Early identification of cardiovascular risk using genomics and proteomics
Iftikhar J Kullo1, Leslie T Cooper
1Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. kullo.iftikhar@mayo.edu
Insights
Coronary heart disease (CHD) is a growing global health concern. Genomics and proteomics offer new ways to assess cardiovascular risk and personalize treatments for atherosclerosis.
Area of Science:
- Cardiovascular Medicine
- Genomics
- Proteomics
Background:
- Coronary heart disease (CHD) is a leading cause of global mortality and morbidity.
- Atherosclerosis, the underlying pathology of CHD, involves complex genetic and environmental factors.
- Current risk assessment for CHD has limitations in predicting individual outcomes.
Purpose of the Study:
- To discuss the role of genomics and proteomics in cardiovascular risk assessment.
- To explore the potential of a multimarker approach for identifying atherogenesis pathways.
- To highlight the feasibility of individualized risk stratification and targeted therapy for CHD.
Main Methods:
- Review of recent advances in genomics and proteomics relevant to cardiovascular disease.
- Discussion of how these technologies can identify novel risk factors.
- Exploration of a multimarker strategy for assessing composite risk profiles.
Main Results:
- Genomics and proteomics are expected to identify numerous new risk factors for CHD.
- Individualized risk assessment using genomic and proteomic markers may become feasible.
- A multimarker approach can reveal alterations in atherogenesis pathways.
Conclusions:
- Genomics and proteomics are poised to revolutionize cardiovascular risk assessment.
- Personalized medicine approaches, including targeted therapies, are likely to improve CHD outcomes.
- A shift towards a multimarker, pathway-focused strategy is essential for advancing CHD prevention and treatment.
Abstract:
Coronary heart disease (CHD) will soon become the leading cause of death and morbidity in the world. Early detection and treatment of CHD is thus imperative to improve global health. Atherosclerosis of the coronary arteries is a complex multifactorial disease process involving multiple pathways that can be influenced by both genetic and environmental factors. With the recent advances in genomics and proteomics, many new risk factors with small-to-moderate effects are likely to be identified. Additionally, individualized risk stratification and targeted therapy may become feasible; each individual could potentially be assessed with a panel of tests for genomic and proteomic markers and, on the basis of the individual's composite risk profile, preventive and therapeutic steps could then be undertaken. With a multimarker approach, it may also be possible to identify alterations in pathways involved in atherogenesis, rather than focus on individual risk factors. In this article, we use the specific example of atherosclerosis to discuss the role of genomics and proteomics in cardiovascular risk assessment.
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