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. Author manuscript; available in PMC: 2014 May 1.
Published in final edited form as: Transpl Int. 2012 Nov 21;26(3):225–241. doi: 10.1111/tri.12003

Table 1. Definitions.

Compiled based on references [19,3137]

Biomarker A characteristic objectively measured and evaluated as an indicator of normal biological processes or pharmacological responses to a therapeutic intervention.
Type 0 biomarker: a marker of the natural history of a disease that correlates longitudinally with known clinical indices
Type I biomarker: a marker that captures the effects of a therapeutic intervention in context with its mechanism of action
Context independent: developed for general clinical and pre-clinical testing
Context specific: developed in association with a drug development program and, accordingly, to study and monitor the effects of specific drugs. They may enter the market together with a specific drug as a “companion diagnostic device” [65].
Antecedent: Identifying the risk of developing an illness
Screening: screening for subclinical disease
Diagnostic: recognizing overt disease
Staging: categorizing disease severity
Monitoring: assessing disease progression, therapeutic efficacy and adverse effects
Prognostic: predicting future disease course/response to therapy
Clinical end point A characteristic or variable that reflects how a patient feels, functions or survives.
Intermediate (non-ultimate) end point: a true clinical endpoint, a symptom or measure of function but not the ultimate end-point of the disease
Ultimate end point: survival or the rate of other or irreversible morbid events
Surrogate end point A biomarker intended to substitute for a clinical endpoint aiming to predict clinical benefit or harm or lack of benefit or lack of harm on the basis of epidemiological, therapeutic, pathophysiological or other scientific evidence.
Metabolome A quantitative descriptor of all endogenous low-molecular-weight components in a biological sample such as urine or plasma. Each cell type and biological fluid has a characteristic set of metabolites that reflects the organism under a particular set of environmental conditions and that fluctuates according to physiological demands. The metabolome can be divided into the primary metabolome (as controlled by the host genome) and the co-metabolome (dependent on the microbiome).
Metabonome Theoretical combinations, sums and products of the interactions of multiple metabolomes (primary, symbiotic, parasitic, environmental, and co-metabolic) in complex systems.
Metabolomics The comprehensive quantitative analysis of all the metabolites of an organism or a specific biological sample.
Metabonomics The quantitative measurement over time of the metabolic responses of an individual or population to a disease, drug treatment or other challenge.
Microbiolome The consortium of microorganisms, bacteria, protozoa, and fungi that live commensally or symbiotically with a host.
Xenometabolome Characteristic profile of non-endogenous compounds such as drugs, their metabolites and their excipients, dietary components, herbal medicines and environmental exposure.
Proteome The expressed protein and peptide complement of a cell, organ or organism, including all isoforms and post-translational variants.
Proteomics The systematic analysis of proteins for their identity, quantity and function.
Genomics Genomics is the study of the genome (approx. 25,000 genes). It is static and allows for estimate the risk for an individual to develop a disease, may modify the efficacy or tolerability of a drug, or influence its tissue distribution and pharmacokinetics.
Transcriptomics Transcriptomics is also known as functional genomics and is the study of expression patterns of all gene transcripts (approx. 85,000).