基因组学、转录组学、表观遗传学和代谢组学生物标志物在2型糖尿病和心血管疾病个性化预防中的应用前景

IF 2.8 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE Current vascular pharmacology Pub Date : 2023-01-01 DOI:10.2174/1570161121666230510141338
Aleksandra Zeljkovic, Marija Mihajlovic, Sanja Vujcic, Azra Guzonjic, Jelena Munjas, Aleksandra Stefanovic, Jelena Kotur-Stevuljevic, Manfredi Rizzo, Natasa Bogavac-Stanojevic, Jelena Gagic, Jelena Kostadinovic, Jelena Vekic
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引用次数: 0

摘要

心脏代谢疾病,如2型糖尿病(DM)和心血管疾病(CVD),是一个巨大的健康问题。旨在提高认识和预防的战略,加上对这些疾病的及时诊断和最佳管理,是改善预期寿命和质量的主要行动方针。近年来,糖尿病和心血管疾病治疗的创新疗法的引入为高危患者提供了新的希望。然而,预防措施的实施在实现心脏代谢健康方面还远远不够成功,需要进一步改进。心脏代谢疾病的发展是一个复杂的多因素过程,涉及多种代谢途径以及遗传和环境因素。在整个生命过程中减少累积暴露,及时识别和瞄准潜在的风险增加因素,可以为更成功地预防心脏代谢紊乱铺平道路。如今,在“组学”技术的时代,有可能确定新的生物标志物和治疗靶点,这为每个患者提供了个体化治疗的可能性。本文将讨论基因组学、转录组学、表观遗传学和代谢组学生物标志物在个性化预防心脏代谢疾病中的潜在应用。
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The Prospect of Genomic, Transcriptomic, Epigenetic and Metabolomic Biomarkers for The Personalized Prevention of Type 2 Diabetes and Cardiovascular Diseases.

Cardiometabolic diseases, such as type 2 diabetes mellitus (DM) and cardiovascular disease (CVD), are a great health concern. The strategies aimed to increase awareness and prevention, in conjunction with timely diagnosis and optimal management of these conditions, represent the main lines of action to improve life expectancy and quality. In recent years, the introduction of innovative therapies for the treatment of DM and CVD has provided new hope for high-risk patients. Yet, the implementation of preventive measures in achieving cardiometabolic health is far from successful and requires further improvement. The development of cardiometabolic disorders is a complex, multifactorial process involving several metabolic pathways as well as genetic and environmental factors. Decreasing cumulative exposure during the entire life course and timely recognition and targeting of potential riskenhancing factors could pave the way toward more successful prevention of cardiometabolic disorders. Nowadays, in the era of "omics" technologies, it is possible to identify novel biomarkers and therapeutic targets, which offers the possibility to apply an individualized approach for each patient. This review will discuss potential applications of genomic, transcriptomic, epigenetic and metabolomic biomarkers for the personalized prevention of cardiometabolic diseases.

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来源期刊
Current vascular pharmacology
Current vascular pharmacology 医学-外周血管病
CiteScore
9.20
自引率
4.40%
发文量
54
审稿时长
6-12 weeks
期刊介绍: Current Vascular Pharmacology publishes clinical and research-based reviews/mini-reviews, original research articles, letters, debates, drug clinical trial studies and guest edited issues to update all those concerned with the treatment of vascular disease, bridging the gap between clinical practice and ongoing research. Vascular disease is the commonest cause of death in Westernized countries and its incidence is on the increase in developing countries. It follows that considerable research is directed at establishing effective treatment for acute vascular events. Long-term treatment has also received considerable attention (e.g. for symptomatic relief). Furthermore, effective prevention, whether primary or secondary, is backed by the findings of several landmark trials. Vascular disease is a complex field with primary care physicians and nurse practitioners as well as several specialties involved. The latter include cardiology, vascular and cardio thoracic surgery, general medicine, radiology, clinical pharmacology and neurology (stroke units).
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