精确重构:CRISPR和多组学转化系统性红斑狼疮的诊断和治疗

IF 2.4 4区 医学 Q2 RHEUMATOLOGY
Zhuo Chen, Elaheh Pilehvar, Hadi Sadeghi, Younes Pilehvar
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引用次数: 0

摘要

系统性红斑狼疮(SLE)是一种复杂的自身免疫性疾病,临床表现多样,进展不可预测,对准确诊断和有效治疗构成重大挑战。传统的生物标志物和治疗方法往往无法解决疾病的分子和临床异质性。CRISPR基因编辑技术和多组学方法的最新进展通过揭示其潜在的分子复杂性和实现精确的治疗干预,为个性化SLE护理提供了变革性的机会。CRISPR技术允许对SLE相关基因突变进行靶向编辑,直接解决疾病驱动因素,而多组学——包括基因组学、转录组学和蛋白质组学——提供了对失调免疫网络的见解,确定了生物标志物和治疗靶点。整合这些方法可以细化患者分层,提高治疗的准确性。人工智能(AI)通过合成高维数据、实现个性化治疗计划、预测疾病轨迹和优化治疗策略来补充这些技术。然而,CRISPR和多组学在临床环境中的整合带来了挑战,包括技术限制、伦理问题和经济障碍。新兴的临床试验和案例研究证明了这些创新在个性化护理和改善结果方面的潜力。尽管如此,从实验研究向常规临床应用的过渡需要强有力的监管框架和策略来应对这些挑战。本综述旨在探索CRISPR和多组学技术在彻底改变SLE诊断和治疗方面的潜力,强调它们与人工智能的结合,以推进个性化护理。通过解决现有的障碍,该综述展望了精准医学改变SLE管理的未来,为个性化、以患者为中心的自身免疫治疗铺平了道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Precision Reimagined: CRISPR and Multiomics Transform Systemic Lupus Erythematosus Diagnosis and Therapy

Systemic lupus erythematosus (SLE) is a complex autoimmune disorder with diverse clinical manifestations and unpredictable progression, posing significant challenges to accurate diagnosis and effective treatment. Traditional biomarkers and treatments often fail to address the disease's molecular and clinical heterogeneity. Recent advancements in CRISPR gene-editing technology and multiomics approaches offer transformative opportunities for personalized SLE care by unraveling its underlying molecular complexity and enabling precise therapeutic interventions. CRISPR technology allows targeted editing of SLE-associated genetic mutations, addressing disease drivers directly, while multiomics—including genomics, transcriptomics, and proteomics—provides insights into dysregulated immune networks, identifying biomarkers and therapeutic targets. Integrating these approaches can refine patient stratification and enhance the precision of treatments. Artificial intelligence (AI) complements these technologies by synthesizing high-dimensional data, enabling personalized treatment plans, predicting disease trajectories, and optimizing therapeutic strategies. However, the integration of CRISPR and multiomics in clinical settings raises challenges, including technical limitations, ethical concerns, and economic barriers. Emerging clinical trials and case studies demonstrate the potential of these innovations to personalize care and improve outcomes. Nonetheless, the transition from experimental research to routine clinical application requires robust regulatory frameworks and strategies to address these challenges. This review aims to explore the potential of CRISPR and multiomics technologies to revolutionize SLE diagnosis and therapy, emphasizing their integration with AI to advance personalized care. By addressing existing barriers, the review envisions a future where precision medicine transforms SLE management, paving the way for individualized, patient-centered autoimmune therapy.

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来源期刊
CiteScore
3.70
自引率
4.00%
发文量
362
审稿时长
1 months
期刊介绍: The International Journal of Rheumatic Diseases (formerly APLAR Journal of Rheumatology) is the official journal of the Asia Pacific League of Associations for Rheumatology. The Journal accepts original articles on clinical or experimental research pertinent to the rheumatic diseases, work on connective tissue diseases and other immune and allergic disorders. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer reviewed by two anonymous reviewers and the Editor.
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