Prevention of rheumatoid arthritis using a familial predictive medicine approach

IF 9.2 1区 医学 Q1 IMMUNOLOGY Autoimmunity reviews Pub Date : 2024-10-05 DOI:10.1016/j.autrev.2024.103653
Piero Ruscitti , Marcella Nunziato , Francesco Caso , Raffaele Scarpa , Federica Di Maggio , Roberto Giacomelli , Francesco Salvatore
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Abstract

Most of the chronic-degenerative diseases deserve a very early recognition of symptoms and signs for the earliest secondary prevention, which could be also very useful in many cases for the most precocious clinical approach. The periodic monitoring of a subject at risk of a specific disease, because of genomic predisposition by predictive medicine approach, may help to earlier detection of onset and/or the progression of the pathology itself, through intra-individual monitoring. This is particularly the case of rheumatoid arthritis (RA) for which an early diagnosis is undoubtedly the first step to ensure the most proper therapy for the patient. Thus, the earlier identification of individuals at high risk of RA could lead to ultra-preventive strategies to start for the best lifestyle performances and/or for any other effective therapeutic interventions to contrast the onset, and/or the evolution of the putative RA. This will also optimize both costs and medical resources, according to the health care policies of many countries.

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利用家族预测医学方法预防类风湿关节炎。
大多数慢性退行性疾病都需要及早发现症状和体征,以便尽早进行二级预防,这在许多情况下也非常有助于采取最早熟的临床方法。通过预测医学的方法,定期监测因基因组易感性而面临特定疾病风险的受试者,有助于通过个体内部监测,更早地发现疾病的发病和/或进展。类风湿性关节炎(RA)的情况尤其如此,早期诊断无疑是确保为患者提供最适当治疗的第一步。因此,及早发现类风湿性关节炎的高危人群,可以采取超强预防策略,开始最佳的生活方式和/或任何其他有效的治疗干预措施,以对比类风湿性关节炎的发病和/或演变。根据许多国家的医疗保健政策,这还将优化成本和医疗资源。
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来源期刊
Autoimmunity reviews
Autoimmunity reviews 医学-免疫学
CiteScore
24.70
自引率
4.40%
发文量
164
审稿时长
21 days
期刊介绍: Autoimmunity Reviews is a publication that features up-to-date, structured reviews on various topics in the field of autoimmunity. These reviews are written by renowned experts and include demonstrative illustrations and tables. Each article will have a clear "take-home" message for readers. The selection of articles is primarily done by the Editors-in-Chief, based on recommendations from the international Editorial Board. The topics covered in the articles span all areas of autoimmunology, aiming to bridge the gap between basic and clinical sciences. In terms of content, the contributions in basic sciences delve into the pathophysiology and mechanisms of autoimmune disorders, as well as genomics and proteomics. On the other hand, clinical contributions focus on diseases related to autoimmunity, novel therapies, and clinical associations. Autoimmunity Reviews is internationally recognized, and its articles are indexed and abstracted in prestigious databases such as PubMed/Medline, Science Citation Index Expanded, Biosciences Information Services, and Chemical Abstracts.
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