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PGx
Pharmacogenomics
SNPs
Single Nucleotide Polymorphism. DNA sequence differs by a single nucleotide.
Transposition
Removal & transfer of a segment of DNA from one site to another of the same or different chromosome.
GWAS
Genome Wide Association Studies
SAEC
Serious Adverse Effects Consortium
INDELs
Insertion-Deletions. DNA sequence differs by and insertion/deletion of a single/multiple nucleotides.
CNVs
Copy Number Variations. Gene duplication; a single gene may occur multiple times of the same or different chromosomes.
STRs
Short-Tandem Repeats. Short sequences repeated multiple times over.
BAC
Bacterial Artificial Chromosome
VNTRs
Variable-Number Tandem Repeats. Other regions of the genome contain repeats with variable number of repetitions.
Genome
All the genetic material of an organism. Including material that encodes proteins, Functional RNA, and non-coding DNA sequences.
Genetic Variation
Differences between corresponding genomic sequences of individuals or populations.
Gene Promoters
May be “Housekeeping”, “Tissue Specific”, or “Inducible”. A single gene may have multiple promoters.
Reasons for Mutations (5)
Errors during duplication
Radiation
Chemical Mutagens
Methylation/Deamination
Inefficient DNA repair enzymes
Somatic vs. Germinal Mutations
Somatic: Not transmitted to progeny
Germinal: Passed on to offspring
HGNC
HUGO Gene Nomenclature Committee
DNA Polymerase
Primer
Sanger Sequencing
Pyrosequencing
Sequencing by Synthesis
NGS Next Generation Sequencing
Phenotype
Genotype
Linked Genes
Genetic Map Distance
centiMorgans (cM)
Corresponds to the % chance of a chromosomal recombination
Genomic Analysis
Come
Transcriptomes
Epigenomes
FDA Medical Devices Classification
Class I
Class II
Class III
FDA oversight of medical devices
FDA cleared
FDA approved
510(k) exempt (Most Class I Devices)
Stigmatization
Federal Law: GINA
Genetic Information Non-discrimination Act (GINA) (2008)
Prohibits genetic discrimination in health insurance/employment
Risks of PGx research: (3)
Physical Risk: associated w/ ADRs or Non-Effective Medications
Time-Delay in initiating treatment.
Psychological Risks: Being excluded from a treatment option, not being offered a treatment
Informed Consent
Patient should be informed about risks/benefits of participation in medical treatment, procedure, or experimental intervention.
Patient must also understand what is being explained.
Patent
license granted by government conferring the temporary right to exclude others from making, using, or selling an intervention