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Personalized Medicine for Preventing Liver Disease

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According to researchers, using personalized medicine will be essential to enhance outcomes for individuals with non-alcoholic fatty liver disease.

Written by

Dr. Sameeha M S

Medically reviewed by

Dr. Jagdish Singh

Published At May 13, 2024
Reviewed AtMay 13, 2024

Introduction

The most common chronic liver disease, non-alcoholic fatty liver disease, is linked to both fatal and non-fatal problems in the liver, metabolic processes, and cardiovascular system. Its successful treatment and non-invasive diagnostics are still unresolved clinical needs. Non-alcoholic fatty liver disease is more than just a metabolic syndrome; it is a complicated condition. A personalized medicine strategy for liver disease will enhance patient care, lower long-term medical outcomes, and create more precisely focused, potent treatments.

What Is Personalized Medicine?

Personalized medicine is a relatively new medical approach that analyzes an individual's genetic profile to guide disease prevention, diagnosis, and treatment decisions. Personalized medicine is sometimes called precision, tailored, or genomic medicine. Understanding a patient's genetic profile can assist medical professionals in choosing the right treatment or drug and delivering it according to the right schedule or dosage. Diagnostic testing is frequently used in personalized medicine to choose the best course of treatment for a patient based on their genetic makeup or other molecular or cellular analyses. The term "personalized medicine" was initially used to refer to the use of genetic information in certain areas, such as pharmacogenomics. However, over time, it has come to refer to a wide range of personalization strategies, including proteomics, imaging analysis, nanoparticle-based diagnostics, and more.

To confirm a patient's condition, modern breakthroughs in personalized medicine depend on technology that validates a patient's basic biology, such as RNA (ribonucleic acid), DNA (deoxyribonucleic acid), or protein. For instance, individualized methods like genome sequencing can identify genetic variants affecting conditions like cancer and cystic fibrosis. A further technique known as RNA-seq can identify the particular RNA molecules linked to a given disease. RNA can adapt to changes in its surroundings, unlike DNA. Consequently, RNA sequencing can offer a more comprehensive picture of an individual's health. Genetic variations across individuals have been connected in recent research to RNA expression, translation, and protein levels.

How Does Personalized Medicine Work?

Based on each individual's unique genetic composition, personalized medicine has started to overcome the constraints associated with standard treatment approaches. It is increasingly enabling medical professionals to change the focus of treatment from reaction to prevention and estimate individual vulnerability to a medical condition. Providing health treatments based on a person's unique genetic composition is the foundation of personalized medicine.

The foundation of personalized medicine in complicated conditions is the ability to predict disease beginning and progression. While there are various routes to precision medicine, genetic testing might be one of the best approaches. Increasing the understanding of genetics and genomics on critical issues, such as how each person reacts to drugs and diseases, allows doctors to prevent disease better, detect more accurately, prescribe safer drugs, and give more effective treatments. Fully integrated genomic medicine is also encouraged by the existing understanding of the human genome sequence and the accessibility of next-generation sequencing technology for determining the genetic makeup of individual patients. As a result, therapeutic measures can be tailored to each patient, and patients can be categorized as high or low risk for the onset or severity of their disease.

How Can Personalized Medicine Be Effectively Used to Prevent Liver Disease?

Personalized medicine can efficiently prevent liver disease using an integrated approach considering genetics, lifestyle, environmental factors, and medical records.

1. Genetic Risk Assessment: Genetic testing can identify people who are more likely to develop liver diseases, such as non-alcoholic fatty liver disease (NAFLD), congenital liver abnormalities, or liver damage from specific drugs or toxins. Understanding genetic risk factors through a personalized medicine approach makes early treatments and focused preventative actions possible.

Identifying disease-specific eQTLs (expression quantitative trait loci) is a novel strategy for improving the identification of genetic variables linked to non-alcoholic fatty liver disease (NAFLD). With the potential for therapeutic interventions, this approach has demonstrated that the rs2291702 mutation in the alanine-glyoxylate aminotransferase 2 (AGXT2) gene prevents liver fibrosis in a genotype-dependent way.

2. Early Identification and Screening: Routine screening procedures, such as laboratory blood tests and imaging investigations, can assist in the early identification of liver disease, even in the absence of symptoms. Depending on a person's unique risk factors, such as family history, overweight, diabetes, or alcohol use, customized screening procedures can be developed through precision medicine. These early interventions can avoid the progression of liver diseases.

3. Environmental Risk Assessment: Occupational risks, food poisoning, and environmental contaminants are a few environmental exposures that personalized medicine considers and can be linked to liver disease. Exposure to factors that are particular to the liver, such as viral hepatitis, or to stimuli that have more systemic effects, like air pollution, can be linked to liver diseases. Concerns regarding the hepatotoxicity of certain chemicals, including pesticides, endocrine disruptors, and per- and polyfluoroalkyl compounds, are growing. Reducing the risk of liver disease through focused preventative interventions and lifestyle modifications is made possible by understanding an individual's vulnerability to certain exposures.

4. Targeted Therapy: Targeted medicines have been developed for some liver conditions, including hepatitis B and C. Targeted therapy is a treatment method that uses drugs or other chemicals to detect and destroy specific cells. These newer treatment options are possible only because of advances in genetic research. By identifying particular molecular targets in a patient's illness process, personalized medicine enables the development of more specialized and successful treatment plans.

5. Tailored Lifestyle Interventions: Personalized medicine strongly emphasizes lifestyle adjustments based on a patient's risk profile. Lifestyle changes can be quite effective in treating liver problems. To lower the chance of acquiring liver problems, those with a genetic susceptibility to liver disease may benefit from customized food plans, exercise routines, and weight management techniques.

Conclusion

Personalized medicine shows significant possibilities for preventing liver disease by combining genetic data, lifestyle factors, and focused interventions to improve individual health outcomes. Healthcare practitioners can maximize preventive efforts for liver diseases and improve patient outcomes by integrating environmental risk assessment, early detection and screening, genetic risk assessment, and customized lifestyle interventions.

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Dr. Jagdish Singh
Dr. Jagdish Singh

Medical Gastroenterology

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