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Current Pharmacogenetics in Psychiatry

정신의학에서의 약물유전학 현황

  • Kim, Il Bin (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Lee, Yu Sang (Department of Psychiatry, Yong-In Mental Hospital)
  • 김일빈 (한양대학교구리병원 정신건강의학과) ;
  • 이유상 (용인정신병원 정신건강의학과)
  • Received : 2021.03.23
  • Accepted : 2021.04.08
  • Published : 2021.04.30

Abstract

Pharmacogenetics is opening a new era of precision medicine in psychiatry. Drug-metabolizing enzymes are characterized by genetic polymorphisms, which render a large portion of variability in individual drug metabolism. Dose adjustment based on pharmacogenetics knowledge is a first step to translate pharmacogenetics into clinical practice. However, diverse factors including cost-effectiveness should be addressed to provide clinical recommendation. To address current challenges in pharmacogenetics testing in psychiatry, this review provides an update regarding genotyping (SNP analysis, array, and next-generation sequencing), genotype-phenotype correlations, and cost-effectiveness. The current updates on pharmacogenetics in psychiatry will provide guidance for both clinician and researchers to have a consensus in harmonizing efforts to advance the pharmacogenetics field in a part of precision medicine in psychiatry.

Keywords

Acknowledgement

본 연구는 용인정신의학 연구소의 지원을 받아 수행되었음.

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