牛皮关节炎的精准医学:我们应该如何选择向治疗?
Hussein Al-Mossawi1, Leonie S Taams2, Carl S Goodyear3
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
The Lancet. Rheumatology
|January 17, 2024
概括
牛皮关节炎 (PsA) 治疗正在向个性化医学发展. 未来使用免疫类型和统计分析的方法旨在优化治疗方法,以获得更好的患者结果.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 精准医学是一门精准的医学.
背景情况:
- 牛皮关节炎 (PsA) 是一种复杂的炎症状况,患者表现不同.
- 目前针对PsA的向治疗往往无法在很大一部分患者中获得最佳结果.
- 有限的证据指导了为个体PSA患者选择先进的生物疗法.
研究的目的:
- 审查关于 psoriatic 关节炎个性化医疗方法的新兴数据.
- 探索精准医学的潜力,以改善治疗选择和PSA患者的治疗结果.
- 要突出这一研究的初步阶段和未来的方向.
主要方法:
- 审查最近的科学数据和文献.
- 对PsA当前治疗选择标准的分析.
- 探索潜在的未来方法,如免疫类型和统计分析.
主要成果:
- 个性化医学有望优化PsA治疗,尽管研究仍处于早期阶段.
- 目前的治疗选择依赖于疾病领域,临床医生的经验和成本,而不是个体患者的个人资料.
- 未来的策略可能涉及详细的免疫类型和先进的统计方法.
结论:
- 在PsA中转向个性化医学的转变可以显著改善患者的结果.
- 详细的免疫类型和复杂的统计分析是未来精确方法的关键.
- 这种范式的转变旨在提供最优的疗法,没有延迟,最大限度地提高患者的利益.
相关概念视频
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
iPS Cell Differentiation
2.7K
The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
2.7K
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
167
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
167
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
183
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
183
The JAK-STAT Signaling Pathway
8.9K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.9K


