Personalized_Medicine_A_New_Medical_and_Social_Challenge

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Preface


When we use the term personalized medicine, it implies the systematic use of
information about the individual patient with the goal of choosing optimal preven-
tion and/or welfare therapy. The main focus of personalized medicine in current
medical treatment is to generate innovative treatments and drugs while reducing
negative side effects. Recent achievements in life science have created novel
opportunities to monitor and assess the progression of each individual patient’s
condition. The merit of these new capabilities lies mainly in the development and
application of high-throughput technologies that provide global insights into the
genomic-proteomic profile of diseases. New accomplishments in high-throughput
technologies such as transcriptomics that provides an entire insight into gene
activity in an organism, proteomics that gathers knowledge on global protein pro-
files, or metabolomics that provides information on metabolite status, will dramat-
ically change molecular medicine and life science. At the same time, it should be
noted that genes and proteins cannot explain everything. One needs to consider
other complex elements, including molecular pathways, protein structure, second-
ary protein modifications, epigenetics, and many others. New methods to provide
some novel insights into biological mechanisms could include lipidomics,
glycomics, metabolomics, nutrinomics, and even complex structural genomics
methodologies and approaches. The use of these methods in medicine may allow
an individualized service for each patient and boost the progression in medicine
from the traditional focus on discovering new drugs to a new and more preemptive
approach. This change will bring about substantial social shifts that will change
socio-humanistic relationships and raise a whole series of important questions:
moral-ethical, legal, and socio-economic. These issues will result from current
challenges in medicine and humanity that are both faced with multiple processes
of globalization and fast changes in society. Some of the current issues relate to new
severe and fast-spreading infectious diseases, changes in the “behavior pattern” of
certain diseases, demographic change resulting from an aging population, and fast
and dramatic climate changes.


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