国际妇产科学杂志 ›› 2016, Vol. 43 ›› Issue (4): 365-376.

• 专家论坛 •    下一篇

精准医学

李雷,郎景和   

  1. 100730 北京,中国医学科学院 北京协和医学院 北京协和医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-08-15 发布日期:2016-08-15

Precision Medicine

LI Lei,LANG Jing-he   

  1. Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-08-15 Online:2016-08-15

摘要: 2015年美国政府提出“精准医学计划”后,精准医学的概念迅速传播扩展,俨然成为未来医学的方向。美国国立卫生研究院定义精准医学为一种将个人基因、环境与生活习惯差异考虑在内的疾病预防与处理的新方法,首要目标是癌症的治疗,长期目标是创建个体化参与、数据共享和隐私保护的医学科学新模型。精准医学的本质仍是个体化医学,通过基因组、蛋白质组学等前沿技术,对大样本人群与特定疾病类型进行生物标志物的分析与鉴定、验证与应用,寻找疾病病因和治疗靶点,最终实现对特定疾病和患者进行个性化精确治疗,改善疾病预防与诊治效果。但目前精准医学的发展环境尚未完全成熟,成果也十分有限,对其热情和方向仍应有清晰的认识和把握。

Abstract: Since 2015 US government announced the Precision Medicine Initiative, the concept of "precision medicine" is spreading quickly, which has seemingly become the mainstream of future medicine. According to the definition of National Institutes of Health, precision medicine provides a new method for preventing and managing diseases by applying combination of individual genetics, environmental exposures and life styles. Its primary objective is treatment for cancer, and longer-term goals are to engineer a new model for medical science that emphasizes engaged participants, responsible data sharing, and privacy protection. Precision medicine in itself is individualized medicine. By identification, verification and application of biomarkers for large cohort and specific diseases via genomics, proteomics and other advanced technologies, precision medicine searches for pathogenesis and therapeutic targets in order to achieve and improve individualized precise prevention, diagnosis, and treatment for specific diseases and patients. But there is no developed environment and limited achievements for precision medicine, we should be alert to its inflated enthusiasm and future orientation.