精准医学中的种族多样性:现实还是愿望?
1Division of Metabolism, Digestion and Reproduction, Imperial College London, London, UK. s.misra@imperial.ac.uk.
Diabetologia
|August 7, 2025
概括
糖尿病的精准医学显示出希望,但缺乏种族多样性. 解决种族差异对于公平有效的全球糖尿病护理至关重要.
科学领域:
- 医学研究 医学研究
- 基因组学就是基因组学.
- 公共卫生 公共卫生
背景情况:
- 精准医学旨在根据个体特征个性化医疗保健.
- 糖尿病在风险,进展和治疗反应方面表现出显著的异质性,使其成为精确方法的首选候选人.
- 目前的精准医学研究主要基于白人欧洲血统,限制了其在不同人群中的适用性和公平性.
研究的目的:
- 审查种族在精密糖尿病医学中的作用.
- 突出将种族纳入糖尿病研究的价值和局限性.
- 提出模型和策略,以公平地实施精确的糖尿病医学.
主要方法:
- 文献综述检查了1型和2型糖尿病的种族差异.
- 分析研究中的代表人数不足及其对诊断和治疗的影响.
- 描述将种族纳入精准医学的概念模型:以祖先为基础的发现,以种族为基础的翻译和基于特征的个性化.
主要成果:
- 有证据表明,糖尿病易感性,表型和并发症存在种族差异.
- 多样群体在研究中的代表性不足造成了诊断和治疗方面的差距.
- 三种不同的纳入民族的模式为公平实施提供了机会和挑战.
结论:
- 包容性和情境敏感的精准医学模型对于全球糖尿病护理至关重要.
- 克服研究多样性有限,数据基础设施问题和资源限制等障碍至关重要.
- 未来的研究必须解决种族间和种族内部的多样性,以实现全球有效和公平的糖尿病管理.
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