作者: Sylvie Quaranta , Fabienne Thomas
DOI: 10.1016/J.THERAP.2017.01.005
关键词: Irinotecan 、 Pharmacology 、 Thiopurine methyltransferase 、 Pharmacogenetics 、 Capecitabine 、 Medicine 、 Cancer 、 Dihydropyrimidine dehydrogenase 、 DPYD 、 Evidence-based medicine 、 Intensive care medicine
摘要: Individualized treatment is of special importance in oncology because the drugs used for chemotherapy have a very narrow therapeutic index. Pharmacogenetics may contribute substantially to clinical routine optimizing cancer limit toxic effects while maintaining efficacy. This review presents usefulness pharmacogenetic tests some key applications: dihydropyrimidine dehydrogenase (DPYD) genotyping fluoropyrimidine (5-fluorouracil, capecitabine), UDP glucuronosylstransferase (UGT1A1) irinotecan and thiopurine S-methyltransferase (TPMT) drugs. Depending on level evidence, French National Network (RNPGx) has issued three levels recommendations these tests: essential, advisable, potentially useful. Other applications, which evidence still discussed, will be evoked final section this review.