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Unformatted text preview: Methods in
Molecular Biology 1175 Qing Yan Editor Pharmacogenomics
in Drug Discovery
and Development
Second Edition METHODS IN M O L E C U L A R B I O LO G Y Series Editor
John M. Walker
School of Life Sciences
University of Hertfordshire
Hatfield, Hertfordshire, AL10 9AB, UK For further volumes:
Pharmacogenomics in Drug
Discovery and Development
Second Edition Edited by Qing Yan
PharmTao, Santa Clara, CA, USA Editor
Qing Yan
PharmTao
Santa Clara, CA, USA ISSN 1064-3745
ISSN 1940-6029 (electronic)
ISBN 978-1-4939-0955-1
ISBN 978-1-4939-0956-8 (eBook)
DOI 10.1007/978-1-4939-0956-8
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2014939325
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Printed on acid-free paper
Humana Press is a brand of Springer
Springer is part of Springer Science+Business Media ( ) Preface
Pharmacogenomics is considered the future of drug therapy. It is a rapidly growing area in
the recognition of the necessity of personalized medicine, a medicine that deals with the
complexity of the human body. Because of the diversity of patients’ biological backgrounds,
the same disease may be caused by genetic variations in different people, who will respond
differently to the same drug. Such situations require individualized treatment that avoids
adverse drug responses and ensures the best possible results. The development of pharmacogenomics represents the evolution of biomedicine from treating the disease itself to treating
the malfunction of an individual person, the “root” of diseases. With the change of focus
from disease-centered to human-centric medicine, pharmacogenomics brings hope for the
transformation from simple disease treatment to accurate prediction and effective prevention.
For the drug discovery and development industry, pharmacogenomics is useful in identifying
drug targets to obtain the optimal drug efficacy for specific patient groups.
However, many challenges need to be resolved before pharmacogenomics can be
applied in the clinic. Most importantly, the mechanisms inside the human bodies that control
therapeutic responses are complex and multifactorial. It is necessary to elucidate the
complexity in various spatial and temporal levels, such as the interactions among genes,
drugs, as well as natural and psychosocial environments at various physiological and pathological stages. Accurate biomarkers and effective drug targets can be found only based on
such understanding at system levels.
In this book, we approach these challenges from several angles. In the first part of the
book, we introduce some novel concepts and important cutting-edge technologies that are
useful for the development of system-based pharmacogenomics to solve the complexity
(see Part I). A framework of systems and dynamical medicine is proposed on the basis of the
understanding of the properties of complex adaptive systems (CASs) (see Chapter 1).
Various “omics” technologies such as approaches in bioinformatics and transcriptomics are
described to support the system analyses (see Chapters 2 and 3). These methods are useful
for understanding the complex and dynamical interconnections and interactions among
genes, drugs, diseases, and the environment. Network and dynamical models can be established for the identification of robust biomarkers to evaluate disease states, disease progression,
and therapeutic responses (see Chapter 1).
For example, bioinformatics is essential in finding the spatiotemporal patterns in pharmacogenomics, including the time-series analyses for the elucidation of structure–function
associations at various disease stages. Specific experimental methods are also introduced,
such as the mutational analysis procedures on paraffin-embedded tumors for the prediction
of individual responses to anticancer therapy (see Chapter 4). The combination of bioinformatics and experimental approaches is helpful for studying drug adverse effects such as
those caused by statin, including genotyping, phenotyping, and statistical analysis strategies
(see Chapter 5).
Another feature of this volume is the emphasis on the examinations of gene–drug
interactions, that is, how drugs act and how they are processed in the human body, including drug absorption, distribution, metabolism, and excretion. Biomarkers and molecules v vi Preface such as ion channels, membrane transporters, receptors, and enzymes are playing increasingly
essential roles in drug design and pharmacogenomics studies (see Chapters 6, 7, 8, and 9).
These biomarkers provide critical links between drug discovery and diagnostics efforts.
Updated introductions and detailed methods about studies in these molecules are provided
in this book. For example, membrane transporters are profoundly involved in drug disposition
through transporting substrate drugs between organs and tissues. Investigations of genetic
variations, genotyping methods, and substrate identification of membrane transporters are
helpful for drug design and development (see Chapter 6). Methods for the clinical development of transporter markers can be meaningful for the practice of translational medicine.
In addition, studies of G protein-coupled receptors (GPCRs) may provide insight into
disease pathways, such as the involvement of the regulator of G protein signaling (RGS) protein polymorphisms in hypertension. Pharmacogenomics of GPCR studies the involvement
of genetic variations in structural and functional roles, such as GPCR activation and inactivation, their relationships with diseases, and their potential uses in defining optimized novel
drug targets (see Chapters 7, 8, and 9). These investigations can be useful for refining drug
discovery because GPCR disorders are associated with a wide variety of human diseases,
including obesity, diabetes, cardiovascular diseases, cancer, asthma, and infectious diseases.
The second part of this book focuses on how to translate pharmacogenomics studies
from the “bench side” to the “bedside” in clinical therapies of diseases to support the development of translational medicine (see Part II). These diseases include cardiovascular diseases, cancer, Alzheimer’s disease, psychiatric disorders, rheumatoid arthritis, osteoporosis,
and pediatric diseases. Comprehensive information for each disease system is discussed,
including biomarkers involved in the diseases and the associations among genes, diseases,
drug responses, and the environment. For example, genetic variations may play important
roles in heart failure pharmacotherapy (see Chapter 10). Pharmacogenomics studies are
making significant contributions toward the elucidation of pharmacological atheroprotection for finding novel therapeutic approaches for atherosclerosis, the condition that can
result in stroke, myocardial infarction, and death (see Chapter 11). In cancer therapy, translational investigations in pharmacogenomics may also make genetic profiling effective for
the analysis of chemotherapy-induced neurotoxicity (CIPN) (Chapter 12).
As a complex disorder with multifactorial clinical features, Alzheimer’s disease (AD)
needs to be studied in the context of diverse environmental impacts, cerebrovascular
dysfunction, epigenetic phenomena, as well as various structural and functional genomic
dysfunctions (see Chapter 13). This book provides a comprehensive and detailed discussion
of the pharmacogenomics of AD, from functional genomics to therapeutic strategies, from
the discovery of reliable biomarkers to the optimized drug development.
The identification of pharmacogenomic biomarkers for the prediction of drug efficacy
and adverse reactions is a growing area of research in the studies of psychiatric disorders
such as schizophrenia (see Chapter 14). Such methods have the potential to replace the
current trial-and-error approach for the optimal treatment selections toward the personalized medicine. Pharmacogenomics investigations may also elucidate the roles of genetic,
biological, social, and environmental components in the therapeutic responses of drug
addiction (see Chapter 15).
For rheumatoid arthritis (RA), the pharmacogenomics of traditional disease-modifying
antirheumatic drugs (DMARDs) as well as the newer biologic DMARDs are discussed in
details for individualized therapy (see Chapter 16). In addition, with comprehensive examinations including genome-wide association studies, exciting opportunities are open to provide
a better insight into the pharmacogenomics of osteoporosis and osteoporotic fractures Preface vii (see Chapter 17). In pediatrics, developmental changes may account for the variability in
drug responses. Various “omics” approaches including genome-wide haplotype mapping,
proteomics, epigenomics, as well as genetic epidemiological studies over years may expand
the scope of personalized therapies in children (see Chapters 18 and 19).
By covering topics from individual molecules to systemic diseases, from basic concepts
to advanced technologies, this book intends to provide a practical, state-of-the-art, and
integrative view of the application of pharmacogenomics in drug discovery and development. A wide range of theoretical and experimental approaches are introduced to meet the
problem-solving objectives for understanding the complexity in health and diseases, from
laboratory tests to computational analysis. Written by leading experts in the field, this book
intends to provide comprehensive resources and a holistic view for the translation of pharmacogenomics into better preventive and personalized medical care.
I would like to thank all of the authors for their valuable contributions to this exciting
field. I also thank the series editor, Dr. John Walker, for his help with the editing.
Santa Clara, CA, USA Qing Yan, M.D., Ph.D. Contents
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART I SYSTEMS AND “OMICS” STUDIES IN PHARMACOGENOMICS 1 From Pharmacogenomics and Systems Biology to Personalized Care:
A Framework of Systems and Dynamical Medicine . . . . . . . . . . . . . . . . . . . . .
Qing Yan
2 Translational Bioinformatics Approaches for Systems
and Dynamical Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Qing Yan
3 Whole Blood Transcriptomic Analysis to Identify Clinical Biomarkers
of Drug Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grant P. Parnell and David R. Booth
4 Diagnostic Procedures for Paraffin-Embedded Tissues Analysis
in Pharmacogenomic Studies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Raffaele Palmirotta, Maria Laura De Marchis, Giorgia Ludovici,
Patrizia Ferroni, Pasquale Abete, Fiorella Guadagni,
and David Della-Morte
5 Approach to Clinical and Genetic Characterization
of Statin-Induced Myopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
QiPing Feng
6 Pharmacogenetics of Membrane Transporters: A Review
of Current Approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tristan M. Sissung, Andrew K.L. Goey, Ariel M. Ley,
Jonathan D. Strope, and William D. Figg
7 G Protein-Coupled Receptor Accessory Proteins and Signaling:
Pharmacogenomic Insights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Miles D. Thompson, David E.C. Cole, Pedro A. Jose, and Peter Chidiac
8 G Protein-Coupled Receptor Mutations and Human Genetic Disease . . . . . . .
Miles D. Thompson, Geoffrey N. Hendy, Maire E. Percy,
Daniel G. Bichet, and David E.C. Cole
9 Pharmacogenetics of the G Protein-Coupled Receptors. . . . . . . . . . . . . . . . . .
Miles D. Thompson, David E.C. Cole, Valerie Capra,
Katherine A. Siminovitch, G. Enrico Rovati, W. McIntyre Burnham,
and Brinda K. Rana PART II v
xi 3 19 35 45 67 91 121
153 189 CLINICAL APPLICATIONS OF PHARMACOGENOMICS 10 Pharmacogenomics of Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Anastasios Lymperopoulos and Faren French ix 245 x Contents 11 Pharmacogenomics in the Development and Characterization
of Atheroprotective Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Efi Valanti, Alexandros Tsompanidis, and Despina Sanoudou
12 Management of Side Effects in the Personalized Medicine Era:
Chemotherapy-Induced Peripheral Neuropathy. . . . . . . . . . . . . . . . . . . . . . . .
Paola Alberti and G. Cavaletti
13 Pharmacogenomics of Alzheimer’s Disease: Novel Therapeutic
Strategies for Drug Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ramón Cacabelos, Pablo Cacabelos, Clara Torrellas,
Iván Tellado, and Juan C. Carril
14 Pharmacogenetics of Antipsychotic Treatment in Schizophrenia . . . . . . . . . . .
Jennie G. Pouget and Daniel J. Müller
15 Pharmacogenetics of Addiction Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
David A. Nielsen, Ellen M. Nielsen, Teja Dasari,
and Catherine J. Spellicy
16 Pharmacogenetics in Rheumatoid Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deepali Sen, Jisna R. Paul, and Prabha Ranganathan
17 Pharmacogenomics of Osteoporotic Fractures . . . . . . . . . . . . . . . . . . . . . . . . .
José A. Riancho and Flor M. Pérez-Campo
18 Pharmacogenomics and Pharmacoepigenomics in Pediatric Medicine . . . . . . .
Barkur S. Shastry
19 Pharmacogenomics in Children. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Michael Rieder
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259 301 323 557
589 625
661
671
687
709 Contributors
PASQUALE ABETE • Department of Clinical Medicine, Cardiovascular Science
and Immunology, Cattedra di Geriatria, University of Naples Federico II, Naples, Italy
PAOLA ALBERTI • Department of Surgery and Translational Medicine, University of
Milano-Bicocca, Monza, Italy
DANIEL G. BICHET • Department of Physiology and Medicine, Hôpital du Sacré-Coeur,
Université de Montréal, Montréal, QC, Canada
DAVID R. BOOTH • Westmead Millennium Institute, University of Sydney, Sydney,
NSW, Australia
W. MCINTYRE BURNHAM • Department of Pharmacology and Toxicology, Faculty of
Medicine, University of Toronto, Toronto, ON, Canada
PABLO CACABELOS • EuroEspes Biomedical Research Center, Institute for CNS Disorders
and Genomic Medicine, Camilo José Cela University, Madrid, Spain
RAMÓN CACABELOS • EuroEspes Biomedical Research Center, Institute for CNS Disorders
and Genomic Medicine, Camilo José Cela University, Madrid, Spain
VALERIE CAPRA • Laboratory of Molecular Pharmacology, Department of Pharmacological
and Biomolecular Sciences, Università degli Studi di Milano, Milan, Italy
JUAN C. CARRIL • EuroEspes Biomedical Research Center, Institute for CNS Disorders
and Genomic Medicine, Camilo José Cela University, Madrid, Spain
G. CAVALETTI • Department of Surgery and Translational Medicine, University
of Milano-Bicocca, Monza, Italy
PETER CHIDIAC • Department of Physiology and Pharmacology, University of Western
Ontario, London, ON, Canada
DAVID E.C. COLE • Department of Laboratory Medicine and Pathobiology, University of
Toronto, Toronto, ON, Canada
TEJA DASARI • Biochemistry and Cell Biology, Rice University, Houston, TX, USA
DAVID DELLA-MORTE • Department of Advanced Biotechnologies and Bioimaging,
IRCCS San Raffaele Pisana, Rome, Italy; Department of System Medicine, University
of Rome Tor Vergata, Rome, Italy
QIPING FENG • Division of Clinical Pharmacology, Department of Medicine, Vanderbilt
University, Nashville, TN, USA
PATRIZIA FERRONI • Department of Advanced Biotechnologies and Bioimaging, IRCCS San
Raffaele Pisana, Rome, Italy
WILLIAM D. FIGG • Clinical Pharmacology Program, Medical Oncology Branch, Center for
Cancer Research, National Cancer Institute, Bethesda, MD, USA
FAREN FRENCH • Laboratory for the Study of Neurohormonal Control of the Circulation,
Department of Pharmaceutical Sciences, Nova Southeastern University College of
Pharmacy, Fort Lauderdale, FL, USA
ANDREW K.L. GOEY • Clinical Pharmacology Program, Medical Oncology Branch,
Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA xi xii Contributors FIORELLA GUADAGNI • Department of Advanced Biotechnologies and Bioimaging,
IRCCS San Raffaele Pisana, Rome, Italy
GEOFFREY N. HENDY • Departments of Medicine, Physiology and Human Genetics,
McGill University, Montreal, QC, Canada; Calcium Research Laboratory and,
Hormones and Cancer Research Unit, Royal Victoria Hospital and McGill University
Health Centre, Montreal, QC, Canada
PEDRO A. JOSE • Division of Nephrology, Department of Medicine, University of Maryland
School of Medicine, Baltimore, MD, USA
ARIEL M. LEY • Molecular Pharmacology Program, National Cancer Institute, Bethesda,
MD, USA
GIORGIA LUDOVICI • Department of Advanced Biotechnologies and Bioimaging,
IRCCS San Raffaele Pisana, Rome, Italy
ANASTASIOS LYMPEROPOULOS • Laboratory for the Study of Neurohormonal Control of the
Circulation, Department of Pharmaceutical Sciences, Nova Southeastern University
College of Pharmacy, Fort Lauderdale, FL, USA
MARIA LAURA DE MARCHIS • Department of Advanced Biotechnologies and Bioimaging,
IRCCS San Raffaele Pisana, Rome, Italy
DANIEL J. MÜLLER • Pharmacogenetics Research Clinic, Centre for Addiction and Mental
Health, Toronto, ON, Canada; Department of Psychiatry, Institute of Medical Sciences,
University of Toronto, Toronto, ON, Canada
DAVID A. NIELSEN • Menninger Department of Psychiatry and Behavioral Sciences,
Baylor College of Medicine, Houston, TX, USA; Michael E. DeBakey Veterans Affairs
Medical Center, Houston, TX, USA
ELLEN M. NIELSEN • Menninger Department of Psychiatry and Behavioral Sciences,
Baylor College of Medicine, Houston, TX, USA
RAFFAELE PALMIROTTA • Department of Advanced Biotechnologies and Bioimaging, IRCCS
San Raffaele Pisana, Rome, Italy
GRANT P. PARNELL • Westmead Millennium Institute, University of Sydney, Sydney,
NSW, Australia
JISNA R. PAUL • Division of Rheu...
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