Functional Drug Screening in the Era of Precision Medicine.

Functional Drug Screening in the Era of Precision Medicine.
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精准医疗时代的功能性药物筛选。

DOI:
10.3389/fmed.2022.912641
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发表时间:
2022
影响因子:
3.9
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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精准医疗的重点是为每个病人提供正确的治疗。这一科学运动刺激了肿瘤学的巨大进步,包括批准了有效的、有针对性的不可知论疗法。然而,精确肿瘤学在治疗决策过程中主要关注基因组学,最近的几项临床试验表明,基因组学并不是唯一需要考虑的变量。三维(3D)模型中的药物筛选,包括患者来源的类器官、芯片上的器官、异种移植和3D生物打印模型,提供了功能医学的视角和基因组测试的必要补充。在这篇综述中,我们讨论了各种3D药物筛选模型的实用性以及每种模型捕捉患者肿瘤微环境的能力。我们强调了加强精准医疗的潜力,个性化功能药物测试与基因组测试和新兴的数学模型相结合。
The focus of precision medicine is providing the right treatment to each unique patient. This scientific movement has incited monumental advances in oncology including the approval of effective, targeted agnostic therapies. Yet, precision oncology has focused largely on genomics in the treatment decision making process, and several recent clinical trials demonstrate that genomics is not the only variable to be considered. Drug screening in three dimensional (3D) models, including patient derived organoids, organs on a chip, xenografts, and 3D-bioprinted models provide a functional medicine perspective and necessary complement to genomic testing. In this review, we discuss the practicality of various 3D drug screening models and each model’s ability to capture the patient’s tumor microenvironment. We highlight the potential for enhancing precision medicine that personalized functional drug testing holds in combination with genomic testing and emerging mathematical models.
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