摘要
随着肥胖及其并发症的流行和严重程度在世界范围内的显著上升,单纯的行为干预已经不足以充分促进治疗和持续减轻体重。因此,我们对开发抗肥胖药物作为治疗策略有着强烈的兴趣。结合结构化生活方式的改变和药物治疗能够促进体重下降。然而却比减肥手术效果要差,药物治疗只是一些肥胖患者手术之外的选择,而且手术减肥是一种新兴的维持体重的策略。遗传药理学的目的在于帮助鉴别能够从药物治疗中获得最大获益的病人,同时使发生不良反应的风险降到最低。在本综述中,我们总结了关于之前的肥胖药物(西布曲明,利莫那班),现在的(奥利司他,氯卡色林,芬特明,托吡酯)和将来的(buprioprion,纳曲酮)应用于遗传药理学文献。
关键词: Buprioprion
Current Molecular Medicine
Title:Pharmacogenetics of Obesity Drug Therapy
Volume: 14 Issue: 7
Author(s): A.K. Guzman, M. Ding, Y. Xie and K.A. Martin
Affiliation:
关键词: Buprioprion
摘要: As the prevalence and severity of obesity and its complications have risen significantly in worldwide populations, behavioral interventions alone have been inconsistent in promoting sufficient, sustained weight loss. Consequently, there has been intense interest in the development of anti-obesity medications as treatment strategies. When coupled with structured lifestyle modifications, pharmacotherapy can enhance weight loss. While less efficacious than bariatric surgery, drug therapy may be an alternative to surgery for some obese patients, and is an emerging strategy for weight maintenance. The goal of pharmacogenetics is to help identify patients who will benefit most from drug therapies while minimizing the risk of adverse effects. In this review, we summarize the pharmacogenetic literature on obesity drugs of the past (sibutramine, rimonabant), present (orlistat, lorcaserin, phentermine, topiramate), and future (buprioprion/naltrexone).
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Cite this article as:
Guzman A.K., Ding M., Xie Y. and Martin K.A., Pharmacogenetics of Obesity Drug Therapy, Current Molecular Medicine 2014; 14 (7) . https://dx.doi.org/10.2174/1566524014666140811120307
DOI https://dx.doi.org/10.2174/1566524014666140811120307 |
Print ISSN 1566-5240 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5666 |
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