Massey Kerri A, Schnitzer Jan E
Proteogenomics Research Institute for Systems Medicine, 11107 Roselle St., San Diego, CA 92121, USA.
Proc Am Thorac Soc. 2009 Aug 15;6(5):419-30. doi: 10.1513/pats.200903-011AW.
A major goal of molecular medicine is to target imaging agents or therapeutic compounds to a single organ. Targeting imaging agents to a single organ could facilitate the high-resolution, in vivo imaging of molecular events. In addition, genetic and acquired diseases primary to a single organ, such as cystic fibrosis, tuberculosis, lung cancer, pulmonary fibrosis, pulmonary hypertension, and acute respiratory distress syndrome, could be specifically targeted in the lung. By targeting and concentrating imaging agents or therapeutics to the lungs, deleterious side effects can be avoided with greater efficacy at much lower dosages. Pathologic changes can be identified earlier and followed over time. In addition, therapeutics that have been abandoned due to toxicities may find renewed utility when coupled with specific targeting agents such as antibodies. To achieve these goals, distinct molecular signatures must be found for each organ or disease-state.
分子医学的一个主要目标是将成像剂或治疗化合物靶向单一器官。将成像剂靶向单一器官有助于对分子事件进行高分辨率的体内成像。此外,诸如囊性纤维化、肺结核、肺癌、肺纤维化、肺动脉高压和急性呼吸窘迫综合征等主要发生于单一器官的遗传性和后天性疾病,都可以在肺部进行特异性靶向治疗。通过将成像剂或治疗药物靶向并集中于肺部,可以在更低剂量下以更高的疗效避免有害的副作用。病理变化能够被更早地识别并随时间进行跟踪。此外,那些因毒性而被放弃的治疗药物,当与抗体等特异性靶向剂结合时,可能会重新发挥作用。为实现这些目标,必须为每个器官或疾病状态找到独特的分子特征。