除了全基因组关联研究之外,打击高血压:微生物组和人工智能作为精准医学的机会
Sachin Aryal1, Ishan Manandhar1, Xue Mei1
1Center for Hypertension and Precision Medicine, Department of Physiology and Pharmacology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Cambridge prisms. Precision medicine
|March 29, 2024
概括
通过将遗传风险得分与肠道微生物组数据相结合,可以改善心血管疾病风险. 人工智能可以整合这些得分,以便更好地预测和管理高血压.
科学领域:
- 遗传学和微生物学
- 心血管健康 心血管健康
- 人工智能在医学中的应用
背景情况:
- 高血压 (HTN) 是心血管疾病死亡的主要原因,已确定了许多遗传因素.
- 目前对HTN的遗传风险评分 (PRS) 具有有限的预测能力,因为遗传学占风险的不到30%.
- 肠道微生物群的组成是血压调节和HTN病变的新兴重要因素.
研究的目的:
- 探索遗传,肠道微生物组和临床数据的整合,以提高高血压预测.
- 建议制定一个综合风险评分,包括多基因风险评分 (PRS),元基因组风险评分 (MRS) 和临床风险评分 (CRS).
- 利用人工智能 (AI) 来改善HTN易感性和进展的预测.
主要方法:
- 关于动物模型和人类高血压患者肠道失调的研究的综述.
- 讨论开发HTN的元基因组风险评分 (MRS) 的可能性.
- 建议使用人工智能策略集成PRS,MRS和CRS.
主要成果:
- 在动物模型和人类实验对象中,有证据将肠道失调与高血压联系在一起.
- 确定肠道微生物群作为影响血压的关键非遗传因素.
- 展示结合多种数据类型以改善风险预测的潜力.
结论:
- 整合PRS,MRS和CRS为预测高血压风险提供了比单独PRS更全面的方法.
- 综合风险评分的AI驱动分析可以显著提高HTN易感性和进展的预测.
- 未来的研究应该专注于开发和验证综合风险评分,用于高血压管理中的临床应用.
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