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Global Translational Medicine                                     Personalized, multi-omics disease detection



            7.4. Longitudinal and personal multi-omics           This envisioned future in health-care represents a
            characterization                                   profound shift from the reactive model of treating diseases to
            Once collected, these biosamples are transported to a central   a proactive, preventative and highly personalized approach
            laboratory  and  subjected  to  comprehensive  multi-omics   to maintaining health and managing illnesses. It enables early
            characterization. State-of-the-art mass spectrometry and   detection of health deviations, rapid intervention and precise
            other suitable sequencers are employed to analyze the genetic,   treatment strategies. Ultimately, this convergence of wearable
            transcriptomic,  proteomic,  metabolomic  and  other  omics   technology and multi-omics characterization empowers
            profiles, as well as the targeting of specific immune markers   individuals, researchers, and health-care professionals
            in the samples. A suite of automatic bioinformatic analyses   alike to unlock the full potential of personalized medicine,
            is triggered as soon as the data is generated. Albeit shallow,   advancing  the  goal  of optimal  health  and wellbeing  for
            this detailed multi-omics data provides a rich understanding   all. Global implementation might be unattainable in our
            of the molecular underpinnings of the health deviation and   lifetimes, but this new, unified approach can be first attempted
            provides a personal fingerprint of molecular data.  in clinical trials conducted by the medical industry, where
                                                               many of the mentioned techniques are already enlisted in
            7.5. Guiding physician decision making             one shape or form. Identify relevant patient groups is another
            The  insights  gleaned  from  multi-omics  characterization   factor that needs to be considered. Patient populations with
            serve as a powerful tool for healthcare providers. Armed   certain chronic diseases and with a clear and vital treatment
            with this data, physicians can make informed decisions   intervention might be a first target subject group for testing
            regarding the most appropriate course of action. This   the feasibility of the proposed approach.
            may involve closer monitoring, additional in-clinic   In the ever-evolving healthcare landscape, personalized
            analyses, tailored therapeutic interventions, or, in cases   multi-omics characterization emerges as the future of
            where the deviation is a transient anomaly, reassurance   medicine. Integrating multiple omics technologies provides
            for the patient. Importantly, the turnaround time from   a holistic understanding of individuals, enabling precise,
            the  triggering of  the  automatic  alarms  system  from  the   and data-driven health-care decisions. This explosion of
            wearable technology to the generation of an analyzed,   omics research further exemplifies how collaborative efforts
            personal multi-omics profile should only be a few days   continue to drive innovations in translational research and
            for the doctor’s convenience. This approach facilitates   expand our understanding of complex diseases. As wearable
            preemptive identification of adverse side effects, enabling   technology merges with multi-omics analysis, we are on the
            early detection, possibly even in advance of symptomatic   cusp of a new era, where proactive, personalized healthcare
            manifestation in the patient.                      becomes the norm – where we could detect untold ailments
                                                               days before the patient is even aware of their predicament.
            8. Concluding remarks                              The  transformation  we  see  currently  in  medicine  marks
            Wearable devices have the potential to significantly benefit   the dawn of a truly personalized era and, if implemented
            clinical trials by detecting side effects, correcting dosages,   correctly, we could detect disease before we know it.
            improving understanding of the mechanism of action,
            identifying drug-drug interactions and complementing   Acknowledgments
            other data-driven interventions. Moreover, if implemented   I would like to thank Alberto Santos Delgado and Fabrice
            correctly, this approach could reveal drug efficacy. With a   Chimienti for their valuable contributions to this review.
            likely future’s increases in sensitivity and depth, it could   Their expertise in omics-bioinformatics and wearables,
            even be applied to healthy subjects in a phase 1 clinical   respectively, and their insightful feedback helped shape
            trial, where downstream pharmacodynamic effects may   the analyses. Furthermore, I would like to thank Edward
            be evident from a multi-omics data set, depending on the   Handyside for his valuable input and expertise in
            drug and dosage being studied.                     editing this manuscript. His assistance was very helpful
              However, it is important to consider the additional costs   in improving the clarity and readability of this paper.
            associated  with  implementing  this  system.  Comparing   I am grateful for all my colleagues support, and positive
            the cost increase to that of a failed clinical trial phase   attitude throughout the process. Finally, I would like to
            can help evaluate the feasibility of this approach. Despite   acknowledge the application ChatGPT in improving the
            the  potential  costs,  incorporating wearable  devices  into   clarity and coherence of my work.
            clinical trials can lead to more accurate drug development
            and improved patient outcomes, and ultimately retained   Funding
            value of investments.                              None.


            Volume 3 Issue 1 (2024)                         9                        https://doi.org/10.36922/gtm.2357
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