The Future of Precision Medicine in the Cure of Alzheimer's Disease

被引:54
作者
Arafah, Azher [1 ]
Khatoon, Saima [2 ]
Rasool, Iyman [3 ]
Khan, Andleeb [4 ]
Rather, Mashoque Ahmad [5 ]
Abujabal, Khaled Abdullah [6 ]
Faqih, Yazid Abdullilah Hassan [7 ]
Rashid, Hina [4 ]
Rashid, Shahzada Mudasir [8 ]
Ahmad, Sheikh Bilal [8 ]
Alexiou, Athanasios [9 ,10 ]
Rehman, Muneeb U. U. [1 ]
机构
[1] King Saud Univ, Coll Pharm, Dept Clin Pharm, Riyadh 11451, Saudi Arabia
[2] Jamia Hamdard, Sch Chem & Life Sci, Dept Med Elementol & Toxicol, New Delhi 110062, India
[3] Govt Med Coll GMC Srinagar, Dept Pathol, Srinagar 190010, India
[4] Jazan Univ, Coll Pharm, Dept Pharmacol & Toxicol, Jazan 45142, Saudi Arabia
[5] Univ S Florida, Bryd Alzheimers Res Inst, Morsani Coll Med, Dept Mol Pharmacol & Physiol, Tampa, FL 33620 USA
[6] Abu Areish Gen Hosp, Dept Pharm, Abu Areish 45911, Saudi Arabia
[7] Abu Areish Gen Hosp, Dept Emergency & Accid, Abu Areish 45911, Saudi Arabia
[8] Sher E Kashmir Univ Agr Sci & Technol SKUAST K, Fac Vet Sci & Anim Husb, Div Vet Biochem, Srinagar 190006, India
[9] Novel Global Community Educ Fdn, Hebersham, NSW 2770, Australia
[10] AFNP Med, Haidingergasse 29, A-1030 Vienna, Austria
关键词
precision medicine; Alzheimer's disease; biomarkers; neuroimaging; artificial intelligence; APOLIPOPROTEIN-E GENOTYPE; C-REACTIVE PROTEIN; FLORBETAPIR F 18; CEREBROSPINAL-FLUID; PERSONALIZED MEDICINE; COGNITIVE DECLINE; BIOLOGICAL MARKERS; PARKINSONS-DISEASE; AMYLOID BURDEN; RISK-FACTOR;
D O I
10.3390/biomedicines11020335
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
This decade has seen the beginning of ground-breaking conceptual shifts in the research of Alzheimer's disease (AD), which acknowledges risk elements and the evolving wide spectrum of complicated underlying pathophysiology among the range of diverse neurodegenerative diseases. Significant improvements in diagnosis, treatments, and mitigation of AD are likely to result from the development and application of a comprehensive approach to precision medicine (PM), as is the case with several other diseases. This strategy will probably be based on the achievements made in more sophisticated research areas, including cancer. PM will require the direct integration of neurology, neuroscience, and psychiatry into a paradigm of the healthcare field that turns away from the isolated method. PM is biomarker-guided treatment at a systems level that incorporates findings of the thorough pathophysiology of neurodegenerative disorders as well as methodological developments. Comprehensive examination and categorization of interrelated and convergent disease processes, an explanation of the genomic and epigenetic drivers, a description of the spatial and temporal paths of natural history, biological markers, and risk markers, as well as aspects about the regulation, and the ethical, governmental, and sociocultural repercussions of findings at a subclinical level all require clarification and realistic execution. Advances toward a comprehensive systems-based approach to PM may finally usher in a new era of scientific and technical achievement that will help to end the complications of AD.
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页数:31
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