scholarly journals Precision medicine and inflammatory bowel diseases: concept, strategies, future

2021 ◽  
Vol 1 (6) ◽  
pp. 121-129
Author(s):  
G. R. Bikbavova ◽  
M. A. Livzan ◽  
D. G. Novikov ◽  
E. A. Bambulskaya
Keyword(s):  
Precision Medicine ◽  
Inflammatory Bowel Diseases ◽  
Scientific Information ◽  
Treatment Strategies ◽  
Wide Range ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
New Treatment ◽  
Personalized Approach ◽  
The Right

With the advent of modern cellular and genomic technologies, we have become participants in the integration of such areas as personalized, predictive, preventive, and precision medicine (referred to as 4P-medicine), into practical healthcare. In replace of the classic methods of diagnosis and treatment of diseases comes medicine, which makes it possible to predict (anticipate) the disease, and a personalized approach to each patient, taking into account their genetic, biochemical and physiological uniqueness. Precision medicine aims to improve the quality of medical care by opening up an individual approach to the patient and covers a wide range of areas, including drug therapy, genetics, and cause-and-effect relationships in order to make the right decisions based on evidence. 4P-medicine combines knowledge in the field of proteomics, metabolomics, genomics, bioinformatics with classical approaches of anatomy, therapy, laboratory and instrumental diagnostics as well as public health. The purpose of this review is to analyze and summarize the information available to date and to present examples of the application of modern approaches of medicine into clinical practice by diving into the example of inflammatory bowel diseases (IBD). The search for literature containing scientific information about relevant studies was conducted in the PubMed and Google Scholar systems with the use of the following keywords: precision medicine, 4P medicine, inflammatory bowel diseases. Despite significant progress in medicine in general, there is still a long way to go before implementing the principles of precision medicine in the field of IBD, since many clinicians continue to treat patients with IBD symptomatically. However, the use of specific biomarkers and new treatment strategies as described in the review, can significantly accelerate this path and contribute to the improvement of diagnostic and therapeutic approaches.

Update on Imaging Modalities for Inflammatory Bowel Diseases

2016 ◽  
Author(s):  
Francesco Alessandrino ◽  
Koenraad J. Mortele
Keyword(s):  
Magnetic Resonance ◽  
Inflammatory Bowel Diseases ◽  
Treatment Strategies ◽  
Imaging Modalities ◽  
Dual Energy Ct ◽  
Multidetector Row Computed Tomography ◽  
Imaging Method ◽  
Pet Ct ◽  
Bowel Diseases ◽  
Inflammatory Bowel

Inflammatory bowel diseases (IBDs) are a group of chronic inflammatory disorders that are mainly represented by Crohn disease and ulcerative colitis. Over the last decade, conventional fluoroscopic barium studies used for the imaging of the gastrointestinal tract have been replaced with newer techniques, such as multidetector-row computed tomography (CT), dual-energy CT, and positron emission tomography (PET)/CT. Also increasingly seen is the use of magnetic resonance enterography, representing a robust, highly accurate, and radiation-free imaging method. This review covers these newer imaging modalities for IBD and more, as well as proposed techniques that could potentially help monitor and guide new antiinflammatory treatment strategies in the future. Figures include examples of images conducted via CT, magnetic resonance imaging, and PET/CT. Table compares different imaging modalities for the evaluation of IBD. This review contains 13 highly rendered figures, 1 table, and 127 references. 

scholarly journals Potential Application of Probiotics in the Prevention and Treatment of Inflammatory Bowel Diseases

Ulcers ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-13 ◽  
Author(s):  
Silvina del Carmen ◽  
Alejandra de Moreno de LeBlanc ◽  
Anderson Miyoshi ◽  
Clarissa Santos Rocha ◽  
Vasco Azevedo ◽  
...  
Keyword(s):  
Inflammatory Bowel Diseases ◽  
Antioxidant Properties ◽  
Genetically Engineered ◽  
Treatment Protocols ◽  
Host Immune Responses ◽  
Beneficial Effects ◽  
Wide Range ◽  
Prevention And Treatment ◽  
Bowel Diseases ◽  
Inflammatory Bowel

Lactic acid bacteria (LAB) represent a heterogeneous group of microorganisms that are naturally present in many foods and possess a wide range of therapeutic properties. The aim of this paper is to present an overview of the current expanding knowledge of the mechanisms by which LAB and other probiotic microorganisms participate in the prevention and treatment of inflammatory bowel diseases. These include changes in the gut microbiota, stimulation of the host immune responses, and reduction of the oxidative stress due to their antioxidant properties. A brief overview of the uses of genetically engineered LAB that produce either antioxidant enzymes (such as catalase and superoxide dismutase) or anti-inflammatory cytokines (such as IL-10) will also be discussed. This paper will show that probiotics should be considered in treatment protocols of IBD since they provide many beneficial effects and can enhance the effectiveness of traditional used medicines.

Pediatric Inflammatory Bowel Diseases and the Risk of Lymphoma: Should We Revise Our Treatment Strategies?

2009 ◽  
Vol 48 (3) ◽  
pp. 257-267 ◽  
Author(s):  
Salvatore Cucchiara ◽  
Johanna C Escher ◽  
Hans Hildebrand ◽  
Jorge Amil-Dias ◽  
Laura Stronati ◽  
...  
Keyword(s):  
Inflammatory Bowel Diseases ◽  
Treatment Strategies ◽  
Bowel Diseases ◽  
Inflammatory Bowel

scholarly journals Biosimilar Interchangeability and Emerging Treatment Strategies for Inflammatory Bowel Diseases: A Commentary

2021 ◽  
Vol 12 (3) ◽  
pp. 293-301
Author(s):  
Richard H. Parrish
Keyword(s):  
Inflammatory Bowel Diseases ◽  
Treatment Strategies ◽  
Biologic Agent ◽  
Nocebo Effect ◽  
Treatment Access ◽  
Research Directions ◽  
The Us ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
Time Courses

This commentary summarizes a collection of key references published within the last ten years, and identifies pharmacologic research directions to improve treatment access and success through greater biosimilar or “follow-on” biologic utilization combined with other targeted small molecule agents that possess unique pathophysiologic mechanisms for inflammatory bowel diseases (IBD) in adult and pediatric patients. Since they are not identical to the originator or reference biologic agent, all biosimilars are not generically equivalent. However, in the US and other countries, they are considered therapeutically interchangeable if the manufacturer has demonstrated no clinically meaningful differences from the reference product. Comparisons of different clinical initiation and switching scenarios are discussed with reference to interchangeability, immunogenicity, nocebo effect, cost effectiveness, and time courses for discontinuation rates.

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