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哮喘治疗中的精准医学。

Precision Medicine in Asthma Therapy.

机构信息

Department of Respiratory Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Dipartimento Universitario di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza "G. D'Alessandro" (PROMISE) c/o Pneumologia, AOUP "Policlinico Paolo Giaccone", University of Palermo, Palermo, Italy.

出版信息

Handb Exp Pharmacol. 2023;280:85-106. doi: 10.1007/164_2022_598.

DOI:10.1007/164_2022_598
PMID:35852633
Abstract

Asthma is a complex, heterogeneous disease that necessitates a proper patient evaluation to decide the correct treatment and optimize disease control. The recent introduction of new target therapies for the most severe form of the disease has heralded a new era of treatment options, intending to treat and control specific molecular pathways in asthma pathophysiology. Precision medicine, using omics sciences, investigates biological and molecular mechanisms to find novel biomarkers that can be used to guide treatment selection and predict response. The identification of reliable biomarkers indicative of the pathological mechanisms in asthma is essential to unravel new potential treatment targets. In this chapter, we provide a general description of the currently available -omics techniques, focusing on their implications in asthma therapy.

摘要

哮喘是一种复杂的、异质的疾病,需要进行适当的患者评估,以确定正确的治疗方法并优化疾病控制。最近针对疾病最严重形式的新靶向治疗方法的出现,标志着治疗选择的新时代的到来,旨在治疗和控制哮喘病理生理学中的特定分子途径。精准医学利用组学科学研究生物和分子机制,以寻找新的生物标志物,用于指导治疗选择和预测反应。确定哮喘病理机制的可靠生物标志物对于揭示新的潜在治疗靶点至关重要。在本章中,我们提供了目前可用的组学技术的概述,重点介绍了它们在哮喘治疗中的意义。

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本文引用的文献

1
3TR: a pan-European cross-disease research consortium aimed at improving personalised biological treatment of asthma and COPD.3TR:一个泛欧洲跨疾病研究联盟,旨在改善哮喘和慢性阻塞性肺疾病的个性化生物治疗。
Eur Respir J. 2021 Oct 21;58(4). doi: 10.1183/13993003.02168-2021. Print 2021 Oct.
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Identification of as a Potential Locus Associated with Inhaled Corticosteroid Response in Childhood Asthma.鉴定作为儿童哮喘中与吸入性糖皮质激素反应相关的潜在基因座。
J Pers Med. 2021 Jul 28;11(8):733. doi: 10.3390/jpm11080733.
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SHARP: enabling generation of real-world evidence on a pan-European scale to improve the lives of individuals with severe asthma.
SHARP:助力在泛欧洲范围内生成真实世界证据,以改善重度哮喘患者的生活。
ERJ Open Res. 2021 Apr 19;7(2). doi: 10.1183/23120541.00064-2021. eCollection 2021 Apr.
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Treating severe asthma: Targeting the IL-5 pathway.治疗严重哮喘:靶向 IL-5 通路。
Clin Exp Allergy. 2021 Aug;51(8):992-1005. doi: 10.1111/cea.13885. Epub 2021 May 21.
5
The Airway Microbiota Modulates Effect of Azithromycin Treatment for Episodes of Recurrent Asthma-like Symptoms in Preschool Children: A Randomized Clinical Trial.气道微生物群调节阿奇霉素治疗学龄前儿童反复哮喘样症状发作的效果:一项随机临床试验。
Am J Respir Crit Care Med. 2021 Jul 15;204(2):149-158. doi: 10.1164/rccm.202008-3226OC.
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Genome-wide association studies of exacerbations in children using long-acting beta2-agonists.使用长效β2-激动剂的儿童加重期的全基因组关联研究。
Pediatr Allergy Immunol. 2021 Aug;32(6):1197-1207. doi: 10.1111/pai.13494. Epub 2021 Mar 29.
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Long-Term Therapy Response to Anti-IL-5 Biologics in Severe Asthma-A Real-Life Evaluation.抗白细胞介素-5 生物制剂治疗重度哮喘的长期疗效:真实世界评估。
J Allergy Clin Immunol Pract. 2021 Mar;9(3):1194-1200. doi: 10.1016/j.jaip.2020.10.010. Epub 2020 Oct 15.
8
Mepolizumab and Benralizumab in Severe Eosinophilic Asthma: Preliminary Results of a Proteomic Study.美泊利珠单抗和贝那利珠单抗治疗重度嗜酸性粒细胞性哮喘:一项蛋白质组学研究的初步结果。
Lung. 2020 Oct;198(5):761-765. doi: 10.1007/s00408-020-00379-6. Epub 2020 Jul 20.
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Sputum microbiome profiles identify severe asthma phenotypes of relative stability at 12 to 18 months.痰液微生物组谱可在 12 至 18 个月时确定相对稳定的严重哮喘表型。
J Allergy Clin Immunol. 2021 Jan;147(1):123-134. doi: 10.1016/j.jaci.2020.04.018. Epub 2020 Apr 28.
10
T2-"Low" Asthma: Overview and Management Strategies.T2-“低”度哮喘:概述与管理策略。
J Allergy Clin Immunol Pract. 2020 Feb;8(2):452-463. doi: 10.1016/j.jaip.2019.11.006.