(13)C breath tests in personalized medicine: fiction or reality?

The concept of personalized medicine is gathering momentum as various biomarkers are being discovered and developed to lead to genotype and phenotype diagnostic tests, which will enable physicians to individualize therapy. Noninvasive, rapid (13)C breath tests have the potential to serve as clinical...

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Veröffentlicht in:Expert review of molecular diagnostics 2009-11, Vol.9 (8), p.805-815
1. Verfasser: Modak, Anil S
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description The concept of personalized medicine is gathering momentum as various biomarkers are being discovered and developed to lead to genotype and phenotype diagnostic tests, which will enable physicians to individualize therapy. Noninvasive, rapid (13)C breath tests have the potential to serve as clinically significant diagnostic tools, especially for evaluating the enzyme activity of polymorphic enzymes. This would enable physicians to rapidly identify responders/nonresponders to various drugs primarily metabolized by these enzymes prior to initiation of therapy. With the information on enzyme activity, the physician can prescribe the right drug, at the right dose, at the right time, to the right individual, for the right clinical outcome. However, the promise of the era of personalized medicine, including the novel (13)C breath tests, will have to overcome several regulatory, business and financial hurdles for diagnostic tests to become part of routine mainstream clinical practice over the next decade.
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subjects 2-Pyridinylmethylsulfinylbenzimidazoles - metabolism
Acetamides - metabolism
Anti-Ulcer Agents - metabolism
Antitussive Agents - metabolism
Biomarkers - metabolism
Breath Tests
Carbon Isotopes - metabolism
Cytochrome P-450 Enzyme System - metabolism
Dextromethorphan - metabolism
Drug Approval
Drug Design
Humans
Pharmacogenetics
Practice Patterns, Physicians
Precision Medicine
United States
United States Food and Drug Administration
title (13)C breath tests in personalized medicine: fiction or reality?
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