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Published on: April 19, 2013
Genes, environment, and African ancestry in cardiometabolic disorders
Ayo P Doumatey1, Amy R Bentley1, Rufus Akinyemi2
1Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Insights
Cardiometabolic diseases disproportionately affect African ancestry populations. Increased inclusion in genomics research is crucial for understanding disease drivers and advancing precision medicine for these groups.
Area of Science:
- Cardiology
- Genetics
- Public Health
Background:
- Global rise in cardiometabolic diseases over the past two decades.
- Significant disparities in disease prevalence and incidence across populations.
- African ancestry populations are disproportionately affected but under-represented in research.
Purpose of the Study:
- Discuss cardiometabolic diseases and traits in populations of African descent.
- Highlight genetic and environmental contributors to these conditions.
- Review initiatives to increase African descent inclusion in genomics research.
Main Methods:
- Literature review and synthesis of current research on cardiometabolic diseases in African populations.
- Analysis of genetic and environmental factors influencing disease presentation.
- Examination of ongoing and proposed genomic initiatives.
Main Results:
- African ancestry populations exhibit significant genetic and environmental diversity.
- Under-representation in research leads to missed discoveries and exacerbates health disparities.
- Novel discoveries are emerging from focused research efforts.
Conclusions:
- Addressing the under-representation of African descent populations in genomics is critical.
- Equitable precision medicine requires inclusive research strategies.
- New initiatives aim to bridge current gaps in genomic data for these populations.
Abstract:
The past two decades have been characterized by a substantial global increase in cardiometabolic diseases, but the prevalence and incidence of these diseases and related traits differ across populations. African ancestry populations are among the most affected yet least included in research. Populations of African descent manifest significant genetic and environmental diversity and this under-representation is a missed opportunity for discovery and could exacerbate existing health disparities and curtail equitable implementation of precision medicine. Here, we discuss cardiometabolic diseases and traits in the context of African descent populations, including both genetic and environmental contributors and emphasizing novel discoveries. We also review new initiatives to include more individuals of African descent in genomics to address current gaps in the field.
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