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[营养遗传学:在心血管疾病及相关危险因素中的潜力与应用]

[Nutrigenetics: potentials and applications in cardiovascular diseases and associated risk factors].

作者信息

Defagó Maria Daniela, Eynard Aldo Renato

机构信息

Escuela de Nutrición. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba.

Instituto de Investigaciones en Ciencias de la Salud (INICSA), CONICET, Córdoba, Argentina..

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2022 Jun 6;79(2):168-180. doi: 10.31053/1853.0605.v79.n2.30289.

DOI:10.31053/1853.0605.v79.n2.30289
PMID:35700474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9426330/
Abstract

INTRODUCTION

From nutrigenetics, the genetic variation to dietary response, it is possible to understand and modulate the clinical response conditioned by the genotype by the diet.

OBJETIVE

to explore the bibliographic evidence on the potential of nutrigenetics in the approach and treatment of cardiovascular diseases (CVD) and associated risk factors.

MATERIALS AND METHODS

a systematic search was carried out in the electronic databases MEDLINE, EMBASE and Google Scholar. Those articles that contained the keywords or a combination of them, during 1990-2019, from both experimental and observational studies, were included.

RESULTS

49 articles were included, classified according to the main molecular pathways involved in the etiopathogenesis of CVD. Although a wide diversity of genetic variants was found that confer susceptibility to CVD and risk factors such as obesity, dyslipidemia and arterial hypertension, there is little consistency in the publication of replication studies.

CONCLUSIONS

the knowledge of genetic variants allows the personalization of the diet, which can be complemented with other healthy recommendations associated with the lifestyle. More studies in large populations and meta-analyzes are necessary to unequivocally show the gene-nutrient relationship.

摘要

引言

从营养遗传学,即基因变异对饮食反应的影响来看,通过饮食了解并调节由基因型决定的临床反应是可行的。

目的

探讨营养遗传学在心血管疾病(CVD)及其相关危险因素的处理和治疗中的潜在作用的文献证据。

材料与方法

在电子数据库MEDLINE、EMBASE和谷歌学术上进行了系统检索。纳入了1990年至2019年期间来自实验性和观察性研究、包含关键词或其组合的文章。

结果

纳入了49篇文章,根据CVD发病机制中涉及的主要分子途径进行分类。尽管发现了多种导致CVD易感性以及肥胖、血脂异常和动脉高血压等危险因素的基因变异,但复制研究的发表结果几乎没有一致性。

结论

了解基因变异有助于饮食的个性化,这可以与其他与生活方式相关的健康建议相辅相成。需要在大量人群中进行更多研究和荟萃分析,以明确显示基因与营养素之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/202a/9426330/7bc2d88ba1dd/1853-0605-79-2-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/202a/9426330/7bc2d88ba1dd/1853-0605-79-2-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/202a/9426330/7bc2d88ba1dd/1853-0605-79-2-168-g001.jpg

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本文引用的文献

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[Current challenges of nutrition applied research: ¿person or population?].[营养应用研究的当前挑战:个体还是群体?]
Nutr Hosp. 2018 Jun 12;35(Spec No4):39-43. doi: 10.20960/nh.2123.
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Meta-inflammation and cardiometabolic disease in obesity: Can heat therapy help?肥胖中的元炎症与心脏代谢疾病:热疗法能有所帮助吗?
Temperature (Austin). 2017 Nov 10;5(1):9-21. doi: 10.1080/23328940.2017.1384089. eCollection 2018.
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Correlation between serum leptin and its gene expression to the anthropometric measures in overweight and obese children.
超重和肥胖儿童血清瘦素及其基因表达与人体测量指标的相关性
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Interaction between TCF7L2 polymorphism and dietary fat intake on high density lipoprotein cholesterol.TCF7L2基因多态性与膳食脂肪摄入对高密度脂蛋白胆固醇的相互作用。
PLoS One. 2017 Nov 28;12(11):e0188382. doi: 10.1371/journal.pone.0188382. eCollection 2017.
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Epigenetics and precision medicine in cardiovascular patients: from basic concepts to the clinical arena.表观遗传学与心血管病精准医学:从基础概念到临床领域。
Eur Heart J. 2018 Dec 14;39(47):4150-4158. doi: 10.1093/eurheartj/ehx568.
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Relationship between polymorphisms in the CRP, LEP and LEPR genes and high sensitivity C-reactive protein levels in Spanish children.西班牙儿童中CRP、LEP和LEPR基因多态性与高敏C反应蛋白水平的关系
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Daily supplementation with fresh pomegranate juice increases paraoxonase 1 expression and activity in mice fed a high-fat diet.每日补充新鲜石榴汁可增加高脂饮食喂养小鼠的对氧磷酶 1 表达和活性。
Eur J Nutr. 2018 Feb;57(1):383-389. doi: 10.1007/s00394-017-1394-2. Epub 2017 Feb 27.
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Association between C677T polymorphism of MTHFR gene and risk of amyotrophic lateral sclerosis: Polish population study and a meta-analysis.亚甲基四氢叶酸还原酶(MTHFR)基因C677T多态性与肌萎缩侧索硬化症风险的关联:波兰人群研究及荟萃分析
Neurol Neurochir Pol. 2017 Mar-Apr;51(2):135-139. doi: 10.1016/j.pjnns.2017.01.008. Epub 2017 Feb 3.
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Comparison of HapMap and 1000 Genomes Reference Panels in a Large-Scale Genome-Wide Association Study.大规模全基因组关联研究中HapMap与千人基因组参考面板的比较
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10
Several type 2 diabetes-associated variants in genes annotated to WNT signaling interact with dietary fiber in relation to incidence of type 2 diabetes.在与WNT信号通路相关的基因中,有几个2型糖尿病相关变体与膳食纤维在2型糖尿病发病率方面存在相互作用。
Genes Nutr. 2016 Mar 21;11:6. doi: 10.1186/s12263-016-0524-4. eCollection 2016.