Chen Ruofei, Wang Xiaoyan, Li Na, Golubnitschaja Olga, Zhan Xianquan
Shandong Provincial Key Laboratory of Precision Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, 440 Jiyan Road, Jinan, Shandong 250117 P. R. China.
Predictive, Preventive and Personalised (3P) Medicine, University Hospital Bonn, Venusberg Campus 1, Rheinische Friedrich-Wilhelms-University of Bonn, Bonn, 53127 Germany.
EPMA J. 2024 Aug 29;15(3):415-452. doi: 10.1007/s13167-024-00376-2. eCollection 2024 Sep.
Because of its rapid progression and frequently poor prognosis, stroke is the third major cause of death in Europe and the first one in China. Many independent studies demonstrated sufficient space for prevention interventions in the primary care of ischemic stroke defined as the most cost-effective protection of vulnerable subpopulations against health-to-disease transition. Although several studies identified molecular patterns specific for IS in body fluids, none of these approaches has yet been incorporated into IS treatment guidelines. The advantages and disadvantages of individual body fluids are thoroughly analyzed throughout the paper. For example, multiomics based on a minimally invasive approach utilizing blood and its components is recommended for real-time monitoring, due to the particularly high level of dynamics of the blood as a body system. On the other hand, tear fluid as a more stable system is recommended for a non-invasive and patient-friendly holistic approach appropriate for health risk assessment and innovative screening programs in cost-effective IS management. This article details aspects essential to promote the practical implementation of highlighted achievements in 3PM-guided IS management.
The online version contains supplementary material available at 10.1007/s13167-024-00376-2.
由于其进展迅速且预后往往较差,中风是欧洲第三大主要死因,在中国则是第一大死因。许多独立研究表明,在缺血性中风的初级护理中,预防干预有很大空间,缺血性中风被定义为对脆弱亚人群进行从健康到疾病转变的最具成本效益的保护。尽管多项研究确定了体液中缺血性中风特有的分子模式,但这些方法均未被纳入缺血性中风治疗指南。本文全面分析了各种体液的优缺点。例如,由于血液作为一个身体系统具有特别高的动态水平,基于利用血液及其成分的微创方法的多组学被推荐用于实时监测。另一方面,泪液作为一个更稳定的系统,被推荐用于一种非侵入性且对患者友好的整体方法,适用于成本效益高的缺血性中风管理中的健康风险评估和创新筛查项目。本文详细阐述了在3PM指导的缺血性中风管理中促进突出成果实际应用的关键方面。
在线版本包含可在10.1007/s13167-024-00376-2获取的补充材料。