Molecular Interventions 3:171 (2003)
© 2003 American Society of Pharmacology and Experimental Therapeutics
Net Results
Sites of interest on the World Wide Webedited by David Siderovski
One Drug Doesnt Fit All
In MIs interview this month (pages 118122), Dr. Richard Weinshilboum of the Mayo Clinic, this years recipient of the Harry Gold Award in Clinical Pharmacology, discusses the history and future of pharmacogenetics, the study of how our genes affect our individual responses to medicines. Several excellent sites have sprung up on the Web to help organize and coordinate Internet-based resources for pharmacogenomics, including those sponsored by the Pharmaceutical Research and Manufacturers of America (http://genomics.phrma.org/pharmacogenomics.html) and the National Institute of General Medical Sciences (http://www.nigms.nih.gov/pharmacogenetics). The latter agency, along with other Institutes of the NIH, funds the Pharmacogenetics Knowledge Base (http://www.PharmGKB.org), part of the Pharmacogenetics Research Network (PGRN). Housed at Stanford University, PharmGKB intends to be the central repository for genetic and clinical information about individuals who have participated in clinical trials. PharmGKB also solicits information from scientists for its growing database of genedrug, gene disease, and genedrugdisease associations. Additionally, the site provides links to complementary Web pages such as a Cytochrome P450 Drug Interaction table (http://medicine.iupui.edu/flockhart) and GeneSNPs (http://www.genome.utah.edu/genesnps), a Web resourse, similar to PharmGKB, that integrates sequence polymorphism data related to geneenvironmental response associations.
Cognition Restoration
Also in this issue of MI , Mufson and colleagues consider the role of the neuropeptide galanin in the pathophysiology underlying the neurodegeneration and cognitive impairment typical of Alzheimers disease (AD; 137156). Several NIH-sponsored sites act as portals, for the researcher and layperson alike, that lead to information about AD, including those of the National Institute on Aging (http://www.alzheimers.org), the National Institute of Neurological Disorders and Stroke (http://www.ninds.nih.gov/health_and_medical/disorders/alzheimersdisease_doc.htm), and the National Library of Medicine (http://www.nlm.nih.gov/medlineplus/alzheimersdisease.html). Three FDA-approved acetylcholinesterase inhibitors (http://www.alz.org/ResourceCenter/ByTopic/cholinesteraseinhibitors.htm) are in general use for improving the memory and thinking abilities of AD patients: donepezil/Aricept®, rivastigmine/Exelon®, and galantamine/Reminyl®. However, many alternative therapies and herbal remedies, including ginkgo biloba extracts, phosphatidylserine, and the moss extract huperzine A, have also be promoted as treatments for AD. The Alzheimers Association (http://www.alz.org/AboutAD/ Treatment/Alternative.htm) is careful to spell out the concerns regarding these alternative treatments, as dietary supplements are regulated by the FDAs Center for Food Safety and Applied Nutrition (http://www.cfsan.fda.gov/~dms/supplmnt.html) under guidelines that are very different from those covering prescription and over-the-counter drugs.
Related articles in MI:
- Richard Weinshilboum: Pharmacogenetics: The Future is Here!
MI 2003 3: 118-122.
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- Galanin in Alzheimer Disease
- Scott E. Counts, Sylvia E. Perez, Stephen D. Ginsberg, Sonsoles de Lacalle, and Elliott J. Mufson
MI 2003 3: 137-156.
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Copyright © 2003 by the American Society for Pharmacology and Experimental Therapeutics.