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特应性皮炎的精准医学与治疗达标方法:提升个性化护理与治疗效果

Precision medicine and Treat-to-Target approach in atopic dermatitis: enhancing personalized care and outcomes.

作者信息

Hartmann Dan, Retamal Catalina, Valenzuela Fernando

机构信息

Department of Dermatology, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Department of Dermatology, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

出版信息

An Bras Dermatol. 2025 Jun 18;100(4):501135. doi: 10.1016/j.abd.2025.501135.

Abstract

BACKGROUND

Atopic Dermatitis (AD) is a chronic inflammatory skin disease affecting a significant portion of the global population. While conventional treatments effectively control and manage symptoms, there is a growing need for more personalized and precise approaches for patients. Precision medicine has emerged as a promising therapeutic strategy that tailors treatment to the individual characteristics of each patient. Complementing this, the Treat-to-Target (T2T) strategy sets specific clinical goals and involves continuous monitoring and treatment adjustments based on real-time patient responses and biomarker data.

OBJECTIVES

This review aims to explore the latest advancements in precision medicine and the T2T strategy for AD.

METHODS

A comprehensive literature review was conducted to identify the most recent studies and advancements in precision medicine and the T2T strategy for AD.

RESULTS

Recent studies highlight the effectiveness of precision medicine in achieving sustained remission and improving the quality of life for patients. The T2T strategy was shown to be effective in preventing exacerbations and adapting treatments based on real-time patient responses and biomarker data.

STUDY LIMITATIONS

The lack of a consensus on the clinical implementation of precision medicine and T2T, limited longitudinal studies validating long-term outcomes, challenges in stratifying patients due to biomarker heterogeneity, and barriers to integrating emerging diagnostic technologies into routine practice.

CONCLUSIONS

Precision medicine and the T2T strategy represent significant advancements in the management of AD. These approaches offer the potential for more personalized, effective, and adaptive treatment protocols, leading to improved patient outcomes. Continuous research and development in these areas are essential to fully realize their potential and integrate them into routine clinical practice.

摘要

背景

特应性皮炎(AD)是一种慢性炎症性皮肤病,影响着全球相当一部分人口。虽然传统治疗方法能有效控制和管理症状,但对患者而言,越来越需要更个性化和精准的治疗方法。精准医学已成为一种有前景的治疗策略,可根据每位患者的个体特征量身定制治疗方案。与之相辅相成的是,治疗达标(T2T)策略设定了具体的临床目标,并基于患者的实时反应和生物标志物数据进行持续监测和治疗调整。

目的

本综述旨在探讨AD精准医学和T2T策略的最新进展。

方法

进行了全面的文献综述,以确定AD精准医学和T2T策略的最新研究和进展。

结果

近期研究强调了精准医学在实现持续缓解和改善患者生活质量方面的有效性。T2T策略在预防病情加重以及根据患者实时反应和生物标志物数据调整治疗方面显示出有效性。

研究局限性

在精准医学和T2T的临床实施方面缺乏共识,验证长期疗效的纵向研究有限,由于生物标志物异质性在患者分层方面存在挑战,以及将新兴诊断技术整合到常规实践中的障碍。

结论

精准医学和T2T策略代表了AD管理方面的重大进展。这些方法为制定更个性化、有效和适应性更强的治疗方案提供了潜力,从而改善患者预后。在这些领域持续开展研发工作对于充分发挥其潜力并将其整合到常规临床实践中至关重要。

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