Author:
Schneider Susanne A.,Hizli Baccara,Alcalay Roy N.
Abstract
AbstractIn recent years, a precision medicine approach, which customizes medical treatments based on patients’ individual profiles and incorporates variability in genes, the environment, and lifestyle, has transformed medical care in numerous medical fields, most notably oncology. Applying a similar approach to Parkinson’s disease (PD) may promote the development of disease-modifying agents that could help slow progression or possibly even avert disease development in a subset of at-risk individuals. The urgent need for such trials partially stems from the negative results of clinical trials where interventions treat all PD patients as a single homogenous group. Here, we review the current obstacles towards the development of precision interventions in PD. We also review and discuss the clinical trials that target genetic forms of PD, i.e., GBA-associated and LRRK2-associated PD.
Funder
Medizinischen Fakultät, Ludwig-Maximilians-Universität München
Michael J. Fox Foundation for Parkinson's Research
Ara Parseghian Medical Research Foundation
Stiftung VERUM
Publisher
Springer Science and Business Media LLC
Subject
Pharmacology (medical),Clinical Neurology,Pharmacology
Reference95 articles.
1. Global, regional, and national burden of Parkinson's disease, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology 2018;17:939-953.
2. Abrahams E, President | Personalized Medicine Coalition Personalized Medicine: The Changing Landscape of Health Care; Key Note lecture, The 2nd Biomarker Meeting in Personalized Reproductive Medicine Valencia, Spain [www.comtecmed.com/biomarker/2014/Uploads/Editor/PDF/ppt/Edward%20Abrahams_Key%20Note%20Lecture.pdf]2014.
3. Juengst E, McGowan ML, Fishman JR, Settersten RA, Jr. From "Personalized" to "Precision" Medicine: The Ethical and Social Implications of Rhetorical Reform in Genomic Medicine. Hastings Cent Rep 2016;46:21-33.
4. Manolio TA, Collins FS, Cox NJ, et al. Finding the missing heritability of complex diseases. Nature 2009;461:747-753.
5. Gasser T. Usefulness of Genetic Testing in PD and PD Trials: A Balanced Review. J Park Dis 2015;5:209-215.
Cited by
27 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献