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变应性疾病和哮喘的精准/个体化医学。

Precision/Personalized Medicine in Allergic Diseases and Asthma.

机构信息

Department of Immunology, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey.

Department of Pediatric Basic Sciences, Institute of Child Health, Istanbul University, Istanbul, Turkey.

出版信息

Arch Immunol Ther Exp (Warsz). 2018 Dec;66(6):431-442. doi: 10.1007/s00005-018-0526-6. Epub 2018 Sep 24.

Abstract

Like many other chronic diseases, every allergic patient has different characteristics based on clinical course, treatment responsiveness and disease outcomes, which are associated with the genetic and epigenetic control of molecular mechanisms and environment. This variability necessitates the establishment of patient-tailored and precision approaches in handling allergic disorders. Better understanding of the underlying pathophysiological mechanisms for the development of allergic disorders will provide more rationale strategies based on individual cases in controlling and treating these disorders. Endotyping, phenotyping, genotyping and theratyping, and biomarkers are keywords in this area and have been gaining lots of attention in the field of precision medicine, which aims to revolutionize patient care and develop better prevention and treatment strategies. In addition, precision health is a new concept that brings precise approaches to the scene for being healthy and prevention of allergic disease and asthma. The specialty of allergy has a leading role in the field, because allergen-specific immunotherapy started 105 years ago, and is historically a leading personalized/precision medicine approach in all medicine disciplines providing the possibility of cure in an individualized manner instead of conventional symptomatic treatments.

摘要

与许多其他慢性疾病一样,每个过敏患者的临床过程、治疗反应和疾病结局都存在不同的特征,这些特征与分子机制和环境的遗传和表观遗传控制有关。这种变异性需要建立针对患者的、精准的方法来处理过敏疾病。更好地了解过敏疾病发展的潜在病理生理机制,将为控制和治疗这些疾病提供更多基于个体病例的合理策略。表型分型、基因型分型、治疗分型和生物标志物是该领域的关键词,并在精准医学领域引起了广泛关注,精准医学旨在彻底改变患者护理方式,并制定更好的预防和治疗策略。此外,精准健康是一个新概念,它为保持健康和预防过敏疾病和哮喘带来了精准方法。过敏专业在该领域发挥着主导作用,因为过敏原特异性免疫疗法始于 105 年前,从历史上看,它是所有医学学科中领先的个性化/精准医学方法,为个体化治疗提供了治愈的可能,而不是传统的对症治疗。

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