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Biomarkers for Optimization and Personalization of Anti-TNFs in Pediatric Inflammatory Bowel Disease
Sara Salvador-Martín1, Alejandra Melgarejo-Ortuño1, Luis A López-Fernández1,2
1Servicio de Farmacia, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.
Insights
Predicting biological drug response in pediatric inflammatory bowel disease (IBD) is crucial. This review examines clinical, genetic, and microbial factors to guide personalized IBD treatment in children.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Pharmacogenomics
Background:
- Biological drugs significantly improve outcomes for pediatric inflammatory bowel disease (IBD).
- Predicting treatment response is vital for optimizing care in growing children.
- Current research on predictive biomarkers in pediatric IBD is limited.
Purpose of the Study:
- To review current evidence on biological treatments for pediatric IBD.
- To identify and evaluate available biomarkers for predicting response to these therapies.
- To explore factors influencing treatment efficacy in children with IBD.
Main Methods:
- Comprehensive literature review of studies on biological treatments in pediatric IBD.
- Analysis of demographic, clinical, biochemical, and genetic parameters.
- Examination of cellular biomarkers and microbiota composition.
Main Results:
- Biological therapies have transformed pediatric IBD management.
- Several clinical, genetic, and cellular factors show potential as predictive biomarkers.
- Microbiota composition may also play a role in treatment response.
Conclusions:
- Identifying predictive biomarkers is essential for personalized biological therapy in pediatric IBD.
- Further research is needed to validate biomarkers in diverse pediatric populations.
- A multi-faceted approach considering clinical, genetic, and microbial data will enhance treatment strategies.
Abstract:
The use of biological drugs has improved outcomes in pediatric inflammatory bowel disease (IBD). Prediction of the response to biological drugs would be extremely useful in IBD, and even more so in children, who are still growing physically and psychologically. Specific clinical, biochemical, and genetic parameters are considered predictive of response to biological drugs, although few studies have been carried out in children with IBD. In this review, we present current evidence on biological treatments used in pediatric IBD and the available biomarkers of response. We examine demographics, clinical characteristics, biomarkers (genetic, genomic, and cellular), and microbiota.
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