"One
Size Doesn't Fit All"
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Mary Ellen Scherl's sculpture "The Ladder," which
depicts cherubs ascending and descending a winding strand
of DNA.*
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Clinicians
and patients recognize that not every person responds to drugs in
the same way. Some drugs carry a risk of adverse reactions
that often seem to occur by chance. Even drugs that are well-tolerated
may be highly effective at low doses in some patients, and minimally
effective at high doses in others.
The
Human Genome Project has established the initial sequence of
all human DNA. In doing so, the Genome Project enabled study
of how variations among patient genomes affects why disease develops
in some patients and not in others. Pharmacogenetics is the
study of how individual DNA variations affect drug responses, and
the term pharmacogenomics is often used to describe how many variations
in an individual patient, or in large groups of patients, affect
the outcome of drug therapy.
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"Con-volution,"
by Jeremy Bond, is based on the double-helix form of DNA.
It signifies genetic continuity.*
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Vanderbilt
University is a center of excellence in the study of mechanisms
underlying individual variability in response to drug therapy. This
work reaches from basic science to clinical medicine, and includes
studies of metabolism and transport of many drugs, as well as, specific
studies of drug therapies in diverse clinical settings such as arrhythmias,
hypertension, autonomic dysfunction, psychiatric disease, cancer,
HIV infection, and recovery
from anesthesia.
Research
Centers with a special focus on pharmacogenetics and pharmacogenomics
include the Division
of Clinical Pharmacology, The
Vanderbilt-Ingram Cancer Center, the
Center for Molecular Neuroscience, the
Vanderbilt-Meharry Center for AIDS Research, the
Division of Genetic Medicine,
the General Clinical Research Center, the
Center for Human Genetics Research, and
the Center for Genetics and Health Policy. Studies of
arrhythmia therapies are supported by Vanderbilt's participation
in the NIH-sponsored Pharmacogenetics Research Network.
*Sculptures depicted
on this web page are found on the Vanderbilt Medical Center campus.
Captions derived from original Vanderbilt News and Public Affairs
publications.
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