Rather Riyaz Ahmad, Dhawan Veena
Department of Experimental Medicine and Biotechnology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Experimental Medicine and Biotechnology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Cardiol. 2016 Oct 1;220:914-23. doi: 10.1016/j.ijcard.2016.06.251. Epub 2016 Jun 27.
The effective prevention of cardiovascular disease depends upon the ability to recognize the high-risk individuals at an early stage of the disease or long before the development of adverse events. Evolving technologies in the fields of proteomics, metabolomics, and genomics have played a significant role in the discovery of cardiovascular biomarkers, but so far these methods have achieved the modest success. Hence, there is a crucial need for more reliable, suitable, and lasting diagnostic and therapeutic markers to screen the disease well in time to start the clinical aid to the patients. Gene polymorphisms associated with the cardiovascular disease play a decisive role in the disease onset. Therefore, the genetic marker evaluation to classify high-risk patients from low-risk patients trends an effective approach to patient management and care. Currently, there are no genetic markers available for extensive adoption as risk factors for coronary vascular disease, yet, there are numerous promising, biologically acceptable candidates. Many of these gene biomarkers, alone or in combination, can play an essential role in the prediction of cardiovascular risk. The present review highlights some putative emerging genetic biomarkers that could facilitate more authentic and fast diagnosis of CVD. This review also briefly describes few technological approaches employed in the biomarker search.
心血管疾病的有效预防取决于在疾病早期或不良事件发生之前很久就能识别出高危个体的能力。蛋白质组学、代谢组学和基因组学领域不断发展的技术在心血管生物标志物的发现中发挥了重要作用,但到目前为止,这些方法取得的成功有限。因此,迫切需要更可靠、合适和持久的诊断和治疗标志物,以便及时筛查疾病,从而开始对患者进行临床援助。与心血管疾病相关的基因多态性在疾病发作中起决定性作用。因此,通过基因标志物评估将高危患者与低危患者区分开来,是一种有效的患者管理和护理方法。目前,尚无广泛用作冠状动脉疾病危险因素的基因标志物,但有许多有前景且生物学上可接受的候选标志物。这些基因生物标志物中的许多单独或联合使用,都可以在心血管风险预测中发挥重要作用。本综述重点介绍了一些可能出现的新兴基因生物标志物,它们有助于更准确、快速地诊断心血管疾病。本综述还简要描述了生物标志物研究中采用的一些技术方法。