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QPCR (quantitative polymerase chain reaction)
suitable for analysis of single SNP or small subset of SNPs
only known SNPs can be detected
DNA SNP Microarrays
suitable for analysis of small or large subsets of SNPs
only known SNPs can be detected
Hybridization of the DNA fragments into arrays with SNPs-specific probes attached to solid surface
DNA SNP arrays detect large structural variations in the genomes (copy number variations)
Next generation sequencing
suitable for analysis of any number of SNPs, from small subsets to all SNPs and other variations in human genome
all known and previously unknown SNPs can be detected
Sequencing of whole genome or a subset of pharmacogenomics-related genes
Different from Sanger sequencing since it is sequencing by synthesis and multi-parallel sequencing
Quantitative PCR SNP assays
amplification of DNA fragments using SNPs specific probes
TaqMan Assays
A TaqMan assay is a method used during PCR to detect a specific piece of DNA by making it give off light.
Steps
DNA Probe is labeled with Reporter and quencher dyes
when connected through DNA, quencher blockers reporter fluoresence
Taq polymerase with 5’-3’ exonuclease activity synthesizes new DNA and simulatenously cleaves the probe and releases the reporter dye
fluorescence of the reporter is detected
Illumina Sequencing
most popular Next generation sequencing platform
Steps
genomic DNA fragmentation and library construction
cluster generation
sequence by synthesis
assembly to reference genome and analysis of variations
Assessment of combination genes effects on drug metabolism
combinatorial approach allows more accurate prediction of effects on genetic variation on drug activity and ADR
greatly increase complexity of analysis (9 genotypes for 2 genes vs 3 genotypes for 1 gene)
multiple gene interactions complicates analysis and provides significant limitations for pharmacogenomics- based predictions of drug activity and adverse effects
effects of environmental factors
gene expression is regulated by lifestyle and environment
smoking elevates expression of CYP2D6 and enchase metabolism of CYP2D6 dependent drugs
smoking effects the levels of fluvoxamine since it is metabolized CYP2D6
People with similar genetic backgrounds may have significantly different levels of expression of pharmacogenomics-related genes in response to differences in environment or life style
transcriptome
the entire set of all messenger RNA molecules, including all splice isoforms, in one cell or a population of cells
proteome
the entire complement of proteins, including the modifications made to a particular set of proteins, found in an organism over its entire lifecycle, or in a particular cell type at a particular time under defined environmental conditions
analyzation of the proteome is difficult, the technology of proteomics is not as mature as genomics, due to the lack of amplification schemes
proteomics
a large-scale comprehensive study of a specific proteome including information on protein abundances, their variations and modifications, along with their interacting partners and networks, in order to understand cellular processes
post-translational modifications
modifications that occur on a protein, catalyzed by enzymes, afters its translation by ribosomes is complete
generally refers to the addition of a functional group covalently bonded to a protein or to proteolytic processing
affects activity, stability and localization of the proteins
single protein may undergo multiple modifications
metabolomics
the study of small molecule metabolites in cells, tissues, and organisms that are present in biofluids such as plasma and urine
pharmacometabolomics
a field which stems from metabolomics, the quantification and analysis of metabolites produced by the body it refers to the direct measurement of metabolites in an individual’s bodily fluids, in order to predict or evaluate the metabolism of pharmaceutical compounds, and to better understand the pharmacokinetic profile of a drug
microbiome
the ecological community of commensal, symbiotic and pathogenic microorganisms that literally share our body space
Digoxin
inactivation is effected by bacterial genome variations, gut microbiome composition, diet
digoxin positively regulates the CGR operon and induces the operon’s inactivation
arginine inhibits the operon
sulfasalazine
remains inactive until it reaches the distal gut, where azoreductases encoded by the gut microbiome cleave the N-N bond to release 5-ASA