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Clinical Applications of System Regulation Medicine

Increasing incidence and poor outcome of chronic non-communicable diseases in western population would require a paradigm shift in the treatments. Guidelines-based medical approaches continue to be the standard rule in clinical practice, although only less than 15% of them are based on high-quality...

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Autores principales: Fioranelli, Massimo, Sepehri, Alireza, Roccia, Maria Grazia, Linda, Cota, Rossi, Chiara, Dawodo, Amos, Vojvodic, Petar, Lotti, Jacopo, Barygina, Victoria, Vojvodic, Aleksandra, Wollina, Uwe, Tirant, Michael, Van, Thuong Nguyen, Lotti, Torello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Republic of Macedonia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910802/
https://www.ncbi.nlm.nih.gov/pubmed/31850122
http://dx.doi.org/10.3889/oamjms.2019.775
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author Fioranelli, Massimo
Sepehri, Alireza
Roccia, Maria Grazia
Linda, Cota
Rossi, Chiara
Dawodo, Amos
Vojvodic, Petar
Lotti, Jacopo
Barygina, Victoria
Vojvodic, Aleksandra
Wollina, Uwe
Tirant, Michael
Van, Thuong Nguyen
Lotti, Torello
author_facet Fioranelli, Massimo
Sepehri, Alireza
Roccia, Maria Grazia
Linda, Cota
Rossi, Chiara
Dawodo, Amos
Vojvodic, Petar
Lotti, Jacopo
Barygina, Victoria
Vojvodic, Aleksandra
Wollina, Uwe
Tirant, Michael
Van, Thuong Nguyen
Lotti, Torello
author_sort Fioranelli, Massimo
collection PubMed
description Increasing incidence and poor outcome of chronic non-communicable diseases in western population would require a paradigm shift in the treatments. Guidelines-based medical approaches continue to be the standard rule in clinical practice, although only less than 15% of them are based on high-quality research. For each person who benefits from the 10 best-selling drugs in the USA, a number between 4 and 25 has no one beneficial effect. The reductionist linear medicine method does not offer solutions in the non-manifest preclinical stage of the disease when it would still be possible to reverse the pathological progression and the axiom “a drug, a target, a symptom” are still inconclusive. Needs additional tools to address these challenges. System Medicine considers the disease as a dysregulation of the biological networks that changes throughout the evolution of the pathological process and with the comorbidities development. The strength of the networks indicates their ability to withstand dysregulations during the perturbation phases, returning to the state of stability. The treatment of dysregulated networks before the symptomatological manifestation emerges offers the possibility of treating and preventing pathologies in the preclinical phase and potentially reversing the pathological process, stopping it or preventing comorbidities. Furthermore, treating shared networks instead of individual phenotypic symptoms can reduce drug use, offering a solution to the problem of ineffective drug use.
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spelling pubmed-69108022019-12-17 Clinical Applications of System Regulation Medicine Fioranelli, Massimo Sepehri, Alireza Roccia, Maria Grazia Linda, Cota Rossi, Chiara Dawodo, Amos Vojvodic, Petar Lotti, Jacopo Barygina, Victoria Vojvodic, Aleksandra Wollina, Uwe Tirant, Michael Van, Thuong Nguyen Lotti, Torello Open Access Maced J Med Sci Review Article Increasing incidence and poor outcome of chronic non-communicable diseases in western population would require a paradigm shift in the treatments. Guidelines-based medical approaches continue to be the standard rule in clinical practice, although only less than 15% of them are based on high-quality research. For each person who benefits from the 10 best-selling drugs in the USA, a number between 4 and 25 has no one beneficial effect. The reductionist linear medicine method does not offer solutions in the non-manifest preclinical stage of the disease when it would still be possible to reverse the pathological progression and the axiom “a drug, a target, a symptom” are still inconclusive. Needs additional tools to address these challenges. System Medicine considers the disease as a dysregulation of the biological networks that changes throughout the evolution of the pathological process and with the comorbidities development. The strength of the networks indicates their ability to withstand dysregulations during the perturbation phases, returning to the state of stability. The treatment of dysregulated networks before the symptomatological manifestation emerges offers the possibility of treating and preventing pathologies in the preclinical phase and potentially reversing the pathological process, stopping it or preventing comorbidities. Furthermore, treating shared networks instead of individual phenotypic symptoms can reduce drug use, offering a solution to the problem of ineffective drug use. Republic of Macedonia 2019-09-14 /pmc/articles/PMC6910802/ /pubmed/31850122 http://dx.doi.org/10.3889/oamjms.2019.775 Text en Copyright: © 2019 Massimo Fioranelli, Alireza Sepehri, Maria Grazia Roccia, Cota Linda, Chiara Rossi, Amos Dawodo, Petar Vojvodic, Jacopo Lotti, Victoria Barygina, Aleksandra Vojvodic, Uwe Wollina, Michael Tirant, Thuong Nguyen Van, Torello Lotti. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)
spellingShingle Review Article
Fioranelli, Massimo
Sepehri, Alireza
Roccia, Maria Grazia
Linda, Cota
Rossi, Chiara
Dawodo, Amos
Vojvodic, Petar
Lotti, Jacopo
Barygina, Victoria
Vojvodic, Aleksandra
Wollina, Uwe
Tirant, Michael
Van, Thuong Nguyen
Lotti, Torello
Clinical Applications of System Regulation Medicine
title Clinical Applications of System Regulation Medicine
title_full Clinical Applications of System Regulation Medicine
title_fullStr Clinical Applications of System Regulation Medicine
title_full_unstemmed Clinical Applications of System Regulation Medicine
title_short Clinical Applications of System Regulation Medicine
title_sort clinical applications of system regulation medicine
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910802/
https://www.ncbi.nlm.nih.gov/pubmed/31850122
http://dx.doi.org/10.3889/oamjms.2019.775
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