探索 2 型糖尿病个性化医疗的最新进展和未来前景

Shahrzad Manavi Nameghi
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摘要

2 型糖尿病(T2D)的病理生理学错综复杂,涉及导致血糖水平升高的三个主要过程。胰岛素抵抗阻碍了肌肉、脂肪组织和肝脏对葡萄糖的利用。此外,胰腺功能障碍会导致葡萄糖释放过多,并扰乱胰岛素和胰高血糖素水平,从而引发高血糖。根据个人需求和疾病的不同阶段制定相应的管理策略至关重要。遗传因素在 T2D 的发病过程中起着重要作用,在制定治疗计划时必须予以考虑。全基因组关联研究(GWAS)发现了许多与 T2D 相关的基因位点和单核苷酸多态性(SNPs)。个性化治疗方法考虑了患者特征、病史、并发症和基因构成等多种因素。通过定制适合每位患者独特需求的治疗方案,也许可以改善治疗效果,减少 T2D 对整体健康的影响。本综述旨在描述糖尿病个性化医疗的愿景,为更好地理解这一问题提供有益的建议,并传播有关下一代测序(NGS)和药物疗法等新型治疗方法的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Exploring the recent advancements and future prospects of personalized medicine in type 2 diabetes

The pathophysiology of Type 2 Diabetes (T2D) is intricate, involving three main processes that lead to elevated glucose levels. Insulin resistance hinders glucose utilization in muscles, adipose tissue, and the liver. Additionally, pancreatic dysfunction results in excessive glucose release and disrupts insulin and glucagon levels, contributing to hyperglycemia. Tailoring management strategies to individual needs and stages of the disease is crucial. Genetic factors play a significant role in the development of T2D and must be considered in treatment planning. Genome-Wide Association Studies (GWAS) have identified numerous genetic loci and Single Nucleotide Polymorphisms (SNPs) associated with T2D. A personalized approach considers a wide range of factors, such as patient characteristics, medical history, complications, and genetic makeup. By customizing treatment plans to suit each patient's unique needs, it may be possible to improve outcomes and reduce the impact of T2D on overall health. While some may argue that personalized diabetes care has been utilized for a long time, integrating it into the standard treatment of T2D remains a challenging task with numerous obstacles.

The current review aims to describe the vision of personalized medicine in diabetes and offers helpful suggestions for a better understanding of this issue, as well as disseminating information about novel treatment approaches like Next Generation Sequencing (NGS) and pharmacotherapy.

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来源期刊
Endocrine and Metabolic Science
Endocrine and Metabolic Science Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.80
自引率
0.00%
发文量
4
审稿时长
84 days
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