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Title of Journal: JAMA

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Abbravation: JAMA

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American Medical Association

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DOI

10.1007/s00404-009-1169-y

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0098-7484

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Genetic Information Genomic Technologies and the

Authors: Thomas F Bumol August M Watanabe
Publish Date: 2001/02/07
Volume: 285, Issue: 5, Pages: 551-555
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Abstract

The completion of the first draft of the human genome has provided an unprecedented opportunity to understand the genetic and molecular basis of disease Parallel developments of new biological technologies such as transcript profiling allow scientists to examine almost any biological system in high molecular resolution Contemporary drug discovery research is now focusing on the identification and validation of pharmaceutical targets in the molecular pathways/systems embedded in this information Novel therapeutic interventions are being developed and evaluated as a result of this research which will be the basis of innovative pharmaceuticals of the futureDespite many advances in medicine disease burdens remain significant in both developed and emerging countries1 Effective drugs for treatment and prevention are needed for many disease areas including cardiovascular disease cancer neurological disorders infectious diseases endocrinology and inflammatory and chronic degenerative diseases Therefore there is excitement about the potential biological revolution that will emerge with understanding the human genome2The various genome initiatives have provided drafts of the chromosomal sequences of humans and other species The enabling technologies for this accomplishment such as transcript profiling now provide new tools to examine complex biological systems at the level of essentially all expressed messenger RNA mRNA and corresponding proteinsThis explosion of biologic information about the proteins and pathways relevant to cellular physiology and disease has stimulated biotechnology and pharmaceutical researchers to assign top priority to identification and validation of key targets known or novel to develop therapies for the many remaining diseases Hypothesisbased biological research is now supplemented with multidisciplinary approaches to systems and circuitbased biology that integrate bioinformatics genomic databases and cellular and molecular biology with the traditional drug discovery disciplines of physiological biochemistry pharmacology and medicinal chemistry As a consequence interventional strategies now include recombinant proteins monoclonal antibodies peptides and small organic molecules as drug candidates The goal is to expedite the testing of novel therapeutic hypotheses in humans and to develop strategies to identify optimal therapy for individual patientsSuccessful drug treatments of today and in the past involve fewer than 500 targets or growth factors as of 19963 whereas the human genome contains 35 000 to 120 000 genes45 At least 5000 of these genes should be important targets or produce therapeutic proteins suggesting that only 10 of potential therapeutic strategies have been identified and exploited to date6 This avalanche of genetic information largely coming from genomic sequences and expressed sequence tag–based sequencing of complementary DNA cDNA libraries initially represents a complete catalogue of component parts of the cell and tissues but does not yet provide insight into how all of the protein products of these genes interact or function within the cellThe challenge for pharmaceutical research is to unravel the pathophysiology of human diseases and thus make it possible to identify targets accessible to drug intervention The new systems or circuit view of biology that has evolved from gene research must be considered in successful drug discovery78 This perspective requires integration of various new technologies into the traditional toolbox of pharmaceutical research This article focuses on this new genomically influenced multidisciplinary approach to contemporary drug discovery by examining genomic information for hypothesis and target generation and the technologies being developed to validate targets for new therapiesBiochemistry pharmacology and medicinal chemistry will continue to play an essential role in identification of pharmacological targets in the posthuman genome era Expertise in preclinical models and human biology is necessary to incorporate genomic information into a molecular systems approach to physiology The traditional drug discovery process will now be supplemented with additional sources of genomic information at the level of chromosomal DNA disease gene associations mRNA transcript profiling of tissues human genetic variance data and animal and developmental models relevant to disease Figure 1For example if the disease target involves the human endothelium genomic information on the target organ system can be mined with bioinformatics for the discovery process910 DNA sequencing of a cDNA library of human endothelial cells or the use of transcriptional arrays can provide a view of gene transcription in normal human endothelium1112 Likewise proteomics or the systematic study of expressed proteins can provide insight into the functional proteins in specific cells1314


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References

citation title=Pharmacogenetics and the practice of medicine citation author=Roses AD citation journal title=Nature citation year=2000 citation volume=405 citation pages=857859


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  1. Suicide After Restoration of Sight
  2. Hepatitis B Vaccine Responsiveness in Connecticut Public Safety Personnel
  3. Psychopharmacological Screening Criteria Development Project
  4. Infratemporal Fossa Foreign Body
  5. Possible Role of Cytomegalovirus in Atherogenesis
  6. Tubal Ligation, Hysterectomy, and Risk of Ovarian Cancer
  7. Cholera in Zimbabwe
  8. Access to Care in Regionalized Health Care Systems
  9. Addendum: Volunteer Opportunities Overseas
  10. References and Reviews
  11. Preexposure Prophylaxis for HIV Infection
  12. Glucocorticoid Treatment Does Not Improve Neurological Recovery Following Cardiac Arrest
  13. The Syndrome of Chronic, Occult Rupture of the Spleen
  14. Septic Abortion
  15. Open Fracture of the Olecranon
  16. Chronic Osteomelitis: II. Treatment With Closed Irrigation and Suction
  17. Prognostic Significance of the Initial Electrocardiogram in Patients With Acute Myocardial Infarction
  18. Application Considered for Immunotoxin in Treatment of Graft-vs-Host Disease
  19. The Surprise Party
  20. Progress in Clinical Medicine
  21. Endemic Pleural Calcification and Mesothelioma-Reply
  22. Mental Retardation and Schizophrenia
  23. HEALTH FOR SALE
  24. Shakespeare and Psychiatry
  25. Biomarker-Based Predictive Models for Prognosis in Amyotrophic Lateral Sclerosis
  26. Immunotherapy, Hay Fever, and Asthma
  27. Activities of the Federation of State Medical Boards of the United States, Inc.
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  29. Repetitive Transcranial Magnetic Stimulation and Tinnitus—Still a Noisy Issue
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  31. After Hours
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  33. HTLV-III Antibodies After Immune Globulin
  34. A Hazard of Protein-Sparing Modified Fast
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  36. Fractures: Simple, Compound, and Complex
  37. Factors Associated With Decisions to Undergo Surgery Among Patients With Newly Diagnosed Early-Stage Lung Cancer
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  39. Quality Assurance
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  41. Incorrect References
  42. Outcomes of an Inner-City Vision Outreach Program: Give Kids Sight Day
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  44. Clinical Problems, Injuries and Complications of Gynecologic Surgery
  45. Corrective Nasal Surgery in the Younger Patient
  46. Japanese Develop Early Test for Lung Cancer Metastases
  47. Do Obese Persons Mirror Thin Counterparts in Calorie Intake, Recall of Food Consumed?
  48. AIDS in South Africa
  49. Prenatal Screening for Hepatitis B-Reply
  50. Prenatal Screening for Hepatitis B-Reply
  51. Reports Warn of Primary Care Shortages
  52. Hyperosmolar Coma
  53. Bioequivalence of Levothyroxine Preparations: Issues of Science, Publication, and Advertising-Reply
  54. Dressing Regimens and Intravenous Catheter—Related Infections-Reply
  55. Vitamin D and Risk of Postoperative Hypocalcemia After Total Thyroidectomy
  56. JAMA 100 Years Ago
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  62. Difficult Choices for Two-Year Medical Schools
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