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利用特应性皮炎治疗反应生物标志物实现精准医学:我们目前进展如何?一篇叙述性综述。

Enabling precision medicine with biomarkers of response to treatment in atopic dermatitis: where are we now? A narrative review.

作者信息

Chiricozzi Andrea, Levi Anna, Palladino Chiara, Girolomoni Giampiero

机构信息

Unit of Dermatology, Department of Medical and Surgical Sciences, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.

Section of Dermatology, Department of Medicine and Translational Surgery, Sacred Heart Catholic University, Rome, Italy.

出版信息

Front Med (Lausanne). 2025 Apr 10;12:1574697. doi: 10.3389/fmed.2025.1574697. eCollection 2025.

Abstract

Atopic dermatitis (AD) is a complex systemic disease characterized by high heterogeneity both at clinical and pathophysiology levels. While advances in drug development toward a more targeted approach are made, treatment and management of AD patients are still happening according to the one-size-fits-all approach. To enhance precision medicine in AD and improve care, identifying predicting factors of response to therapy driving tailored treatments will be of utmost importance. Here, we discuss the available evidence regarding predictive biomarkers, as well as their possible and still debated impact in clinical practice.

摘要

特应性皮炎(AD)是一种复杂的全身性疾病,在临床和病理生理学层面均具有高度异质性。尽管在药物研发方面朝着更具针对性的方法取得了进展,但AD患者的治疗和管理仍采用一刀切的方法。为了加强AD的精准医学并改善护理,确定驱动个性化治疗的治疗反应预测因素至关重要。在此,我们讨论了关于预测性生物标志物的现有证据,以及它们在临床实践中可能产生的影响,这些影响仍存在争议。

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