Genetic Resistance to Infectious Diseases in the Era of Personalized Medicine

A. Alimov
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Abstract

Individual particularities of resistance to pathogens have been the focus of clinicians and researchers for centuries. Several theories and concepts were formulated to explain this phenomenon. They include the immunological theory of infectious diseases, the genetic theory of infectious diseases, the concept of latent and asymptomatic infection, monogenic and polygenic type of inheritance of resistance to pathogens and a number of others [1]. Nowadays, most of these concepts are reflected in the modern theory called “A Unified Genetic theory of infection disease”. The theory assumes that at an early age susceptibility to pathogenic microorganisms is caused by inherited variants of genes, while in adults features of a disease course depend on the total action of several genetic loci. In elderly people, a special role in the initiation and development of infectious disease plays somatic mutations [2]. In this regard, recently developed methodological approaches to wide genome analysis allow us to hope for a significant expansion of our understanding of genetic resistance to infectious diseases at both individual and population levels.
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个体化医疗时代对传染病的遗传抗性
几个世纪以来,个体对病原体的耐药性一直是临床医生和研究人员关注的焦点。人们提出了一些理论和概念来解释这种现象。它们包括传染病的免疫学理论,传染病的遗传学理论,潜伏和无症状感染的概念,单基因和多基因遗传类型对病原体的抗性以及其他一些理论。如今,这些概念大多反映在现代的“传染病统一遗传理论”中。该理论认为,在早期,对致病微生物的易感性是由基因的遗传变异引起的,而在成人中,疾病病程的特征取决于几个遗传位点的总作用。在老年人中,在传染病的发生和发展中起特殊作用的是体细胞突变[2]。在这方面,最近发展的广泛基因组分析的方法学方法使我们能够希望在个体和群体水平上大大扩展我们对传染病的遗传抗性的理解。
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