Personalized Medicine: Progress and Promise

被引:226
作者
Chan, Isaac S. [1 ,2 ,3 ]
Ginsburg, Geoffrey S. [1 ,3 ]
机构
[1] Duke Univ, Ctr Genom Med, Inst Genome Sci & Policy, Durham, NC 27708 USA
[2] Univ N Carolina, Sch Med, Dept Genet, Chapel Hill, NC 27599 USA
[3] Duke Univ, Sch Med, Dept Med, Durham, NC 27710 USA
来源
ANNUAL REVIEW OF GENOMICS AND HUMAN GENETICS, VOL 12 | 2011年 / 12卷
关键词
genomic medicine; pharmacogenomics; translational medicine; clinical decision support; comparative effectiveness research; CLINICAL DECISION-SUPPORT; CORONARY-ARTERY-DISEASE; GENOME-WIDE ASSOCIATION; CELL LUNG-CANCER; METASTATIC BREAST-CANCER; GENE-EXPRESSION PATTERNS; HEPATITIS-C VIRUS; FAMILY-HISTORY; MOLECULAR CLASSIFICATION; LINKAGE DISEQUILIBRIUM;
D O I
10.1146/annurev-genom-082410-101446
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Personalized medicine is a broad and rapidly advancing field of health care that is informed by each person's unique clinical, genetic, genomic, and environmental information. Personalized medicine depends on multidisciplinary health care teams and integrated technologies (e.g., clinical decision support) to utilize our molecular understanding of disease in order to optimize preventive health care strategies. Human genome information now allows providers to create optimized care plans at every stage of a disease, shifting the focus from reactive to preventive health care. The further integration of personalized medicine into the clinical workflow requires overcoming several barriers in education, accessibility, regulation, and reimbursement. This review focuses on providing a comprehensive understanding of personalized medicine, from scientific discovery at the laboratory bench to integration of these novel ways of understanding human biology at the bedside.
引用
收藏
页码:217 / 244
页数:28
相关论文
共 242 条
  • [1] Abbate Antonio, 2003, Semin Vasc Med, V3, P375
  • [2] Abrahams Edward, 2009, J Diabetes Sci Technol, V3, P680
  • [3] Distinct types of diffuse large B-cell lymphoma identified by gene expression profiling
    Alizadeh, AA
    Eisen, MB
    Davis, RE
    Ma, C
    Lossos, IS
    Rosenwald, A
    Boldrick, JG
    Sabet, H
    Tran, T
    Yu, X
    Powell, JI
    Yang, LM
    Marti, GE
    Moore, T
    Hudson, J
    Lu, LS
    Lewis, DB
    Tibshirani, R
    Sherlock, G
    Chan, WC
    Greiner, TC
    Weisenburger, DD
    Armitage, JO
    Warnke, R
    Levy, R
    Wilson, W
    Grever, MR
    Byrd, JC
    Botstein, D
    Brown, PO
    Staudt, LM
    [J]. NATURE, 2000, 403 (6769) : 503 - 511
  • [4] [Anonymous], 2006, AT HOM GEN TESTS HLT
  • [5] [Anonymous], 2009, IN NAT PRIOR COMP EF
  • [6] Perceptions of genetic discrimination among at-risk relatives of colorectal cancer patients
    Apse, KA
    Biesecker, BB
    Giardiello, FM
    Fuller, BP
    Bernhardt, BA
    [J]. GENETICS IN MEDICINE, 2004, 6 (06) : 510 - 516
  • [7] Increased CpG methylation of the estrogen receptor gene in BRCA1-linked estrogen receptor-negative breast cancers
    Archey, WB
    McEachern, KA
    Robson, M
    Offit, K
    Vaziri, SAJ
    Casey, G
    Borg, Å
    Arrick, BA
    [J]. ONCOGENE, 2002, 21 (46) : 7034 - 7041
  • [8] Metabolomics Applied to Diabetes Research Moving From Information to Knowledge
    Bain, James R.
    Stevens, Robert D.
    Wenner, Brett R.
    Ilkayeva, Olga
    Muoio, Deborah M.
    Newgard, Christopher B.
    [J]. DIABETES, 2009, 58 (11) : 2429 - 2443
  • [9] Our genome unveiled
    Baltimore, D
    [J]. NATURE, 2001, 409 (6822) : 814 - 816
  • [10] Genome-wide association defines more than 30 distinct susceptibility loci for Crohn's disease
    Barrett, Jeffrey C.
    Hansoul, Sarah
    Nicolae, Dan L.
    Cho, Judy H.
    Duerr, Richard H.
    Rioux, John D.
    Brant, Steven R.
    Silverberg, Mark S.
    Taylor, Kent D.
    Barmada, M. Michael
    Bitton, Alain
    Dassopoulos, Themistocles
    Datta, Lisa Wu
    Green, Todd
    Griffiths, Anne M.
    Kistner, Emily O.
    Murtha, Michael T.
    Regueiro, Miguel D.
    Rotter, Jerome I.
    Schumm, L. Philip
    Steinhart, A. Hillary
    Targan, Stephan R.
    Xavier, Ramnik J.
    Libioulle, Cecile
    Sandor, Cynthia
    Lathrop, Mark
    Belaiche, Jacques
    Dewit, Olivier
    Gut, Ivo
    Heath, Simon
    Laukens, Debby
    Mni, Myriam
    Rutgeerts, Paul
    Van Gossum, Andre
    Zelenika, Diana
    Franchimont, Denis
    Hugot, Jean-Pierre
    de Vos, Martine
    Vermeire, Severine
    Louis, Edouard
    Cardon, Lon R.
    Anderson, Carl A.
    Drummond, Hazel
    Nimmo, Elaine
    Ahmad, Tariq
    Prescott, Natalie J.
    Onnie, Clive M.
    Fisher, Sheila A.
    Marchini, Jonathan
    Ghori, Jilur
    [J]. NATURE GENETICS, 2008, 40 (08) : 955 - 962