Personalized preventive medicine and neurology
DOI: https://dx.doi.org/10.18565/therapy.2018.7-8.20-24
A.A. Pilipovich, Al.B. Danilov
The Department of nervous diseases of I.M. Sechenov First Moscow State Medical University FSAEI of HE of the Ministry of Healthcare of Russia (Sechenov University)
The progression of many prevalent non-infectious diseases is associated with a complex interaction of many factors (including environmental factors and the internal body factors) at various levels, including genetic one. In neurology, this deals with all neurodegenerative diseases, the etiology and pathogenesis of which remain not fully understood - Alzheimer’s, Parkinson’s and other degenerative pathology. Moreover, that is true for cerebrovascular, demyelinating and other non-infectious diseases of the nervous system. In «gene-environment» studies, the focus is put on risk factors identification that cannot be detected using conventional epidemiological methods, as a rule, excluding accurate prognostications. Specific risk factors can only be identified after a detailed analysis of the interactions between all the components. For the moment, promising results have been obtained in a number of cohort studies, but they are not still enough to develop accurate personalized preventive medicine. Large-scale long-term studies are required to find useful practical provement for the development of preventive medicine.
Keywords: preventive neurology, personalized preventive medicine, preclinical diagnostics, preventive medicine, gene-environment studies
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About the Autors
Anna A. Pilipovich, PhD, associate professor of the Department of nervous diseases of the Institute of Professional Education of «I.M. Sechenov First Moscow State Medical University» FSAEI of HE of the Ministry of Healthcare of Russia (Sechenov University). Address: 119991, Moscow, 2, bld. 4, Bolshaya Pirogovskaya St. Tel. +784956091400. E-mail: aapilipovich@mail.ru
Alexey B. Danilov, MD, professor, head of the Department of nervous diseases the Institute of Professional Education of «I.M. Sechenov First Moscow State Medical University» FSAEI of HE of the Ministry of Healthcare of Russia (Sechenov University) Address: 119991, Moscow, 2, bld. 4, Bolshaya Pirogovskaya St. Tel. +7 (495) 609-14-00. E-mail: nervkafedra@gmail.com