Individualizing Care: Management Beyond Medical Therapy

Clin Liver Dis. 2018 Aug;22(3):545-561. doi: 10.1016/j.cld.2018.03.006.

Abstract

The evolving research landscape, with advances in the omics technologies, availability of large-scale patient cohorts, and forthcoming availability of novel drugs in primary biliary cholangitis (PBC), is creating a unique opportunity for developing a precision medicine (PM) program. PM has potential to change the paradigm of management. Diagnostic work-up of PBC patients may include information on genetic variants and molecular signature to define a particular subtype of disease and provide an estimate of treatment response and survival. To reach this point, specific interventions, such as sequencing more genomes, creating bigger biobanks, and linking biological information to health data, are needed.

Keywords: Autoimmune liver disease; Individualized care; Novel therapies; Omics; Precision medicine; Primary biliary cholangitis; Risk-stratification.

Publication types

  • Review

MeSH terms

  • Disease Progression
  • Elasticity Imaging Techniques
  • Epigenomics
  • Gene Expression Profiling
  • Genomics
  • Hepatitis, Autoimmune / genetics
  • Hepatitis, Autoimmune / metabolism
  • Hepatitis, Autoimmune / therapy
  • Humans
  • Hypertension, Portal / etiology
  • Jaundice, Obstructive / etiology
  • Liver / diagnostic imaging
  • Liver / metabolism
  • Liver / pathology
  • Liver Cirrhosis, Biliary / classification
  • Liver Cirrhosis, Biliary / complications
  • Liver Cirrhosis, Biliary / genetics
  • Liver Cirrhosis, Biliary / therapy*
  • Liver Failure / etiology
  • Metabolomics
  • Precision Medicine*
  • Proteomics
  • Risk Assessment
  • Treatment Outcome