Abstract
This review presents an overview of pharmacogenomics and pharmacogenetics in clinical practice (PGx) to pharmacogenomics in lipid-lowering therapies. Statins are the first-line choice in Lipid-lowering therapy to reduce cardiovascular risk, then Non-Statin Lipid-Lowering Therapies and Novel Lipid-Lowering Therapies. The purpose of this review was to introduce the genomic variations in pharmacodynamics and pharmcokinetics of lipid-lowering drugs. Loss-of-function and gain-of-function variants significantly affect metabolism and transport. It is evidence to choose the right drug anh the appropriate dose. Common pharmacogenomics in lipid-lowering therapies are ABCG2, CYP3A4, HMGCR, LDLR, SLCO1B1, etc. FDA recommends testing pharmacogenomics in the clinical practice, and online reference information at PhamGKB. Physicians can search and consult the clinical practice guidelines for testing and using pharmacogenomics from international organizations such as CPIC (American), DPWG (Holand), etc.