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Review
. 2015 May 4;212(5):601-5.
doi: 10.1084/jem.20150656.

Precision medicine: Clarity for the clinical and biological complexity of Alzheimer's and Parkinson's diseases

Affiliations
Review

Precision medicine: Clarity for the clinical and biological complexity of Alzheimer's and Parkinson's diseases

Thomas J Montine et al. J Exp Med. .

Abstract

The goal of precision medicine is to deliver optimally targeted and timed interventions tailored to an individual's molecular drivers of disease. This concept has wide currency in cancer care and in some diseases caused by monogenetic mutations, such as cystic fibrosis, and recently has been endorsed by the White House Office of Science and Technology for more widespread application in medicine. Here we describe our vision of how precision medicine can bring greater clarity to the clinical and biological complexity of the two most common neurodegenerative diseases, Alzheimer's disease and Parkinson's disease.

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Figures

Figure 1.
Figure 1.
Three key elements of precision medicine for AD and PD. We envision an approach that begins with (1) comprehensive risk assessment to identify underlying factors, (2) utilizes tools for preclinical detection of pathophysiologic processes, and leads to (3) molecularly tailored interventions. Blue, green, and gray represent different risk groups.

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