title: Molecular diagnoses and treatments--past, present, or future?
abstract: Use of molecular tools to diagnose and treat aortic disease, in particular, aortic aneurysms and aortic dissections, is still in its infancy, with great advancements expected in the future. Currently under investigation are the genetic markers linked to aortic disease that may help to identify patients at risk for their development prior to clinical presentation. In addition, specific gene defects may be identified that can assist in the understanding of the basic mechanisms contributing to development of aortic disease. Biomarkers are under investigation that can be used to monitor the development, progression, and possible response to therapy for aortic aneurysms and acute aortic syndromes. Equally important, further investigations into the molecular mechanisms involved in aortic pathology will result in increased understanding of the disease etiology and will lead to development of alternate therapies for these diseases prior to their catastrophic development. With advances in molecular technology, the molecular diagnosis and treatment of aortic diseases will begin to expand at a rapid rate and provide unique, improved therapies.
authors.affiliation: Department of Vascular Surgery, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44195, USA. eagletm@ccf.org
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Eagleton
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy; D001018:Aortic Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics / Q000378:metabolism / Q000628:therapy*; D015415:Biomarkers / Q000378:metabolism*; D002317:Cardiovascular Agents / Q000494:pharmacology / Q000627:therapeutic use*; D020022:Genetic Predisposition to Disease; D015316:Genetic Therapy; D006801:Humans; D025202:Molecular Diagnostic Techniques / Q000639:trends; D012307:Risk Factors; D015398:Signal Transduction / Q000187:drug effects; D013577:Syndrome
chemical_list: D015415:Biomarkers; D002317:Cardiovascular Agents