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撒哈拉以南非洲地区心脏代谢疾病的基因组学

Genomics of Cardiometabolic Disorders in Sub-Saharan Africa.

作者信息

Adebamowo Sally N, Tekola-Ayele Fasil, Adeyemo Adebowale A, Rotimi Charles N

机构信息

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

Public Health Genomics. 2017;20(1):9-26. doi: 10.1159/000468535. Epub 2017 May 9.

Abstract

Sub-Saharan Africa (SSA) is experiencing a growing burden of cardiometabolic disorders, including diabetes, dyslipidemia, hypertension, obesity, coronary heart disease, and stroke. The increasing trends are expected to accelerate as SSA continues to experience economic progress, population growth, and the shift from communicable to noncommunicable diseases. These complex disorders are caused by multiple, potentially interacting, environmental, and genetic factors. While considerable progress has been made in the identification of the sociocultural, demographic, and lifestyle risk factors for cardiometabolic disorders, many genetic factors that underlie individual susceptibility to these diseases remain largely unknown. Although progress in genomic technologies has allowed for systematic characterization of genome-wide genetic diversity in health and disease in European and Asian ancestry populations, conduct of genetic studies in SSA has been underwhelming until recently. Here, we summarize recent understanding of the body of knowledge and highlight research opportunities on the genomics of cardiometabolic disorders in SSA. Published by S. Karger AG, Basel.

摘要

撒哈拉以南非洲地区(SSA)正面临着日益加重的心脏代谢紊乱负担,其中包括糖尿病、血脂异常、高血压、肥胖症、冠心病和中风。随着SSA地区持续取得经济进展、人口增长以及疾病模式从传染病向非传染病转变,预计这些增长趋势还将加速。这些复杂的疾病是由多种可能相互作用的环境和遗传因素引起的。虽然在确定心脏代谢紊乱的社会文化、人口统计学和生活方式风险因素方面已经取得了相当大的进展,但许多导致个体易患这些疾病的遗传因素仍然很大程度上不为人知。尽管基因组技术的进步使得能够系统地描述欧洲和亚洲血统人群在健康和疾病状态下全基因组的遗传多样性,但直到最近,在SSA地区开展的基因研究仍不尽人意。在此,我们总结了近期对相关知识体系的认识,并强调了SSA地区心脏代谢紊乱基因组学方面的研究机会。由巴塞尔的S. Karger AG出版社出版。

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