Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future

The accelerating pace of technological and analytical development in the fields of genetic and phenotypic profiling has ushered in an era of great promise for multiple sclerosis (MS) research. As we continue to identify modest but meaningful associations to MS susceptibility, disease course, treatme...

Full description

Bibliographic Details
Main Author: Philip L. De Jager
Format: Article
Language:English
Published: SAGE Publishing 2009-11-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/1756285609337976
_version_ 1811324676678352896
author Philip L. De Jager
author_facet Philip L. De Jager
author_sort Philip L. De Jager
collection DOAJ
description The accelerating pace of technological and analytical development in the fields of genetic and phenotypic profiling has ushered in an era of great promise for multiple sclerosis (MS) research. As we continue to identify modest but meaningful associations to MS susceptibility, disease course, treatment response, and other clinical or paraclinical phenotypes, we must begin to (1) embark on the challenging set of studies that will integrate disparate observations into clinical algorithms, and (2) validate their clinical utility. Genetic data are receiving much of the attention today, but they are unlikely to be sufficient to offer a personalized approach to disease management in MS. Rather, the genetic architecture of the disease, once uncovered, will offer a fixed platform upon which more dynamic molecular profiles can be assembled to deconstruct the structure of the patient population that we label with a diagnosis of MS. The tools and methods to gain insight into the heterogeneity of MS patients are available today; we must now realize their potential in enhancing the care of MS patients.
first_indexed 2024-04-13T14:19:44Z
format Article
id doaj.art-67b24671640945efb8e43826ddf3cc5a
institution Directory Open Access Journal
issn 1756-2856
language English
last_indexed 2024-04-13T14:19:44Z
publishDate 2009-11-01
publisher SAGE Publishing
record_format Article
series Therapeutic Advances in Neurological Disorders
spelling doaj.art-67b24671640945efb8e43826ddf3cc5a2022-12-22T02:43:31ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28562009-11-01210.1177/1756285609337976Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the futurePhilip L. De JagerThe accelerating pace of technological and analytical development in the fields of genetic and phenotypic profiling has ushered in an era of great promise for multiple sclerosis (MS) research. As we continue to identify modest but meaningful associations to MS susceptibility, disease course, treatment response, and other clinical or paraclinical phenotypes, we must begin to (1) embark on the challenging set of studies that will integrate disparate observations into clinical algorithms, and (2) validate their clinical utility. Genetic data are receiving much of the attention today, but they are unlikely to be sufficient to offer a personalized approach to disease management in MS. Rather, the genetic architecture of the disease, once uncovered, will offer a fixed platform upon which more dynamic molecular profiles can be assembled to deconstruct the structure of the patient population that we label with a diagnosis of MS. The tools and methods to gain insight into the heterogeneity of MS patients are available today; we must now realize their potential in enhancing the care of MS patients.https://doi.org/10.1177/1756285609337976
spellingShingle Philip L. De Jager
Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
Therapeutic Advances in Neurological Disorders
title Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
title_full Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
title_fullStr Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
title_full_unstemmed Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
title_short Review: Identifying patient subtypes in multiple sclerosis and tailoring immunotherapy: challenges for the future
title_sort review identifying patient subtypes in multiple sclerosis and tailoring immunotherapy challenges for the future
url https://doi.org/10.1177/1756285609337976
work_keys_str_mv AT philipldejager reviewidentifyingpatientsubtypesinmultiplesclerosisandtailoringimmunotherapychallengesforthefuture