Primer on Precision Medicine for Complex Chronic Disorders

被引:27
作者
Whitcomb, David C. [1 ]
机构
[1] Univ Pittsburgh, Dept Med Cell Biol & Mol Physiol & Human Genet, Pittsburgh, PA 15260 USA
来源
CLINICAL AND TRANSLATIONAL GASTROENTEROLOGY | 2019年 / 10卷
关键词
CHRONIC-PANCREATITIS; CLASSIFICATION; CONSENSUS; RECURRENT; BASKET; TRIAL;
D O I
10.14309/ctg.0000000000000067
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Precision medicine promises patients with complex disorders the right treatment for the right patient at the right dose at the right time with expectation of better health at a lower cost. The demand for precision medicine highlights the limitations of modern Western medicine. Modern Western medicine is a population-based, top-down approach that uses pathology to define disease. Precision medicine is a bottom-up approach that identifies predisease disorders using genetics, biomarkers, and modeling to prevent disease. This primer demonstrates the contrasting strengths and limitations of each paradigm and why precision medicine will eventually deliver on the promises.
引用
收藏
页数:5
相关论文
共 31 条
  • [11] Flexner A., 1910, BULLETIN, V4, P346
  • [12] Causal Evaluation of Acute Recurrent and Chronic Pancreatitis in Children: Consensus From the INSPPIRE Group
    Gariepy, Cheryl E.
    Heyman, Melvin B.
    Lowe, Mark E.
    Pohl, John F.
    Werlin, Steven L.
    Wilschanski, Michael
    Barth, Bradley
    Fishman, Douglas S.
    Freedman, Steven D.
    Giefer, Lmatthew J.
    Gonska, Tanja
    Himes, Ryan
    Husain, Sohail Z.
    Morinville, Veronique D.
    Ooi, Chee Y.
    Schwarzenberg, Sarah J.
    Troendle, David M.
    Yen, Elizabeth
    Uc, Aliye
    [J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2017, 64 (01) : 95 - 103
  • [13] Recurrent Acute Pancreatitis: International State-of-the-Science Conference With Recommendations
    Guda, Nalini M.
    Muddana, Venkata
    Whitcomb, David C.
    Levy, Philippe
    Garg, Pramod
    Cote, Gregory
    Uc, Aliye
    Varadarajulu, Shyam
    Vege, Santhi S.
    Chari, Suresh T.
    Forsmark, Chris E.
    Yadav, Dhiraj
    Reddy, D. Nageshwar
    Tenner, Scott
    Johnson, Colin D.
    Akisik, Fatih
    Saluja, Ashok K.
    Lerch, Markus M.
    Mallery, J. Shawn
    Freeman, Martin L.
    [J]. PANCREAS, 2018, 47 (06) : 653 - 666
  • [14] Patients Enrolled in Randomized Controlled Trials Do Not Represent the Inflammatory Bowel Disease Patient Population
    Ha, Christina
    Ullman, Thomas A.
    Siegel, Corey A.
    Kornbluth, Asher
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2012, 10 (09) : 1002 - 1007
  • [15] Immunochip Meta-Analysis of Inflammatory Bowel Disease Identifies Three Novel Loci and Four Novel Associations in Previously Reported Loci
    Hong, Myunghee
    Ye, Byong Duk
    Yang, Suk-Kyun
    Jung, Seulgi
    Lee, Ho-Su
    Kim, Byoung Mok
    Lee, Soo Bin
    Hong, Jeonghoon
    Baek, Jiwon
    Park, Sang Hyoung
    Han, Buhm
    Li, Yi
    Liu, Wenting
    Haritunians, Talin
    Taylor, Kent D.
    Rotter, Jerome I.
    Bang, So-Young
    Kim, Tae-Hwan
    McGovern, Dermot P. B.
    Liu, Jianjun
    Song, Kyuyoung
    [J]. JOURNAL OF CROHNS & COLITIS, 2018, 12 (06) : 730 - 741
  • [16] Ten things we have to do to achieve precision medicine
    Kohane, Isaac S.
    [J]. SCIENCE, 2015, 349 (6243) : 37 - 38
  • [17] The n-of-1 clinical trial: the ultimate strategy for individualizing medicine?
    Lillie, Elizabeth O.
    Patay, Bradley
    Diamant, Joel
    Issell, Brian
    Topol, Eric J.
    Schork, Nicholas J.
    [J]. PERSONALIZED MEDICINE, 2011, 8 (02) : 161 - 173
  • [18] IBD risk loci are enriched in multigenic regulatory modules encompassing putative causative genes
    Momozawa, Yukihide
    Dmitrieva, Julia
    Theatre, Emilie
    Deffontaine, Valerie
    Rahmouni, Souad
    Charloteaux, Benoit
    Crins, Francois
    Docampo, Elisa
    Elansary, Mahmoud
    Gori, Ann-Stephan
    Lecut, Christelle
    Mariman, Rob
    Mni, Myriam
    Oury, Cecile
    Altukhov, Ilya
    Alexeev, Dmitry
    Aulchenko, Yuri
    Amininejad, Leila
    Bouma, Gerd
    Hoentjen, Frank
    Lowenberg, Mark
    Oldenburg, Bas
    Pierik, Marieke J.
    vander Meulen-de Jong, Andrea E.
    van der Woude, C. Janneke
    Visschedijk, Marijn C.
    Lathrop, Mark
    Hugot, Jean-Pierre
    Weersma, Rinse K.
    De Vos, Martine
    Franchimont, Denis
    Vermeire, Severine
    Kubo, Michiaki
    Louis, Edouard
    Georges, Michel
    Abraham, Clara
    Achkar, Jean-Paul
    Ahmad, Tariq
    Ananthakrishnan, Ashwin N.
    Andersen, Vibeke
    Anderson, Carl A.
    Andrews, Jane M.
    Annese, Vito
    Aumais, Guy
    Baidoo, Leonard
    Baldassano, Robert N.
    Bampton, Peter A.
    Barclay, Murray
    Barrett, Jeffrey C.
    Bayless, Theodore M.
    [J]. NATURE COMMUNICATIONS, 2018, 9
  • [19] EPC/HPSG evidence-based guidelines for the management of pediatric pancreatitis
    Parniczky, Andrea
    Abu-El-Haija, Maisam
    Husain, Sohail
    Lowe, Mark
    Oracz, Grzegorz
    Sahin-Toth, Miklos
    Szabo, Flora K.
    Uc, Aliye
    Wilschanski, Michael
    Witt, Heiko
    Czako, Laszlo
    Grammatikopoulos, Tassos
    Rasmussen, Ib Christian
    Sutton, Robert
    Hegyi, Peter
    [J]. PANCREATOLOGY, 2018, 18 (02) : 146 - 160
  • [20] The M-ANNHEIM classification of chronic pancreatitis:: introduction of a unifying classification system based on a review of previous classifications of the disease
    Schneider, Alexander
    Loehr, J. Matthias
    Singer, Manfred V.
    [J]. JOURNAL OF GASTROENTEROLOGY, 2007, 42 (02) : 101 - 119