Single-nucleotide polymorphisms (SNPs), common variations among the DNA of
individuals, are being uncovered and assembled into large SNP databases tha
t promise to enable the dissection of the genetic basis of disease and drug
response (i.e., pharmacogenomics). Although great strides have been made i
n understanding the diversity of the human genome, such as the frequency, d
istribution, and type of genetic variation that exists, the feasibility of
applying this information to uncover useful pharmacogenomic markers is unce
rtain. The health care industry is clamoring for access to SNP databases fo
r use in research in the hope of revolutionizing the drug development proce
ss. As the reality of using SNPs to uncover drug response markers is rarely
addressed, this review discusses practical issues, such as patient sample
size, SNP density and genome coverage, and data interpretation, that will b
e important for determining the applicability of pharmacogenomic informatio
n to medical practice.