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综合多组学方法解析特应性皮炎发病机制和未来治疗方向。

Integrating multi-omics approaches in deciphering atopic dermatitis pathogenesis and future therapeutic directions.

机构信息

Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Department of Drug Discovery for Inflammatory Skin Diseases, Kyoto University Graduate School of Medicine, Kyoto, Japan.

出版信息

Allergy. 2024 Sep;79(9):2366-2379. doi: 10.1111/all.16183. Epub 2024 Jun 4.

Abstract

Atopic dermatitis (AD), a complex and heterogeneous chronic inflammatory skin disorder, manifests in a spectrum of clinical subtypes. The application of genomics has elucidated the role of genetic variations in predisposing individuals to AD. Transcriptomics, analyzing gene expression alterations, sheds light on the molecular underpinnings of AD. Proteomics explores the involvement of proteins in AD pathophysiology, while epigenomics examines the impact of environmental factors on gene expression. Lipidomics, which investigates lipid profiles, enhances our understanding of skin barrier functionalities and their perturbations in AD. This review synthesizes insights from these omics approaches, highlighting their collective importance in unraveling the intricate pathogenesis of AD. The review culminates by projecting future trajectories in AD research, particularly the promise of multi-omics in forging personalized medicine and novel therapeutic interventions. Such an integrated multi-omics strategy is poised to transform AD comprehension and management, steering towards more precise and efficacious treatment modalities.

摘要

特应性皮炎(AD)是一种复杂且异质的慢性炎症性皮肤疾病,表现为一系列临床亚型。基因组学的应用阐明了遗传变异在使个体易患 AD 中的作用。转录组学分析基因表达的改变,揭示了 AD 的分子基础。蛋白质组学探讨了蛋白质在 AD 病理生理学中的参与,而表观基因组学则研究环境因素对基因表达的影响。脂质组学研究脂质谱,增强了我们对皮肤屏障功能及其在 AD 中紊乱的理解。本综述综合了这些组学方法的见解,强调了它们在揭示 AD 复杂发病机制中的共同重要性。该综述最后预测了 AD 研究的未来轨迹,特别是多组学在制定个体化医学和新型治疗干预措施方面的前景。这种综合的多组学策略有望改变 AD 的理解和管理方式,朝着更精确和有效的治疗方式发展。

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