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[生物标志物的一般方法和个性化方法]

[GENERAL AND PERSONALIZED APPROACH OF BIOMARKERS].

作者信息

Cavalier E

出版信息

Rev Med Liege. 2015 May-Jun;70(5-6):257-61.

Abstract

Biomarker determination is very frequently requested to make a diagnosis. The results that are obtained are generally compared with those observed in a <> population, without exactly knowing how this population has been selected. Thus, for a more personalized follow-up of the patient, multiple samples are needed and the reference change values as well as individuality index notions are important to correctly interpret the results. Personalized medicine also encompasses the results obtained by the patient him/herself by means of small analytical devices (self-monitoring), but also with smartphones that can now continuously monitor physical activity or, more generally, health parameters via some applications and devices. Finally, the future of personalized medicine will be the knowledge, for each subject, of all personal biomarkers like DNA and RNA sequences, his/her proteome, metabolome, microbiome, transcriptome, exposome, auto-antibodies and epigenome.

摘要

为了做出诊断,生物标志物检测的需求非常频繁。所获得的结果通常与在一个<<一般健康>>人群中观察到的结果进行比较,但并不确切知道该人群是如何选择的。因此,为了对患者进行更个性化的随访,需要多个样本,并且参考变化值以及个体性指数概念对于正确解释结果很重要。个性化医疗还包括患者通过小型分析设备(自我监测)以及现在可以通过某些应用程序和设备持续监测身体活动或更广泛地说健康参数的智能手机所获得的结果。最后,个性化医疗的未来将是了解每个个体的所有个人生物标志物,如DNA和RNA序列、蛋白质组、代谢组、微生物组、转录组、暴露组、自身抗体和表观基因组。

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