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Precision medicine and treatable traits in chronic airway diseases - where do we stand?

Ulrik, Charlotte Suppli ; Vijverberg, Susanne ; Hanania, Nicola A. and Diamant, Zuzana LU (2020) In Current Opinion in Pulmonary Medicine 26(1). p.33-39
Abstract

PURPOSE OF REVIEW: To provide an update on the implementation of precision medicine, based on treatable traits and mechanisms, in the daily clinical management of chronic airways diseases. RECENT FINDINGS: Recent insights into the complex and heterogeneous nature of chronic airway diseases including chronic obstructive pulmonary disease (COPD) and asthma identified several clinical and inflammatory phenotypes. This shifted the management focus of these diseases away from the prototypic disease labels and paved the way for developing novel targeted therapies.The concept of precision medicine aims to link the right patient to the right treatment, while minimizing the risk of adverse effects. Several treatable features ('treatable traits')... (More)

PURPOSE OF REVIEW: To provide an update on the implementation of precision medicine, based on treatable traits and mechanisms, in the daily clinical management of chronic airways diseases. RECENT FINDINGS: Recent insights into the complex and heterogeneous nature of chronic airway diseases including chronic obstructive pulmonary disease (COPD) and asthma identified several clinical and inflammatory phenotypes. This shifted the management focus of these diseases away from the prototypic disease labels and paved the way for developing novel targeted therapies.The concept of precision medicine aims to link the right patient to the right treatment, while minimizing the risk of adverse effects. Several treatable features ('treatable traits') have now been identified for these chronic airway diseases, including pulmonary, extra-pulmonary, and psychological/lifestyle/environmental traits. As the next step, innovative detection techniques should clarify underlying mechanisms and molecular pathways of these treatable traits and novel reliable point-of-care (composite) biomarkers to help predict responders to targeted therapies must be developed. SUMMARY: Precision medicine links the right patient to the right treatment. Identification of treatable traits in asthma and COPD will help optimize the treatment approach in these heterogeneous diseases. Furthermore, in-depth identification of underlying molecular pathways and reliable biomarkers in chronic airways diseases to guide targeted treatment in individual patients is in progress.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Current Opinion in Pulmonary Medicine
volume
26
issue
1
pages
7 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:31644440
  • scopus:85075960906
ISSN
1531-6971
DOI
10.1097/MCP.0000000000000639
language
English
LU publication?
yes
id
2852e465-f217-49f1-93d7-f95f07050094
date added to LUP
2021-01-15 10:15:01
date last changed
2024-06-13 05:26:08
@article{2852e465-f217-49f1-93d7-f95f07050094,
  abstract     = {{<p>PURPOSE OF REVIEW: To provide an update on the implementation of precision medicine, based on treatable traits and mechanisms, in the daily clinical management of chronic airways diseases. RECENT FINDINGS: Recent insights into the complex and heterogeneous nature of chronic airway diseases including chronic obstructive pulmonary disease (COPD) and asthma identified several clinical and inflammatory phenotypes. This shifted the management focus of these diseases away from the prototypic disease labels and paved the way for developing novel targeted therapies.The concept of precision medicine aims to link the right patient to the right treatment, while minimizing the risk of adverse effects. Several treatable features ('treatable traits') have now been identified for these chronic airway diseases, including pulmonary, extra-pulmonary, and psychological/lifestyle/environmental traits. As the next step, innovative detection techniques should clarify underlying mechanisms and molecular pathways of these treatable traits and novel reliable point-of-care (composite) biomarkers to help predict responders to targeted therapies must be developed. SUMMARY: Precision medicine links the right patient to the right treatment. Identification of treatable traits in asthma and COPD will help optimize the treatment approach in these heterogeneous diseases. Furthermore, in-depth identification of underlying molecular pathways and reliable biomarkers in chronic airways diseases to guide targeted treatment in individual patients is in progress.</p>}},
  author       = {{Ulrik, Charlotte Suppli and Vijverberg, Susanne and Hanania, Nicola A. and Diamant, Zuzana}},
  issn         = {{1531-6971}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{33--39}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Current Opinion in Pulmonary Medicine}},
  title        = {{Precision medicine and treatable traits in chronic airway diseases - where do we stand?}},
  url          = {{http://dx.doi.org/10.1097/MCP.0000000000000639}},
  doi          = {{10.1097/MCP.0000000000000639}},
  volume       = {{26}},
  year         = {{2020}},
}