Genomic Variation and Pharmacokinetics in Old Age: A Quantitative Review of Age- vs. Genotype-Related Differences

Clin Pharmacol Ther. 2019 Mar;105(3):625-640. doi: 10.1002/cpt.1057. Epub 2018 Apr 2.

Abstract

Older persons may particularly benefit from pharmacogenetic diagnostics, but there is little clinical evidence on that question. We quantitatively analyzed the effects of age and genotype in drugs with consensus on a therapeutically relevant impact of a genotype. Assuming additive effects of age and genotype, drugs may be classified in groups with different priorities to consider either age, or genotype, or both, in therapy. Particularly interesting were those studies specifically analyzing the age-by-genotype interaction.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging / drug effects
  • Aging / genetics
  • Aging / metabolism*
  • Drug-Related Side Effects and Adverse Reactions / genetics
  • Drug-Related Side Effects and Adverse Reactions / metabolism
  • Genetic Variation / drug effects
  • Genetic Variation / physiology*
  • Genomics / methods*
  • Genotype*
  • Humans
  • Pharmaceutical Preparations / metabolism*
  • Pharmacogenetics / methods*
  • Pharmacogenomic Testing / methods

Substances

  • Pharmaceutical Preparations