Personalized medicine in multiple sclerosis: hope or reality?

Personalized medicine in multiple sclerosis: hope or reality?
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DOI:
10.1186/1741-7015-10-116
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发表时间:
2012-10-04
期刊:
影响因子:
9.3
通讯作者:
Derfuss T
Derfuss T
中科院分区:
医学1区
文献类型:
--
作者:
Derfuss T

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个性化治疗是非常可取的多发性硬化症,因为它是一个巨大的异质性疾病。这种异质性见于病程和治疗反应。目前,磁共振成像中的临床特征和成像参数的组合用于对活动和非活动患者以及治疗应答者和非应答者进行分类。虽然这种分类适用于群体水平,但个体患者的行为往往与群体不同。因此,需要额外的生物标志物来提供更好的预后和治疗反应指标。基础和临床研究发现了不同的有前途的目标。现在必须验证这些标记物在大型前瞻性抽样患者队列中的实用性和准确性。
Personalized treatment is highly desirable in multiple sclerosis because it is an immensely heterogeneous disease. This heterogeneity is seen in both the disease course and the treatment responses. Currently, a combination of clinical features and imaging parameters in magnetic resonance imaging is used to classify active and non-active patients and treatment responders and non-responders. Although this classification works on a group level, individual patients often behave differently from the group. Therefore additional biomarkers are needed to provide better indicators for prognosis and treatment response. Basic and clinical research have discovered different promising targets. It is now essential to verify the utility and accuracy of these markers in large, prospectively sampled patient cohorts.
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