动脉样硬化心血管疾病中的多种病
Liv Tybjærg Nordestgaard1, Brooke N Wolford2, David de Gonzalo-Calvo3
1Department of Clinical Biochemistry, Copenhagen University Hospital - Herlev and Gentofte, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark; Medical Research Council Integrative Epidemiology Unit, Population Health Sciences, University of Bristol, BS8 2BN, United Kingdom.
Atherosclerosis
|July 15, 2025
概括
多基因组数据,包括基因组学和蛋白质组学,显示出预测动脉样硬化心血管疾病 (ASCVD) 的前景. 将这些数据与机器学习 (ML) 和人工智能 (AI) 集成,可以推进ASCVD的精准医学.
科学领域:
- 生物医学科学 生物医学科学
- 心血管研究研究心血管研究
- 基因组学和生物信息学
背景情况:
- 动脉样性心血管疾病 (ASCVD) 是全球主要的死亡原因.
- 技术进步使得在ASCVD诊断和治疗中可以使用多种不同数据集 (基因组学,表观基因组学,转录组学,蛋白质组学,代谢组学).
- 欧米克斯数据提供了对ASCVD病原体的更深入的理解.
研究的目的:
- 审查ASCVD中关于OMIC数据应用的当前文献.
- 探索多原子数据与机器学习 (ML) 和人工智能 (AI) 的集成,用于ASCVD管理.
- 讨论这些综合方法在推进精准医学方面的潜力.
主要方法:
- 在ASCVD中对OMIC数据的系统文献综述.
- 分析整合OMIC数据与ML/AI方法的研究.
- 综合了关于不同欧米层的预测和诊断能力的发现.
主要成果:
- 基因组学为ASCVD风险预测提供多基因风险评分 (PRS).
- 表观遗传学强调了动脉样硬化中DNA甲基化变化.
- 转录组学识别了涉及动脉样硬化进展的微RNA (miRNA).
- 蛋白质组学和脂组学提供独立的预测价值,优于传统的临床模型.
- 与ML/AI结合的多原子数据显示了开发临床模型的潜力.
结论:
- 需要大量的努力将OMIC数据和技术转化为临床实践.
- 开发经过临床批准的AI/ML算法对于解释大型数据集至关重要.
- 这些算法将为ASCVD提供准确的精准医学方法.
- 与AI/ML的多原子数据集成有望为个性化的ASCVD预防和治疗提供希望.
相关概念视频
Atherosclerosis III: Management
40
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
40
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
40
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
40
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
342
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
342
Atherosclerosis I: Introduction
92
Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
92
Coronary Artery Disease II: Pathophysiology
40
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
40
Psychoneuroimmunology: Cardiovascular Disease
79
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
79


