Precision/Personalized Medicine in Allergic Diseases and Asthma.

Kucuksezer U. C., Ozdemir C., Akdis M., AKDIS C. A.

Archivum immunologiae et therapiae experimentalis, cilt.66, sa.6, ss.431-442, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 66 Sayı: 6
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1007/s00005-018-0526-6
  • Dergi Adı: Archivum immunologiae et therapiae experimentalis
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.431-442
  • Anahtar Kelimeler: Allergy, Asthma, Biomarker, Endotype, Phenotype, Theratype, Genotype, Cytokines, Precision medicine, Personalized medicine, REGULATORY T-CELLS, INNATE LYMPHOID-CELLS, ANTI-IGE, SUBCUTANEOUS IMMUNOTHERAPY, EOSINOPHILIC ASTHMA, PRECISION MEDICINE, IMMUNE REGULATION, B-CELL, IMMUNOLOGICAL MECHANISMS, DELAYED-HYPERSENSITIVITY
  • İstanbul Üniversitesi Adresli: Evet

Özet

Like many other chronic diseases, every allergic patient has different characteristics based on clinical course, treatment responsiveness and disease outcomes, which are associated with the genetic and epigenetic control of molecular mechanisms and environment. This variability necessitates the establishment of patient-tailored and precision approaches in handling allergic disorders. Better understanding of the underlying pathophysiological mechanisms for the development of allergic disorders will provide more rationale strategies based on individual cases in controlling and treating these disorders. Endotyping, phenotyping, genotyping and theratyping, and biomarkers are keywords in this area and have been gaining lots of attention in the field of precision medicine, which aims to revolutionize patient care and develop better prevention and treatment strategies. In addition, precision health is a new concept that brings precise approaches to the scene for being healthy and prevention of allergic disease and asthma. The specialty of allergy has a leading role in the field, because allergen-specific immunotherapy started 105years ago, and is historically a leading personalized/precision medicine approach in all medicine disciplines providing the possibility of cure in an individualized manner instead of conventional symptomatic treatments.