| Literature DB >> 29510900 |
Tamorah R Lewis1, Elaine L Shelton2, Sara L Van Driest3, Prince J Kannankeril4, Jeff Reese5.
Abstract
Patent ductus arteriosus (PDA) is a frequent, complex, and difficult to treat clinical syndrome among preterm infants in the neonatal intensive care unit. In addition to known clinical risk factors, there are emerging data about genetic predisposition to PDA in both animal and human models. Clinical response and toxicity from drugs used to treat PDA are highly variable. Developmental and genetic aspects of pharmacokinetics and pharmacodynamics influence exposure and response to pharmacologic therapies. Given the variable efficacy and toxicity of known drug therapies, novel therapeutic targets for PDA treatment offer the promise of precision medicine. This review addresses the known genetic contributions to prolonged ductal patency, variability in response to drug therapy for PDA, and potential novel drug targets for future PDA treatment discovery.Entities:
Keywords: Ductus arteriosus; Genetic predisposition; Infant; Newborn
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Year: 2018 PMID: 29510900 PMCID: PMC6098727 DOI: 10.1016/j.siny.2018.02.006
Source DB: PubMed Journal: Semin Fetal Neonatal Med ISSN: 1744-165X Impact factor: 3.926