition
transporters that move compounds into and out of hepatic cell
Term
UGT1A1
Definition
enzymes that gets rid of Bilirubin and if you do not get rid of it effectively
Term
17-DHE
Definition
major metabolite of exemestane; their goal was to try to see if this metabolite was active (meaning it is also an aromatase inhibitor)
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