Pharmacogenetics and chronic diseases: how personalized treatments can improve patients' quality of life

Each person has unique genetic variability that can affect how your body processes and responds to medications. This variability can influence the effectiveness of treatment and the likelihood of experiencing side effects.

Chronic diseases, such as diabetes, high blood pressure, cancer and autoimmune diseases, are conditions that often require long-term treatment and can have a major impact on patients' quality of life. Pharmacogenetics can be especially useful in the treatment of these diseases, as patients with chronic diseases often take multiple medications and may experience side effects or drug-drug interactions.

Personalized treatments based on pharmacogenetics can improve patients' quality of life in several ways:

Improving treatment efficacy: By taking into account a patient's genetic variability, physicians can prescribe the right medication at the right dose to improve treatment efficacy. For example, in the case of diabetes, the rs5219 genetic variant of the KCNJ11 gene has been shown to be associated with an increased response to metformin, one of the most common drugs for the treatment of diabetes.

Reduced side effects: Genetic variability can influence how the body processes medications, which can increase the risk of side effects. By knowing a patient's genetic variability, physicians can select the right drug and dose to reduce the risk of side effects. For example, the CYP2C19 gene is involved in the metabolism of several drugs, including clopidogrel, an anticoagulant used in the treatment of cardiovascular disease. Patients with a specific variant of this gene are at increased risk of side effects and of experiencing an insufficient response to clopidogrel.

Optimization of combination therapy: In the case of chronic diseases requiring the use of multiple drugs, genetic variability can influence drug-drug interactions and treatment efficacy. By knowing the patient's genetic variability, physicians can select the appropriate drug combination to optimize treatment and reduce the risk of negative interactions. For example, in the case of HIV treatment, the genetic variant HLA-B*5701 is associated with an increased susceptibility to an allergic reaction to abacavir, an antiviral drug used in the treatment of HIV.

In summary, pharmacogenetics can help physicians select the right drug at the right dose to improve treatment efficacy, reduce the risk of side effects and optimize combination therapy. This can significantly improve the quality of life of patients with chronic diseases.

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woman putting her hand on her lips