Document Detail


Gender differences in drug toxicity.
MedLine Citation:
PMID:  20117848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical data suggest that gender dimorphic profiles are emerging in terms of both drug efficacy and adverse drug reactions (ADRs). With an increasing emphasis on individualised therapies and the need to prevent drug attrition there is a compelling need to understand the molecular basis for gender dimorphic profiles in ADRs and the consequences. Classes of agents exhibiting gender-based variation in pharmaceutical efficacy and toxicity include anaesthetics, HIV-1 therapies and antiarrhythmic drugs. Body weight differences are often cited as a reason for differences in drug pharmacokinetics and subsequent toxicity. However, some studies accounted for these factors and still found significance suggesting that dosage versus body weight does not explain the outcome. Here, we present an overview of current understanding of gender-specific drug toxicity and present rational molecular explanations for these adverse events. There is mounting evidence in support of hormonal effects underpinning the majority of the ADR differences observed between the sexes.
Authors:
Tamara J Nicolson; Howard R Mellor; Ruth R A Roberts
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-02-01
Journal Detail:
Title:  Trends in pharmacological sciences     Volume:  31     ISSN:  1873-3735     ISO Abbreviation:  Trends Pharmacol. Sci.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7906158     Medline TA:  Trends Pharmacol Sci     Country:  England    
Other Details:
Languages:  eng     Pagination:  108-14     Citation Subset:  IM    
Copyright Information:
2009 Elsevier Ltd. All rights reserved.
Affiliation:
General Toxicology Sciences, Safety Assessment UK, AstraZeneca R&D, Alderley Park, Macclesfield, Cheshire, SK10 4TG, UK. Tamara.Nicolson@astrazeneca.com
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MeSH Terms
Descriptor/Qualifier:
Carrier Proteins / metabolism
Drug Toxicity / etiology*
Female
Hormones / metabolism
Humans
Male
Pharmaceutical Preparations / adverse effects*,  metabolism
Sex Characteristics*
Chemical
Reg. No./Substance:
0/Carrier Proteins; 0/Hormones; 0/Pharmaceutical Preparations

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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