Pharmacological Management of Chronic Obstructive Lung Disease (COPD). Focus on Mutations

(E-pub Ahead of Print)

Author(s): Patrizia Russo, Filippo Lococo, Aliaksei Kisialiou*, Giulia Prinzi, Palma Lamonaca, Vittorio Cardaci, Massimo Fini.

Journal Name: Current Medicinal Chemistry

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Background: We report a comprehensive overview of current Chronic Obstructive Lung Disease (COPD) therapies and discuss the development of possible new pharmacological approaches based on “new” knowledge. Specifically, sensitivity/resistance to corticosteroids is evaluated with a special focus on the role of gene mutations in drug response. Objective: Critically review the opportunities and the challenges occurring in the treatment of COPD. Conclusion: Findings from “omics” trials should be used to learn more about biologically targeted drugs, and to select more specific drugs matching patient’s distinctive molecular profile. Specific markers of inflammation such as the percentage of eosinophils are important in determining sensitivity/resistance to corticosteroids. Specific gene variations (Single nucleotide polymorphisms: SNPs) may influence drug sensitivity or resistance.Clinicians working in a real-world need to have a suitable interpretation of molecular results together with a guideline for the treatment and recommendations. Far more translational research is required before new results from omics techniques can be applied in personalized medicine in real-world settings.

Keywords: classical-therapy, complexity, COPD, eosinophils , personalized-medicine, real-life analysis, SNPs, systems approaches.

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(E-pub Ahead of Print)
DOI: 10.2174/0929867325666180601100235
Price: $95

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