Personalized and translational approach for malignant brain tumors in the era of precision medicine: the strategic contribution of an experienced neurosurgery laboratory in a modern neurosurgery and neuro-oncology department

Rolando Campanella, Laura Guarnaccia, Manuela Caroli, Barbara Zarino, Giorgio Carrabba, Nicla La Verde, Chiara Gaudino, Angela Rampini, Sabino Luzzi, Laura Riboni, Marco Locatelli, Stefania Elena Navone, Giovanni Marfia

Research output: Contribution to journalReview articlepeer-review

Abstract

Personalized medicine (PM) aims to optimize patient management, taking into account the individual traits of each patient. The main purpose of PM is to obtain the best response, improving health care and lowering costs. Extending traditional approaches, PM introduces novel patient-specific paradigms from diagnosis to treatment, with greater precision. In neuro-oncology, the concept of PM is well established. Indeed, every neurosurgical intervention for brain tumors has always been highly personalized. In recent years, PM has been introduced in neuro-oncology also to design and prescribe specific therapies for the patient and the patient's tumor. The huge advances in basic and translational research in the fields of genetics, molecular and cellular biology, transcriptomics, proteomics, and metabolomics have led to the introduction of PM into clinical practice. The identification of a patient's individual variation map may allow to design selected therapeutic protocols that ensure successful outcomes and minimize harmful side effects. Thus, clinicians can switch from the "one-size-fits-all" approach to PM, ensuring better patient care and high safety margin. Here, we review emerging trends and the current literature about the development of PM in neuro-oncology, considering the positive impact of innovative advanced researches conducted by a neurosurgical laboratory.

Original languageEnglish
Pages (from-to)117083
JournalJournal of the Neurological Sciences
Volume417
DOIs
Publication statusPublished - Oct 15 2020

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