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Examining the Causal Relationship Between Genes, Epigenetics, and Human Health最新文献

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Genetics and Public Health 遗传学与公共卫生
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch019
G. Omenn
This chapter wraps up by discussing the crucial role played by public health specialists who must reconcile traditional public health concerns of health inequality and equity with safe and effective health interventions and diagnostics that meet individual health needs. Since most genetic diseases in the realm of public health are an interplay of different genetic, lifestyle, and environmental factors, genomic science has given greater emphasis to the importance of molecular and cellular mechanisms in health and disease. New biological knowledge must be integrated with the social and environmental models to improve health at individual and population levels. Public health specialists must now be able to integrate genome-based knowledge into public health in a responsible, ethical, and effective way and anticipate the increase in the health service requirements likely to occur in the future. The foundational pillars of bioethics (beneficence, non-maleficence, autonomy, and justice) must be protected by all public health stakeholders.
本章最后讨论了公共卫生专家所发挥的关键作用,他们必须协调卫生不平等和公平的传统公共卫生问题与满足个人健康需求的安全有效的卫生干预和诊断。由于公共卫生领域的大多数遗传性疾病是不同的遗传、生活方式和环境因素的相互作用,基因组科学更加强调了分子和细胞机制在健康和疾病中的重要性。新的生物学知识必须与社会和环境模式相结合,以改善个人和人口两级的健康。公共卫生专家现在必须能够以负责任、合乎道德和有效的方式将基于基因组的知识整合到公共卫生中,并预测未来可能出现的卫生服务需求的增加。所有公共卫生利益攸关方必须保护生物伦理的基本支柱(仁慈、无害、自主和正义)。
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引用次数: 0
Genomics and Genetic Testing 基因组学和基因测试
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch012
This chapter focuses on the Human Genome Project (HGP), which determined that humans have between 20,000 to 25,000 protein-coding genes and only about 1.5% of the genome codes for proteins, rRNA, and tRNA. The remainder once referred as “junk DNA” is today known to be crucial to survival of the species. Research indicates that genes are not contiguous, and some genes occur within the introns of other genes; some genes can overlap with each other either on the same or on different DNA strands with shared coding and/or regulatory elements; plus, the vast majority of human genes undergo alternative splicing leading to different proteins being encoded by the same gene. Advances in genomics and gene sequencing technologies have created exceptional opportunities for the delivery of personalized medical care. Clinical genetic testing has been helpful in identifying gene variants associated with risks for a number of diseases and health conditions.
本章重点介绍人类基因组计划(HGP),该计划确定人类有20,000至25,000个蛋白质编码基因,只有约1.5%的基因组编码蛋白质,rRNA和tRNA。剩下的曾经被称为“垃圾DNA”的DNA,今天被认为对物种的生存至关重要。研究表明,基因不是连续的,有些基因发生在其他基因的内含子内;一些基因可以在相同或不同的DNA链上相互重叠,具有共享的编码和/或调节元件;此外,绝大多数人类基因都经历了选择性剪接,导致同一基因编码不同的蛋白质。基因组学和基因测序技术的进步为提供个性化医疗服务创造了难得的机会。临床基因检测有助于识别与许多疾病和健康状况风险相关的基因变异。
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引用次数: 0
Human Nervous System Disorders 人类神经系统疾病
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch018
The nervous system (NS) is comprised of nerve cells (neurons), which transfer and process information, and neuroglia (or glial cells), which provide the supportive framework neurons need to function effectively. There are two divisions of the nervous system: central (CNS) and peripheral (PNS). The CNS consists of the brain and spinal cord and forms an intricate network of specialised cells that are responsible for coordinating all bodily functions. The PNS delivers sensory information from peripheral sensory tissues and systems to the CNS and carries motor commands from the CNS to peripheral tissues. This chapter discusses 15 diseases that directly affect the nervous system mostly caused by mutations in a single gene, with others having more complex modes of inheritance. They include Alzheimer's Disease, epilepsy, essential tremor, familial Mediterranean fever, Friedreich's ataxia, Huntington's disease, maple syrup syndrome, Menkes disease, narcolepsy, Parkinson's Disease, phenylketonuria, Refsum disease, spinal muscular atrophy, tangier disease, and spinocerebellar ataxia.
神经系统(NS)由传递和处理信息的神经细胞(神经元)和为神经元提供有效功能所需的支持框架的神经胶质细胞(或胶质细胞)组成。神经系统有两部分:中枢(CNS)和外周(PNS)。中枢神经系统由大脑和脊髓组成,形成了一个复杂的特化细胞网络,负责协调所有的身体功能。PNS将外周感觉组织和系统的感觉信息传递给CNS,并将CNS的运动指令传递给外周组织。本章讨论了15种直接影响神经系统的疾病,这些疾病大多是由单个基因的突变引起的,其他疾病具有更复杂的遗传模式。它们包括阿尔茨海默病、癫痫、特发性震颤、家族性地中海热、弗里德赖希氏共济失调、亨廷顿氏病、枫糖浆综合征、门克斯病、嗜睡症、帕金森病、苯丙酮尿症、Refsum病、脊髓性肌萎缩症、丹吉尔病和脊髓小脑性共济失调。
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引用次数: 0
Digestive, Ear/Nose/Throat, and Eye Disorders 消化,耳/鼻/喉和眼睛疾病
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch015
The digestive system includes the structures and organs involved in processing of foods required for growth, development, maintenance, and body repair. Most diseases affecting this system are due to infections from bacteria, viruses, protozoa, and fungi, while others are hereditary. The ear, nose, and throat (ENT) system is a complex set of structures sharing slightly interrelated mechanisms of operation. While some disorders of the ENT are hereditary, environmental influences play a big role. Diseases that affect eyesight primarily centre on three layers of the eye (sclera, choroid, and retina) which make eyesight possible. Disorders of metabolism occur when a crucial enzyme is disabled, or if a control mechanism for a metabolic pathway is affected. The chapter focuses on 14 diseases with suspected genetic causes including cystic fibrosis, diabetes, glucose-galactose malabsorption, hemochromatosis, obesity, Wilson's Disease, Zellweger syndrome, deafness, Pendred syndrome, Best Disease, glaucoma, gyrate atrophy, male pattern baldness, and Alport syndrome.
消化系统包括与食物加工有关的结构和器官,这些食物是生长、发育、维持和身体修复所必需的。影响这一系统的大多数疾病是由于细菌、病毒、原生动物和真菌的感染,而其他疾病是遗传性的。耳鼻喉(ENT)系统是一组复杂的结构,它们的运作机制相互关联。虽然一些耳鼻喉疾病是遗传性的,但环境影响也起着很大的作用。影响视力的疾病主要集中在眼睛的三层(巩膜、脉络膜和视网膜),它们使视力成为可能。当一种关键的酶被禁用,或者代谢途径的控制机制受到影响时,就会发生代谢紊乱。本章重点介绍了14种疑似遗传原因的疾病,包括囊性纤维化、糖尿病、葡萄糖-半乳糖吸收不良、血色素沉着症、肥胖、威尔逊病、齐薇格综合征、耳聋、Pendred综合征、Best病、青光眼、旋回萎缩、男性型秃顶和阿尔波特综合征。
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引用次数: 0
Life and Its Chemical Foundations 生命及其化学基础
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch002
This chapter focuses on the chemical foundations of life. Matter is made up of elements classified into major and minor elements. Elements are made up of atoms which in turn are made up of sub-atomic particles called protons, electrons and neutrons. Chemical bonds are unions of electron structures when atoms lose, gain or share one or more electrons with other atoms. Water is important to life and has unique properties making it ideal to life on Earth. The pH of a substance is a measure of the balance between H+ and OH- ions ranging from 0 to 14 on a log scale. Most metabolic reactions that maintain life occur in living organisms involve five types of chemical reactions. Macromolecules are large complex molecules made up of repeating units (monomers) of sometimes the same molecule or of different molecules joined together by chemical bonds to form very long chains (polymers).
这一章着重于生命的化学基础。物质是由分成大元素和小元素的元素组成的。元素是由原子组成的,而原子又是由叫做质子、电子和中子的亚原子粒子组成的。化学键是当原子失去、获得或与其他原子共享一个或多个电子时电子结构的结合。水对生命很重要,它独特的特性使它成为地球上生命的理想选择。一种物质的pH值是衡量H+和OH-离子在对数刻度上的平衡,范围从0到14。大多数维持生命的代谢反应发生在生物体中,涉及五种类型的化学反应。大分子是由重复单元(单体)组成的大型复杂分子,有时是由相同的分子或不同的分子通过化学键连接在一起形成很长的链(聚合物)。
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引用次数: 0
Cellular Basis of Life 生命的细胞基础
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-8066-9.ch003
To qualify as living, units of life called cells must be identifiable, distinct, and demonstrate most or all the qualities of life. Cells tremendously vary in size from about 0.5-500 micrometers. The smallest known single cells are those of bacteria while most higher organisms have multiple cells differentiated and functioning together as a single system. Communication in cells involves cell signaling, reception, transduction, and response. Signals received at the surface of the cell from other cells, or from blood or tissue fluid must be transferred to various parts of the cell and a cell response initiated. Cells actively take in raw materials which they use to function and perform maintenance activities. Collectively these activities are called cellular metabolism catalysed by enzymes. To avoid chaos in the body, cells maintain control of what reactions are needed all the time, needed only certain times or needed very rarely. This chapter explores the cellular basis of life.
被称为细胞的生命单位必须是可识别的、独特的,并表现出生命的大部分或全部品质,才有资格成为生命。细胞的大小在0.5-500微米之间变化很大。已知最小的单细胞是细菌的单细胞,而大多数高等生物都有多个细胞分化并作为一个单一系统一起运作。细胞内的通讯包括细胞信号、接收、转导和反应。细胞表面接收到的来自其他细胞、血液或组织液的信号必须被传递到细胞的各个部分,从而引发细胞反应。细胞积极地吸收它们用来发挥功能和执行维持活动的原料。这些活动统称为酶催化的细胞代谢。为了避免体内的混乱,细胞一直控制着需要的反应,只在特定的时间需要或很少需要。本章探讨生命的细胞基础。
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引用次数: 0
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Examining the Causal Relationship Between Genes, Epigenetics, and Human Health
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