Farzan, Niloufar and Vijverberg, Susanne J. and Kabesch, Michael and Sterk, Peter J. and Maitland-van der Zee, Anke H. (2018) The use of pharmacogenomics, epigenomics, and transcriptomics to improve childhood asthma management: Where do we stand? PEDIATRIC PULMONOLOGY, 53 (6). pp. 836-845. ISSN 8755-6863, 1099-0496
Full text not available from this repository. (Request a copy)Abstract
Asthma is a complex multifactorial disease and it is the most common chronic disease in children. There is a high variability in response to asthma treatment, even in patients with good adherence to maintenance treatment, and a correct inhalation technique. Distinct underlying disease mechanisms in childhood asthma might be the reason of this heterogeneity. A deeper knowledge of the underlying molecular mechanisms of asthma has led to the recent development of advanced and mechanism-based treatments such as biologicals. However, biologicals are recommended only for patients with specific asthma phenotypes who remain uncontrolled despite high dosages of conventional asthma treatment. One of the main unmet needs in their application is lack of clinically available biomarkers to individualize pediatric asthma management and guide treatment. Pharmacogenomics, epigenomics, and transcriptomics are three omics fields that are rapidly advancing and can provide tools to identify novel asthma mechanisms and biomarkers to guide treatment. Pharmacogenomics focuses on variants in the DNA, epigenomics studies heritable changes that do not involve changes in the DNA sequence but lead to alteration of gene expression, and transcriptomics investigates gene expression by studying the complete set of mRNA transcripts in a cell or a population of cells. Advances in high-throughput technologies and statistical tools together with well-phenotyped patient inclusion and collaborations between different centers will expand our knowledge of underlying molecular mechanisms involved in disease onset and progress. Furthermore, it could help to select and stratify appropriate therapeutic strategies for subgroups of patients and hopefully bring precision medicine to daily practice.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POLYCYCLIC AROMATIC-HYDROCARBONS; GENE-ENVIRONMENT INTERACTIONS; GENOME-WIDE ASSOCIATION; ANTI-EOSINOPHILIC DRUGS; DNA METHYLATION; MATERNAL SMOKING; INHALED CORTICOSTEROIDS; SEVERE EXACERBATIONS; EXPRESSION PROFILES; ORMDL3 EXPRESSION; asthma and early wheez; biomarkers; epigenetics; genetics; genome-wide association studies (GWAS) |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Petra Gürster |
| Date Deposited: | 02 Jul 2020 05:06 |
| Last Modified: | 02 Jul 2020 05:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/14513 |
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