Obesity Genomics and Metabolomics: a Nexus of Cardiometabolic Risk.

Obesity Genomics and Metabolomics: a Nexus of Cardiometabolic Risk.
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DOI:
10.1007/s11886-020-01422-x
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发表时间:
2020-10-10
影响因子:
3.7
通讯作者:
Shah SH
Shah SH
中科院分区:
医学3区
文献类型:
--
作者:
Regan JA;Shah SH

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肥胖症是一种重要的国际公共卫生流行病,对发病率和死亡率具有重大的下游后果。虽然生活方式因素起作用,但对肥胖及其与心脏代谢风险的关系的基因组和代谢途径的理解不断发展。本文将从生物学和临床的角度对这些重要发现进行综述。最近的研究已经确定了肥胖和相关结果的多基因风险评分和代谢组学生物标志物,这也突出了生物途径,例如在这种疾病中失调的支链氨基酸(BCAA)途径。这些生物标志物可能有助于个性化肥胖干预和减轻未来的心脏代谢风险。必须采取多方面的办法来影响日益流行的肥胖症和相关疾病。这可能包括将精准医学方法与基因组学和代谢组学生物标志物相结合,以个性化干预措施并改善风险预测。
Obesity is a significant international public health epidemic with major downstream consequences on morbidity and mortality. While lifestyle factors contribute, there is an evolving understanding of genomic and metabolomic pathways involved with obesity and its relationship with cardiometabolic risk. This review will provide an overview of some of these important findings from both a biologic and clinical perspective. Recent studies have identified polygenic risk scores and metabolomic biomarkers of obesity and related outcomes, which have also highlighted biological pathways, such as the branched-chain amino acid (BCAA) pathway that is dysregulated in this disease. These biomarkers may help in personalizing obesity interventions and for mitigation of future cardiometabolic risk. A multifaceted approach is necessary to impact the growing epidemic of obesity and related diseases. This will likely include incorporating precision medicine approaches with genomic and metabolomic biomarkers to personalize interventions and improve risk prediction.
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