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Personalized medicine
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Personalized medicine through the development of modern methods of molecular biology offers application of a suitable drug to the appropriate patient at the right time. The vision of personalized medicine has begun in 1990’s when the molecular research and knowledge about proteomic, genomics and genetic testing escalated. Since then pharmaceutical com-panies, scientists and regulators needed to meet the challenges that the vision was bringing with. Right now “The era of personalised medicine is already upon us” In this paper I am going to discuss this new way of dealing with diseases including several issues which are im-plemented in this section of medicine, these are as follow:
• Individual variation and their implication in personalised medicine
• What is pharmacogenetics/pharmcacogenomic
• The goals and advantages of a personal medicine approach
• Proteomic and genomics – Bio-analytical techniques employed in phar-macogenomics research.
The traditional paradigm based on the physiology of the disease that is the search for a drug on the basis of visible symptoms is slowly displaced by a new approach. The goal of this new approach is to study the molecular mechanisms of disease and to identify the genes respon-sible for its creation. This molecular analysis of the disease make possible to develop precise drug acting on a specific target in addition a pharmacogenetic tests using before pharma-cotherapy will predict how a patient will respond to treatment. Such approach called P4 predictive, preventive, personalized and participatory revolutionizes the way in which medi-cine is practiced and affects the process of new drugs development (S. Jakka and M. Rossbach, 2013). So in modern medical practice disease diagnosis is support...
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...nosis of this disease, but the administration of Herceptin proved to effectively inhibit the activity of the receptor and thus lead to improved health status. Currently Trastuzumab is normally used in this type of breast cancer, but first this receptor overexpression must be identified to assure effectiveness of treatment because there are different receptors associated with different type of breast cancer such as BRCA1, BRCA2 or ER positive for which other treatment must be applied. As on the market are approved several drugs against breast cancer physician can perform pharmacogenetic test to determine which drug would best suit the patient. The same way of choosing adequate drug will be performed in other type of disease.
It is important that every genetic test must be validated before can be used, must be ap-proved and certified by the regulatory bodies as FDA.
It helps medics to find a direct genetic cause of the patient’s condition and target it with pharmaceutical or other therapies. The technology is used for the identification of DNA sequences that increase risks of current diseases and disorders; with this information carriers can start to make efforts to prevent them before the development of the problem. The video mentioned 200 actionable genes, structures that have direct links with a specific condition. Knowing about their presence, people have a chance to bring in preventive measures like taking anticoagulants in the case of identification of a thrombogenic gene. The technology led to the significant improvement of diagnostics and personalized treatments. It helped to find a rare, life-threatening mutation in case of Beery twins and assign a drug to a girl (Alexis) that returned her to a normal life. In the case of cancer genome sequencing led to the development of genetic drags, which target essential tumor genes and make malign structures to shrink. The video mentioned a product that works with the BRАF protein that induces cells to uncontrolled division; the drug led to the remission in the patient with metastasizing melanoma. Such treatment was effective in the case of cystic fibrosis. In the case of the breast cancer the technology helps to evaluate the aggressiveness of the condition and make a personalized decision about chemotherapy. The video also mentioned the pre-implantation genetic diagnosis – an early-staged technology that prevents the development of inherited disorders in
Guidelines like these need to be formed into a federal law that people can pass in one way or another so that we can be protected from the various forms of discrimination that is possible with this kind of information. The public should be aware of what could happen if this kind of information could become public knowledge, and of the opportunities that the knowledge brings. There is no doubt that the information from genetic analysis is going to help a lot of people with all sorts of problems live longer and healthier lives. The only problem is that we have to keep the information in the hands of those who need it, and out of the hands of those who would use the information to profit or discriminate.
Advantages of genetic testing may be helpful in determining whether or not you have a disease or are proba...
The age of genetic technology has arrived. Thanks to genetic technological advancements, medical practitioners, with the help of genetic profiling, will be able to better diagnose patients and design individual tailored treatments; doctors will be able to discern which medications and treatments will be most beneficial and produce the fewest adverse side effects. Rationally designed vaccines have been created to provide optimal protection against infections. Food scientists have hopes of genetically altering crops to increase food production, and therefore mitigate global hunger. Law enforcement officers find that their job is made easier through the advancement of forensics; forensics is yet another contribution of genetic technology. Doctors have the ability to identify “high-risk” babies before they are born, which enables them to be better prepared in the delivery room. Additionally, oncologists are able to improve survival rates of cancer patients by administering genetically engineered changes in malignant tumors; these changes result in an increased immune response by the individual. With more than fifty years of research, and billions of dollars, scientists have uncovered methods to improve and prolong human life and the possibilities offered by gene therapy and genetic technology are increasing daily.
Teutch, S., & Tuckson, R. Department of Health & Human Services, (2008). U.S. system of oversight of genetic testing: A response to the charge of the secretary of health and human services. Retrieved from website: http://osp.od.nih.gov/sites/default/files/SACGHS_oversight_report.pdf
Once the project began in 1990, fewer than one hundred human sickness genes had been known. At the project 's conclusion in 2003, the quantity of known sickness genes had up to over fourteen-hundred, however, the human order project centered on the polymer sequence of a personal. The results of human genome project results in significant improvement of the medicines for different diseases. The project initiated by the government enables the researchers and the doctors to understand the etiology of less known disease. After knowing the factors behind the disease, researchers tried to find out the medicines which could treat those diseases and diminish their effects. It also made the world aware of the fact that genes could be used for the research and medical purposes in the field of medicine. As a result of this project, it became very easy to produce the clones and the genes by performing the gene sequencing and different analysis on the genes of a person. The future of this project, doctors will become completely able to understand the hidden causes of the disease which will later on help in understanding the management of their
There are many types of genetic tests that are administered to the adult population. The more commonly used genetic tests are paternity tests, genealogical tests, and forensic testing. They are quite self-explanatory; paternity tests are to determine relatedness of 2 subjects, genealogical tests are used to formulate a heritage or ancestry, and forensic testing is used to identify or rule out a person that has been charged with a crime. Other genetic tests include presymptomatic testing, used to determine the risk someone has to developing a genetic disorder, diagnostic screening, used to rule out or identify a suspected condition, and carrier screening, used to determine if an individual carries one copy of a gene mutati...
First, let's consider the situations in which genetic testing would be beneficial to patients. Genetic testing for diseases that are preventable or treatable could allow individuals to alter their lifestyles so as to treat the disease or reduce their risk of developing the disease. For instance, the E2 version of the APOE gene, which is found on chromosome 19, has been linked to heart disease (Ridley, 1999). Individuals who have two copies of the E2 gene are particularly sensitive to high-fat and high-cholesterol diets. Therefore, a genetic test to determine whether a person has the high-risk version of the APOE gene could inform a person of future health risks, thereby allowing the person to change his diet to help prev...
Over the past decade, scientists have made significant advancements in the treatment of certain diseases. Unfortunately, just like any new product, the cost of developing these new technologies and treatments is extremely high. Plus, unlike other technology, heath technolo...
Gene therapy is a relatively simple process. First, the mutated gene at fault for the cause of the condition being treated must be identified. Second, the site of the unhealthy cells in the human has to be found. Then, a health...
proactive measures against recurrence and relapse of the disease can be made. Molecular medicine in genetics will also improve the design and testing of new drugs.
Genetic testing, also known as screening, is a rapidly advancing new scientific field that can potentially revolutionize not only the world of medicine, but many aspects of our lives. Genetic screening is the sequencing of human DNA in order to discover genetic differences, anomalies, or mutations that may prove pathological. As genetic screening becomes more advanced and easily accessible, it presents society with difficult questions that must be asked about the boundaries of science and to what degree we are allowed to tamper with the human genome. To better understand the potential impact of genetic screening on our society, we must examine the potential benefits in comparison to the possible negative impact it may cause. With this knowledge in hand, we can examine what the future holds for this field of study and the best possible direction to take.
Genetic testing has become very popular as technology has improved, and has opened many doors in the scientific community. Genetic testing first started in 1866 by a scientist known as, Gregor Mendel, when he published his work on pea plants. The rest was history after his eyes opening experiments on pea plants. However, like any other scientific discovery, it bought conflicts which caused major controversies and a large population disagreed with the concept of playing with the genetic codes of human beings. Playing God was the main argument that people argument that people had against genetics. genetic testing became one of the major conflicts conflicts to talk about, due to the fact that parents could now have the option of deciding if they
Following the results from this trial, 46 HPBC patients were recruited by Baselga et al. (1999) to examine the safety and efficacy of weekly administration of trastuzumab (26). An overall response rate of 11.6% with one complete and four partial remissions were observed (26). As previous findings showed, treatment with trastuzumab was well-tolerated with minimal signs of toxicity (26). Similarly, the results from Vogel et al. (2002) confirm this as demonstrated by the response rate of 26% with seven complete and 23 partial remissions in 114 women with HER2-overexpressing metastatic breast cancer
In order to build something, you must know everything about it. Therefore, in order to synthesize artificial human genes, scientists must first know or learn everything about them. To meet this requirement, a very large amount of research must be done; therefore, resulting in many new groundbreaking discoveries. Understanding how something works, also means understanding what does not work about it. These discoveries could be invaluable to treating illnesses and diseases; furthermore, it could also provide the means to a multitude of