National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Metabolism. 2013 Jan;62 Suppl 1:S6-10. doi: 10.1016/j.metabol.2012.08.018. Epub 2012 Sep 21.
Cardiovascular diseases remain the dominant cause of death worldwide. In the last decades, the remarkable advances in human genetic and genomic research, plus the now common use of genome-wide association studies, have led to the identification of numerous genetic variants associated with specific cardiovascular traits and diseases. Although the clinical applications are limited because the genetic risk of common cardiovascular disease is still unexplained, and the mechanisms of action of the genetic factor(s) are not known, these research advances have, in turn, widely opened the concept of personalized medicine. In this paper, the status and prospects of personalized medicine for cardiovascular disease will be presented. This will be followed by a discussion of issues regarding the implementation of personalized medicine.
心血管疾病仍然是全球主要的死亡原因。在过去的几十年中,人类遗传和基因组研究的显著进展,加上现在普遍使用全基因组关联研究,已经导致了许多与特定心血管特征和疾病相关的遗传变异的鉴定。尽管由于常见心血管疾病的遗传风险仍然无法解释,而且遗传因素的作用机制尚不清楚,因此临床应用受到限制,但这些研究进展反过来又广泛地开启了个性化医学的概念。本文将介绍心血管疾病个性化医学的现状和前景。接下来将讨论实施个性化医学的相关问题。