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罕见病中的精准医学。

Precision Medicine in Rare Diseases.

作者信息

Villalón-García Irene, Álvarez-Córdoba Mónica, Suárez-Rivero Juan Miguel, Povea-Cabello Suleva, Talaverón-Rey Marta, Suárez-Carrillo Alejandra, Munuera-Cabeza Manuel, Sánchez-Alcázar José Antonio

机构信息

Centro Andaluz de Biología del Desarrollo (CABD-CSIC-Universidad Pablo de Olavide), and Centro de Investigación Biomédica en Red: Enfermedades Raras, Instituto de Salud Carlos III, 41013 Sevilla, Spain.

出版信息

Diseases. 2020 Nov 13;8(4):42. doi: 10.3390/diseases8040042.

Abstract

Rare diseases are those that have a low prevalence in the population (less than 5 individuals per 10,000 inhabitants). However, infrequent pathologies affect a large number of people, since according to the World Health Organization (WHO), there are about 7000 rare diseases that affect 7% of the world's population. Many patients with rare diseases have suffered the consequences of what is called the diagnostic odyssey, that is, extensive and prolonged serial tests and clinical visits, sometimes for many years, all with the hope of identifying the etiology of their disease. For patients with rare diseases, obtaining the genetic diagnosis can mean the end of the diagnostic odyssey, and the beginning of another, the therapeutic odyssey. This scenario is especially challenging for the scientific community, since more than 90% of rare diseases do not currently have an effective treatment. This therapeutic failure in rare diseases means that new approaches are necessary. Our research group proposes that the use of precision or personalized medicine techniques can be an alternative to find potential therapies in these diseases. To this end, we propose that patients' own cells can be used to carry out personalized pharmacological screening for the identification of potential treatments.

摘要

罕见病是指在人群中患病率较低的疾病(每10000名居民中少于5人患病)。然而,罕见病影响着大量人群,因为据世界卫生组织(WHO)称,约有7000种罕见病,影响着全球7%的人口。许多罕见病患者都经历了所谓的诊断之旅的后果,即进行广泛且长期的系列检查和临床问诊,有时长达数年,所有这些都是为了找出其疾病的病因。对于罕见病患者来说,获得基因诊断可能意味着诊断之旅的结束,以及另一段旅程——治疗之旅的开始。这种情况对科学界来说尤其具有挑战性,因为目前超过90%的罕见病尚无有效治疗方法。罕见病治疗上的这种失败意味着需要新的方法。我们的研究小组提出,使用精准或个性化医疗技术可能是在这些疾病中寻找潜在疗法的一种选择。为此,我们建议可以利用患者自身的细胞进行个性化药理筛选,以确定潜在的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf4/7709101/7e2706e56ff1/diseases-08-00042-g001.jpg

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