Pharmacogenomics in allogeneic hematopoietic stem cell transplantation: Implications on supportive therapies and conditioning regimens

Best Pract Res Clin Haematol. 2023 Jun;36(2):101470. doi: 10.1016/j.beha.2023.101470. Epub 2023 Apr 19.

Abstract

Allogeneic hematopoietic stem cell transplantation mortality has declined over the years, though prevention and management of treatment-related toxicities and post-transplant complications remains challenging. Applications of pharmacogenomic testing can potentially mitigate adverse drug outcomes due to interindividual variability in drug metabolism and response. This review summarizes clinical pharmacogenomic applications relevant to hematopoietic stem cell transplantation, including antifungals, immunosuppressants, and supportive care management, as well as emerging pharmacogenomic evidence with conditioning regimens.

Keywords: Allogeneic transplantation; Bone marrow transplant; Hematopoietic stem cell transplantation; Pharmacogenetics; Pharmacogenomics; Supportive care.

Publication types

  • Review

MeSH terms

  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Immunosuppressive Agents
  • Pharmacogenetics*
  • Transplantation Conditioning
  • Transplantation, Homologous / adverse effects

Substances

  • Immunosuppressive Agents