The problem of predisposition to diseases: classic approaches and modern technologies

Abstract

The article is devoted to urgent pediatric problem of comparing traditional and innovative approaches to the study of predisposition to diseases. It is noted that in the era of the formation of personalized pediatrics, along with the introduction of the latest diagnostic and therapeutic technologies, it is important to take into account the classic achievements, including those associated with the ideology of diathesis developed in the Russian pediatrics – concepts of hereditary predispositions. The article contains data on changing classification of diathesis. Within the framework of the 4P medical paradigm and, first of all, personalized medicine, the authors discuss molecular genetic and other high-tech potential methods of the disease risk assessment. Based on the concept of the space-time bioecological continuum of transitional health states, in particular, using the example of the atopic march, the authors consider the approaches to multi-level research, adaptation mechanisms and their breakdowns, and possible development of appropriate prognostic biomarkers. Using the example of biophenotypes of bronchial asthma and variants of manifestations of disenergetic states, the authors pay their attention to the importance of identifying the individual characteristics of pathological processes in children. The authors have concluded that the main task of personalized pediatrics is the development of methodology used for designing a personal health management program based on the principles of a new strategy for diagnosing, monitoring and controlling individual (including genomic) health, with the formation of a genetic passports for each child.