The Role of Pharmacogenetics in Antithrombotic Therapy Management: New Achievements and Barriers Yet to Overcome

Author(s): Valeria Conti, Graziamaria Corbi*, Valentina Manzo, Carmine Sellitto, Francesco Iannello, Simone Esposito, Emanuela De Bellis, Teresa Iannaccone, Amelia Filippelli

Journal Name: Current Medicinal Chemistry

Volume 28 , Issue 32 , 2021


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Abstract:

Background: Pharmacogenetics investigates the response to pharmacological treatments based on individual genetic background. Actually, numerous pharmacogenetic tests help to predict the response to drugs used in different medical areas, contributing to the so-called personalized medicine.

Objective: This review aims to update the available data on the genotype-guided treatment with both the anticoagulant and antiplatelet agents. Moreover, it sheds light on the pitfalls in the implementation of cardiovascular pharmacogenetics.

Methods: A review of the literature on the studies investigating the effects of the genotype- guided anticoagulant and antiplatelet treatment was performed.

Results: Considering the extensive use of antithrombotic drugs, pharmacogenetics has particular importance in this field. Several polymorphisms influence the response to both anticoagulant and antiplatelet agents, and tests, based on their identification, are now available.

Conclusion: Recent randomized clinical trials demonstrated that pharmacogenetics might successfully contribute to optimizing the antiplatelet therapy also in patients particularly complicated to treat. However, despite accumulating evidence on the utility and feasibility of some pharmacogenetics tests, several barriers still exist in their implementation in clinical practice.

Keywords: Thromboembolism, drug response, personalized medicine, anticoagulant agents, antiplatelet agents, antithrombotic therapy.

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Article Details

VOLUME: 28
ISSUE: 32
Year: 2021
Published on: 31 December, 2020
Page: [6675 - 6703]
Pages: 29
DOI: 10.2174/0929867328666201231124715
Price: $65

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