Designing the Future of Medicine
 
 
 
 
 
 
International Collaborations
 

Genomic medicine

 
The current mission of genomic medicine is to advance clinical medicine integrating complex genomic discoveries based on deeper insights into structure and function of the entire genome in health and disease. Comparative-effectiveness research between health and disease states can reveal causal structural and functional genome changes underlying disease.With the completion of the Human Genome Project (HGP) in 2003, ENCODE project has started the ambitious goal of mapping the functional elements of the human genome. Results published in 30 recent papers in Sept. 2012 reveal an extreme complexity of interacting biological systems regulating gene expression and genome function.
Network biology-based medicine
Beyond whole-genome or whole-exome sequencing, the understanding of functional principles is considered essential to achieve clinical success. Now the concept of molecular networks orchestrating gene expression and cell control is explored by the rapidly evolving field of network biology.
Breakthrough genome-wide mapping technologies provide now abundance evidence for regulatory networks. These techniques are:

•  ChIP-seq, and

•  5C ( chromosome conformation capture carbon copy ).

The use of ChIP-seq after RNA-seq-based identification of transcription factors can reveal the DNA binding events and transcriptional regulatory networks. Application of 5C has showed that promoters and distal elements in chromosomes are engaged in multiple long-range interactions to form complex networks. The data start to place genes and regulatory elements in three-dimensional context, revealing their functional relationships. The ~ 80% of the human genome is full of functional elements and disease-causing regulatory variants [1,2].

hese advances in genomic network biology and the ambitious goal to correlated interactions network landscape with clinical data to predict disease phenotypes such as prognosis and therapeutic response or resistance to drugs shape the future network medicine [3-6].

 

   
   
   
   
   
   
   
 

References
1.  Roukos DH. Networks medicine: From reductionism to evidence of complex dynamic biomolecular interactions. Pharmacogenomics. 12(5): 695-698 (2011).
2.  Gerstein MB, Kundaje A, Hariharan M, et al . Architecture of the human regulatory network derived from ENCODE data. Nature. 489(7414):91-100 (2012).
3.  Sanyal A, Lajoie BR, Jain G, Dekker J. The long-range interaction landscape of gene promoters. Nature. 489(7414):109-113. doi: 10.1038/nature11279 (2012).
4.  Barabási AL, Gulbahce N, Loscalzo J. Network medicine: A network-based approach to human disease. Nat Rev Genet. 12, 56-68 (2011).
5.  Roukos DH. Disrupting cancer cells biocircuits with interactome-based drugs: Is “clinical” innovation realistic? Expert Rev Proteomics 9(4), 349-353 (2012).
6.  Camacho DF, Pienta KJ. Disrupting the networks of cancer. Clin Cancer Res 18(10), 2801-2808 (2012).

 

ISSN : 1109 - 7647
   Print ISSN : 1109 - 7655

 

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last update: 11 December 2012