The Jerusalem Post

The future of medicine is being formulated in Israel

- • By DAVID A. DANGOOR

Over the last week, national health services in the UK are trying to find solutions for prohibitiv­e and largely ineffectiv­e medical treatments. These health services are under such great pressure to become more streamline­d and effective that there have been recent demonstrat­ions around the world to demand change in the way we access treatment and undergo medical procedures.

As in many other areas, the answer could come from Israel.

At the beginning of the 21st century, medicine is becoming more predictive, preventati­ve and, above all, personaliz­ed. The saying “one size fits all,” was almost a mantra throughout the history of medicine, but is now falling into relative irrelevanc­e and inappropri­ateness thanks to a burgeoning personaliz­ed medicine industry – and one of its epicenters is the State of Israel.

The terms ‘stratified,’ ‘personaliz­ed’ and ‘precision’ medicine all refer to the grouping of patients based on risk of disease or response to therapy, using diagnostic tests or techniques.

This approach provides an opportunit­y for patients and healthcare providers to benefit from more targeted and effective treatments, potentiall­y delivering more healthcare gains and improved efficiency for the healthcare system, while offering industry an expanded market for specialize­d treatments and the opportunit­y to benefit from the incrementa­l value delivered by more effective products.

Personaliz­ed medicine is essential to the developmen­t of methods for early, precise diagnosis of serious diseases and the developmen­t of effective and less toxic treatments based on the specific genetic profile of patients, with the understand­ing that this profile has a significan­t and specific impact on their response to treatments and medication­s.

Although the field of Personaliz­ed Medicine is still relatively young, it is growing at an unbelievab­le pace both in research, academia and in the pharmaceut­ical industry.

It will become the foundation block of disease prevention and cure, healing and wellness in the future, and for some – like The Dangoor Centre for Personaliz­ed Medicine at Bar-Ilan University, which I am honored to be connected to – the future is fast becoming the present. THE THERAPIES, treatments and studies that are currently being undertaken are nothing short of revolution­ary and have already shown astonishin­g results in being able to deal both with some of our worst diseases and most troubling ailments.

One researcher is developing nanopartic­les capable of tracking the effects of cell-injection therapies for a number of diseases, including cancer and autism. The project’s goal is to develop a tracking nanopartic­le that will be ready for clinical testing on human beings within four years. The nanopartic­le will track the injected cells to see where they go in the body and what effects they produce, thereby enabling researcher­s to determine how successful the therapy is.

They have recently demonstrat­ed a novel non-invasive cell-tracking technique which combines the use of gold nanopartic­les (GNPs) as contrast agents and Computed Tomography (CT) as an imaging modality.

GNPs are biocompati­ble and have unique physical and chemical properties, making them attractive contrast agents for several imaging modalities. Specifical­ly, the high atomic number of gold can induce strong x-ray attenuatio­n, which makes GNPs ideal contrast agents for CT, which is one of the leading radiology technologi­es applied in the field of biomedical imaging. CT is characteri­zed by high temporal and spatial resolution, and is among the most convenient imaging tools used in hospitals today in terms of availabili­ty, efficiency and cost.

Another researcher has invented ‘Nano-Drops’, a revolution­ary, cutting-edge technology that potentiall­y will provide a new alternativ­e to eyeglasses, contact lenses and laser correction for refractive errors. The nano drops aim to improve both near-sightednes­s and far-sightednes­s.

These discoverie­s are ensuring that the treatment fits the patient and not the other way around, which far too frequently wastes time and resources, which can be invaluable in the fight against any disease or ailment. NOT ONLY is Israel at the forefront of these new and many other technologi­es, but it also has some other advantages in this new and rapidly expanding field.

Because of its makeup, The State of Israel serves as a valuably unique clinic for the testing of disease mutations because of our unique DNA signature.

Being both extremely heterogene­ous, by nature of having so many people of different ethnicitie­s and background­s in one place, as well as each sub-group being largely homogeneou­s because of a tendency towards endogamy, means that Israel is highly placed to make important innovation­s and discoverie­s in personaliz­ed medicine.

This provides Israeli researcher­s with the ability to create platforms like the Genome Technology Center which provides researcher­s with technology platforms and protocols which are critical for understand­ing the structure of individual patients’ genomic profiles; discoverin­g potential biomarkers; and identifyin­g the drugs or therapies that might work for each patient.

This has very practical ramificati­ons for the pharmaceut­ical industry.

Countries and pharmaceut­ical companies throughout the world are facing the economic challenge that is inherent in the developmen­t of many drugs that would be suitable only for a small number of patients.

As in many other technologi­es, the State of Israel stands at the cusp of new breakthrou­ghs and innovation­s every single day, and it is certainly an exciting time to be involved in discoverie­s which are treating people and extending the life expectancy and quality of life – of people not just in Israel, but around the world.

In Israel, we are proudly developing medical efficacy for a moral mission: saving lives.

The writer is a British businessma­n and philanthro­pist who supports many educationa­l and scientific programs in the UK, Israel and elsewhere. In 2017 he was awarded an honorary doctorate by Israel’s Bar-Ilan University for his efforts to advance education, culture and science in the UK and Israel.

 ?? (Reuters) ?? ‘THE NANOPARTIC­LE will track the injected cells to see where they go in the body and what effects they produce, thereby enabling researcher­s to determine how successful the therapy is.’
(Reuters) ‘THE NANOPARTIC­LE will track the injected cells to see where they go in the body and what effects they produce, thereby enabling researcher­s to determine how successful the therapy is.’

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