Department of Respiratory Medicine, Amsterdam University Medical Centres (AUMC), University of Amsterdam, Amsterdam, the Netherlands.
Department of Paediatric Pulmonology, Amsterdam UMC/ Emma Children's Hospital, Amsterdam, the Netherlands.
Allergy. 2019 Nov;74(11):2129-2145. doi: 10.1111/all.13833. Epub 2019 Jun 28.
More than a decade has passed since the finalization of the Human Genome Project. Omics technologies made a huge leap from trendy and very expensive to routinely executed and relatively cheap assays. Simultaneously, we understood that omics is not a panacea for every problem in the area of human health and personalized medicine. Whilst in some areas of research omics showed immediate results, in other fields, including asthma, it only allowed us to identify the incredibly complicated molecular processes. Along with their possibilities, omics technologies also bring many issues connected to sample collection, analyses and interpretation. It is often impossible to separate the intrinsic imperfection of omics from asthma heterogeneity. Still, many insights and directions from applied omics were acquired-presumable phenotypic clusters of patients, plausible biomarkers and potential pathways involved. Omics technologies develop rapidly, bringing improvements also to asthma research. These improvements, together with our growing understanding of asthma subphenotypes and underlying cellular processes, will likely play a role in asthma management strategies.
人类基因组计划完成已经过去了十余年。组学技术已经从时髦且非常昂贵的技术飞跃式地发展为常规执行且相对廉价的检测手段。与此同时,我们意识到组学并非人类健康和个性化医疗领域所有问题的万能药。虽然在某些研究领域,组学立即显示出了结果,但在其他领域,包括哮喘,它只是让我们能够识别出令人难以置信的复杂分子过程。随着组学技术的发展,也带来了许多与样本收集、分析和解释相关的问题。通常情况下,我们无法将组学的固有不完美与哮喘的异质性区分开来。尽管如此,我们已经从应用组学中获得了许多见解和方向——可能的患者表型聚类、合理的生物标志物和潜在的相关途径。组学技术发展迅速,也为哮喘研究带来了改进。这些改进,加上我们对哮喘亚表型和潜在细胞过程的理解不断加深,可能会在哮喘管理策略中发挥作用。