Pharmacogenomics of heart failure: a systematic review.

Pharmacogenomics

Faculty of Pharmacy, Université de Montréal, Montreal, Canada.

Published: November 2016

Background: Heart failure (HF) and multiple HF-related phenotypes are heritable. Genes implicated in the HF pathophysiology would be expected to influence the response to treatment.

Methods: We conducted a series of systematic literature searches on the pharmacogenetics of HF therapy to assess the current knowledge on this field.

Results: Existing data related to HF pharmacogenomics are still limited. The ADRB1 gene is a likely candidate to predict response to β-blockers. Moreover, the cytochrome P450 2D6 coding gene (CYP2D6) clearly affects the pharmacokinetics of metoprolol, although the clinical impact of this association remains to be established.

Conclusion: Given the rising prevalence of HF and related costs, a more personalized use of HF drugs could have a remarkable benefit for patients, caregivers and healthcare systems.

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http://dx.doi.org/10.2217/pgs-2016-0118DOI Listing

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