Pfützner W, Pickert J, Möbs C
Klinik für Dermatologie und Allergologie, Allergie Zentrum Hessen, Universitätsklinikum Gießen und Marburg, Standort Marburg, Philipps-Universität Marburg, Baldinger Str., 35043, Marburg, Deutschland.
Hautarzt. 2019 Jan;70(1):5-14. doi: 10.1007/s00105-018-4320-5.
Personalized medicine offers new perspectives for diagnostic measurements and medical treatment, but also puts greater demands on the physician.
Developments, potentials and potential pitfalls of personalized medicine in allergology.
Overview, evaluation and discussion of the current state of science on the basis of selected examples.
Allergic diseases like allergic rhinitis, atopic eczema or anaphylaxis can be classified into various clinical phenotypes, which are based on different immunological endotypes. These can be captured and categorized by a wide variety of omics technologies. The identification of endotype specific biomarkers holds promising opportunities of more precise diagnostics, the implementation of novel targeted therapies or the development of optimized preventive strategies. However, individualized analysis and assessment of the significance of the measurements represent special challenges.
Findings of the complex omics technologies need to be evaluated by comprehensive prospective studies in order to validate their clinical relevance and suitability for personalized medicine in allergology.
个性化医疗为诊断测量和医学治疗提供了新的视角,但同时也对医生提出了更高的要求。
探讨个性化医疗在过敏学领域的发展、潜力及潜在问题。
基于选定的实例对当前科学现状进行综述、评估和讨论。
过敏性鼻炎、特应性皮炎或过敏反应等过敏性疾病可分为多种临床表型,这些表型基于不同的免疫内型。借助多种组学技术能够对这些免疫内型进行识别和分类。识别内型特异性生物标志物为更精确的诊断、新型靶向治疗的实施或优化预防策略的制定带来了充满希望的机遇。然而,对测量结果的个体化分析和意义评估构成了特殊挑战。
需要通过全面的前瞻性研究来评估复杂组学技术的研究结果,以验证其临床相关性以及在过敏学个性化医疗中的适用性。