Pharmacogenetics and personalized treatment in chronic congenital anemias: Integrated perspectives and a systematic review
DOI:
https://doi.org/10.55312/op.v17i1.7251Abstract
Objective: This comprehensive article explores the emerging role of pharmacogenetics in optimizing treatment for chronic congenital anemias, including β-thalassemia, sickle cell disease (SCD), and rare erythropoietic disorders. It integrates a systematic review with an in-depth clinical analysis of personal-ized medicine strategies. Methods: A systematic literature review (2015 - 2024) was conducted using PubMed, Scopus, and Web of Science, following PRISMA guidelines. Results: Genetic profiling significantly improves drug selection, dosing, and toxicity management in congenital anemias. Conclusion: Pharmacogenetics supports a transformative shift toward personalized therapy in hema-tology by improving efficacy, reducing adverse effects, and enabling the integration of novel targeted treatments.Keywords:
pharmacogenetics, congenital anemia, personalized therapy, thalassemia, sickle cell disease, genetic testing.Downloads
References
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1. Estepp, J. H., et al. (2017). Pharmacogenomics in sickle cell disease. Pediatr Blood Cancer, 64(7), e26319.
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2. Danjou, F., et al. (2015). Genetic modifiers of β-thalassemia severity. Haematologica, 100(4), 418–
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425.
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3. Lal, A., et al. (2020). Pharmacogenetics of deferasirox. Br J Haematol, 188(1), 138–145.
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4. Ware, R. E., et al. (2019). UGT1A1 and hydroxyurea. Lancet Haematol, 6(10), e510–e511.
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5. Cappellini, M. D., et al. (2020). Hemoglobinopathies overview. Int J Lab Hematol, 42(S1), 5–10.
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6. Thompson, A. A., & Walters, M. C. (2022). Gene therapy advances. Hematol Oncol Clin North Am,
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36(2), 309–323.
References
1. Estepp, J. H., et al. (2017). Pharmacogenomics in sickle cell disease. Pediatr Blood Cancer, 64(7), e26319.
2. Danjou, F., et al. (2015). Genetic modifiers of β-thalassemia severity. Haematologica, 100(4), 418–
425.
3. Lal, A., et al. (2020). Pharmacogenetics of deferasirox. Br J Haematol, 188(1), 138–145.
4. Ware, R. E., et al. (2019). UGT1A1 and hydroxyurea. Lancet Haematol, 6(10), e510–e511.
5. Cappellini, M. D., et al. (2020). Hemoglobinopathies overview. Int J Lab Hematol, 42(S1), 5–10.
6. Thompson, A. A., & Walters, M. C. (2022). Gene therapy advances. Hematol Oncol Clin North Am,
36(2), 309–323.



