Review Special Issue: Recent Advances in Personalized Medicine

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Guest Editor
1. Novant Health Cancer Institute, Winston-Salem, NC 27103, USA
2. Division of Hematologic Malignancies and Cellular Therapy, Duke University, Durham, NC 27710, USA
Interests: hematopoetic blood or stem cell transplant; leukemia; lymphoma; malignant hematology; myelodysplastic syndromes

Special Issue Information

Dear Colleagues,

This Special Issue is a compilation of review articles that highlight the latest research findings and advancements in the field of personalized medicine. This series focuses on providing a comprehensive overview of various topics, including, but not limited to, diagnostic techniques, therapeutic interventions, emerging trends in biomarkers, etc. By featuring expert reviews, this Special Issue offers valuable insights and critical analyses of the current state of research in personalized medicine.

Prof. Dr. David Alan Rizzieri
Guest Editor

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • personalized medicine
  • omics
  • informatics
  • pharmacogenetics
  • clinical medicine
  • cell
  • organism physiology
  • epidemiology
  • mechanisms of diseases
  • methodology
  • drug and device discovery
  • personalized therapy
  • drug delivery
  • evidence-based medicine
  • regenerative medicine and therapeutics
  • epigenetic therapy
  • sex-, gender- and hormone-based medicine
  • disease biomarker
  • personalized critical care
  • molecular targeted therapy

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Published Papers (3 papers)

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Review

13 pages, 2403 KiB  
Review
Management of Severe Bilateral Symptomatic Internal Carotid Artery Stenosis: Case Report and Literature Review
by Mircea Robu, Bogdan Radulescu, Irina-Maria Margarint, Anca Dragan, Ovidiu Stiru, Gabriel-Petre Gorecki, Cristian Voica, Vlad Anton Iliescu and Horatiu Moldovan
J. Pers. Med. 2024, 14(9), 893; https://doi.org/10.3390/jpm14090893 - 23 Aug 2024
Viewed by 1550
Abstract
Multiple strategies for tandem severe carotid artery stenosis are reported: bilateral carotid artery endarterectomy (CEA), bilateral carotid artery stenting (CAS), and hybrid procedures (CEA and CAS). The management is controversial, considering the reported high risk of periprocedural stroke, hemodynamic distress, and cerebral hyperperfusion [...] Read more.
Multiple strategies for tandem severe carotid artery stenosis are reported: bilateral carotid artery endarterectomy (CEA), bilateral carotid artery stenting (CAS), and hybrid procedures (CEA and CAS). The management is controversial, considering the reported high risk of periprocedural stroke, hemodynamic distress, and cerebral hyperperfusion syndrome. We present the case of a 64-year-old patient with severe symptomatic bilateral internal carotid artery stenosis (95% stenosis on the left internal carotid artery with recent ipsilateral watershed anterior cerebral artery–medial cerebral artery (ACA-MCA) and medial cerebral artery–posterior cerebral artery (MCA-PCA) ischemic strokes and 90% stenosis on the right internal carotid artery with chronic ipsilateral frontal ischemic stroke) managed successfully with staged CEA within a 3-day interval. The patient had a history of coronary angioplasty and stenting. Strategies for brain protection included shunt placement after the evaluation of carotid stump pressure, internal carotid backflow, and near-infrared spectroscopy. A collagen and silver-coated polyester patch was used to complete the endarterectomy using a 6.0 polypropylene continuous suture in both instances. Management also included neurological consults after extubation, dual antiplatelet therapy, head CT between the two surgeries, myocardial ischemia monitoring, and general anesthesia. Staged CEA with a small time interval between surgeries can be an option to treat tandem symptomatic carotid artery stenosis in highly selected patients. The decision should be tailored according to the patient’s characteristics and should also be made by a cardiology specialist, a neurology specialist, and an anesthesia and intensive care physician. Full article
(This article belongs to the Special Issue Review Special Issue: Recent Advances in Personalized Medicine)
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16 pages, 451 KiB  
Review
A Critical Review of the Impact of SMARCA4 Mutations on Survival Outcomes in Non-Small Cell Lung Cancer
by Peter Manolakos, Luigi Boccuto and Diana S. Ivankovic
J. Pers. Med. 2024, 14(7), 684; https://doi.org/10.3390/jpm14070684 - 26 Jun 2024
Cited by 3 | Viewed by 3213
Abstract
This critical review investigates the impact of SWI/SNF-related, matrix-associated, actin-dependent regulator of chromatin, subfamily A, member 4 (SMARCA4) mutations on survival outcomes in non-small cell lung cancer (NSCLC) through an analysis of 21 peer-reviewed articles. Survival analyses across this review demonstrated [...] Read more.
This critical review investigates the impact of SWI/SNF-related, matrix-associated, actin-dependent regulator of chromatin, subfamily A, member 4 (SMARCA4) mutations on survival outcomes in non-small cell lung cancer (NSCLC) through an analysis of 21 peer-reviewed articles. Survival analyses across this review demonstrated consistently worse outcomes for SMARCA4-mutated vs. SMARCA4 wild-type NSCLC patients, specifically emphasizing class 1 truncating mutations as an independent factor for poor overall survival. In addition, this review explores the clinicopathologic characteristics of SMARCA4 mutations and their impact on various treatment modalities, including immune checkpoint inhibitors (ICIs) both with and without Kirsten rat sarcoma viral oncogene homolog (KRAS) co-mutations. The potential ineffectiveness of ICI treatment in NSCLC is explored through the impact of SMARCA4/KRAS co-mutations on the tumor microenvironment. Moreover, this NSCLC review consistently reported statistically worse overall survival outcomes for SMARCA4/KRAS co-mutations than SMARCA4 wild-type/KRAS-mutated cohorts, extending across ICIs, chemo-immunotherapy (CIT), and KRAS G12C inhibitors. Designing prospective clinical SMARCA4-mutated or SMARCA4/KRAS co-mutated NSCLC trials to evaluate targeted therapies and immunotherapy may lead to a better understanding of how to improve cancer patients’ outcomes and survival rates. Full article
(This article belongs to the Special Issue Review Special Issue: Recent Advances in Personalized Medicine)
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11 pages, 1629 KiB  
Review
Red-Haired People’s Altered Responsiveness to Pain, Analgesics, and Hypnotics: Myth or Fact?—A Narrative Review
by Annelie Augustinsson, Elisabeth Franze, Martina Almqvist, Margareta Warrén Stomberg, Carina Sjöberg and Pether Jildenstål
J. Pers. Med. 2024, 14(6), 583; https://doi.org/10.3390/jpm14060583 - 29 May 2024
Cited by 3 | Viewed by 4559
Abstract
Red hair has been linked to altered sensitivity to pain, analgesics, and hypnotics. This alteration may be impacted by variants in the melanocortin-1 receptor (MC1R) gene, which are mainly found in redheads. The aim of this narrative review was to explore [...] Read more.
Red hair has been linked to altered sensitivity to pain, analgesics, and hypnotics. This alteration may be impacted by variants in the melanocortin-1 receptor (MC1R) gene, which are mainly found in redheads. The aim of this narrative review was to explore and present the current state of knowledge on red hair and its plausible associations with altered responsiveness to pain, analgesics, and hypnotics. Structured searches in the PubMed, CINAHL Complete, and Scopus electronic databases were conducted. Evidence suggests that women with red hair have an increased sensitivity to pain. Conversely, data also indicate a higher pain tolerance in homozygous carriers of MC1R variant alleles. Varied responses to analgesia have been reported, with both increased analgesic responsiveness in homozygous carriers of MC1R variant alleles and less analgesia in redheads. Data indicate an increased need for hypnotics in redheads. However, failed attempts to find statistical associations between red hair and altered responsiveness to hypnotics are also evident. Even though there seems to be an association between red hair and an altered responsiveness to pain, analgesics, and/or hypnotics, the results of this narrative review are inconclusive. Further research studies with larger populations and MC1R testing are needed. Full article
(This article belongs to the Special Issue Review Special Issue: Recent Advances in Personalized Medicine)
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