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个性化医疗:改善澳大利亚原住民健康的新方法。

Personalised Medicine: A New Approach to Improving Health in Indigenous Australian Populations.

作者信息

Rae Kym M, Grimson Steve, Pringle Kirsty G

机构信息

Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia.

出版信息

Public Health Genomics. 2017;20(1):58-62. doi: 10.1159/000455005. Epub 2017 Jan 6.

Abstract

Personalised medicine is a newly emerging field with much to offer to all populations in improved clinical treatment options. Since the 1970s, clinicians and researchers have all been working towards improving the health of Indigenous Australians. However, there has been little research on the impact of genetics on Indigenous health, how genetic and environmental factors interact to contribute to poor health in Indigenous people, and how genetic factors specific to Indigenous people affect their responses to particular treatments. This short review highlights the urgent need for more genetic studies specific to Indigenous people in order to provide more appropriate care and to improve health outcomes. This paper explores why genetic work with Indigenous communities has been limited, how personalised medicine could benefit Indigenous communities, and highlights a number of specific instances in which personalised medicine has been critical for improving morbidity and mortality in other high-risk groups. In order to take the next step in advancing the health of Indigenous peoples, targeted research into the genetic factors behind chronic diseases is critically needed. This research may allow clinicians a better understanding of how genetic factors interact with environmental factors to influence an Indigenous Australian's individual risk of disease, prognosis, and response to therapies. It is hoped that this knowledge will produce clinical interventions that will help deliver clearly targeted, more appropriate care to this at-risk population.

摘要

个性化医疗是一个新兴领域,能为所有人群提供更多更好的临床治疗选择。自20世纪70年代以来,临床医生和研究人员一直致力于改善澳大利亚原住民的健康状况。然而,关于遗传学对原住民健康的影响、遗传和环境因素如何相互作用导致原住民健康状况不佳,以及原住民特有的遗传因素如何影响他们对特定治疗的反应,相关研究甚少。这篇简短的综述强调了迫切需要开展更多针对原住民的遗传学研究,以便提供更恰当的护理并改善健康结果。本文探讨了为何与原住民社区开展的遗传学工作有限、个性化医疗如何能使原住民社区受益,并着重介绍了个性化医疗对改善其他高危群体发病率和死亡率至关重要的一些具体实例。为了在提升原住民健康方面迈出下一步,急需针对慢性病背后的遗传因素开展有针对性的研究。这项研究可能会让临床医生更好地理解遗传因素与环境因素如何相互作用,从而影响澳大利亚原住民个体的疾病风险、预后及对治疗的反应。希望这些知识能产生临床干预措施,有助于为这一高危人群提供目标明确、更恰当的护理。

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