Evidence map›Paper›PMID 37251329›Full record

ArticleFrontiers in pharmacology2023

An updated examination of the perception of barriers for pharmacogenomics implementation and the usefulness of drug/gene pairs in Latin America and the Caribbean.

Aimeé Salas-Hernández, Macarena Galleguillos, Matías Carrasco, Andrés López-Cortés, María Ana Redal, Dora Fonseca-Mendoza, Patricia Esperón, Farith González-Martínez, Ismael Lares-Asseff, Alberto Lazarowski and 55 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

65 authors.

Aimeé Salas-HernándezDepartment of Pharmacology, Toxicology and Pharmaco-Dependence, Faculty of Pharmacy, University of Costa Rica, San Jose, Costa Rica.
Macarena GalleguillosLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Matías CarrascoLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Andrés López-CortésCancer Research Group (CRG), Faculty of Medicine, Universidad de Las Américas, Quito, Ecuador.
María Ana RedalMolecular Diagnostic Laboratory, Genetics Division, Faculty of Medicine, Hospital de Clínicas José de San Martín, University of Buenos Aires, Buenos Aires, Argentina.
Dora Fonseca-MendozaUniversidad del Rosario, School of Medicine and Health Sciences, Center for Research in Genetics and Genomics (CIGGUR), Institute of Translational Medicine (IMT), Bogotá, Colombia.
Patricia EsperónMolecular Genetic Unit, School of Chemistry, Universidad de la República, General Flores, CP 1800 2124, Montevideo, Uruguay.
Farith González-MartínezToxicology and Public Health Research Laboratory, Department of Research, Faculty of Dentistry, University of Cartagena, Cartagena, Colombia.
Ismael Lares-AsseffAcademy of Genomics and Laboratory of Pharmacogenomics and Molecular Biomedicine, Instituto Politécnico Nacional, CIIDIR-Unidad Durango, Durango, Mexico.
Alberto LazarowskiInstituto de Fisiopatología y Bioquímica Clínica (INFIBIOC), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires- Argentina, Buenos Aires, Argentina.
Verónica Loera-CastañedaAcademy of Genomics and Laboratory of Pharmacogenomics and Molecular Biomedicine, Instituto Politécnico Nacional, CIIDIR-Unidad Durango, Durango, Mexico.
Diadelis RemírezNational Centre for Quality Control of Drugs, La Havana, Cuba.
Matías F MartínezLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Rodrigo VargasDepartment of Molecular Biology, Galileo University, Guatemala City, Guatemala.
Fabricio Rios-SantosDepartment of Health. Faculty of Medicine, Federal University of Mato Grosso (UFMT), Cuibá, Brazil.
Antonio MachoMorphology and Applied Immunology Research Center (NuPMIA), University of Brasilia (UnB), Brasília, Brazil.
Juan P CayúnLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Germán R PerezDepartment of Microbiology, Faculty of Biochemical and Pharmaceutical Sciences. National University of Rosario, Rosario, Argentina.
Carolina GutierrezLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Leslie C CerpaLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Tamara LeivaLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Susan CalfunaoLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Lesly XajilDepartment of Research in Pharmacogenomics, Faculty of Chemical Sciences and Pharmacy, University of San Carlos de Guatemala, Guatemala, Guatemala.
Christopher SandovalLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Marcelo SuárezLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Ariana GonzalezMedical Genetics Platform, Santa Fe, Argentina.
Gabriela Echeverría-GarcésFacultad de Ciencias de La Salud, Universidad Internacional de Valencia, Valencia, España.
Luis Sullón-DextreSociedad de Farmacología Molecular del Perú, Lima, Perú.
Eugenia Cordero-GarcíaDepartment of Pharmacology, Toxicology and Pharmaco-Dependence, Faculty of Pharmacy, University of Costa Rica, San Jose, Costa Rica.
Alexis R MoralesDepartment of Toxicology and Pharmacology, Faculty of Pharmacy and Bioanalisis, University of Los Andes, Merida, Venezuela.
Andrea AvendañoDepartment of Pediatrics, Medical Genetics Unity, Faculty of Medicine, University of Los Andes, Mérida, Venezuela.
Enrique SánchezVivian Pellas Hospital, Managua, Nicaragua.
Laura C BastoneLaboratorio de Medicina Genómica, Gammalab, Grupo Gamma, Rosario, Argentina.
Cesar LaraBetesda La Alternativa Natural, San José, Costa Rica.
Patricia Zuluaga-AriasColombian Association of Pharmacovigilance, Bogotá, Colombia.
Ana María SolerLaboratorio de Genética Molecular Humana, Departamento de Ciencias Biológicas, Universidad de La República, Montevideo, Uruguay.
Julio Da LuzLaboratorio de Genética Molecular Humana, Departamento de Ciencias Biológicas, Universidad de La República, Montevideo, Uruguay.
Gabriela Burgueño-RodríguezLaboratorio de Genética Molecular Humana, Departamento de Ciencias Biológicas, Universidad de La República, Montevideo, Uruguay.
Marcelo VitalMolecular Genetic Unit, School of Chemistry, Universidad de la República, General Flores 2124, Montevideo, Uruguay.
Elizabeth Reyes-ReyesClinical Experimental Pharmacology Section, Teaching and Research Department, Institute of Oncology and Radiobiology, Havana, Cuba.
Alexander HuacchaPharmacy Service, Hospital II 1 Moyobamba, San Martín, Perú.
Yeimy V ArizaPharmaceutical Chemistry Program, El Bosque University, Bogotá, Colombia.
Naomi TzulDrug Inspectorate Unit, Ministry of Health and Wellness, Belmopan, Belize.
Ana L RendónDepartment of Pharmaceutical Technology, National Autonomous University of Honduras, Tegucigalpa, Honduras.
Roberto SerranoPhV Latam, San Salvador, El Salvador.
Larissa AcostaFaculty of Biology, Chemistry and Pharmacy, Galileo University, Guatemala, Guatemala.
Angelo Motta-PardoGENOBIDC, Faculty of Pharmacy and Biochemistry, Universidad Nacional Mayor de San Marcos (UNMSM), CIGBM, Faculty of Medicine, Universidad de San Martin de Porres (USMP), Lima, Peru.
Leonardo Beltrán-AngaritaFaculty of Heath Sciences, Central Unit of Valle del Cauca, Tuluá, Colombia.
Erika BrandPostgraduate Department, Master's Degree in Immunology, Universidad Cayetano Heredia, Lima, Perú.
Miguel A JiménezClinical Pharmaceutical Services, Health Division, Chillán, Chile.
Gladys Maribel Hidalgo-LozadaDepartment of Physiology, Health Sciences University Center, University of Guadalajara, Guadalajara, Mexico.
Marina M J Romero-PradoDepartment of Physiology, Health Sciences University Center, University of Guadalajara, Guadalajara, Jalisco, Mexico.
Karla Escobar-CastroLaboratory of Histocompatibility and Immunogenetics, Department of Nephrology and Transplant, Hospital General San Juan de Dios, Guatemala, Guatemala.
Mariel Umaña-RivasDepartment of Tropical Medicine, Faculty of Medicine, University of Brasília, Brasília, Brazil.
Juan D VivasDepartment of Clinical Pharmacology, Faculty of Medicine, University of La Sabana, Chía, Colombia.
Paola LagosRecombinant Biopharmaceutical Laboratory, Department of Pharmacology, Faculty of Biological Sciences, University of Concepción, Concepción, Chile.
Yineth Ballén MartínezMedical Specialist in Epidemiology Clinical Pharmacology Teacher; Medical Scientific and Pharmacovigilance Advisor in the Pharmaceutical Industry, Bogotá, Colombia.
Sharleth QuesadaFaculty of Pharmacy, University of Costa Rica, San Jose, Costa Rica.
Camila CalfioInternational Center for Biomedicine ICC, Santiago, Chile.
Maria L AriasTropical Diseases Research Center and Microbiology Faculty, University of Costa Rica, San José, Costa Rica.
María A LavanderosLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Dante D CáceresEnvironmental Health Programme, School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile.
Alberto Salazar-GranaraUniversidad de San Martín de Porres, Facultad de Medicina Humana, Centro de Investigación de Medicina Tradicional y Farmacología, Lima, Perú.
Nelson M VarelaLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.
Luis A QuiñonesLaboratory of Chemical Carcinogenesis and Pharmacogenetics, Department of Basic-Clinical Oncology (DOBC), Faculty of Medicine, University of Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacogenomics (PGx) is considered an emergent field in developing countries. Research on PGx in the Latin American and the Caribbean (LAC) region remains scarce, with limited information in some populations. Thus, extrapolations are complicated, especially in mixed populations. In this paper, we reviewed and analyzed pharmacogenomic knowledge among the LAC scientific and clinical community and examined barriers to clinical application. We performed a search for publications and clinical trials in the field worldwide and evaluated the contribution of LAC. Next, we conducted a regional structured survey that evaluated a list of 14 potential barriers to the clinical implementation of biomarkers based on their importance. In addition, a paired list of 54 genes/drugs was analyzed to determine an association between biomarkers and response to genomic medicine. This survey was compared to a previous survey performed in 2014 to assess progress in the region. The search results indicated that Latin American and Caribbean countries have contributed 3.44% of the total publications and 2.45% of the PGx-related clinical trials worldwide thus far. A total of 106 professionals from 17 countries answered the survey. Six major groups of barriers were identified. Despite the region's continuous efforts in the last decade, the primary barrier to PGx implementation in LAC remains the same, the "need for guidelines, processes, and protocols for the clinical application of pharmacogenetics/pharmacogenomics". Cost-effectiveness issues are considered critical factors in the region. Items related to the reluctance of clinicians are currently less relevant. Based on the survey results, the highest ranked (96%-99%) gene/drug pairs perceived as important were

Indexed as

barriersgene/drug pairpharmacogeneticspharmacogenomicsprecision medicine

Identifiers

PMID37251329
PMCPMC10213898

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