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Biomarkers in bronchiectasis.

Emma Johnson1, Merete B Long1, James D Chalmers2

  • 1Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.

European Respiratory Review : an Official Journal of the European Respiratory Society
|July 3, 2024
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Summary
This summary is machine-generated.

Bronchiectasis treatment needs precision medicine. New biomarkers and omics technologies help identify disease subtypes and guide personalized therapies for better patient outcomes.

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Area of Science:

  • Pulmonology
  • Biomarker Research
  • Precision Medicine

Background:

  • Bronchiectasis is a complex lung disease with varied causes and symptoms.
  • Current treatment emphasizes precision medicine, targeting specific 'treatable traits'.
  • Identifying distinct disease subtypes (endotypes) is crucial for effective management.

Purpose of the Study:

  • To review recent advancements in biomarkers for bronchiectasis.
  • To explore the role of omics technologies in understanding bronchiectasis heterogeneity.
  • To discuss how biomarkers can guide personalized treatment strategies.

Main Methods:

  • Review of current literature on bronchiectasis biomarkers.
  • Analysis of emerging omics technologies (genomics, proteomics, metabolomics).
  • Correlation of biomarkers with disease features, prognosis, and treatment response.

Main Results:

  • Bronchiectasis exhibits heterogeneous inflammatory profiles, microbiota, and mucus/epithelial biology.
  • Various biomarkers are becoming available to measure key disease components like inflammation and clearance.
  • Omics data reveal distinct patient endotypes within bronchiectasis.

Conclusions:

  • Biomarkers and omics technologies are vital for precision medicine in bronchiectasis.
  • Identifying specific biomarkers can lead to tailored treatment approaches.
  • Further research is needed to translate these findings into clinical practice.