Document Detail


Can we personalize treatment for kidney diseases?
MedLine Citation:
PMID:  19808246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The idea of individualizing therapies to obtain optimal clinical results is not new but has only recently been applied to kidney diseases. Nonetheless, kidney disorders present a variety of opportunities to personalize medicine. Here, the heterogeneity of kidney disorders is reviewed to provide a rationale for pursuing personalized medicine. Data on adjusting therapy on the basis of pharmacogenetics/genomics and pharmacodynamics are summarized to demonstrate where the field is, and biomarker studies that reflect the future of personalized medicine are discussed. The goal of this review is to demonstrate that we can personalize therapy for kidney diseases but that considerable investment in new research will be required for personalized medicine to be routinely used in nephrology clinics.
Authors:
Brad H Rovin; Alison M McKinley; Daniel J Birmingham
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2009-09-17
Journal Detail:
Title:  Clinical journal of the American Society of Nephrology : CJASN     Volume:  4     ISSN:  1555-905X     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-07     Completed Date:  2010-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101271570     Medline TA:  Clin J Am Soc Nephrol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1670-6     Citation Subset:  IM    
Affiliation:
Division of Nephrology, Department of Internal Medicine, Ohio State University College of Medicine, Columbus 43210, OH 43210, USA. rovin.1@osu.edu
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MeSH Terms
Descriptor/Qualifier:
Aryl Hydrocarbon Hydroxylases / genetics
Azathioprine / therapeutic use
Calcineurin / antagonists & inhibitors
Complement C3 / analysis
Complement C4 / analysis
Cyclophosphamide / therapeutic use
Humans
Individualized Medicine*
Kidney Diseases / drug therapy*,  immunology
Leukocytes, Mononuclear / drug effects
Lupus Nephritis / drug therapy
Mycophenolic Acid / analogs & derivatives,  therapeutic use
Peptidyl-Dipeptidase A / genetics
Receptors, Fc / genetics
Grant Support
ID/Acronym/Agency:
R01DK074661/DK/NIDDK NIH HHS; R21DK077331/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Complement C3; 0/Complement C4; 0/Receptors, Fc; 128794-94-5/mycophenolate mofetil; 24280-93-1/Mycophenolic Acid; 446-86-6/Azathioprine; 50-18-0/Cyclophosphamide; EC 1.14.14.1/Aryl Hydrocarbon Hydroxylases; EC 1.14.14.1/CYP2C19 protein, human; EC 3.1.3.16/Calcineurin; EC 3.4.15.1/Peptidyl-Dipeptidase A

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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