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Copyright © 2016 John Wiley & Sons, Inc. All rights reserved.
Organizational Hierarchy of Biochemistry
Copyright © 2017 W. W. Norton & Company
Figure 1.4 A summary of the hierarchical organization and
chemical complexity of living systems, including the seven
hierarchical levels, along with examples of organizational
complexities within these levels.
Photo credits:
1.4[[a]] top Ecosystem: small lake in the dunes near Petten,
Netherlands. Location is the Korfwater; JacobH/ iStock/ 360/
Getty Images
2
The transient receptor potential vanilloid 1 (TRPV1) channel is
predicted to have six transmembrane
domains and a short, pore-forming hydrophobic stretch between
the fifth and sixth transmembrane
domains. It is activated not only by the vanilloid capsaicin but
by noxious heat and low pH
Nature Reviews Cancer
Surh, Y.-J. (2003)
5
This slide illustrates the chemical structures of representative
chemopreventive phytochemicals and their dietary sources.
Curcumin in the Tumeric, Resveratrol in the grapes, capsaicin
in the peppers, diallylsulfide in the garlic etc., Anticarcinogenic
effects of these phytochemicals have been observed in various
experimental models.
Diet and cardiovascular and metabolic risk – pathways and
mechanisms.
Dariush Mozaffarian Circulation. 2016;133:187-225
Copyright © American Heart Association, Inc. All rights
reserved.
Diet and cardiovascular and metabolic risk – pathways and
mechanisms. Each of these dietary factors influences many or
even all of these pathways, which could also be modified in
some cases by underlying individual characteristics. Selected
major effects are detailed in the text sections on each dietary
factor.
Assessed Individual Assignment
You are required to write a commentary/literature research
paper on
“the role of a dietary factor (define) in foods in the management
of
health and disease” The subject can also be
“the role of functional food (define) in management of health
and
disease
Length of report: 10 -15 pages max (font size of 11 or 12) to
include Figures, Tables and Schemes showing applicable
mechanisms
Report to have the following structure: Title, Student Name and
Affiliation,
Abstract or Executive Summary, Introduction,
Sections/Discussion,
Recommendation and/or Conclusion and References (APA
style).
Refer to Model paper Aruoma et al (2006) Toxicology 221: 119-
127
Submission Deadline: Online in CANVAS only
Monday 29th April 2019 at 23:55pm. No late submission
Let us take another look at the Course syllabus and you
will note a requirement for student individual Assignment
Title of Paper
Student Name
College of Natural and Social Sciences
Department of Chemistry and Biochemistry
California State University, Los Angeles, CA 90032
Report Submitted in Partial Fulfilment of the Requirement for
Completion of the Course “Nutritional Aspects of
Biochemistry” Spring Semester 2019
Abstract or Executive Summary
Introduction
Sections/Discussions
Conclusion
References (APA Style)
Aruoma O. I., (2006). Title of paper. Toxicology, 221: 119-127
Page Numbers with all Tables, Figures, Schemes used to have
clear legends and sources correctly identified
Abstract
This should reflect the title of the paper bearing on the purpose
and/or theory with direct relevance to the body of the paper
Introduction
Purpose/Theory to reflect the title of the paper
Sections/Discussions
Segment the body of the paper and discuss accordingly laying
out the context to reflect on the title and purpose of the paper
Conclusion
This should reflect the title of the paper bearing on the Sections
discussed and on the purpose of the paper
Start early and discuss you thoughts with me to ensure
alignment.
Remember that this is an individual assignment NOT group
work
Copyright © 2016 John Wiley & Sons, Inc. All rights reserved.
This Assignment is worth 25% of the course mark
PUBMED
Search of peer reviewed publications
No Wikipedia
No use of online commentary forum
Use only Peer reviewed publications
Page | 1
SELECT A WORKING TITLE OF YOUR CHOICE
Nutrition and Health: Translating the Science of
NutriGenomics into Practice
Okezie I Aruoma
Department of Chemistry and Biochemistry, California State
University Los Angeles, Los Angeles, CA 90032, USA
Report Submitted in Partial Fulfilment of the Requirement for
Completion of the Course “Nutritional Aspects of
Biochemistry” Spring Semester 2019
Page | 2
ABTRACT
Adverse reactions to foods and adverse drug reactions are
inherent in product defects, medication
errors and differences in individual drug exposure.
Pharmacogenetics is the study of genetic causes
of individual variations in drug response and pharmacogenomics
more broadly involves genome-
wide analysis of the genetic determinants of drug efficacy and
toxicity. The similarity of nutritional
genomics and pharmacogenomics stems from the innate goal to
identify genetic variants associated
with metabolism and disease. Thus, nutrigenomics can be
thought of as encompassing gene-diet
interactions involving diverse compounds that are present in
even the simplest foods. The advances
in the knowledge base of the complex interactions among
genotype, diet, lifestyle, and
environment is the cornerstone that continue to elicit changes in
current medical practice to
ultimately yield personalized nutrition recommendations and
health and risk assessment. This
information could be used to understand how foods and dietary
supplements uniquely affect the
health of individuals and, hence, wellness. The individual’s gut
microbiota is not only paramount
but pivotal in embracing the multiple-functional relationships
with complex metabolic
mechanisms involved in maintaining cellular homeostasis. The
genetic revolution has ushered in
an exciting era, one in which many new opportunities are
expected for nutrition professionals with
expertise in nutritional genomics.
Key words: Personalized nutrition, nutritional genomics,
pharmacogenomics, single
nucleotide polymorphism; next generation sequencing; gene-
diet Interactions; metabolic
Diseases, wellness and genomics, Alzheimer’s disease and
cognitive decline; autoimmune
diseases; overt inflammation and chronic diseases, gut
microbiome
Introduction
Nutritional Genomics is the study of the effects of foods and
food constituents on gene expression.
Nutritional Genomics aims to develop a rational means to
optimize nutrition through the
identification of the person's genotype and this defines the
relationship between nutrients and
human health. Individuals cannot change their genetics, but they
can eat the right foods to support
genetic predispositions, take the right supplements to support
gene variations and promote normal
cell function and structure. Indeed, poor diet can be a risk
factor of disease. Given that dietary
components can alter gene expression, the degree to which diet
influences health and disease
depends upon an individual’s genetic make-up, the use of
pharmacogenomics technology should
Page | 3
be well defined in order to fully embrace diagnostic, prognostic,
predictive characteristic. There
are many in-roads ahead in this realization.
Figure 1. Personal genomics connect genotype to phenotype and
provide insight into disease.
Pharmacogenomics has helped understand some of the factors
responsible for ADRs caused by high
exposures and factors associated with the mechanism-of-action
of the drug and examples continue to emerge
where genetic markers identified patients at risk for serious,
often life threatening ADRs before
administration of drugs. (The reader is referred to Fernald et al
(2011) and to the US FDA) website -
http://www.fda.gov/drugs/scienceresearch/researchareas/
pharmacogenetics.
Single nucleotide polymorphisms are now recognized as the
main cause of human genetic
variability and are already a valuable resource for mapping
complex genetic traits. The
identification and validation of accurate biomarkers of
individual responses to drug or biologic
treatment remain prerequisite conditions ascribed to the
development of PM and other evolving
therapeutic strategies. The sequence variations in the genes for
proteins involved in drug
disposition can alter the pharmacokinetics of a drug, while
sequence variations in drug target genes
can change the pharmacodynamics of the drug (Figure 1).
Understanding genomics
The conference was prefaced with a session entitled
NutriGenomics Primer: Foundational
concepts for clinical practice, that emphasized the
understanding genomics with a focus on
http://www.fda.gov/drugs/scienceresearch/researchareas/%20ph
armacogenetics
Page | 4
nutrigenomics and clinical assessment and genomic validation
(Figure 1). The molecular basis of
disease provides the means for personalizing therapy with the
expectation of increased therapeutic
efficacy as the outcome. Because genetics is integrated into
health care, medical, pharmacologic,
and nutritional therapies will become more oriented toward the
genotype of each person. Nutrition
assessment and intervention will be the keys to preventing or
mitigating the expression of diseases
for which an individual is susceptible, essentially visualizing
the potential interactions of the
components of foods (Figure 2) can interact with the genetic
material to produce biomolecules that
work to maintain cellular homeostasis
Figure 2. Nutrigenomics in the context anticipated role of
dietary components: Nutritional genomics
offers insight into ways to tailor the diets of individuals and
populations. Personalized nutrition like its
parallel in medicine presents a new way of dealing with
individual nutritive health, using a “personalized”
approached sustained by high through-put technologies
including pharmacogenetics, pharmacogenomics
and epigenetics interlinked with genomic medicine (Google
slide from the presentation)
Understanding the difference between genomics and genetics,
how various SNPs (single
nucleotide polymorphisms) work to convey risk or benefit to an
individual not just alone but also
in combination and how methylation and other factors
contribute to the expression of DNA are
imperative concepts for the practitioner wanting to use
genomics as part of their arsenal of tools.
Metabolic Adaptability of Genetic and Nutritional Responses
Profiling of genetic nutritional responses can help in the
determination of which specific foods that
give the best biological response, based on an individual’s
DNA. Interestingly, fatty acids in
dietary triacylglycerols are transported from the intestines to
the rest of the body by large
Page | 5
lipoprotein particles called chylomicrons. Hormone signaling
releases fatty acids from adipose
tissue that bind to an abundant transport protein in serum called
albumin. The fatty acids that are
synthesized in the liver are carried through the body as
triacylglycerols by very low-density
lipoprotein particles. Fat is stored in fat cells (adipocytes).
Obesity, especially childhood obesity,
can be due to both, that is, more fat storage per cell, and to a
larger number of adipocytes. In
contrast, in normal healthy adults, the onset of old age and
reduced metabolic rates leads to weight
gain resulting primarily from storing more fat per cell (although
adults can also add more fat cells
if they become obese). The thematic review of Saini-Chohan et
al., (2012) is worth perusing by
the reader on fatty acid metabolism. The genomic disposition of
the individual has a direct bearing
in the control of metabolism which is nicely illustrated here.
Translating the Science of Nutrigenomics into Practice
A great deal has changed in the nutrigenetic testing environment
since the first nutrigenetic tests
appeared in the early 2000’s. The past two decades have seen an
exponential growth in the number
of genetic testing companies in the market place. Direct to
consumer companies such as 23andMe,
Ancestry.com and Helix personify how the consumer market has
been captured with low cost tests
and high technology, consumer friendly user interfaces. What is
missing from this conversation is
the use of practitioner-based nutrigenetic tests and the role of
the health professional in their
execution. Only a small percentage of genetic tests are being
sold through health practitioners, yet
countless publications have identified the health professional as
key to the delivery and translation
of nutrigenetic tests. There is need to understand the possible
reasons why health professionals
have not taken ownership of the growth, translation and
utilisation of nutrigenetic tests.
Neurocognition Personalized: Alzheimer’s and Neurocognition
Genomics
The limitations to care for clinicians that have access to their
patients' genomes resides on the
context that only a small percentage of the genome could be
used because such data come from
association studies, which tend to identify variants with small
effect sizes and have limited
applications for healthcare. Individuals have variations in the
composition of their genetic
characteristics (factored on strategies that embrace testing for
candidate-genes and genome-wide
association) that will affect the availability of functional
proteins which ultimately impacts
functional homeostasis and the outcome of drug therapy. The
brain reflex-receptor mechanism in
Page | 6
signaling for biomarkers and availability of enzymes for
metabolism is of critical importance here.
Biomarkers can be generically defined as unique characteristics
that can be objectively measured
as indicators of a biological or pathological process or
pharmacological response to a therapeutic
intervention, which then qualifies them to be potentially used
across the whole translational
medical research process. Biomarkers are therefore touted as the
next frontier in the realm of
modern medicine as they would represent the essentials in
guiding treatment decisions that could
enable complementary matching of specific drugs with
individual patients, effective patient
therapeutic dose and management of drug-related risks (Aruoma
and Bahorun, 2010; Shah 200;
Pacanowski and Zineh 2012). Neurocognition is great interest
given the fundamental role that the
brain reflex receptor mechanism plays in controlling dynamic
equilibrium.
Food, Mood and Metabolism
The use of personalized nutrition to optimize diet for
individuals based on genetic variation,
environment and needs to incorporate the added value of
personalization beyond standard
‘healthy’ advice that includes knowledge of differential
responses to diet and variations
metabolome associations across phenotypes. To take the context
of the gut microbiome further, an
interesting and unique view of the gut ecosystem is depicted in
Figure 3 (Moya and Ferrer 2016).
This presents a Multifunctional redundancy of intrinsic property
of an environment that is subject
to fluctuations. The authors argue that the gut microbiota
stability may be affected within a
temporal framework and in this context, bacteria turnover is a
healthy feature expected in the gut.
In order to ensure stability in the face of constant disturbance,
microbiota species are continuously
interchangeable by means of the metabolites produced by the
action of gene products contained in
the gut bacteria. Microbial genes and proteins and their
metabolites in the gut grow from a simple
structure in early life -usually dominated by bifidobacteria- to a
complex structure in adults.
Besides considering microbial composition and function, it is
important to consider, over time, the
contribution of resistance (no changes in microbiota
composition after being subjected to
disturbance), resilience (restoration of the initial composition
after disturbance), and functional
redundancy (recovering of the initial function despite
compositional changes). These
modifications are produced along a continuum and are shaped
by age, geography, lifestyle-related
Page | 7
factors, and medication. For instance, redundancy in the infant
gut may be higher than that found
in the adult gut.
Figure 3. A network-biology approach depicting the gut
microbiota is continuously changing in the gut
environment. Envision health as a reflection of the diversity and
composition of gut microbiota and its
metabolic status (Adapted from Moya and Ferrer 2016).
Applying Molecular DNA Technology in the Assessment of the
GI Microbiota as Part of an
Integrative Approach to Autoimmune Disease
The hygiene hypothesis and changes in early environmental
antigen exposure was postulated and
briefly explored as a contributing factor in the emergence of the
autoimmune epidemic in the
Western industrialized societies (Weiss 2002). New
opportunities for proactive screening for at-
risk subjects for autoimmune disorders such as rheumatoid
arthritis, ankylosing spondylitis,
inflammatory bowel diseases, diabetes, multiple sclerosis,
lupus, and others using emerging
predictive antibody testing was reviewed and discussed from the
perspective of the clinical
nutritionist and the nutritionally-minded physician. The various
established predictive antibodies
by disease, and their relative positive predictive value (PPV)
are outlined in Table 1. The use of
these testing methods is more of a predictive versus
confirmatory fashion) (Leslie et al 2001;
Vojdani 2008).
Page | 8
Table 1: Selected Predictive Autoantibody Tests
Disease/Disorder Autoantibody Tests Positive Predictive
Value
Years Prior to Clinical
Diagnosis
Addison’s Disease *Adrenal cortex antibodies 70 10
Celiac Disease *Anti-tissue transglutaminase
*Anti-endomysial antibodies
*HLA-DQ2 or DQ8 antigens
50-60%
50-60%
100%
7
Hashimoto’s Thyroiditis *Anti-thyroid peroxidase
antibodies (postpartum)
92% 7-10
Primary Biliary Cirrhosis *Anti-mitochondrial
antibodies
95% 26
Rheumatoid Arthritis *Rheumatoid factor
*Anti-cyclic citrullinated
peptide
62-88%
97%
14
Scleroderma *Anti-centromere antibodies
*Anti-topoisomerase I
antibodies
100%
11
Sjogren’s Syndrome *Anti-Ro and La antibodies 73% 5
SLE *RNP, Sm, dsDNA, Ro, La,
and cardioliptin antibodies
94-100% 7-10
Type I Diabetes *Pancreatic islet cell *Insulin
*65 kD glutamic acid
decarboxylase
*Tyrosine phosphatase-like
protein
43%
55%
42%
29%
14
CONCLUSION
Genomics is a powerful tool that can help with the delivery of
personalized medicine and
personalized nutrition. Nutrigenetics/Nutrigenomics
conceptualizes the research into the
“relationship between genes and nutrients from basic biology to
clinical practice.” By
understanding how genes alter the body’s response to nutrition
or how nutrition alters the body’s
response to defective genes, scientists are unlocking the codes
to health and longevity. The
understanding of the gut microbial community (from
composition to functional perspectives), needs
to be interwoven with genomic cross-talk with active gene
expression, protein synthesis, and
metabolism. Given that dietary components can alter gene
expression, practitioners need to now
understand that the degree to which diet influences health and
disease depends upon an
individual’s genetic make-up. The use of pharmacogenomics
technology must continue to be
defined and embrace diagnostic, prognostic, predictive
characteristic of diseases benchmarked on
variabilities of respective biomarkers.
Page | 9
REFERENCES
Ames B. DNA damage from micronutrient deficiencies is likely
to be a major cause of cancer.
Mutat Res. 2000; 475: 7-20.
Andersen SL, Sebastiani P, Dworkis DA, Feldman L, Perls TT.
Health span approximates life
span among many supercentenarians: Compression of morbidity
at the approximate limit
of life span. J Gerontol (Series A, Biol Sci Med Sci). 2012; 67:
395-405.
Arkadianos I, Valdes AM, Marinos E, Florou A, Gill RD,
Grimaldi KA. Improved weight
management using genetic information to personalize a calorie-
controlled diet. Nutr J.
2007; 6: 29.
Aruoma OI, Bahorun,T. (2010): Special Issue on
Pharmacogenomics and Pharmacogenetics:
Future of Biomarkers in Personalized Medicine. Toxicology.
278: 161-248
TYPICAL EXAMPLE TO BE FOLLOWED
Page | 1
STUDENT INDIVIDUAL TERM PAPER ASSIGNMENT
(This is NOT group work)
RUBRICS
Header Page (5%)
Title: select a working title of your choice
Student Name and Affiliation:
Bottom of header page must contain the following statement:
Report Submitted in Partial Fulfilment of the Requirement for
Completion of the Course “Nutritional Aspects
of Biochemistry” Spring Semester 2019
Abstract or Executive Summary (10%)
Introduction (30%)
Discussions (Sectioned) (30%)
Conclusion (10%)
References (APA Style) (10%)
Strategy and layout of paper (5%)
IMPORTANT NOTE: This is strict and final. You will either
satisfy each or you will not, which means that you
either receive the said mark or lose it. For example for the
introduction, you either receive 30% or 0% and no
in between.
Abstract
This should reflect the title of the paper bearing on the purpose
and/or theory with direct relevance to the
body of the paper. Do say that you will outline or discuss the
role of the entity in the context you aim to
explain, but state the outcome of the various aspects you would
have discussed/reviewed. This can contain
sentences from the conclusion as well (Ensure to review the
sample draft paper provided).
Introduction
Here you introduce the purpose/theory to reflect the title of the
paper and position the salient features of the
paper. If a modulation of pathophysiology, what is the etiology
of this and how has the prognosis been defined
over time? Why the interest in research? What would the
expected dietary intervention in the condition be
and what has existing practice shown? Make a case for your
paper and prepare the level playing field for the
discussions to follow. Do not personalize statements and all
must third party and passive.
Discussions (categorized this as sections)
Segment the body of the paper and discuss accordingly laying
out the context to reflect on the title and
purpose of the paper. Refer to the sample outline provided and
discuss your ideas with faculty in order to
help correctly position the vein of the paper. The structure must
fit the story you to tell. Again do not
personalize statements and all must third party and passive.
Conclusion
This should reflect the title of the paper bearing on the Sections
discussed and on the purpose of the paper
Start early and discuss you thoughts with me to ensure
alignment.
Page | 2
References (APA Style)
If you cite a paper, must list it. If you list a paper you must cite
it. Citations in the body of the paper is by use
of the author’s last names and year and then they listed
alphabetically. Refer to the sample draft provided.
Aruoma O. I., (2006). Title of paper. Toxicology, 221: 119-127
so you have something like the following:
Ames B. DNA damage from micronutrient deficiencies is likely
to be a major cause of cancer. Mutat Res.
2000; 475: 7-20.
Arkadianos I, Valdes AM, Marinos E, Florou A, Gill RD,
Grimaldi KA. Improved weight management using
genetic information to personalize a calorie- controlled diet.
Nutr J 2007; 6: 29.
Aruoma OI, Bahorun,T. (2010): Special Issue on
Pharmacogenomics and Pharmacogenetics: Future of
Biomarkers in Personalized Medicine. Toxicology. 278: 161-
248
Strategy and Format
The paper must be carefully formatted. Add page numbers, all
Tables, Figures, and Schemes used must be
sequentially numbered and completed with clear legends and
their ources correctly identified (see the sample
daft outline)
Key to Success: Star Early
Copyright © 2016 John Wiley & Sons, Inc. All rights reserved..docx

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Copyright © 2016 John Wiley & Sons, Inc. All rights reserved..docx

  • 1. Copyright © 2016 John Wiley & Sons, Inc. All rights reserved. Organizational Hierarchy of Biochemistry Copyright © 2017 W. W. Norton & Company Figure 1.4 A summary of the hierarchical organization and chemical complexity of living systems, including the seven hierarchical levels, along with examples of organizational complexities within these levels. Photo credits: 1.4[[a]] top Ecosystem: small lake in the dunes near Petten, Netherlands. Location is the Korfwater; JacobH/ iStock/ 360/ Getty Images 2 The transient receptor potential vanilloid 1 (TRPV1) channel is predicted to have six transmembrane domains and a short, pore-forming hydrophobic stretch between the fifth and sixth transmembrane
  • 2. domains. It is activated not only by the vanilloid capsaicin but by noxious heat and low pH Nature Reviews Cancer Surh, Y.-J. (2003) 5 This slide illustrates the chemical structures of representative chemopreventive phytochemicals and their dietary sources. Curcumin in the Tumeric, Resveratrol in the grapes, capsaicin in the peppers, diallylsulfide in the garlic etc., Anticarcinogenic effects of these phytochemicals have been observed in various experimental models. Diet and cardiovascular and metabolic risk – pathways and mechanisms. Dariush Mozaffarian Circulation. 2016;133:187-225 Copyright © American Heart Association, Inc. All rights reserved. Diet and cardiovascular and metabolic risk – pathways and mechanisms. Each of these dietary factors influences many or even all of these pathways, which could also be modified in some cases by underlying individual characteristics. Selected major effects are detailed in the text sections on each dietary factor.
  • 3. Assessed Individual Assignment You are required to write a commentary/literature research paper on “the role of a dietary factor (define) in foods in the management of health and disease” The subject can also be “the role of functional food (define) in management of health and disease Length of report: 10 -15 pages max (font size of 11 or 12) to include Figures, Tables and Schemes showing applicable mechanisms Report to have the following structure: Title, Student Name and Affiliation, Abstract or Executive Summary, Introduction, Sections/Discussion, Recommendation and/or Conclusion and References (APA style). Refer to Model paper Aruoma et al (2006) Toxicology 221: 119- 127 Submission Deadline: Online in CANVAS only Monday 29th April 2019 at 23:55pm. No late submission Let us take another look at the Course syllabus and you will note a requirement for student individual Assignment Title of Paper Student Name College of Natural and Social Sciences
  • 4. Department of Chemistry and Biochemistry California State University, Los Angeles, CA 90032 Report Submitted in Partial Fulfilment of the Requirement for Completion of the Course “Nutritional Aspects of Biochemistry” Spring Semester 2019 Abstract or Executive Summary Introduction Sections/Discussions Conclusion References (APA Style) Aruoma O. I., (2006). Title of paper. Toxicology, 221: 119-127 Page Numbers with all Tables, Figures, Schemes used to have clear legends and sources correctly identified Abstract This should reflect the title of the paper bearing on the purpose and/or theory with direct relevance to the body of the paper Introduction Purpose/Theory to reflect the title of the paper
  • 5. Sections/Discussions Segment the body of the paper and discuss accordingly laying out the context to reflect on the title and purpose of the paper Conclusion This should reflect the title of the paper bearing on the Sections discussed and on the purpose of the paper Start early and discuss you thoughts with me to ensure alignment. Remember that this is an individual assignment NOT group work Copyright © 2016 John Wiley & Sons, Inc. All rights reserved. This Assignment is worth 25% of the course mark PUBMED Search of peer reviewed publications No Wikipedia No use of online commentary forum Use only Peer reviewed publications
  • 6. Page | 1 SELECT A WORKING TITLE OF YOUR CHOICE Nutrition and Health: Translating the Science of NutriGenomics into Practice Okezie I Aruoma Department of Chemistry and Biochemistry, California State University Los Angeles, Los Angeles, CA 90032, USA Report Submitted in Partial Fulfilment of the Requirement for Completion of the Course “Nutritional Aspects of Biochemistry” Spring Semester 2019
  • 7. Page | 2 ABTRACT Adverse reactions to foods and adverse drug reactions are inherent in product defects, medication errors and differences in individual drug exposure. Pharmacogenetics is the study of genetic causes of individual variations in drug response and pharmacogenomics more broadly involves genome- wide analysis of the genetic determinants of drug efficacy and toxicity. The similarity of nutritional genomics and pharmacogenomics stems from the innate goal to identify genetic variants associated with metabolism and disease. Thus, nutrigenomics can be thought of as encompassing gene-diet interactions involving diverse compounds that are present in even the simplest foods. The advances in the knowledge base of the complex interactions among genotype, diet, lifestyle, and environment is the cornerstone that continue to elicit changes in current medical practice to ultimately yield personalized nutrition recommendations and health and risk assessment. This information could be used to understand how foods and dietary
  • 8. supplements uniquely affect the health of individuals and, hence, wellness. The individual’s gut microbiota is not only paramount but pivotal in embracing the multiple-functional relationships with complex metabolic mechanisms involved in maintaining cellular homeostasis. The genetic revolution has ushered in an exciting era, one in which many new opportunities are expected for nutrition professionals with expertise in nutritional genomics. Key words: Personalized nutrition, nutritional genomics, pharmacogenomics, single nucleotide polymorphism; next generation sequencing; gene- diet Interactions; metabolic Diseases, wellness and genomics, Alzheimer’s disease and cognitive decline; autoimmune diseases; overt inflammation and chronic diseases, gut microbiome Introduction Nutritional Genomics is the study of the effects of foods and food constituents on gene expression. Nutritional Genomics aims to develop a rational means to optimize nutrition through the
  • 9. identification of the person's genotype and this defines the relationship between nutrients and human health. Individuals cannot change their genetics, but they can eat the right foods to support genetic predispositions, take the right supplements to support gene variations and promote normal cell function and structure. Indeed, poor diet can be a risk factor of disease. Given that dietary components can alter gene expression, the degree to which diet influences health and disease depends upon an individual’s genetic make-up, the use of pharmacogenomics technology should Page | 3 be well defined in order to fully embrace diagnostic, prognostic, predictive characteristic. There are many in-roads ahead in this realization. Figure 1. Personal genomics connect genotype to phenotype and provide insight into disease. Pharmacogenomics has helped understand some of the factors responsible for ADRs caused by high
  • 10. exposures and factors associated with the mechanism-of-action of the drug and examples continue to emerge where genetic markers identified patients at risk for serious, often life threatening ADRs before administration of drugs. (The reader is referred to Fernald et al (2011) and to the US FDA) website - http://www.fda.gov/drugs/scienceresearch/researchareas/ pharmacogenetics. Single nucleotide polymorphisms are now recognized as the main cause of human genetic variability and are already a valuable resource for mapping complex genetic traits. The identification and validation of accurate biomarkers of individual responses to drug or biologic treatment remain prerequisite conditions ascribed to the development of PM and other evolving therapeutic strategies. The sequence variations in the genes for proteins involved in drug disposition can alter the pharmacokinetics of a drug, while sequence variations in drug target genes can change the pharmacodynamics of the drug (Figure 1). Understanding genomics
  • 11. The conference was prefaced with a session entitled NutriGenomics Primer: Foundational concepts for clinical practice, that emphasized the understanding genomics with a focus on http://www.fda.gov/drugs/scienceresearch/researchareas/%20ph armacogenetics Page | 4 nutrigenomics and clinical assessment and genomic validation (Figure 1). The molecular basis of disease provides the means for personalizing therapy with the expectation of increased therapeutic efficacy as the outcome. Because genetics is integrated into health care, medical, pharmacologic, and nutritional therapies will become more oriented toward the genotype of each person. Nutrition assessment and intervention will be the keys to preventing or mitigating the expression of diseases for which an individual is susceptible, essentially visualizing the potential interactions of the components of foods (Figure 2) can interact with the genetic material to produce biomolecules that work to maintain cellular homeostasis
  • 12. Figure 2. Nutrigenomics in the context anticipated role of dietary components: Nutritional genomics offers insight into ways to tailor the diets of individuals and populations. Personalized nutrition like its parallel in medicine presents a new way of dealing with individual nutritive health, using a “personalized” approached sustained by high through-put technologies including pharmacogenetics, pharmacogenomics and epigenetics interlinked with genomic medicine (Google slide from the presentation) Understanding the difference between genomics and genetics, how various SNPs (single nucleotide polymorphisms) work to convey risk or benefit to an individual not just alone but also in combination and how methylation and other factors contribute to the expression of DNA are imperative concepts for the practitioner wanting to use genomics as part of their arsenal of tools. Metabolic Adaptability of Genetic and Nutritional Responses Profiling of genetic nutritional responses can help in the determination of which specific foods that
  • 13. give the best biological response, based on an individual’s DNA. Interestingly, fatty acids in dietary triacylglycerols are transported from the intestines to the rest of the body by large Page | 5 lipoprotein particles called chylomicrons. Hormone signaling releases fatty acids from adipose tissue that bind to an abundant transport protein in serum called albumin. The fatty acids that are synthesized in the liver are carried through the body as triacylglycerols by very low-density lipoprotein particles. Fat is stored in fat cells (adipocytes). Obesity, especially childhood obesity, can be due to both, that is, more fat storage per cell, and to a larger number of adipocytes. In contrast, in normal healthy adults, the onset of old age and reduced metabolic rates leads to weight gain resulting primarily from storing more fat per cell (although adults can also add more fat cells if they become obese). The thematic review of Saini-Chohan et al., (2012) is worth perusing by
  • 14. the reader on fatty acid metabolism. The genomic disposition of the individual has a direct bearing in the control of metabolism which is nicely illustrated here. Translating the Science of Nutrigenomics into Practice A great deal has changed in the nutrigenetic testing environment since the first nutrigenetic tests appeared in the early 2000’s. The past two decades have seen an exponential growth in the number of genetic testing companies in the market place. Direct to consumer companies such as 23andMe, Ancestry.com and Helix personify how the consumer market has been captured with low cost tests and high technology, consumer friendly user interfaces. What is missing from this conversation is the use of practitioner-based nutrigenetic tests and the role of the health professional in their execution. Only a small percentage of genetic tests are being sold through health practitioners, yet countless publications have identified the health professional as key to the delivery and translation of nutrigenetic tests. There is need to understand the possible reasons why health professionals have not taken ownership of the growth, translation and
  • 15. utilisation of nutrigenetic tests. Neurocognition Personalized: Alzheimer’s and Neurocognition Genomics The limitations to care for clinicians that have access to their patients' genomes resides on the context that only a small percentage of the genome could be used because such data come from association studies, which tend to identify variants with small effect sizes and have limited applications for healthcare. Individuals have variations in the composition of their genetic characteristics (factored on strategies that embrace testing for candidate-genes and genome-wide association) that will affect the availability of functional proteins which ultimately impacts functional homeostasis and the outcome of drug therapy. The brain reflex-receptor mechanism in Page | 6 signaling for biomarkers and availability of enzymes for metabolism is of critical importance here. Biomarkers can be generically defined as unique characteristics
  • 16. that can be objectively measured as indicators of a biological or pathological process or pharmacological response to a therapeutic intervention, which then qualifies them to be potentially used across the whole translational medical research process. Biomarkers are therefore touted as the next frontier in the realm of modern medicine as they would represent the essentials in guiding treatment decisions that could enable complementary matching of specific drugs with individual patients, effective patient therapeutic dose and management of drug-related risks (Aruoma and Bahorun, 2010; Shah 200; Pacanowski and Zineh 2012). Neurocognition is great interest given the fundamental role that the brain reflex receptor mechanism plays in controlling dynamic equilibrium. Food, Mood and Metabolism The use of personalized nutrition to optimize diet for individuals based on genetic variation, environment and needs to incorporate the added value of personalization beyond standard
  • 17. ‘healthy’ advice that includes knowledge of differential responses to diet and variations metabolome associations across phenotypes. To take the context of the gut microbiome further, an interesting and unique view of the gut ecosystem is depicted in Figure 3 (Moya and Ferrer 2016). This presents a Multifunctional redundancy of intrinsic property of an environment that is subject to fluctuations. The authors argue that the gut microbiota stability may be affected within a temporal framework and in this context, bacteria turnover is a healthy feature expected in the gut. In order to ensure stability in the face of constant disturbance, microbiota species are continuously interchangeable by means of the metabolites produced by the action of gene products contained in the gut bacteria. Microbial genes and proteins and their metabolites in the gut grow from a simple structure in early life -usually dominated by bifidobacteria- to a complex structure in adults. Besides considering microbial composition and function, it is important to consider, over time, the contribution of resistance (no changes in microbiota composition after being subjected to
  • 18. disturbance), resilience (restoration of the initial composition after disturbance), and functional redundancy (recovering of the initial function despite compositional changes). These modifications are produced along a continuum and are shaped by age, geography, lifestyle-related Page | 7 factors, and medication. For instance, redundancy in the infant gut may be higher than that found in the adult gut. Figure 3. A network-biology approach depicting the gut microbiota is continuously changing in the gut environment. Envision health as a reflection of the diversity and composition of gut microbiota and its metabolic status (Adapted from Moya and Ferrer 2016). Applying Molecular DNA Technology in the Assessment of the GI Microbiota as Part of an Integrative Approach to Autoimmune Disease
  • 19. The hygiene hypothesis and changes in early environmental antigen exposure was postulated and briefly explored as a contributing factor in the emergence of the autoimmune epidemic in the Western industrialized societies (Weiss 2002). New opportunities for proactive screening for at- risk subjects for autoimmune disorders such as rheumatoid arthritis, ankylosing spondylitis, inflammatory bowel diseases, diabetes, multiple sclerosis, lupus, and others using emerging predictive antibody testing was reviewed and discussed from the perspective of the clinical nutritionist and the nutritionally-minded physician. The various established predictive antibodies by disease, and their relative positive predictive value (PPV) are outlined in Table 1. The use of these testing methods is more of a predictive versus confirmatory fashion) (Leslie et al 2001; Vojdani 2008). Page | 8
  • 20. Table 1: Selected Predictive Autoantibody Tests Disease/Disorder Autoantibody Tests Positive Predictive Value Years Prior to Clinical Diagnosis Addison’s Disease *Adrenal cortex antibodies 70 10 Celiac Disease *Anti-tissue transglutaminase *Anti-endomysial antibodies *HLA-DQ2 or DQ8 antigens 50-60% 50-60% 100% 7 Hashimoto’s Thyroiditis *Anti-thyroid peroxidase antibodies (postpartum) 92% 7-10 Primary Biliary Cirrhosis *Anti-mitochondrial
  • 21. antibodies 95% 26 Rheumatoid Arthritis *Rheumatoid factor *Anti-cyclic citrullinated peptide 62-88% 97% 14 Scleroderma *Anti-centromere antibodies *Anti-topoisomerase I antibodies 100% 11 Sjogren’s Syndrome *Anti-Ro and La antibodies 73% 5 SLE *RNP, Sm, dsDNA, Ro, La, and cardioliptin antibodies 94-100% 7-10
  • 22. Type I Diabetes *Pancreatic islet cell *Insulin *65 kD glutamic acid decarboxylase *Tyrosine phosphatase-like protein 43% 55% 42% 29% 14 CONCLUSION Genomics is a powerful tool that can help with the delivery of personalized medicine and personalized nutrition. Nutrigenetics/Nutrigenomics conceptualizes the research into the “relationship between genes and nutrients from basic biology to clinical practice.” By understanding how genes alter the body’s response to nutrition or how nutrition alters the body’s
  • 23. response to defective genes, scientists are unlocking the codes to health and longevity. The understanding of the gut microbial community (from composition to functional perspectives), needs to be interwoven with genomic cross-talk with active gene expression, protein synthesis, and metabolism. Given that dietary components can alter gene expression, practitioners need to now understand that the degree to which diet influences health and disease depends upon an individual’s genetic make-up. The use of pharmacogenomics technology must continue to be defined and embrace diagnostic, prognostic, predictive characteristic of diseases benchmarked on variabilities of respective biomarkers. Page | 9 REFERENCES Ames B. DNA damage from micronutrient deficiencies is likely to be a major cause of cancer.
  • 24. Mutat Res. 2000; 475: 7-20. Andersen SL, Sebastiani P, Dworkis DA, Feldman L, Perls TT. Health span approximates life span among many supercentenarians: Compression of morbidity at the approximate limit of life span. J Gerontol (Series A, Biol Sci Med Sci). 2012; 67: 395-405. Arkadianos I, Valdes AM, Marinos E, Florou A, Gill RD, Grimaldi KA. Improved weight management using genetic information to personalize a calorie- controlled diet. Nutr J. 2007; 6: 29. Aruoma OI, Bahorun,T. (2010): Special Issue on Pharmacogenomics and Pharmacogenetics: Future of Biomarkers in Personalized Medicine. Toxicology. 278: 161-248 TYPICAL EXAMPLE TO BE FOLLOWED Page | 1
  • 25. STUDENT INDIVIDUAL TERM PAPER ASSIGNMENT (This is NOT group work) RUBRICS Header Page (5%) Title: select a working title of your choice Student Name and Affiliation: Bottom of header page must contain the following statement: Report Submitted in Partial Fulfilment of the Requirement for Completion of the Course “Nutritional Aspects of Biochemistry” Spring Semester 2019 Abstract or Executive Summary (10%) Introduction (30%) Discussions (Sectioned) (30%) Conclusion (10%) References (APA Style) (10%) Strategy and layout of paper (5%) IMPORTANT NOTE: This is strict and final. You will either satisfy each or you will not, which means that you either receive the said mark or lose it. For example for the introduction, you either receive 30% or 0% and no in between. Abstract This should reflect the title of the paper bearing on the purpose and/or theory with direct relevance to the body of the paper. Do say that you will outline or discuss the role of the entity in the context you aim to explain, but state the outcome of the various aspects you would have discussed/reviewed. This can contain sentences from the conclusion as well (Ensure to review the
  • 26. sample draft paper provided). Introduction Here you introduce the purpose/theory to reflect the title of the paper and position the salient features of the paper. If a modulation of pathophysiology, what is the etiology of this and how has the prognosis been defined over time? Why the interest in research? What would the expected dietary intervention in the condition be and what has existing practice shown? Make a case for your paper and prepare the level playing field for the discussions to follow. Do not personalize statements and all must third party and passive. Discussions (categorized this as sections) Segment the body of the paper and discuss accordingly laying out the context to reflect on the title and purpose of the paper. Refer to the sample outline provided and discuss your ideas with faculty in order to help correctly position the vein of the paper. The structure must fit the story you to tell. Again do not personalize statements and all must third party and passive. Conclusion This should reflect the title of the paper bearing on the Sections discussed and on the purpose of the paper Start early and discuss you thoughts with me to ensure alignment. Page | 2 References (APA Style)
  • 27. If you cite a paper, must list it. If you list a paper you must cite it. Citations in the body of the paper is by use of the author’s last names and year and then they listed alphabetically. Refer to the sample draft provided. Aruoma O. I., (2006). Title of paper. Toxicology, 221: 119-127 so you have something like the following: Ames B. DNA damage from micronutrient deficiencies is likely to be a major cause of cancer. Mutat Res. 2000; 475: 7-20. Arkadianos I, Valdes AM, Marinos E, Florou A, Gill RD, Grimaldi KA. Improved weight management using genetic information to personalize a calorie- controlled diet. Nutr J 2007; 6: 29. Aruoma OI, Bahorun,T. (2010): Special Issue on Pharmacogenomics and Pharmacogenetics: Future of Biomarkers in Personalized Medicine. Toxicology. 278: 161- 248 Strategy and Format The paper must be carefully formatted. Add page numbers, all Tables, Figures, and Schemes used must be sequentially numbered and completed with clear legends and their ources correctly identified (see the sample daft outline) Key to Success: Star Early