Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine

Recently, Arrese and Colleagues have published a review article entitled, “Insights into Nonalcoholic Fatty-Liver Disease (NAFLD) Heterogeneity” (Semin Liver Dis. 2021;41:421–34. doi: 10.1055/s-0041-1730927). This milestone publication clearly and exhaustively explains the multitude of pathogenic pa...

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Autor principal: Amedeo Lonardo
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Publicado: Open Exploration Publishing Inc. 2021
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spelling oai:doaj.org-article:5948210b055e4d3d93a28d8e26ac69492021-11-08T09:45:06ZSeparating the apples from the oranges: from NAFLD heterogeneity to personalized medicine10.37349/emed.2021.000612692-3106https://doaj.org/article/5948210b055e4d3d93a28d8e26ac69492021-10-01T00:00:00Zhttps://www.explorationpub.com/Journals/em/Article/100161https://doaj.org/toc/2692-3106Recently, Arrese and Colleagues have published a review article entitled, “Insights into Nonalcoholic Fatty-Liver Disease (NAFLD) Heterogeneity” (Semin Liver Dis. 2021;41:421–34. doi: 10.1055/s-0041-1730927). This milestone publication clearly and exhaustively explains the multitude of pathogenic pathways involved in the development and progression of disease eventually conducive to heterogeneous clinical phenotypes and different disease outcomes. The present commentary first briefly discusses the biological grounds of NAFLD heterogeneity and then illustrates the work by Arrese et al. In conclusion, the presently adopted nomenclatures appear inadequate in rendering the complexity of disease in the individual patient. In order to adopt the principles of personalized care, what remains to be done is to propose and validate a simple and accurate classification system. This should give full consideration to the principal disease modifiers and should shape a scheme to be adopted in both clinical practice and in the research arena. Care should be taken to not neglect the systemic nature of disease.Amedeo LonardoOpen Exploration Publishing Inc.articleclinical phenotypesdiagnosisdisease outcomesheterogeneitymanagementnatural coursepersonalized medicineprecision medicinevariabilityOther systems of medicineRZ201-999ENExploration of Medicine, Vol 2, Iss 5, Pp 435-442 (2021)
institution DOAJ
collection DOAJ
language EN
topic clinical phenotypes
diagnosis
disease outcomes
heterogeneity
management
natural course
personalized medicine
precision medicine
variability
Other systems of medicine
RZ201-999
spellingShingle clinical phenotypes
diagnosis
disease outcomes
heterogeneity
management
natural course
personalized medicine
precision medicine
variability
Other systems of medicine
RZ201-999
Amedeo Lonardo
Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
description Recently, Arrese and Colleagues have published a review article entitled, “Insights into Nonalcoholic Fatty-Liver Disease (NAFLD) Heterogeneity” (Semin Liver Dis. 2021;41:421–34. doi: 10.1055/s-0041-1730927). This milestone publication clearly and exhaustively explains the multitude of pathogenic pathways involved in the development and progression of disease eventually conducive to heterogeneous clinical phenotypes and different disease outcomes. The present commentary first briefly discusses the biological grounds of NAFLD heterogeneity and then illustrates the work by Arrese et al. In conclusion, the presently adopted nomenclatures appear inadequate in rendering the complexity of disease in the individual patient. In order to adopt the principles of personalized care, what remains to be done is to propose and validate a simple and accurate classification system. This should give full consideration to the principal disease modifiers and should shape a scheme to be adopted in both clinical practice and in the research arena. Care should be taken to not neglect the systemic nature of disease.
format article
author Amedeo Lonardo
author_facet Amedeo Lonardo
author_sort Amedeo Lonardo
title Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
title_short Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
title_full Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
title_fullStr Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
title_full_unstemmed Separating the apples from the oranges: from NAFLD heterogeneity to personalized medicine
title_sort separating the apples from the oranges: from nafld heterogeneity to personalized medicine
publisher Open Exploration Publishing Inc.
publishDate 2021
url https://doaj.org/article/5948210b055e4d3d93a28d8e26ac6949
work_keys_str_mv AT amedeolonardo separatingtheapplesfromtheorangesfromnafldheterogeneitytopersonalizedmedicine
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