Metabolomics for the masses: The future of metabolomics in a personalized world

Drupad K. Trivedi , Katherine A. Hollywood , Royston Goodacre
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引用次数: 142

Abstract

Current clinical practices focus on a small number of biochemical directly related to the pathophysiology with patients and thus only describe a very limited metabolome of a patient and fail to consider the interations of these small molecules. This lack of extended information may prevent clinicians from making the best possible therapeutic interventions in sufficient time to improve patient care. Various post-genomics ‘(’omic)’ approaches have been used for therapeutic interventions previously. Metabolomics now a well-established’omics approach, has been widely adopted as a novel approach for biomarker discovery and in tandem with genomics (especially SNPs and GWAS) has the potential for providing systemic understanding of the underlying causes of pathology. In this review, we discuss the relevance of metabolomics approaches in clinical sciences and its potential for biomarker discovery which may help guide clinical interventions. Although a powerful and potentially high throughput approach for biomarker discovery at the molecular level, true translation of metabolomics into clinics is an extremely slow process. Quicker adaptation of biomarkers discovered using metabolomics can be possible with novel portable and wearable technologies aided by clever data mining, as well as deep learning and artificial intelligence; we shall also discuss this with an eye to the future of precision medicine where metabolomics can be delivered to the masses.

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面向大众的代谢组学:个性化世界中代谢组学的未来
目前的临床实践关注的是与患者病理生理直接相关的少数生化,因此只描述了患者非常有限的代谢组,而没有考虑这些小分子的相互作用。这种扩展信息的缺乏可能会阻止临床医生在足够的时间内做出最好的治疗干预措施,以改善患者的护理。以前,各种后基因组学(“基因组学”)方法已用于治疗干预。代谢组学现在是一种完善的“组学”方法,已被广泛采用为发现生物标志物的新方法,并与基因组学(特别是snp和GWAS)相结合,有可能提供对病理潜在原因的系统理解。在这篇综述中,我们讨论了代谢组学方法在临床科学中的相关性及其潜在的生物标志物发现,这可能有助于指导临床干预。尽管在分子水平上发现生物标志物是一种强大且具有潜在高通量的方法,但将代谢组学真正转化为临床是一个极其缓慢的过程。在智能数据挖掘、深度学习和人工智能的辅助下,新的便携式和可穿戴技术可以更快地适应使用代谢组学发现的生物标志物;我们还将着眼于精准医疗的未来,在那里代谢组学可以交付给大众。
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Contents Editorial Board Improving disease diagnosis by a new hybrid model Pros, cons and future of antibiotics Abstracts: 5th Annual Congress of the European Society for Translational Medicine (EUSTM-2017), 20-22 October 2017, Berlin, Germany
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