Integration and implementation of precision medicine in the multifaceted inflammatory bowel disease

World J Gastroenterol. 2023 Sep 28;29(36):5211-5225. doi: 10.3748/wjg.v29.i36.5211.

Abstract

Inflammatory bowel disease (IBD) is a complex disease with variability in genetic, environmental, and lifestyle factors affecting disease presentation and course. Precision medicine has the potential to play a crucial role in managing IBD by tailoring treatment plans based on the heterogeneity of clinical and temporal variability of patients. Precision medicine is a population-based approach to managing IBD by integrating environmental, genomic, epigenomic, transcriptomic, proteomic, and metabolomic factors. It is a recent and rapidly developing medicine. The widespread adoption of precision medicine worldwide has the potential to result in the early detection of diseases, optimal utilization of healthcare resources, enhanced patient outcomes, and, ultimately, improved quality of life for individuals with IBD. Though precision medicine is promising in terms of better quality of patient care, inadequacies exist in the ongoing research. There is discordance in study conduct, and data collection, utilization, interpretation, and analysis. This review aims to describe the current literature on precision medicine, its multiomics approach, and future directions for its application in IBD.

Keywords: Crohn’s disease; Data integration; Inflammatory bowel disease; Multiomics; Precision medicine; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Epigenomics
  • Humans
  • Inflammatory Bowel Diseases* / diagnosis
  • Inflammatory Bowel Diseases* / genetics
  • Inflammatory Bowel Diseases* / therapy
  • Precision Medicine
  • Proteomics*
  • Quality of Life