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- W2010605429 abstract "Our ever-increasing knowledge of the human genome has revealed the genetic basis underlying many diseases while simultaneously providing us with a greater understanding of normal intraspecies genetic variability. This raises the possibility that as twenty-first century physicians, we will be able to practice a personalized form of medicine specifically tailored to the genetic makeup of each patient. One key question for anesthesiology is how clinically relevant is genetic diversity in the day-to-day practice of anesthesia. In the present issue of the journal, Alone and colleagues studied the effect of genomic copy number variation (CNV) on volatile anesthetic sensitivity. 1 Recent work has demonstrated that CNV is one of the most important determinants of genetic variability in humans. 2 CNV is a type of polymorphism defined as a segment of DNA, measuring several thousand to several million base pairs, whose number of copies encoded in the genome differ among two or more individuals of the same species. 3 Chromosomal duplications, deletions, rearrangements, and insertions all give rise to CNV. It is thought that predisposition to a growing number of complex diseases might be explained by CNV, including some forms of neuropsychiatric illnesses, malaria, and human immunodeficiency virus susceptibility. 4 Despite the overall small phenotypic variability in a population's volatile anesthetic responsiveness, reflected by the familiar steep slopes intrinsic to anesthetic dose-response curves, phenotypic variation to anesthetics does exist. This variation arises both from environmental and genetic factors. 5 It is conceivable that CNV might contribute to the diversity in anesthetic responsiveness including rare phenotypes such as partial resistance or hypersensitivity. Among the many interesting ways such extreme phenotypes could manifest are awareness under anesthesia or delayed emergence. From a practical standpoint, however, genotyping CNV and determining the allelic state of any given individual in human studies remains technically challenging. Therefore, to study the impact of CNV on anesthetic sensitivity, Alone and collaborators have made use of the many advantages available for the Drosophila model system. 1 The fruit fly, Drosophila melanogaster, might at first seem like an unusual choice organism to study a human problem. Most are more familiar with modeling human conditions in mammals. Several tantalizing genetic sites are already known to affect sensitivity in rodents. Mice bred for differential sensitivity to alcohol also display differential sensitivity to a variety" @default.
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- W2010605429 date "2009-07-01" @default.
- W2010605429 modified "2023-09-26" @default.
- W2010605429 title "Anesthetic Sensitivity" @default.
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- W2010605429 doi "https://doi.org/10.1097/aln.0b013e3181a3278b" @default.
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