全面回顾:罕见病癌症治疗的个性化医学。

Dharmendra Singh Rajput, Naveen Gupta, Shubham Singh, Bhawna Sharma
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引用次数: 0

摘要

在美国,癌症是导致死亡的主要原因之一。仅 2010 年就有 150 多万新发病例,死亡人数超过 5 亿。人类基因组测序完成后,人类表观基因组、蛋白质组和代谢组的特征研究取得了重大进展,药物基因组学的知识得到了加强,个体个性化医疗保健的能力也大大提高。个性化医疗最近主要用于通过特定病人的基因或其他数据,系统地选择或优化病人的预防和治疗护理。通过对健康样本和癌症患者进行分子分析,可以获得比目前更个性化的药物。病人的蛋白质、基因和新陈代谢信息可用于调整医疗护理,以满足个人的需要。开发辅助诊断技术是这一医学模式的关键特性。测量蛋白质、基因或特定突变水平的分子检测可通过对疾病状态进行分层、选择合适的药物并根据患者的特殊需求调整剂量,从而为特定个体提供特定的治疗方法。这些方法还可用于评估患者罹患多种疾病的风险因素,并量身定制个人预防疗法。本文讨论了个性化癌症医学的最新进展、挑战和未来展望。
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A Comprehensive Review: Personalized Medicine for Rare Disease Cancer Treatment.

In the United States, cancer is one of the major causes of death. In 2010 alone, over 1.5 million fresh instances were recorded and over 0.5 billion died. After the completion of human genome sequence, significant progress in characterizing human epigenomes, proteomes and metabolomes has been made; a stronger knowledge of pharmacogenomics has been established and the capacity for individual personalization of health care has grown considerably. Personalized medicine has recently been primarily used to systematically select or optimize the prevention and therapeutic care of the patient through genetic or other data about the particular patient. Molecular profiling in healthy samples and cancer patients can allow for more personalized medications than is currently available. Patient protein, genetic and metabolic information may be used for adapting medical attention to the needs of that individual. The development of complementary diagnostics is a key attribute of this medicinal model. Molecular tests measuring the level of proteins, genes or specific mutations are used to provide a specific treatment for a particular individual by stratify the status of a disease, selecting the right drugs and tailoring dosages to the particular needs of the patient. These methods are also available for assessing risk factors for a patient for a number of conditions and for tailoring individual preventive therapies. Recent advances of personalized cancer medicine, challenges and futures perspectives are discussed.

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