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炎症性肠病治疗中的个性化医疗

Personalized medicine in the treatment of inflammatory bowel diseases.

作者信息

Parfenov A I, Knyazev O V, Kagramanova A V, Fadeeva N A

机构信息

S.A. Loginov Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.

出版信息

Ter Arkh. 2018 Feb 15;90(2):4-11. doi: 10.26442/terarkh20189024-11.

Abstract

Personalized medicine (personalized medicine, individualized medicine) represents the totality of methods of prevention of a pathological condition, diagnosis and treatment in the event of its occurrence, based on individual patient characteristics. Such individual characteristics include genetic, epigenetic, and transcript, proteome, metabolomic and metagenomic markers, as well as a set of variable phenotypic traits - both of the patient's body and its separate tissues or cells. For example, treatment of inflammatory bowel diseases (IBD) can most clearly show the importance of applying personalized approaches. Currently in the treatment of patients with IBD paid great attention to genetic studies, monitoring of the concentration of the biological drugs and the level of antibodies to them, the role of microbiota as a predictor of effectiveness of therapy of IBD. Used clinical, laboratory, instru- mental methods, as well as new biomarkers to assess the forecasting efficiency of conservative therapy in IBD patient. In the future treatment of patients with IBD will include a number of personalized data in order to better predict outcomes of the disease in each patient and more ac- curately select the appropriate treatment regimen.

摘要

个性化医疗(精准医疗、个体化医疗)是指基于患者个体特征,针对疾病预防、发病时的诊断和治疗方法的总和。这些个体特征包括遗传、表观遗传、转录组、蛋白质组、代谢组和宏基因组标记,以及患者身体及其单独组织或细胞的一系列可变表型特征。例如,炎症性肠病(IBD)的治疗最能清楚地显示应用个性化方法的重要性。目前在IBD患者的治疗中,人们非常重视基因研究、生物药物浓度监测及其抗体水平、微生物群作为IBD治疗效果预测指标的作用。使用临床、实验室、仪器方法以及新的生物标志物来评估IBD患者保守治疗的预测效率。未来,IBD患者的治疗将纳入一些个性化数据,以便更好地预测每位患者的疾病转归,并更准确地选择合适的治疗方案。

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