Difference between revisions of "Unknown function"

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==Alleles with unknown biochemical consequence==
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==Alleles with unknown biochemical function==
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''Unknown funtion'' means that the biochemical function of the allele is unknown or uncertain.
 
There are at least three kind of alleles that have unknown biochemical function
 
There are at least three kind of alleles that have unknown biochemical function
*Known PGx alleles that are classified with ''Unknown function'' status by PharmGKB
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* PGx alleles that are classified with ''Unknown function'' status by PharmGKB
*Alleles with variants that cause changes to the protein, but which are not classified by PharmGKB
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* Alleles with variants that cause changes to the protein, but which are not classified by PharmGKB
*Alleles with variants that do not cause changes to the protein, and which are not classified by PharmGKB
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* Alleles with variants that do not cause changes to the protein, and which are not classified by PharmGKB
  
The dosing recommendation for patients with ''Unknown functional status'' is to follow the normal medication advice. This means that
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The dosing recommendation for patients with unknown biochemical function on at least one chromatid is to follow the normal medication advice. This means that normal medication is recommended, '''even if the sister-chromatid has ''No function'' or ''Increased function'''''.
*If the patient has an allele with unknown function, the recommended action is to follow normal dosing regime, even if the other allele has ''No function''.  
 
  
==Alleles with normal bio-chemical consequence==
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This dosing recommendation is very conservative, and the question is whether the allele with ''Unknown function'' should rather be treated as a ''Normal function'' allele.
The bio-chemical function varies for all patients, and [[Normal function]] just means that the functional status is sufficiently close to the mean that the normal medication recommendation can be used.
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There are at least two  normal
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==Alleles with normal biochemical function==
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[[Normal function]] means that the biochemical function of the allele is sufficiently close to the average that a normal medication recommendation can be used.
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There are at least three kind of alleles that have normal biochemical function
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* PGx alleles that are classified with ''Normal function'' status by PharmGKB
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* Any allele that is '''not''' classified by PharmGKB
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* An allele with no variants
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In other words: the definitions ''Normal function'' and ''Unknown function'' are partially overlapping.

Revision as of 11:35, 13 July 2018

Alleles with unknown biochemical function

Unknown funtion means that the biochemical function of the allele is unknown or uncertain. There are at least three kind of alleles that have unknown biochemical function

  • PGx alleles that are classified with Unknown function status by PharmGKB
  • Alleles with variants that cause changes to the protein, but which are not classified by PharmGKB
  • Alleles with variants that do not cause changes to the protein, and which are not classified by PharmGKB

The dosing recommendation for patients with unknown biochemical function on at least one chromatid is to follow the normal medication advice. This means that normal medication is recommended, even if the sister-chromatid has No function or Increased function.

This dosing recommendation is very conservative, and the question is whether the allele with Unknown function should rather be treated as a Normal function allele.

Alleles with normal biochemical function

Normal function means that the biochemical function of the allele is sufficiently close to the average that a normal medication recommendation can be used. There are at least three kind of alleles that have normal biochemical function

  • PGx alleles that are classified with Normal function status by PharmGKB
  • Any allele that is not classified by PharmGKB
  • An allele with no variants

In other words: the definitions Normal function and Unknown function are partially overlapping.