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[-组学技术在心血管疾病的病理生理学、诊断及治疗中的作用]

[The role of -omics technology in the pathophysiology, diagnosis, and treatment of cardiovascular diseases].

作者信息

Sinan Ümit Yaşar, Unlu Serkan

机构信息

Department of Cardiology, Istanbul University Institute Of Cardiology, Istanbul, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2017 Jul;45(5):470-484. doi: 10.5543/tkda.2016.36485.

Abstract

Although evident improvement has occurred in the diagnosis and treatment of cardiovascular disease (CVD), it is still the most important cause of mortality worldwide. The majority of the CVDs are multifactorial and polygenic. Therefore, it is logical to use genomics, proteomics, lipidomics, and metabolomics together for diagnosis and effective treatment of CVD. "Genome" is the combination of the words "gene" and "chromosome," and includes all protein-coding genes and intergenic spaces (as well as intragenic regions, or introns, within genes) in an organism. Proteins that are synthesized in a cell, tissue, or organism are all called proteomes. Proteomics is the study of proteomes. The analysis of the lipodome, or all lipids synthesized in the organism, as well as lipidderived mediators, and the functions of these mediators in biological systems, is the field of lipidomics. The metabolome is the complete set of low-molecular-weight metabolites and molecules in a human or any living organism. Metabolomic is the systematic analysis of small molecules and metabolites in human or animal biological fluids. The number of biomarkers used for the purpose of evaluating the risk of cardiovascular events is very limited and many of them are old. The drugs that were produced 30 years ago are still used in treatment. Development of -omics science plays an important role in the search for new biological markers that can be used in the diagnosis of CVD and there is a growing need for advancement of these branches of genetics. The recognition and internalization of -omics by clinicians is a time-consuming process, but will be more important in the near future.

摘要

尽管心血管疾病(CVD)的诊断和治疗已取得明显进展,但它仍是全球最重要的死亡原因。大多数心血管疾病是多因素和多基因的。因此,将基因组学、蛋白质组学、脂质组学和代谢组学结合起来用于心血管疾病的诊断和有效治疗是合理的。“基因组”是“基因”和“染色体”两个词的组合,包括生物体中的所有蛋白质编码基因和基因间区域(以及基因内区域,即基因内的内含子)。在细胞、组织或生物体中合成的蛋白质都称为蛋白质组。蛋白质组学是对蛋白质组的研究。脂质组学是研究生物体中合成的所有脂质、脂质衍生介质以及这些介质在生物系统中的功能的领域。代谢组是人类或任何生物体中低分子量代谢物和分子的完整集合。代谢组学是对人类或动物生物体液中的小分子和代谢物进行系统分析。用于评估心血管事件风险的生物标志物数量非常有限,而且其中许多都很陈旧。30年前生产的药物仍在用于治疗。组学科学的发展在寻找可用于心血管疾病诊断的新生物标志物方面发挥着重要作用,并且对这些遗传学分支的进展的需求日益增长。临床医生对组学的认识和接受是一个耗时的过程,但在不久的将来会变得更加重要。

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