Precision medicine in airway diseases: moving to clinical practice

Eur Respir J. 2017 Oct 19;50(4):1701655. doi: 10.1183/13993003.01655-2017. Print 2017 Oct.

Abstract

On February 21, 2017, a European Respiratory Society research seminar held in Barcelona discussed how to best apply precision medicine to chronic airway diseases such as asthma and chronic obstructive pulmonary disease. It is now clear that both are complex and heterogeneous diseases, that often overlap and that both require individualised assessment and treatment. This paper summarises the presentations and discussions that took place during the seminar. Specifically, we discussed the need for a new taxonomy of human diseases, the role of different players in this scenario (exposome, genes, endotypes, phenotypes, biomarkers and treatable traits) and a number of unanswered key questions in the field. We also addressed how to deploy airway precision medicine in clinical practice today, both in primary and specialised care. Finally, we debated the type of research needed to move the field forward.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asthma* / classification
  • Asthma* / diagnosis
  • Asthma* / therapy
  • Biomarkers
  • Classification
  • Congresses as Topic
  • Europe
  • Genotype
  • Humans
  • Phenotype
  • Practice Patterns, Physicians' / trends*
  • Precision Medicine / methods*
  • Pulmonary Disease, Chronic Obstructive* / classification
  • Pulmonary Disease, Chronic Obstructive* / diagnosis
  • Pulmonary Disease, Chronic Obstructive* / therapy
  • Research / trends
  • Societies, Medical

Substances

  • Biomarkers