PMID- 32825180 OWN - NLM STAT- MEDLINE DCOM- 20210216 LR - 20210216 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 17 DP - 2020 Aug 19 TI - Pharmacogenomics of Antibiotics. LID - 10.3390/ijms21175975 [doi] LID - 5975 AB - Although the introduction of antibiotics in medicine has resulted in one of the most successful events and in a major breakthrough to reduce morbidity and mortality caused by infectious disease, response to these agents is not always predictable, leading to differences in their efficacy, and sometimes to the occurrence of adverse effects. Genetic variability, resulting in differences in the pharmacokinetics and pharmacodynamics of antibiotics, is often involved in the variable response, of particular importance are polymorphisms in genes encoding for drug metabolizing enzymes and membrane transporters. In addition, variations in the human leukocyte antigen (HLA) class I and class II genes have been associated with different immune mediated reactions induced by antibiotics. In recent years, the importance of pharmacogenetics in the personalization of therapies has been recognized in various clinical fields, although not clearly in the context of antibiotic therapy. In this review, we make an overview of antibiotic pharmacogenomics and of its potential role in optimizing drug therapy and reducing adverse reactions. FAU - Stocco, Gabriele AU - Stocco G AUID- ORCID: 0000-0003-0964-5879 AD - Department of Life Sciences, University of Trieste, I-34128 Trieste, Italy. FAU - Lucafo, Marianna AU - Lucafo M AUID- ORCID: 0000-0003-1355-3782 AD - Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", I-34137 Trieste, Italy. FAU - Decorti, Giuliana AU - Decorti G AUID- ORCID: 0000-0002-9714-6246 AD - Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", I-34137 Trieste, Italy. AD - Department of Medicine, Surgery and Health Sciences, University of Trieste, I-34149 Trieste, Italy. LA - eng PT - Journal Article PT - Review DEP - 20200819 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Bacterial Agents) RN - 0 (HLA Antigens) SB - IM MH - Anti-Bacterial Agents/adverse effects/pharmacokinetics/*therapeutic use MH - Bacterial Infections/drug therapy/*genetics MH - Genome-Wide Association Study/methods MH - HLA Antigens/genetics MH - Humans MH - *Pharmacogenomic Variants MH - Precision Medicine/methods PMC - PMC7504675 OTO - NOTNLM OT - adverse drug reaction OT - antibiotics OT - human leukocyte antigen (HLA) OT - pharmacogenomics OT - pharmacokinetics OT - transporters COIS- The authors declare no conflict of interest. EDAT- 2020/08/23 06:00 MHDA- 2021/02/17 06:00 PMCR- 2020/09/01 CRDT- 2020/08/23 06:00 PHST- 2020/07/28 00:00 [received] PHST- 2020/08/12 00:00 [revised] PHST- 2020/08/17 00:00 [accepted] PHST- 2020/08/23 06:00 [entrez] PHST- 2020/08/23 06:00 [pubmed] PHST- 2021/02/17 06:00 [medline] PHST- 2020/09/01 00:00 [pmc-release] AID - ijms21175975 [pii] AID - ijms-21-05975 [pii] AID - 10.3390/ijms21175975 [doi] PST - epublish SO - Int J Mol Sci. 2020 Aug 19;21(17):5975. doi: 10.3390/ijms21175975.