Kraja Aldi T, Province Michael A, Huang Pinchia, Jarvis Joseph P, Rice Treva, Cheverud James M, Rao D C
Division of Statistical Genomics, Washington University School of Medicine, 4444 Forest Park Blvd., Campus Box 8506, Saint Louis, MO 63110, USA.
Endocr Metab Immune Disord Drug Targets. 2008 Sep;8(3):198-207. doi: 10.2174/187153008785700145.
Metabolic syndrome (MetS) can be considered a pheno-physiological cluster of metabolically interrelated risk factors for diabetes mellitus and cardiovascular disease. MetS has emerged as a result of complex interactions among environmental stresses and MetS gene networks and their products. In this review we summarize trends in MetS definitions, their associated controversies and possibilities for their refinement. The National Cholesterol Education Program MetS definition with its improvements by the American Heart Association and NHLBI Conference has the potential to become the primary clinical definition of MetS. For the first time, by reviewing a large body of literature, we construct MetS gene networks in humans and in rodents. These MetS gene networks can serve as a budding platform to develop new hypotheses regarding the genetic mechanisms underlying MetS. We also extend the notion of MetS to mouse models. New and improved molecular genomics and proteomic tools have been developed in parallel with the MetS epidemic which in conjunction with improved and novel computational statistical methods have magnified the genetic resolution of MetS analyses. Our results justify the existence of MetS as a meaningful syndrome and suggest that a better understanding of its etiology can benefit the health of human kind.
代谢综合征(MetS)可被视为一组与糖尿病和心血管疾病相关的代谢性相互关联危险因素的表型生理集群。MetS是环境压力与MetS基因网络及其产物之间复杂相互作用的结果。在本综述中,我们总结了MetS定义的趋势、相关争议以及改进的可能性。美国国家胆固醇教育计划的MetS定义及其经美国心脏协会和美国国立心肺血液研究所会议改进后,有可能成为MetS的主要临床定义。通过首次回顾大量文献,我们构建了人类和啮齿动物的MetS基因网络。这些MetS基因网络可作为一个新兴平台,用于提出关于MetS潜在遗传机制的新假设。我们还将MetS的概念扩展到小鼠模型。随着MetS的流行,新的和改进的分子基因组学和蛋白质组学工具得以开发,这些工具与改进的新型计算统计方法一起,提高了MetS分析的遗传分辨率。我们的结果证明了MetS作为一种有意义综合征的存在,并表明更好地理解其病因可造福人类健康。