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Development of biomarkers to optimize pediatric patient management: what makes children different?
Jennifer Goldman1, Mara L Becker, Bridgette Jones
1Division of Clinical Pharmacology & Medical Toxicology, Children's Mercy Hospitals & Clinics & University of Missouri-Kansas City, Kansas City, MO, USA.
Insights
Validated pediatric biomarkers are scarce, hindering child healthcare. New approaches are crucial for developing reliable biomarkers tailored to children
Area of Science:
- Biomarker Discovery
- Pediatric Medicine
- Translational Science
Background:
- Biomarkers are widely used in adult medicine.
- Limited availability of validated pediatric biomarkers exists.
- Adult biomarkers are often inappropriately applied to children.
Purpose of the Study:
- Highlight the need for validated pediatric biomarkers.
- Emphasize differences in pediatric disease pathogenesis.
- Advocate for innovative approaches in pediatric biomarker development.
Main Methods:
- Literature review on pediatric biomarker research.
- Analysis of challenges in adult biomarker extrapolation.
- Discussion of ontogeny's influence on pediatric disease.
Main Results:
- Significant gap in validated pediatric biomarkers identified.
- Adult biomarker extrapolation poses risks due to developmental differences.
- Ontogeny critically impacts disease progression and treatment response in children.
Conclusions:
- Urgent need for novel strategies to develop pediatric biomarkers.
- Validated biomarkers are essential for advancing pediatric care.
- Future research should focus on child-specific biomarker discovery.
Abstract:
Despite the frequent utilization of biomarkers in medical practice, there is a relative paucity of information regarding validated pediatric biomarkers. Frequently, biomarkers found to be efficacious in adults are extrapolated to the pediatric clinical setting without considering that the pathogenesis of many diseases is distinctly different in children, and ontogeny directly influences disease evolution and therapeutic response in children. New and innovative approaches are necessary to provide reliable, validated biomarkers that can be used to improve and advance pediatric medical care.
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