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Category Archives: Transhuman News
The Age of the Pangenome Dawns – DNA Science – PLOS
Posted: October 13, 2022 at 12:50 pm
Pan has several meanings.
As a noun, it refers to a round metal container that often has a long handle and a lid.
As a verb, it means criticism, like panning a film.
Peter Pan refers to an adult who doesnt want to behave like one, from Sir James Barries play about the boy who didnt want to grow up
As a prefix, pan, from the Greek, means all, every, whole, and all-inclusive.
Sigmund Freud reportedly used the term pan-sexualism in 1914, to mean sex as a motivator of all things.
In genetics, the human pangenome is a complete reference of human genome diversity. It is envisioned as a new type of map that represents all of the ways that the sequence of 3,054,832 billion DNA base pairs the building blocks of a genome vary, plus or minus a few from short repeated sequences. The depiction is so densely packed that it resembles a map of the New York City subway system.
The Human Pangenome Reference Consortium is spearheading creation of a genome reference representation that can capture all human genome variation and support research on the full diversity of populations.
Such a resource is of course long overdue. Now that more than 30 million people have had their genomes sequenced, its strange to think back about talk of the human genome, as if we are all identical identical for each of the 4 DNA nitrogenous bases A, C, T, or G occupying each of the 3 billion slots. Were not clones. But most biotechnologies take about 3 decades to mature, and since the human genome project got started in the early 1990s, things seem right about on schedule for a broader look.
Back in the mid 1980s, when I first attended meetings where the idea of sequencing the human genome surfaced, the task was expected to take at least a decade. About 93 percent of the first draft human genome sequence published in 2001 from the NHGRI and partners came from only 11 people, with 70 percent of the total from just one man, who was of 37 percent African ancestry and 57 percent European ancestry. The human genome published from Celera Genomics was reportedly Craig Venters, head of that company.
After that, genome sequences began to trickle in, from celebrities, other rich folks, a handful of journalists who cranked out articles and books revealing their genetic selves, and a series of firsts African, Han Chinese, and several modern peoples with ancient roots.
Its a little mind boggling to realize that today we can access our genome sequence data on our smartphones.
Researchers began to catalog human genome diversity as the human genome project was winding down, by identifying single-base places in genomes that vary among individuals. These are the single nucleotide polymorphisms, or SNPs. As SNP collections peppered the chromosomes ever more densely, researchers quickly realized that new tools were needed to depict the unfurling diversity of our DNA.
Despite these sequencing advances, we still have a lot to learn about human genetic diversity, and that calls for comparisons. Enter the human pangenome effort.
The diversity of our genome sequences is staggering. A study of whole genome sequences for 53,831 people found distinctions at 400 million places! Most were SNPs or an extra or missing DNA base. But it may be that much of our variability comes from only a few people. About 97 percent of the 400 million points of distinction came from less than one percent of the 53,831 participants, with 46 percent of them in only one person. We vary genetically in many ways, and some of us vary more than others, but we are all human.
For a few years, researchers compiled reference genome sequences to account for diversity in specific populations. These digital sequences displayed the most common DNA base found in many genomes from the group, at each point. But updating reference genomes took a long time, and it was a thankless task, never complete. By 2010, when more data from Asians and Africans had been added to reference genomes, still 5 million gaps in the reference sequences remained.
As the data swiftly outgrew attempts to capture genome diversity in a simple, clear visual tool, the idea emerged of the human pangenome: a complete reference of human genome diversity. The Human Pangenome Project officially began in 2019, and within a year, filled in the gaps remaining in genome sequences. The goal was to display the genome sequences of an initial 350 people from diverse ethnic groups, using computational pangenomics tools to create visuals called genome graphs.
In a genome graph, color-coded bases superimposed on the DNA depiction indicate how people vary, site-by-site. Like a geographical map with symbols denoting campgrounds, rest stops, and places of interest, genome graphs indicate SNPs and also missing parts of the genome sequence, extra hunks, and inverted regions. It also indicates meanings and context, such as distinguishing protein-encoding genes from control sequences, and highlighting places where the DNA sequence can be read from different starting points, which tells the cell to make different protein products.
The data pouring into the human pangenome project are coming from population biobanks and various genome sequencing projects. When all of this information is superimposed on the chromosome-length sketches, the genome graph indeed begins to resemble a subway map.
I grew up riding the New York City subways. Just as more train lines converge at the citys center, Manhattan, with only a few lines extending into the boroughs, so too are the protein-encoding genes clustered toward each chromosomes centromere, growing more sparse out towards the tips, the telomeres.
I think back in wonder at the first human genome meeting I attended, in 1986, I think in Boston. Its been a long, strange trip, but were finally beginning to understand how a 4-letter language can spell out the astounding diversity of the human animal.
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The Age of the Pangenome Dawns - DNA Science - PLOS
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Influence of the microbiome, diet and genetics on inter-individual variation in the human plasma metabolome – Nature.com
Posted: at 12:50 pm
Untargeted plasma metabolites in Dutch cohorts
In this study, we examined plasma metabolomes in 1,679 fasting plasma samples from 1,368 individuals from two LLD5 sub-cohorts (LLD1 and LLD2) and the GoNL6 cohort (Extended Data Fig. 1 and Supplementary Table 1). The LLD1 cohort was the discovery cohort, with information about genetics, diet and the gut microbiome available for 1,054 participants. Moreover, 311 LLD1 subjects were followed up 4years later (LLD1 follow-up). We also included two independent replication cohorts: 237 LLD2 participants for whom we had genetic and dietary data and 77 GoNL participants for whom only genetic data were available (Extended Data Fig. 1 and Supplementary Table 1). Untargeted metabolomics profiling was done using flow-injection time-of-flight mass spectrometry (FI-MS)10,11, which yielded plasma levels of 1,183 metabolites (Supplementary Table 2). These metabolites covered a wide range of lipids, organic acids, phenylpropanoids, benzenoids and other metabolites (Extended Data Fig. 2a). As we observed weak (absolute rSpearman<0.2) correlations among the 1,183 metabolites (Extended Data Fig. 2b), data reduction was not required and, consequently, all metabolites were subjected to subsequent analyses. We validated the identification and quantification of some metabolites (for example, bile acids, creatinine, lactate, phenylalanine and isoleucine) by comparing their abundance levels from FI-MS with those previously determined by liquid chromatography with tandem mass spectrometry (LC-MS/MS)12 or NMR13 (rSpearman>0.62; Extended Data Fig. 2c,d).
To compare the relative importance of diet, genetics and the gut microbiome in explaining inter-individual plasma metabolome variability, we calculated the proportion of variance explained by these three factors for the whole plasma metabolome profile and for the individual metabolites separately. We have detailed information on 78 dietary habits (Supplementary Table 3), 5.3million human genetic variants and the abundances of 156 species and 343 MetaCyc pathways for each individual of the LLD1 cohort. Diet, genetics and the gut microbiome could explain 9.3, 3.3 and 12.8%, respectively, of inter-individual variations in the whole plasma metabolome, without adjusting for covariates (see the Methods section Distance matrix-based variance estimation; false discovery rate (FDR)<0.05; Fig. 1a and Supplementary Table 4), whereas intrinsic factors (age, sex and body mass index (BMI)) and smoking collectively explained 4.9% of the variance. Together, these factors explain 25.1% of the variance in the plasma metabolome (Fig. 1a).
a, Inter-individual variation in the whole plasma metabolome explained by the indicated factors, estimated using the PERMANOVA method. All, all of the indicated factors combined; smk, smoking status. b, Venn diagram indicating the number of metabolites whose inter-individual variation was significantly explained by diet, genetics or the gut microbiome, as estimated using the linear regression method (FDRF-test<0.05). c, Inter-individual variations in metabolites explained by diet, genetics or the gut microbiome, as estimated using the linear regression method (the lasso regression method was applied for feature selection) with a significant estimated adjusted r2>5% (FDRF-test<0.05). The blue bars represent dietary contributions to metabolite variations, the yellow bars indicate genetic contributions and the orange bars indicate microbial contributions. The other colors indicate the metabolic categories of metabolites (see legend). The yaxis indicates the proportion of variation explained. TMAO, trimethylamine N-oxide.
Next, we tested for pairwise associations between each metabolite and the dietary variables, genetic variants and microbial taxa. We observed 2,854 associations with dietary habits (Supplementary Table 5), 48 associations with 40 unique genetic variants (metabolite quantitative trait loci (mQTLs); Supplementary Table 6), 1,373 associations with gut bacterial species (Supplementary Table 7) and 2,839 associations with bacterial MetaCyc pathways (Supplementary Table 8) (see the Methods sections Associations with dietary habits, QTL mapping and Microbiome-wide associations). In total, 769 metabolites were significantly associated with at least one factor (Fig. 1b and Supplementary Tables 58). We then performed interaction analysis to assess the role of dietmicrobiome, geneticsmicrobiome and dietgenetics interactions in regulating the human metabolome using an interaction term in the linear model (see the Methods section Interaction analysis). Among these, 185 metabolites were associated with multiple factors and seven were affected by either geneticsmicrobiome, geneticsdiet or dietmicrobiome interactions (Supplementary Table 9).
As interactions were limited, we further assessed the proportion of variance of each metabolite that was explained by these factors using an additive model with the least absolute shrinkage and selection operator (lasso) method (see the Methods section Estimating the variance of individual metabolites). In general, the inter-individual variations in 733 metabolites could be explained by at least one of the three factors (FDRF-test<0.05; Supplementary Table 10). In detail, dietary habits contributed 0.435% of the variance in 684 metabolites; microbial abundances contributed 0.725% of the variance in 193 metabolites; and genetic variants contributed 328% of the variance in 44 metabolites (adjusted r2; FDRF-test<0.05; Supplementary Table 10). We also estimated the explained variance of metabolites using Elastic Net14, which is designed for highly correlated features, and found that the estimated explained variances were comparable between linear regression and the Elastic Net regression (Supplementary Fig. 1).
We further compared the variance explained by each type of factor (diet, genetics or the microbiome) and assigned the dominant factor for each metabolite if one factor explained more variance than the other two. Inter-individual variations in 610 metabolites were mostly explained by diet, 85 were explained by the gut microbiome and 38 were explained by genetics (Supplementary Table 10). Hereafter, we refer to these as diet-dominant, microbiome-dominant and genetics-dominant metabolites, respectively. The dominant factors of metabolites highlight their origin. For instance, ten out of the 21 diet-dominant metabolites for which diet explained >20% of the variance (FDRF-test<0.05; Supplementary Table 10) were food components based on their annotation in the Human Metabolome Database (HMDB)15. Similarly, of the 85 microbiome-dominant metabolites, 23 were annotated in the HMDB as microbiome-related metabolites (including 15 uremic toxins). Furthermore, out of the 38 genetics-dominant metabolites, ten were lipid species and eight were amino acids. Taken together, our analysis highlights that one factoreither dietary, genetic or microbialcan have a dominant effect over the other two in explaining the variances of plasma metabolites, with diet or the microbiome being particularly dominant. However, we also found that the variances in 185 metabolites were significantly attributable to more than one factor (Supplementary Table 10), including six metabolites associated with both genetics and the microbiome and 153 metabolites associated with both diet and the microbiome. For example, genetics and the microbiome explained 4 and 5%, respectively, of the variance in plasma 5-carboxy--chromanol (Fig. 1c)a dehydrogenated carboxylate product of 5-hydroxy--tocopherol16 that may reduce cancer and cardiovascular risk17. Another example is hippuric acida uremic toxin that can be produced by bacterial conversion of dietary proteins18, with 13% of its variance explained by diet and 13% explained by the microbiome (Fig. 1c).
Temporal changes in plasma metabolites can reflect changes in an individuals diet, gut microbiome and health status. When assessing the plasma metabolome in the 311 LLD1 follow-up samples, we indeed observed a significant shift in the plasma metabolome, with a significant difference in the second principal component (PPC1 paired Wilcoxon=0.1 and PPC2 paired Wilcoxon=1.3105; Fig. 2a). Baseline genetics, diet and microbiome, together with age, sex and BMI, could explain 59.4% of the variance in the follow-up plasma metabolome (PPERMANOVA=0.004) (Supplementary Fig. 2). We also observed that temporal stability can vary substantially between different metabolites (see the Methods section Temporal consistency of individual metabolites; Supplementary Table 11). Previously, we had assessed the changes in the gut microbiome in the LLD1 follow-up cohort and linked these to changes in the plasma metabolome7. Here, we further checked the temporal variability of the plasma metabolome and assessed the stability of diet-, microbiome- and genetics-dominant metabolites over time. Interestingly, the temporal correlation of the microbiome-dominant metabolites was similar to that of the genetics-dominant metabolites (PWilcoxon=0.51; Fig. 2b), whereas the temporal correlation between diet-dominant metabolites was significantly lower than between microbiome- and genetics-dominant metabolites (PWilcoxon<3.4105; Fig. 2b). However, the dominant dietary, microbial and genetic factors identified at baseline also explained similar variance in metabolic levels in the follow-up samples (Extended Data Fig. 3 and Supplementary Table 10). Our data also revealed a positive correlation between stability and the amount of variance that could be explained: the more variance explained, the more stable a metabolite is over time (Fig. 2c). For a few metabolites, we could not replicate the variance explained at baseline at the second time point, and these metabolites also showed weak or no correlation in their abundances between the two time points. For example, N-acetylgalactosamine showed very weak correlation between the two time points (r=0.13; P=0.02), and its genetic association was not replicated at the second time point.
a, Principal component analysis of metabolite levels at two time points (Euclidean dissimilarity). The green dots indicate baseline samples and the orange dots indicate follow-up samples (n=311 biologically independent samples). The KruskalWallis test (two sided) was used to check differences between baseline and follow-up. b, Temporal stability of metabolites stratified by the dominantly associated factor for each metabolite. The Wilcoxon test (two sided) was used to check the differences between groups. Each dot represents one metabolite. The yaxis indicates the Spearman correlation coefficient of abundances of each metabolite between two time points (n=311 biologically independent samples). In a and b, the box plots show the median and first and third quartiles (25th and 75th percentiles) of the first and second principal components (a) or correlation coefficients (b); the upper and lower whiskers extend to the largest and smallest value no further than 1.5 the interquartile range (IQR), respectively; and outliers are plotted individually. c, Correlation between metabolite stability and the metabolite variance explained by diet (left), genetics (middle) and the microbiome (right). The xaxis indicates the inter-individual variation explained by each factor and the yaxis indicates the Spearman correlation coefficient (two sided) of abundances of each metabolite between the two time points. The dashed white lines show the best fit and the gray shading represents the 95% confidence interval (CI) (n=311 biologically independent samples).
Having established the variances in metabolites explained by diet, genetics and the gut microbiome and the dominant factors that explained most of this variance, we focused on detailing specific associations and on the potential implications of our findings for assessing diet quality and improving our understanding of the genetic risk of complex diseases and the interaction and causality relationships among diet, the microbiome, genetics and metabolism.
We observed 2,854 significant associations (FDRSpearman<0.05) between 74 dietary factors and 726 metabolites (Fig. 3a and Supplementary Table 5; see the Methods section Lifelines diet quality score prediction). Associations with food-specific metabolites can, in theory, be used to verify food questionnaire data. For instance, the strongest association we observed was between quinic acid levels and coffee intake (rSpearman=0.54; P=1.61080; Fig. 3b). Quinic acid is found in a wide variety of different plants but has a particularly high concentration in coffee. Another example is 2,6-dimethoxy-4-propylphenol, which was strongly associated with fish intake (rSpearman=0.53; P=1.51076; Fig. 3c). This association is expected as this compound is particularly present in smoked fish according to HMDB annotation15. In addition, we also detected associations between dietary factors and metabolic biomarkers of some diseases. For example, 1-methylhistidine is a biomarker for cardiometabolic diseases including heart failure19 that is enriched in meat, and we observed significant associations between 1-methylhistidine and meat (rSpearman=0.12; P=7.2105) and fish intake (rSpearman=0.11; P=3.1104) as well as a lower level of 1-methylhistidine in vegetarians (rSpearman=0.15; P=9.7107; Fig. 3d).
a, Summary of the associations between diet and metabolites. The bars represent dietary habits, with the bar order sorted by the number of significant associations. Association directions are colored differently: orange indicates a positive association, whereas blue indicates a negative association. The length of each bar indicates the number of significant associations at FDR<0.05 (Spearman; two sided). b, Association between plasma quinic acid levels and coffee intake. The x and yaxes indicate residuals of coffee intake and the metabolic abundance after correcting for covariates, respectively (n=1,054 biologically independent samples). c, Association between plasma 2,6-dimethoxy-4-propylphenol levels and fish intake frequency (n=1,054 biologically independent samples). The x and yaxes refer to residuals of fish intake and metabolic abundance after correcting for covariates, respectively. d, Differential plasma levels of 1-methylhistidine between vegetarians and non-vegetarians (n=1,054 biologically independent samples). The yaxis indicates normalized residuals of metabolic abundance. The Pvalue from the Wilcoxon test (two sided) is shown. The box plots show the median and first and third quartiles (25th and 75th percentiles) of the metabolite levels. The upper and lower whiskers extend to the largest and smallest value no further than 1.5 the IQR, respectively. Outliers are plotted individually. e, Association between the diet quality score predicted by the plasma metabolome (yaxis) and the diet quality score assessed by the FFQ (xaxis) (n=237 biologically independent samples). In b, c and e, each gray dot represents one sample, the dark gray dashed line shows the linear regression line and the gray shading represents the 95% CI. In b and c, the association strength was assessed using Spearman correlation (two sided; the correlation coefficient and Pvalue are reported) and in e, the prediction performance was assessed with linear regression (F-test; two sided; the adjusted r2 value and Pvalue are reported).
Given the relationship between diet, metabolism and human health, we wondered whether the plasma metabolome could predict diet quality. For each of the Lifelines participants, we constructed a Lifelines Diet Score based on food frequency questionnaire (FFQ) data that reflected the relative diet quality based on dietdisease relationships8. To build a metabolic model to predict an individuals diet quality, we used LLD1 as the training set and LLD2 as the validation set. The resulting metabolic model included 76 metabolites, 51 of which were dominantly associated with diet. The diet score predicted by metabolites showed a significant association with the real diet score assessed by the FFQ in the validation set (r2adjusted=0.27; PF-test=3.5105; Fig. 3e). We also tested four other dietary scores (the Alternate Mediterranean Diet Score20, Healthy Eating Index (HEI)21, Protein Score22 and Modified Mediterranean Diet Score23) and found that the HEI predicted by plasma metabolites was also significantly associated with the FFQ-based HEI (r2adjusted=0.23; PF-test=6.5105; Supplementary Table 12).
Genetic associations of plasma metabolites may provide functional insights into the etiologies of complex diseases. After correcting for the first two genetic principal components, age, sex, BMI, smoking, 78 dietary habits, 40 diseases and 44 medications, QTL mapping in LLD1 identified 48 study-wide, independent genetic associations between 44 metabolites and 40 single-nucleotide polymorphisms (SNPs) (PSpearman<4.21011; clumping r2=0.05; clumping window=500kilobases (kb); Fig. 4a and Supplementary Table 6). All 48 genetic associations were replicated in either LLD1 follow-up or the two independent replication datasets (LLD2 and GoNL; Supplementary Fig. 3 and Supplementary Table 6). We also assessed the impact of physical activity, as assessed by questionnaires24, on the genetics association of metabolism, but found its influence to be negligible (Supplementary Fig. 4). Functional mapping and annotation (FUMA) of genome-wide association studies (GWAS)25 analysis revealed that the identified mQTLs were enriched in genes expressed in the liver and kidney (Extended Data Fig. 4) and related to metabolic phenotypes (Supplementary Table 6).
a, Manhattan plot showing 48 independent mQTLs identified linking 44 metabolites and 40 genetic variants with P<4.21011 (Spearman; two sided). Representative genes for the SNPs with significant mQTLs are labeled. b, Association between a tag SNP (rs1495741) of the NAT2 gene and plasma AFMU levels. c, Association between a SNP (rs13100173) within the HYAL3 gene and plasma levels of N-acetylgalactosamine-4-sulfate. d, Association between a tag SNP (rs17789626) of the SCLT1 gene and plasma mizoribine levels. e, Differences in coffee intake between participants with different genotypes at rs1495741. f, Correlations between coffee intake and AFMU in participants with different genotypes at rs1495741. g, Differences in bacterial fatty acid -oxidation pathway abundance in participants with different genotypes at rs67981690. h, Correlations between bacterial fatty acid -oxidation pathway abundance and 5-carboxy--chromanol in participants with different genotypes at rs67981690. In be and g, the xaxis indicates the genotype of the corresponding SNP and the yaxis indicates normalized residuals of the corresponding metabolic abundance (n=927 biologically independent samples). Each dot represents one sample. The box plots show the median and first and third quartiles (25th and 75th percentiles) of the metabolite levels. The upper and lower whiskers extend to the largest and smallest value no further than 1.5 the IQR, respectively. Outliers are plotted individually. The association strength is shown by the Spearman correlation coefficient and corresponding Pvalue (two sided). In f and h, the xaxis indicates the normalized abundance of coffee intake (f) or the bacterial fatty acid -oxidation pathway (h) and the yaxis indicates the normalized residuals of the corresponding metabolic abundance. Each dot represents one sample (n=927 biologically independent samples). The lines indicate linear regressions for each genotype group separately. Areas with light gray shading indicate the 95% CI of the linear regression lines. The association strength per genotype is shown by the Spearman correlation and the corresponding Pvalue (two sided).
The strongest association we found was between the caffeine metabolite 5-acetylamino-6-formylamino-3-methyluracil (AFMU) and SNP rs1495741 near the N-acetyltransferase 2 (NAT2) gene (rSpearman=0.52; P=1.71066; Fig. 4b), which showed strong linkage disequilibrium (r2=0.98) with a SNP, rs35246381, that was recently reported to be associated with urinary AFMU26. AFMU is a direct product of NAT2 activity and has been associated with bladder cancer risk27. Interestingly, the plasma level of AFMU was associated not only with coffee intake (rSpearman=0.29; P=9.21022; Supplementary Table 5) and the genotype of rs1495741, but also with their interactions (Supplementary Table 9). Individuals with a homologous AA genotype had a similar level of coffee intake, but their correlation between coffee intake and plasma AFMU level was significantly lower compared with individuals with GG and GA genotypes (Fig. 4e,f).
Pleotropic mQTL effects were also observed at several loci, including SLCO1B1, FADS2, KLKB1 and PYROXD2 (Supplementary Table 6). For example, three associations (related to three metabolites, two of them lipids) were observed for two SNPs (rs67981690 and rs4149067; linkage disequilibrium r2=0.72 in Northern Europeans from Utah) in SLCO1B1, which encodes the solute carrier organic anion transporter family member 1B1. Expression of the SLCO1B1 protein is specific to the liver, where this transporter is involved in the transport of various endogenous compounds and drugs, including statins28, from blood into the liver. The SLCO1B1 locus has also been linked to plasma levels of fatty acids and to statin-induced myopathy29. Furthermore, we detected a geneticsmicrobiome interaction between rs67981690 and microbial fatty acid oxidation pathways in regulating plasma levels of 5-carboxy--chromanol (P=1.5103), where the association of the bacterial fatty acid oxidation pathway with plasma levels of 5-carboxy--chromanol was dependent on the genotype of rs67981690 (Fig. 4g,h).
To identify novel mQTLs, we performed a systematic search of all published mQTL studies from 2008 onwards (Supplementary Table 13). This approach identified three novel mQTLs in our datasets (Supplementary Table 13) that were either not located close to previously reported mQTLs (distance>1,000kb) or not in linkage disequilibrium (r2<0.05). The first two novel SNPsrs13100173 at HYAL3 and rs11741352 at ARSBwere associated with N-acetylgalactosamine-4-sulfate (Fig. 4c,d), which is associated with mucopolysaccharidosis30. Interestingly, N-acetylgalactosamine-4-sulfate can bind to HYAL proteins (HYAL1, HYAL2, HYAL3 and HYAL4), suggesting that mQTLs can also pinpoint potential metaboliteprotein interactions. The third novel mQTL was rs17789626 at SCLT1, which was associated with mizoribinea compound used to treat nephrotic syndrome31.
We established 4,212 associations between 208 metabolites and 314 microbial factors (114 species and 200 MetaCyc pathways) (FDRLLD1<0.05; PLLD1 follow-up<0.05; Supplementary Tables 7 and 8). Interestingly, many of the metabolites that were associated with microbial species and MetaCyc pathways are also known to be gut microbiome related based on their HMDB annotations15. For instance, we observed 919 associations with 25 uremic toxins, 142 associations with thiamine (vitamin B1) and 117 associations with five phytoestrogens (FDR<0.05; Supplementary Tables 7 and 8). Uremic toxins and thiamine have been shown to be related to various diseases, including chronic kidney disease and cardiovascular diseases32,33. Phytoestrogens are a class of plant-derived polyphenolic compounds that can be transformed by gut microbiota into metabolites that promote the hosts metabolism and immune system33,34.
To assess whether gut microbiome composition causally contributes to plasma metabolite levels, we carried out bi-directional MR analyses (see the Methods section Bi-directional MR analysis). Here, we focused on the 37 microbial features that were associated with at least three independent genetic variants at P<1105 and with 45 metabolites (Supplementary Table 14). At FDR<0.05 (corresponding to P=2103 obtained from the inverse variance weighted (IVW) test)35, we observed four potential causal relationships at baseline that could also be found in the follow-up in the microbiomes to metabolites direction (Fig. 5ad and Supplementary Tables 15 and 16) but not in the opposite direction (Supplementary Table 17), and these outcomes were maintained following weighted median testing (P<0.03; Supplementary Fig. 5). To ensure that the data followed MR assumptions, we performed several sensitivity analyses, including checking for horizontal pleiotropy (MR-Egger36 intercept P>0.05; Supplementary Table 15) and heterogeneity (Cochrans Q test P>0.05; Supplementary Table 15) and leave-one-out analysis (Extended Data Fig. 5). We did not use causal estimates derived using the MR-Egger method to filter the results, as its power to detect causality is known to be low36. These sensitivity checks further confirmed the reliability of these four MR causal estimates.
a, Analysis of the association between adenosylcobalamin biosynthesis pathway abundance and 5-hydroxytryptophol levels. b, Glycogen biosynthesis pathway abundance versus 5-sulfo-1,3-benzenedicarboxylic acid levels. c, E. rectale abundance versus hydrogen sulfite levels. d, Veillonella parvula abundance versus 2,3-dehydrosilybin levels. In the top panels of ad, the xaxis shows the SNP exposure effect, and the yaxis shows the SNP outcome effect and each dot represents a SNP. Error bars represent the s.e. of each effect size. The bottom panels of ad, show the MR effect size (center dot) and 95% CI for the baseline (blue) and follow-up (green) datasets of the LLD1 cohort, estimated with the IVW MR approach (two sided) (n=927 biologically independent samples at baseline and n=311 biologically independent samples at follow-up).
We further found that increased abundance of microbial adenosylcobalamin biosynthesis (coenzyme B12) was associated with reduced plasma levels of 5-hydroxytryptophol (Fig. 5a)a uremic toxin related to Parkinsons disease37. We also found that plasma hydrogen sulfite levels were related to Eubacterium rectale (Fig. 5c)a core gut commensal species38 that is highly prevalent (presence rate=97%) and abundant (mean abundance=8.5%) in both our cohorts and in other populations39,40,41. As a strict anaerobe, E. rectale promotes the hosts intestinal health by producing butyrate and other short-chain fatty acids from non-digestible fibers42, and a reduced abundance of this species has been observed in subjects with inflammatory bowel disease39,43 and colorectal cancer44 compared with healthy controls. As a toxin, hydrogen sulfite interferes with the nervous system, cardiovascular functions, inflammatory processes and the gastrointestinal and renal system45. Our results thus reveal a potential new beneficial effect of E. rectale.
To further investigate the metabolic potential of individual bacterial species, we applied newly developed pipelines to identify microbial primary metabolic gene clusters (gutSMASH pathways)46 and microbial genomic structural variants (SVs)47. These two tools profile microbial genomic entities that are implicated in metabolic functions. By associating 1,183 metabolites with 3,075 gutSMASH pathways and 6,044 SVs (1,782 variable SVs (vSVs) and 4,262 deletion SVs (dSVs); see Methods), we observed 23,662 associations with gutSMASH pathways and 790 associations with bacterial SVs (FDRLLD1<0.05; PLLD1 follow-up<0.05; Supplementary Tables 1820). These associations connect the genetically encoded functions of microbes with metabolites, thereby providing putative mechanistic information underlying the functional output of the gut microbiome. In one example, we observed that the microbial uremic toxin biosynthesis pathways, including the glycine cleavage pathway (in Olsenella and Clostridium species) and the hydroxybenzoate-to-phenol pathway (in Clostridium species) responsible for hippuric acid and phenol sulfate biosynthesis, were associated with the hippuric acid (Olsenella species: rSpearman=0.15; P=9.3107; Clostridium species: rSpearman=0.18; P=5.9109) and phenol sulfate (rSpearman=0.17; P=4.2108; Extended Data Fig. 6a) levels measured in plasma, respectively (FDRLLD1<0.05 and PLLD1 follow-up<0.05; Extended Data Fig. 6b).
Next, we carried out a mediation analysis to investigate the links between diet, the microbiome and metabolites. For 675 microbial features that were associated with both dietary habits and metabolites (FDR<0.05), we applied bi-directional mediation analysis to evaluate the effects of microbiome and metabolites for diet (see the Methods section Bi-directional mediation analysis). This approach established 146 mediation linkages: 133 for the dietary impact on the microbiome through metabolites and 13 for the dietary impact on metabolites through the microbiome (FDRmediation<0.05 and Pinverse-mediation>0.05; Fig. 6a,b and Supplementary Table 21). Most of these linkages were related to the impact of coffee and alcohol on microbial metabolic functionalities (Fig. 6a).
a, Parallel coordinates chart showing the 133 mediation effects of plasma metabolites that were significant at FDR<0.05. Shown are dietary habits (left), plasma metabolites (middle) and microbial factors (right). The curved lines connecting the panels indicate the mediation effects, with colors corresponding to different metabolites. freq., frequency; PFOR, pyruvate:ferredoxin oxidoreductase; OD, oxidative decarboxylation; HGD, 2-hydroxyglutaryl-CoA dehydratase; TPP, thiamine pyrophosphate. b, Parallel coordinates chart showing the 13 mediation effects of the microbiome that were significant at FDR<0.05. Shown are dietary habits (left), microbial factors (middle) and plasma metabolites (right). For the microbial factors column, number ranges represent the genomic location of microbial structure variations (SVs) in kilobyte unit, and colons represent the detailed annotation of certain gutSMASH pathway. c, Analysis of the effect of coffee intake on the abundance of M. smithii as mediated by hippuric acid. d, Analysis of the effect of beer intake on the C. methylpentosum Rnf complex pathway as mediated by hulupinic acid. e, Analysis of the effect of fruit intake on urolithin B in plasma as mediated by a vSV in Ruminococcus species (300305kb). In ce, the gray lines indicate the associations between the two factors, with corresponding Spearman coefficients and Pvalues (two sided). Direct mediation is shown by a red arrow and reverse mediation is shown by a blue arrow. Corresponding Pvalues from mediation analysis (two sided) are shown. inv., inverse; mdei., mediation.
Coffee contains various phenolic compounds that can be converted to hippuric acid by colonic microflora48. Hippuric acid is an acyl glycine that is associated with phenylketonuria, propionic acidemia and tyrosinemia49. We observed that hippuric acid can mediate the impact of drinking coffee on Methanobrevibacter smithii abundance (Pmediation=2.21016; Fig. 6c). We also observed that hulupinic acid, which is commonly detected in alcoholic drinks, can mediate the impact of beer consumption on the Clostridium methylpentosum ferredoxin:NAD+ oxidoreductase (Rnf) complex (Pmediation=2.21016; Fig. 6d)an important membrane protein in driving the ATP synthesis essential for all bacterial metabolic activities50.
Of the dietary impacts on metabolites through the microbiome (Fig. 6b and Supplementary Table 21), one interesting example is a Ruminococcus species vSV (300305kb) that encodes an ATPase responsible for transmembrane transport of various substrates51. This Ruminococcus species vSV mediated the effect of fruit consumption on plasma levels of urolithin B (Pmediation=2.21016; Fig. 6e). Urolithin B is a gut microbiota metabolite that protects against myocardial ischemia/reperfusion injury via the p62/Keap1/Nrf2 signaling pathway52. Taken together, our data provide potential mechanistic underpinnings for dietmetabolite and dietmicrobiome relationships.
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Genome editing technologies: final conclusions of the re-examination of Article 13 of the Oviedo Convention – Council of Europe
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The Steering Committee for Human Rights in the fields of Biomedicine and Health (CDBIO)* has achieved the final step of the re-examination process of Article 13 of the Convention on Human Rights and Biomedicine (Oviedo Convention) with the adoption of the clarifications on the scope of the provisions with regard to research and the purposes limitation provided for any intervention on the human genome.
In June 2021, as a first conclusion, the Committee had agreed that taking into account the technical and scientific aspects of theses developments, as well as the ethical issues they raise, it considered that the conditions were not met for a modification of the provisions of Article 13. However, it agreed on the need to provide clarifications, in particular on the terms preventive, diagnostic and therapeutic and to avoid misinterpretation of the applicability of this provision to research.
These clarifications were adopted by the CDBIO at its 1st plenary meeting (31 May 3 June 2022) and presented to the Committee of Ministers on 27 September 2022.
In this video, Anne Forus, Chair, and Pete Mills, member, of the CDBIO Drafting group on genome editing present the context, the content and the importance of these clarifications.
Context
This re-examination process of Article 13 was undertaken within the framework of the Strategic Action Plan on Human Rights and Technologies (2020 2025), as part of the actions planned under its Governance pilar and the specific objective of embedding human rights in the development of technologies which have an application in the field of biomedicine.
As underlined by the DH-BIO in November 2018, ethics and human rights must guide any use of genome editing technologies in human beings in accordance with the Convention on Human Rights and Biomedicine (the Oviedo Convention, 1997) - the only international legally binding instrument addressing human rights in the biomedical field which provides a unique reference framework to that end. The Oviedo Convention represents the outcome of an in-depth discussion at European level, on developments in the biomedical field, including in the field of genetics.
Article 13 of the Convention addresses these concerns about genetic enhancement or germline genetic engineering by limiting the purposes of any intervention on the human genome, including in the field of research, to prevention, diagnosis or therapy. Furthermore, it prohibits any intervention with the aim of introducing a modification in the genome of any descendants. This Article was guided by the acknowledgement of the positive perspectives of genetic modification with the development of knowledge of the human genome; but also by the greater possibility to intervene on and control genetic characteristics of human beings, raising concern about possible misuse and abuses.
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* In January 2022, the CDBIO took over the responsibility of the Committee on Bioethics (DH-BIO) as the committee responsible for the conduct of the intergovernmental work on human rights in the fields of biomedicine and health. The CDBIO is also advising and providing expertise to the Committee of Ministers of the Council of Europe on all questions within its field of competence.
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Global Biobank Meta-analysis Initiative making genome-wide association studies more diverse and representative – EurekAlert
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image:This figure shows the 23 biobanks across four continents that have joined GBMI as of April 2022, bringing the total number of samples with matched health data and genotypes to more than 2.2 million. Biobanks are colored based on the sample recruiting strategies. view more
Credit: Zhou et al./Cell Genomics
Human genetic discoveries have historically focused on individuals of European descent, so how well these findings transfer to other non-European populations has remained an open question. A collaborative network of 23 biobanks from 4 continents holding genomic data for over 2 million consenting individuals is now revealing the gaps caused by this lack of diversity, such as missed mutations that cause genetic diseases. The first studies from the Global Biobank Meta-analysis Initiative (GBMI), published October 12 in the journal Cell Genomics, offer guidance on how and why to make genome-wide association studies (GWASs) more representative.
The aims of the GBMI are to increase the power to discover genetic variation associated with phenotypes for GWAS analyses, increase replication power, and determine more accurate polygenic risk scores, says Cell Genomics Editor-in-Chief Laura Zahn. Their work is helping to provide new insights into the underlying biology of human diseases and traits.
Cell Genomics features seven initial studies from the GBMI:
1. GWASs in different biobanks worldwide can be successfully integrated
Utilizing most of the biobanks represented in GBMI, researchers generated GWASs that identified 317 known and 183 new genes associated with 14 diseases, from asthma and gout to certain cancers. The pilot studies also reflected consistent results despite differences among biobanks, encouraging the sharing and integration of their unique genomic data, thus making it possible to conduct some of the largest GWAS analyses of certain diseases to date.
Zhou et al.: Global Biobank Meta-analysis Initiative: Powering genetic discovery across human disease. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00141-0
2. Looking across ancestries can identify more drug targets for genetic diseases
Genetic tools provide a cost-effective way to understand whether drug targets for genetic diseases may have similar or different effects across ancestries. In this study, researchers used biobank samples to screen about 1,300 proteins, each measured in populations of African and European ancestry, for their role in 8 complex diseases. They identified 45 proteins that could potentially be involved in both ancestries and 7 pairs with specific effects in the two ancestries separately, with 16 of these prioritized for investigation in future drug trials.
Zhao et al.: Proteome-wide Mendelian randomization in global biobank meta-analysis reveals multi-ancestry drug targets for common diseases. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00144-6
3. Introducing a drug discovery framework for cross-population GWAS meta-analyses
GWASs have the potential to identify and evaluate drug candidates and drug targets. This research team created guidelines that utilizes three techniques for in-depth, genomics-driven drug discovery that work across populations. They applied this framework to 13 common diseases to nominate promising drug candidates targeting the genes involved in the coagulation process for a certain type of blood clot as well as in immune signaling pathways for gout.
Namba and Konuma et al.: A practical guideline of genomics-driven drug discovery in the era of global biobank meta-analysis. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00139-2
4. Forty years of genetic data comes with advantages
Since 1984, around 229,000 people from Trndelag County, Norway, have taken part in the Trndelag Health Study (HUNT), providing health records and biological samples with nearly 40 years of follow-up. Of the HUNT participants, approximately 88,000 individuals have provided genetic data, which have been used to generate insights into the mechanism of cardiovascular, metabolic, osteoporotic, and liver-related diseases. This resource acts as inspiration to conduct similar longitudinal studies across more diverse populations.
Brumptom, Graham, and Surakka et al.: The HUNT study: A population-based cohort for genetic research. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00142-2
5. New opportunities to combine data to study rare diseases
By combining data from 13 biobanks around the globe, this research team performed a multi-ancestry GWAS to look at thousands of patients with idiopathic pulmonary fibrosis (IPF), a rare disease characterized by lung tissue scarring. The researchers identified seven new gene markers linked to IPF, including those involved in lung function and COVID-19 response, as well as sex-specific effects. Only one of these gene markers would have been identified had the analysis been limited to European ancestry individuals.
Partanen et al.: Leveraging global multi-ancestry meta-analysis in the study of idiopathic pulmoary fibrosis genetics. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00126-4
6. Overcoming statistical challenges studying ancestry-specific genetic associations
Transcriptome-wide association studies (TWASs) boost detection power and provide biological context to genetic associations by integrating genetic variant-to-trait associations with predictive models of gene expression. In this paper, researchers highlight practical considerations for ancestry and tissue specificity, meta-analytic strategies, and open challenges at every step of the framework. This provides a foundation for adding transcriptomic context to biobank-linked GWASs, allowing for ancestry-aware discovery to accelerate genomic medicine.
Bhattacharya and Hirbo et al.: Best practices for multi-ancestry, meta-analytic transcriptome-wide association studies: Lessons from the Global Biobank Meta-analysis Initiative. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00125-2
7. The Taiwan Biobank offers East Asian population diversity in genetics research
The Taiwan Biobank is an ongoing prospective population study of over 150,000 people of predominantly Han Chinese ancestry. Through physical examinations and biological samples, researchers are tracing more than 1,000 genetic traits, as well as lifestyle traits and environmental factors, that are more specific to populations in East and Southeast Asia. Their membership in the GMBI is an example of the population diversity possible with a global genetics research effort.
Feng et al.: Taiwan Biobank: A rich biomedical research database of the Taiwanese population. https://www.cell.com/cell-genomics/fulltext/S2666-979X(22)00146-X
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Funding information and declarations of interest can be found in the manuscripts.
Cell Genomics (@CellGenomics), is a new gold open access journal from Cell Press publishing multidisciplinary research at the forefront of genetics and genomics. The journal aims to bring together diverse communities to advance genomics and its impact on biomedical science, precision medicine, and global and ecological health. Visit https://www.cell.com/cell-genomics/home. To receive Cell Press media alerts, please contact press@cell.com.
Meta-analysis
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Global Biobank Meta-analysis Initiative: powering genetic discovery across human diseases
12-Oct-2022
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New NHS genetic testing service could save thousands of children in England – The Guardian
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Very sick babies and children will be diagnosed and start treatment more quickly thanks to a revolutionary new genetic testing service being launched by the NHS.
Doctors will gain vital insights within as little as two days into what illnesses more than 1,000 newborns and infants a year in England have from the rapid analysis of blood tests.
Until now, when doctors suspected a genetic disorder, such tests have sometimes taken weeks as they had to be done in a sequential order to rule out other possible diagnoses, delaying treatment.
NHS England bosses say the service could save the lives of thousands of seriously ill children over time and will usher in a new era of genomic medicine.
The clinical scientists, genetic technologists and bioinformaticians will carry out much faster processing of DNA samples, including saliva and other tissue samples as well as blood. They will share their findings with medical teams and patients families.
They will undertake whole genome sequencing in a quest to identify changes in the childs DNA and so diagnose conditions such as cancer and rare genetic disorders.
While such testing is available in parts of other countries such as the US and Australia, NHS England said that its new service will be the first in the world to cover an entire country. Wales also has a similar service but it is more limited in its scope than the new service in England.
This global first is an incredible moment for the NHS and will be revolutionary in helping us to rapidly diagnose the illnesses of thousands of seriously ill children and babies, saving countless lives in the years to come, said Amanda Pritchard, NHS Englands chief executive.
The new national rapid whole genome sequencing service will be based in Exeter as part of the NHSs existing Genomic Medicine Service which is based there. It follows a successful trial in some parts of England.
Dr Emma Baple, who is running the new service, said it will transform how rare genetic conditions are diagnosed. It is a new national test being offered with results delivered inside seven days as compared to a much longer turnaround time.
It is the only test in the NHS that looks at all 22,000 genes in the human genome and all the parts in between the genes. Eighty-five per cent of all changes that lead to disease are in the genes themselves, whilst the rest is caused by the bits of DNA in between.
Test results should be available in anything between two and seven days, depending on the complexity of the childs condition, though that should get faster as technology improves, Baple added.
We know that with prompt and accurate diagnosis conditions could be cured or better managed with the right clinical care, which would be life-altering and potentially life-saving for so many seriously unwell babies and children.
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Covid protection may be boosted by genes, study shows – Yahoo News Australia
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File picture of a person after a Covid jab
Some people with "lucky genes" or certain DNA may get extra strong protection after Covid jabs, say scientists from University of Oxford.
The researchers found people with a version of a gene called HLA-DQB1*06 had a bigger antibody response following vaccination than others.
About 30 to 40% of the UK population have this type.
The preliminary work appears in Nature Medicine. More research is needed to confirm it.
Experts say vaccines are the best way people can protect themselves against Covid.
People are being invited for boosters this autumn to top up their immunity.
There are fears of a flu and Covid "twindemic" this winter, and officials say those who qualify for free jabs should get them.
Researchers analysed blood samples from people who took part in five different trials, including 1,600 adults who had either the Oxford-AstraZeneca or Pfizer-BioNTech vaccine as their first jab.
They found people who carried the gene variant were more likely to have higher levels of antibodies - proteins that recognise and attack coronavirus - a month after their first jab than people who had other versions of the gene.
The study also followed a group of people who had weekly Covid tests for more than a year after their first jab.
They found those who had the gene variant were less likely to experience a "breakthrough infection" over this time period, where people still got a mild Covid infection after vaccination.
Scientists acknowledge many other factors contribute to the risk of getting Covid, including age, other illnesses and people's occupations.
But they say genetics still played a significant role after accounting for these.
Dr Alexander Mentzer, NIHR academic clinical lecturer at the Wellcome Centre for Human Genetics and a lead researcher on the study, said: "We have seen a wide variation in how quickly people test positive for Covid-19 after vaccination.
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"Our findings suggest that our genetic code may influence how likely this is to happen over time.
"We hope that our findings will help us improve vaccines for the future so they not only stop us developing severe disease, but also keep us symptom-free for as long as possible."
Lead researcher Prof Julian Knight added: "From this study we have evidence that our genetic make-up is one of the reasons why we may differ from each other in our immune response following Covid-19 vaccination.
"We found that inheriting a specific variant of an HLA gene was associated with higher antibody responses, but this is only the start of the story.
"Further work is needed to better understand the clinical significance of this specific association," he added. "And more broadly what identifying this gene variant can tell us about how effective immune responses are generated, and ways to continue to improve vaccines for everyone."
The team acknowledge there is also an urgent need to understand whether the findings are applicable to more ethnically diverse populations, because different groups have different levels of the gene variant.
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Genomics in Cancer Care Market is estimated to be US$ 72.61 billion by 2032 with a CAGR of 16.3% during the forecast period 2032 – By PMI -…
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Covina, Oct. 11, 2022 (GLOBE NEWSWIRE) -- Genomics is the study of all of persons gene. Genomics play role in health and disease. Genomics are widely used in cancer care treatment for diagnosing and treating cancer disease. Structural Genomics and Functional Genomics are two types of Genomics.Gene Therapy, Gene Discovery, Personalized Medicine, Pharmacogenetics & Targeted Therapy, Metagenomics, Mitochondrial Genomics, Pharmacogenomics are variety of applications in genomics. Metagenomics has become the important application in genomics. The newer technique genome editing is used in gene therapy. Genome editing help to introduce gene-editing tools which can able to change existing DNA in cell. Genomics are used in drug discovery due to their properties like high-throughput sequencing & characterization of expressed human genes. Genomics has allowed effective preventive measures, change in drug research strategy and development process in drug discovery due to knowledge about human genes and their functions. A complete human genome contains about 3 billion base pairs of DNA. Pharmacogenomics is the study of genes and their functions to develop safe medications which are effective and can be prescribed based on persons genetic makeup. Pharmacogenomics choose the drug and drug doses that are effective for that particular person by using genetic information about that person. Pharmacogenomics helps in improving patient safety, health care costs and drug efficiency. Single nucleotide variant (SNV) panels are used in pharmacogenetics. Genomics helps to reveal the abnormalities in genes which has drived the development and growth of different types of cancer.Study of cancer genome has improved in understanding the biology of cancer which has enabled to discover new methods for diagnosing & treating the disease. The importance of Genomics in cancer care has provided to discover new drug development and effective treatment in diagnosing and treating the disease which has driven positive impact on target market growth.
The reportGlobal Genomics in Cancer Care Market, By Type (Structural Genomics, Functional Genomics), By Application (Gene Therapy, Gene Discovery, Personalized Medicine, Pharmacogenetics & Targeted Therapy, Metagenomics, Mitochondrial Genomics, Pharmacogenomics, and Others), By End-User (Research Institute, Hospitals, Academic Research Institutes, Diagnostic Centers, and Others) andBy Region (North America, Europe, Asia Pacific, Latin America, and Middle East & Africa) - Trends, Analysis and Forecast till 2032
Key Highlights:
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Increase in cancer disease, rising emergence of clinical relievance in genomic medicine, recent advancement in genomics, newly developed technology like next-generation sequencing has given rise in use ofGenomics in Cancer Care. Wide variety of applications in Gene Therapy, Gene Discovery, Personalized Medicine, Pharmacogenetics & Targeted Therapy, Metagenomics, Mitochondrial Genomics, Pharmacogenomics has fueled the target market growth. Rising awareness in individual who are pertaining to cancer genomics, rapid growth in biotechnology industries, research institutes, diagnostic centers is expected to have positive impact on Genomics in Cancer Care market. Importance of Genomics in cancer care has enabled to provide effective treatment, new drug development, diagnosing and treating disease which has enhanced the target market growth.As a result, market competition is intensifying, and both big international corporations and start-ups are vying to establish position in the market.
Browse 60 market data tables* and 35figures* through 140 slides and in-depth TOC onGlobal Genomics in Cancer Care Market, By Type (Structural Genomics, Functional Genomics), By Application (Gene Therapy, Gene Discovery, Personalized Medicine, Pharmacogenetics & Targeted Therapy, Metagenomics, Mitochondrial Genomics, Pharmacogenomics, and Others), By End-User (Research Institute, Hospitals, Academic Research Institutes, Diagnostic Centers, and Others) andBy Region (North America, Europe, Asia Pacific, Latin America, and Middle East & Africa) - Trends, Analysis and Forecast till 2032
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Key Market Insights from the report:
GlobalGenomics in Cancer CareMarketaccounted for US$ 16.1 Bn in 2022 and is estimated to be US$ 72.61 Bn by 2032 and is anticipated to register a CAGR of 16.3%.TheGlobalGenomics in Cancer CareMarketis segmented based on Type, Application, End-User and Region.
Competitive Landscape & their strategies ofGlobalGenomics in Cancer Care Market:
The prominent players operating in theGlobalGenomics in Cancer CareMarketincludes,Pacific Biosciences Inc., Abbott Molecular Oxford Gene Technology, Roche Diagnostics, Bio-Rad Labs, Illumina Inc., Quest Diagnostics, Beckman Coulter Inc., Intrexon Bioinformatics Germany GmbH, Agilent Technologies, PerkinElmer, Danaher Corporation, Cancer Genetics Inc., Thermo Fisher Scientific Inc., and others.
The market provides detailed information regarding the industrial base, productivity, strengths, manufacturers, and recent trends which will help companies enlarge the businesses and promote financial growth. Furthermore, the report exhibits dynamic factors including segments, sub-segments, regional marketplaces, competition, dominant key players, and market forecasts. In addition, the market includes recent collaborations, mergers, acquisitions, and partnerships along with regulatory frameworks across different regions impacting the market trajectory. Recent technological advances and innovations influencing the global market are included in the report.
Scope of the Report:
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Genomics in Cancer Care Market is estimated to be US$ 72.61 billion by 2032 with a CAGR of 16.3% during the forecast period 2032 - By PMI -...
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Identification of hub genes and candidate herbal treatment in obesity through integrated bioinformatic analysis and reverse network pharmacology |…
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Identification of DEGs after weight loss
After standardizing gene sets (Fig.1), 1011 DEGs (|logFC|>1, p<0.05) were screened out from GSE103766, GSE35411, GSE112307, GSE43471, and GSE35710 based on the above method. The results included 513 downregulated and 498 upregulated genes, as shown in the volcano plot (Fig.2 and Supplementary Table S1). The abscissa in the volcano plot is log2 (fold change) value, and the ordinate is log10 (p-value).
Box-plots of the expression profiles after consolidation and standardization. The x-axis label represents the sample symbol and the y-axis label represents gene expression values. The black line in the box-plot represents the median value of gene expression. (a) Standardization of GSE43471, (b) Standardization of GSE35411, (c) Standardization of GSE103766, (d) Standardization of GSE35710, (e) Standardization of GSE112307.
Volcano plot to identify differentially expressed genes (DEGs). (a) GSE43471, (b) GSE35710, (c) GSE35411, (d) GSE103766, (e) GSE112307. The x-axis label represents fold changes and the y-axis label represents the p-values. Red dots represent the 498 upregulated genes and green dots represent the 513 downregulated genes.
As shown in Supplementary Fig. S1, the PPI network of DEGs, based on the Search Tool for the Retrieval of Interacting Genes (STRING) database, includes 584 nodes and 1417 edges. Using the MCODE plugin in Cytoscape software, the most significant modules (score=6.667) were recognized from the PPI network as comprising 27 hub genes, including ACP5, CETP, COL1A1, COL1A2, CSF1, DNMT3B, EED, HIST1H2AI, HIST1H2BB, HIST1H2BD, HIST1H4B, HIST1H4H, HIST2H3C, HP, LCN2, LIPC, LPA, MMP2, MMP7, MMP9, MSR1, MUC1, PLA2G7, SPP1, THBS1, THBS2, and VLDLR (Table 1 and Fig.3).
Subnetwork of 27 hub genes from the proteinprotein interaction (PPI) network. Node size and temperature color reflect the degree of connectivity (bigger node represents a higher degree and smaller node represents a lower degree; red node represents a higher degree and yellow node represents a lower degree).
An enrichment analysis bubble chart was drawn under GO level 2 classifications using Omicshare tools (Fig.4 and Supplementary Table S2). As shown in the figure, hub genes were significantly enriched in regulating plasma lipoprotein particle levels, lipid transport, extracellular matrix (ECM) organization, response to reactive oxygen species, and the oxygen-containing compound for biological process (BP). The hub genes were significantly enriched for cell composition (CC) in lipoprotein particles, extracellular regions, ECM, extracellular exosomes, and secretory granules. For molecular function (MF), the hub genes were significantly elevated in lipoprotein particle binding, glycosaminoglycan binding, ECM structural constituents, and peptidase activity.
Biological functions based on Gene Ontology (GO) analysis of obesity-related hub genes. Advanced bubble chart shows significance in GO enrichment items of hub genes in three functional groups: biological process (BP), cell composition (CC), and molecular function (MF). The x-axis label represents the gene ratio (Rich Factor) and the y-axis label represents GO terms.
KEGG pathway enrichment analysis showed that the hub genes were primarily enriched in ECMreceptor interaction, cholesterol metabolism, PI3K-Akt, IL-17, and TNF signaling pathways, endocrine resistance, and leukocyte transendothelial migration (Fig.5 and Supplementary Table S3).
Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis of hub genes. The x-axis label represents the gene ratio (Rich factor) and the y-axis label represents the pathway.
We converted 27 gene names of the hub genes into protein names that could be recognized through the TCMSP database using the Universal Protein Resource (Uniprot). Moreover, the hub genes can be input in the required format to identify potential herbs with anti-obesity effects from the TCMSP database. After excluding the genes that were not present in the databases or those that had no related ingredients, nine were screened for further research, namely, COL1A1, MMP2, MMP9, SPP1, DNMT3B, MMP7, CETP, COL1A2, and MUC1. These genes corresponded to 16 ingredients [(-)-epigallocatechin-3-gallate (EGCG), arachidonic acid, arctiin, baicalein, beta-carotene, capillarisin, deoxypodophyllotoxin, ellagic acid, fisetin, irisolidone, luteolin, matrine, nobiletin, quercetin, rutaecarpine, tanshinone IIa] showing adequate OB and DL values (OB30%, DL0.18) (Supplementary Table S4).
There were 254 herbs with active ingredients in the databases. The top 10 herbs were Aloe, Portulacae Herba, Mori Follum, Silybum Marianum, Phyllanthi Fructus, Pollen Typhae, Ginkgo Semen, Leonuri Herba, Eriobotryae Folium, and Litseae Fructus. These were associated with more DEGs (related genes=6) and were, therefore, selected as crucial herbs in our study and annotated using Chinese pharmaceutical properties (CMPs), including characters, tastes, and meridian tropisms (Table 2).
We screened the key ingredients in treating obesity using an Ingredients-Targets network containing 25 nodes and 27 edges (Fig.6). The nine orange nodes represent the target genes and 16 green nodes represent the active ingredients. As most genes could be linked (degree=4), quercetin and EGCG were considered the most critical components in the treatment of obesity.
Ingredients-Targets network. Nine orange nodes represent the target genes, whereas the 16 green nodes represent the active compounds. The edges represent the interaction between the compounds and targets.
As shown in Fig.7a, the Herbs-Ingredients-Targets network containing 24 nodes and 43 edges was constructed to demonstrate the relationship between them: the 10 green nodes represent the key herbs and the six yellow nodes represent the active ingredients in them; the eight blue nodes depict the target genes. By analyzing the network, Phyllanthi Fructus and Portulacae Herba were associated with the most ingredients (degree=4). Moreover, quercetin was the most frequent active ingredient (degree=23) found in all herbs. Regarding gene targets, MMP2 was targeted by most ingredients (degree=5) followed by MMP9 (degree=4). Other genes were only acted upon by one component (degree=1).
Herbs-Ingredients-Targets network (a) and Herbs-Taste-Meridian tropism (b) network. (a) Yellow nodes represent the active ingredients and the blue nodes represent the target genes. (b) Yellow nodes represent tastes and purple nodes represent meridian tropisms. In all networks, the light green nodes represent cold-cool herbs, medium green nodes represent calm herbs, and dark green nodes represent warm herbs.
We also established the Herbs-Taste-Meridian tropism network containing 24 nodes and 40 edges to clarify the distribution of CMPs (Fig.7b). Five yellow nodes represent tastes and eight purple nodes represent meridian tropisms. To indicate different characters, we presented 10 nodes of herbs having different greens (light green, medium green, and dark green). Regarding characters, cold-cool herbs like Mori Follum were the most frequent (nodes=7), followed by herbs having calm (nodes=2) and warm (nodes=1) characters. In terms of taste, herbs were mostly bitter (edges=6), followed by sweet (edges=4), acid (edges=2), symplectic (edges=2), and astringent (edges=2). Regarding meridian tropism, most herbs belonged to the liver meridian (edges=6), followed by the stomach and lung (edges=4), large intestine (edges=2), bladder (edges=2), kidney (edges=2), pericardium (edges=2), spleen (edges=1), and gallbladder (edges=1) meridians.
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Life expectancy – Wikipedia
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Measure of average lifespan in a given population
Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, its current age, and other demographic factors like sex. The most commonly used measure is life expectancy at birth (LEB), which can be defined in two ways. Cohort LEB is the mean length of life of a birth cohort (all individuals born in a given year) and can be computed only for cohorts born so long ago that all their members have died. Period LEB is the mean length of life of a hypothetical cohort[1][2] assumed to be exposed, from birth through death, to the mortality rates observed at a given year.[3]
National LEB figures reported by national agencies and international organizations for human populations are estimates of period LEB. In the Bronze Age and the Iron Age, human LEB was 26 years; the 2010 world LEB was 67.2 years. In recent years, LEB in Eswatini (formerly Swaziland) is 49, while LEB in Japan is 83. The combination of high infant mortality and deaths in young adulthood from accidents, epidemics, plagues, wars, and childbirth, before modern medicine was widely available, significantly lowers LEB. For example, a society with a LEB of 40 would have relatively few people dying at exactly 40: most will die before 30 or after 55. In populations with high infant mortality rates, LEB is highly sensitive to the rate of death in the first few years of life. Because of this sensitivity, LEB can be grossly misinterpreted, leading to the belief that a population with a low LEB would have a small proportion of older people.[4] A different measure, such as life expectancy at age 5 (e5), can be used to exclude the effect of infant mortality to provide a simple measure of overall mortality rates other than in early childhood. Aggregate population measures such as the proportion of the population in various age groups, are also used alongside individual-based measures like formal life expectancy when analyzing population structure and dynamics. However, pre-modern societies still had universally higher mortality rates and lower life expectancies at every age for both males and females, and this example was relatively rare. In societies with life expectancies of 30, for instance, a 40-year remaining timespan at age 5 may not have been uncommon, but a 60-year one was.
Until the middle of the 20th century, infant mortality was approximately 4060% of the total mortality. Excluding child mortality, the average life expectancy during the 12th19th centuries was approximately 55 years. If a medieval person survived childhood, they had about a 50% chance of living 5055 years, instead of only 2540 years.[5]
Mathematically, life expectancy is the mean number of years of life remaining at a given age.[6] It is denoted by e x {displaystyle e_{x}} ,[a] which is the mean number of subsequent years of life for someone at age x {displaystyle x} , with a particular mortality. Life expectancy, longevity, and maximum lifespan are not synonymous. Longevity refers to the relatively long lifespan of some members of a population. Maximum lifespan is the age at death for the longest-lived individual of a species. Because life expectancy is an average, a particular person may die many years before or many years after the "expected" survival.
Life expectancy is also used in plant or animal ecology,[7] and in life tables (also known as actuarial tables). The concept of life expectancy may also be used in the context of manufactured objects,[8] though the related term[dubious discuss] shelf life is commonly used for consumer products, and the terms "mean time to breakdown" (MTTB) and "mean time between failures" (MTBF) are used in engineering.
Records of human lifespan above age 100 are highly susceptible to errors.[9] For example, the previous world-record holder for human lifespan, Carrie C. White,[who?] was uncovered as a simple typographic error after more than two decades.[9] The longest verified lifespan for any human is that of Frenchwoman Jeanne Calment, who is verified as having lived to age 122 years, 164 days, between 21 February 1875 and 4 August 1997. This is referred to as the "maximum life span," which is the upper boundary of life, the maximum number of years any human is known to have lived.[10] A theoretical study shows that the maximum life expectancy at birth is limited by the human life characteristic value , which is around 104 years.[11] According to a study by biologists Bryan G. Hughes and Siegfried Hekimi, there is no evidence for limit on human lifespan.[12][13] However, this view has been questioned on the basis of error patterns.[9]
The following information is derived from the 1961 Encyclopdia Britannica and other sources, some with questionable accuracy. Unless otherwise stated, it represents estimates of the life expectancies of the world population as a whole. In many instances, life expectancy varied considerably according to class and gender.
Life expectancy at birth takes account of infant mortality and child mortality but not prenatal mortality.
[24][25][26][23][14][27]
When infant mortality is factored out [i.e. counting only the 67[24]-75% who survived the first year], life expectancy is around 3441 more years [i.e. expected to live to 3542]. When child mortality is factored out [i.e. counting only the 55-65% who survived to age 5], life expectancy is around 4045 [i.e. age 4550].[26] The ~50% that reached age 10 could also expect to reach ~45-50;[24] at 15 to ~4854; at 40 to ~60,[24] at 50 to ~6468; at 60 to ~7072; at 70 to ~7677.[26][28]
Another way of thinking about it - less than half of the people born in the mid-19th century made it past their 50th birthday. In contrast, 97% of the people born in 21st century England and Wales can expect to live longer than 50 years.[44]
Range: ~54 (Central African Republic) - 85.3 Hong Kong[51]
Life expectancy increases with age as the individual survives the higher mortality rates associated with childhood. For instance, the table gives the life expectancy at birth among 13th-century English nobles at 30. Having survived to the age of 21, a male member of the English aristocracy in this period could expect to live:[41]
17th-century English life expectancy was only about 35 years, largely because infant and child mortality remained high. Life expectancy was under 25 years in the early Colony of Virginia,[52] and in seventeenth-century New England, about 40 percent died before reaching adulthood.[53] During the Industrial Revolution, the life expectancy of children increased dramatically.[54] The under-5 mortality rate in London decreased from 74.5% in 17301749 to 31.8% in 18101829.[55][56]
Public health measures are credited with much of the recent increase in life expectancy. During the 20th century, despite a brief drop due to the 1918 flu pandemic[57] starting around that time the average lifespan in the United States increased by more than 30 years, of which 25 years can be attributed to advances in public health.[58]
The life expectancy for people reaching adulthood is greater, ignoring infant and child mortality. For instance, 16th Century English and Welsh women at 15 years may have had an life expectancy of around 35 more years (50 total).[43]
Human beings are expected to live on average 3040 years in Eswatini[59] and 82.6 years in Japan, but the latter's recorded life expectancy may have been very slightly increased by counting many infant deaths as stillborn.[60] An analysis published in 2011 in The Lancet attributes Japanese life expectancy to equal opportunities and public health as well as diet.[61][62]
There are great variations in life expectancy between different parts of the world, mostly caused by differences in public health, medical care, and diet. The impact of AIDS on life expectancy is particularly notable in many African countries. According to projections made by the United Nations (UN) in 2002, the life expectancy at birth for 20102015 (if HIV/AIDS did not exist) would have been:[64]
Actual life expectancy in Botswana declined from 65 in 1990 to 49 in 2000 before increasing to 66 in 2011. In South Africa, life expectancy was 63 in 1990, 57 in 2000, and 58 in 2011. And in Zimbabwe, life expectancy was 60 in 1990, 43 in 2000, and 54 in 2011.[65]
During the last 200 years, African countries have generally not had the same improvements in mortality rates that have been enjoyed by countries in Asia, Latin America, and Europe.[66][67]
In the United States, African-American people have shorter life expectancies than their European-American counterparts. For example, white Americans in 2010 are expected to live until age 78.9, but black Americans only until age 75.1. This 3.8-year gap, however, is the lowest it has been since 1975 at the latest. The greatest difference was 7.1 years in 1993.[68] In contrast, Asian-American women live the longest of all ethnic groups in the United States, with a life expectancy of 85.8 years.[69] The life expectancy of Hispanic Americans is 81.2 years.[68] According to the new government reports in the US, life expectancy in the country dropped again because of the rise in suicide and drug overdose rates. The Centers for Disease Control (CDC) found nearly 70,000 more Americans died in 2017 than in 2016, with rising rates of death among 25- to 44-year-olds.[70]
Cities also experience a wide range of life expectancy based on neighborhood breakdowns. This is largely due to economic clustering and poverty conditions that tend to associate based on geographic location. Multi-generational poverty found in struggling neighborhoods also contributes. In United States cities such as Cincinnati, the life expectancy gap between low income and high-income neighborhoods touches 20 years.[71]
Economic circumstances also affect life expectancy. For example, in the United Kingdom, life expectancy in the wealthiest and richest areas is several years higher than in the poorest areas. This may reflect factors such as diet and lifestyle, as well as access to medical care. It may also reflect a selective effect: people with chronic life-threatening illnesses are less likely to become wealthy or to reside in affluent areas.[74] In Glasgow, the disparity is amongst the highest in the world: life expectancy for males in the heavily deprived Calton area stands at 54, which is 28 years less than in the affluent area of Lenzie, which is only 8km away.[75][76]
A 2013 study found a pronounced relationship between economic inequality and life expectancy.[77] However, a study by Jos A. Tapia Granados and Ana Diez Roux at the University of Michigan found that life expectancy actually increased during the Great Depression, and during recessions and depressions in general.[78] The authors suggest that when people are working at a more extreme degree during prosperous economic times, they undergo more stress, exposure to pollution, and the likelihood of injury among other longevity-limiting factors.
Life expectancy is also likely to be affected by exposure to high levels of highway air pollution or industrial air pollution. This is one way that occupation can have a major effect on life expectancy. Coal miners (and in prior generations, asbestos cutters) often have lower life expectancies than average. Other factors affecting an individual's life expectancy are genetic disorders, drug use, tobacco smoking, excessive alcohol consumption, obesity, access to health care, diet, and exercise.
In the present, female human life expectancy is greater than that of males, despite females having higher morbidity rates (see Health Survival paradox). There are many potential reasons for this. Traditional arguments tend to favor sociology-environmental factors: historically, men have generally consumed more tobacco, alcohol and drugs than women in most societies, and are more likely to die from many associated diseases such as lung cancer, tuberculosis and cirrhosis of the liver.[80] Men are also more likely to die from injuries, whether unintentional (such as occupational, war or car accidents) or intentional (suicide).[80] Men are also more likely to die from most of the leading causes of death (some already stated above) than women. Some of these in the United States include cancer of the respiratory system, motor vehicle accidents, suicide, cirrhosis of the liver, emphysema, prostate cancer, and coronary heart disease.[10] These far outweigh the female mortality rate from breast cancer and cervical cancer. In the past, mortality rates for females in child-bearing age groups were higher than for males at the same age.
A paper from 2015 found that female fetuses have a higher mortality rate than male fetuses.[81] This finding contradicts papers dating from 2002 and earlier that attribute the male sex to higher in-utero mortality rates.[82][83][84] Among the smallest premature babies (those under 2 pounds or 900 g), females have a higher survival rate. At the other extreme, about 90% of individuals aged 110 are female. The difference in life expectancy between men and women in the United States dropped from 7.8years in 1979 to 5.3years in 2005, with women expected to live to age80.1 in 2005.[85] Data from the UK shows the gap in life expectancy between men and women decreasing in later life. This may be attributable to the effects of infant mortality and young adult death rates.[86]
Some argue that shorter male life expectancy is merely another manifestation of the general rule, seen in all mammal species, that larger-sized individuals within a species tend, on average, to have shorter lives.[87][88] This biological difference[clarification needed] occurs because women have more resistance to infections and degenerative diseases.[10]
In her extensive review of the existing literature, Kalben concluded that the fact that women live longer than men was observed at least as far back as 1750 and that, with relatively equal treatment, today males in all parts of the world experience greater mortality than females. Kallen's study, however, was restricted to data in Western Europe alone, where the demographic transition occurred relatively early. United Nations statistics from mid-twentieth century onward, show that in all parts of the world, females have a higher life expectancy at age 60 than males.[89] Of 72 selected causes of death, only 6 yielded greater female than male age-adjusted death rates in 1998 in the United States. Except for birds, for almost all of the animal species studied, males have higher mortality than females. Evidence suggests that the sex mortality differential in people is due to both biological/genetic and environmental/behavioral risk and protective factors.[90]
There is a recent suggestion that mitochondrial mutations that shorten lifespan continue to be expressed in males (but less so in females) because mitochondria are inherited only through the mother. By contrast, natural selection weeds out mitochondria that reduce female survival; therefore such mitochondria are less likely to be passed on to the next generation. This thus suggests that females tend to live longer than males. The authors claim that this is a partial explanation.[91][92]
Another explanation is the unguarded X hypothesis: according to this hypothesis one reason for why the average lifespan of males isn't as long as that of femalesby 18% on average according to the studyis that they have a Y chromosome which can't protect an individual from harmful genes expressed on the X chromosome, while a duplicate X chromosome, as present in female organisms, can ensure harmful genes aren't expressed.[93][94]
Before the Industrial Revolution, men lived longer than women on average.[95][96] In developed countries, starting around 1880, death rates decreased faster among women, leading to differences in mortality rates between males and females. Before 1880 death rates were the same. In people born after 1900, the death rate of 50- to 70-year-old men was double that of women of the same age. Men may be more vulnerable to cardiovascular disease than women, but this susceptibility was evident only after deaths from other causes, such as infections, started to decline.[97] Most of the difference in life expectancy between the sexes is accounted for by differences in the rate of death by cardiovascular diseases among persons aged 5070.[98]
The heritability of lifespan is estimated to be less than 10%, meaning the majority of variation in lifespan is attributable due to differences in environment rather than genetic variation.[99] However, researchers have identified regions of the genome which can influence the length of life and the number of years lived in good health. For example, a genome-wide association study of 1 million lifespans found 12 genetic loci which influenced lifespan by modifying susceptibility to cardiovascular and smoking-related disease.[100] The locus with the largest effect is APOE. Carriers of the APOE 4 allele live approximately one year less than average (per copy of the 4 allele), mainly due to increased risk of Alzheimer's disease.[100]
In July 2020, scientists identified 10 genomic loci with consistent effects across multiple lifespan-related traits, including healthspan, lifespan, and longevity.[101] The genes affected by variation in these loci highlighted haem metabolism as a promising candidate for further research within the field. This study suggests that high levels of iron in the blood likely reduce, and genes involved in metabolising iron likely increase healthy years of life in humans.[102]
A follow-up study which investigated the genetics of frailty and self-rated health in addition to healthspan, lifespan, and longevity also highlighted haem metabolism as an important pathway, and found genetic variants which lower blood protein levels of LPA and VCAM1 were associated with increased healthy lifespan.[103]
In developed countries, the number of centenarians is increasing at approximately 5.5% per year, which means doubling the centenarian population every 13years, pushing it from some 455,000 in 2009 to 4.1million in 2050.[104] Japan is the country with the highest ratio of centenarians (347 for every 1million inhabitants in September 2010). Shimane Prefecture had an estimated 743 centenarians per million inhabitants.[105]
In the United States, the number of centenarians grew from 32,194 in 1980 to 71,944 in November 2010 (232 centenarians per million inhabitants).[106]
Mental illness is reported to occur in approximately 18% of the average American population.[107][108]
The mentally ill have been shown to have a 10- to a 25-year reduction in life expectancy.[110]Generally, the reduction of lifespan in the mentally ill population compared to the mentally stable population has been studied and documented.[111][112][113][114][115]
The greater mortality of people with mental disorders may be due to death from injury, from co-morbid conditions, or medication side effects.[116]For instance, psychiatric medications can increase the risk of developing diabetes.[117][118][119][120] It has been shown that the psychiatric medication olanzapine can increase risk of developing agranulocytosis among other comorbidities.[121][122] Psychiatric medicines also affect the gastrointestinal tract, where the mentally ill have a four times risk of gastrointestinal disease.[123][124][125]
As of the year 2020 and the COVID-19 pandemic, researchers have found an increased risk of death in the mentally ill.[126][127][128]
The life expectancy of people with diabetes, which is 9.3% of the U.S. population, is reduced by roughly ten to twenty years.[129][130] People over 60 years old with Alzheimer's disease have about a 50% life expectancy of 3 to 10 years.[131] Other demographics that tend to have a lower life expectancy than average include transplant recipients,[132] and the obese.[133]
Education on all levels has been shown to be strongly associated with increased life expectancy.[134] This association may be due partly to higher income,[135] which can lead to increased life expectancy. Despite the association, among identical twin pairs with different education levels, there is only weak evidence of a relationship between educational attainment and adult mortality.[134]
According to a paper from 2015, the mortality rate for the Caucasian population in the United States from 1993 to 2001 is four times higher[dubious discuss] for those who did not complete high school compared to those who have at least 16 years of education.[134] In fact, within the U.S. adult population, those who have less than a high school education have the shortest life expectancies.
Pre-school education also plays a large role in life expectancy. It was found that high-quality early-stage childhood education had positive effects on health. Researchers discovered this by analyzing the results of the Carolina Abecedarian Project (ABC) finding that the disadvantaged children who were randomly assigned to treatment had lower instances of risk factors for cardiovascular and metabolic diseases in their mid-30s.[136]
Various species of plants and animals, including humans, have different lifespans. Evolutionary theory states that organisms that, by virtue of their defenses or lifestyle, live for long periods and avoid accidents, disease, predation, etc. are likely to have genes that code for slow aging, which often translates to good cellular repair. One theory is that if predation or accidental deaths prevent most individuals from living to an old age, there will be less natural selection to increase the intrinsic life span.[137] That finding was supported in a classic study of opossums by Austad;[138] however, the opposite relationship was found in an equally prominent study of guppies by Reznick.[139][140]
One prominent and very popular theory states that lifespan can be lengthened by a tight budget for food energy called caloric restriction.[141] Caloric restriction observed in many animals (most notably mice and rats) shows a near doubling of life span from a very limited calorific intake. Support for the theory has been bolstered by several new studies linking lower basal metabolic rate to increased life expectancy.[142][143][144] That is the key to why animals like giant tortoises can live so long.[145] Studies of humans with life spans of at least 100 have shown a link to decreased thyroid activity, resulting in their lowered metabolic rate.
In a broad survey of zoo animals, no relationship was found between investment of the animal in reproduction and its life span.[146]
The starting point for calculating life expectancy is the age-specific death rates of the population members. If a large amount of data is available, a statistical population can be created that allow the age-specific death rates to be simply taken as the mortality rates actually experienced at each age (the number of deaths divided by the number of years "exposed to risk" in each data cell). However, it is customary to apply smoothing to iron out, as much as possible, the random statistical fluctuations from one year of age to the next. In the past, a very simple model used for this purpose was the Gompertz function, but more sophisticated methods are now used.[147]
These are the most common methods now used for that purpose:
While the data required are easily identified in the case of humans, the computation of life expectancy of industrial products and wild animals involves more indirect techniques. The life expectancy and demography of wild animals are often estimated by capturing, marking, and recapturing them.[148] The life of a product, more often termed shelf life, is also computed using similar methods. In the case of long-lived components, such as those used in critical applications: in aircraft, methods like accelerated aging are used to model the life expectancy of a component.[8]
The age-specific death rates are calculated separately for separate groups of data that are believed to have different mortality rates (such as males and females, and perhaps smokers and non-smokers if data are available separately for those groups) and are then used to calculate a life table from which one can calculate the probability of surviving to each age. In actuarial notation, the probability of surviving from age x {displaystyle x} to age x + n {displaystyle x+n} is denoted n p x {displaystyle ,_{n}p_{x}!} and the probability of dying during age x {displaystyle x} (between ages x {displaystyle x} and x + 1 {displaystyle x+1} ) is denoted q x {displaystyle q_{x}!} . For example, if 10% of a group of people alive at their 90th birthday die before their 91st birthday, the age-specific death probability at 90 would be 10%. That is a probability, not a mortality rate[clarification needed].
The expected future lifetime of a life age x {displaystyle x} in whole years (the curtate expected lifetime of (x)) is denoted by the symbol e x {displaystyle ,e_{x}!} .[a] It is the conditional expected future lifetime (in whole years), assuming survival to age x {displaystyle x} . If K ( x ) {displaystyle K(x)} denotes the curtate future lifetime at x {displaystyle x} ,
Substituting k p x q x + k = k p x k + 1 p x {displaystyle {}_{k}p_{x},q_{x+k}={}_{k}p_{x}-{}_{k+1}p_{x}} in the sum and simplifying gives the equivalent formula:[149] e x = k = 1 k p x . {displaystyle e_{x}=sum _{k=1}^{infty }{},_{k}p_{x}.} If the assumption is made that on average, people live a half year in the year of death, the complete expectation of future lifetime at age x {displaystyle x} is e x + 1 / 2 {displaystyle e_{x}+1/2} .
Life expectancy is by definition an arithmetic mean. It can also be calculated by integrating the survival curve from 0 to positive infinity (or equivalently to the maximum lifespan, sometimes called 'omega'). For an extinct or completed cohort (all people born in the year 1850, for example), it can of course simply be calculated by averaging the ages at death. For cohorts with some survivors, it is estimated by using mortality experience in recent years. The estimates are called period cohort life expectancies.
It is important to note that the statistic is usually based on past mortality experience and assumes that the same age-specific mortality rates will continue. Thus, such life expectancy figures need to be adjusted for temporal trends before calculating how long a currently living individual of a particular age is expected to live. Period life expectancy remains a commonly used statistic to summarize the current health status of a population.
However, for some purposes, such as pensions calculations, it is usual to adjust the life table used by assuming that age-specific death rates will continue to decrease over the years, as they have usually done in the past. That is often done by simply extrapolating past trends, but some models exist to account for the evolution of mortality like the LeeCarter model.[150]
As discussed above, on an individual basis, some factors correlate with longer life. Factors that are associated with variations in life expectancy include family history, marital status, economic status, physique, exercise, diet, drug use including smoking and alcohol consumption, disposition, education, environment, sleep, climate, and health care.[10]
To assess the quality of these additional years of life, 'healthy life expectancy' has been calculated for the last 30 years. Since 2001, the World Health Organization has published statistics called Healthy life expectancy (HALE), defined as the average number of years that a person can expect to live in "full health" excluding the years lived in less than full health due to disease and/or injury.[151][152] Since 2004, Eurostat publishes annual statistics called Healthy Life Years (HLY) based on reported activity limitations. The United States uses similar indicators in the framework of the national health promotion and disease prevention plan "Healthy People 2010". More and more countries are using health expectancy indicators to monitor the health of their population.
The long-standing quest for longer life led in the 2010s to a more promising focus on increasing HALE, also known as a person's "healthspan". Besides the benefits of keeping people healthier longer, a goal is to reduce health-care expenses on the many diseases associated with cellular senescence. Approaches being explored include fasting, exercise, and senolytic drugs.[153]
Forecasting life expectancy and mortality form an important subdivision of demography. Future trends in life expectancy have huge implications for old-age support programs like U.S. Social Security and pension since the cash flow in these systems depends on the number of recipients who are still living (along with the rate of return on the investments or the tax rate in pay-as-you-go systems). With longer life expectancies, the systems see increased cash outflow; if the systems underestimate increases in life-expectancies, they will be unprepared for the large payments that will occur, as humans live longer and longer.
Life expectancy forecasting is usually based on two different approaches:
Life expectancy is one of the factors in measuring the Human Development Index (HDI) of each nation along with adult literacy, education, and standard of living.[155]
Life expectancy is also used in describing the physical quality of life of an area or, for an individual when the value of a life settlement is determined a life insurance policy is sold for a cash asset.
Disparities in life expectancy are often cited as demonstrating the need for better medical care or increased social support. A strongly associated indirect measure is income inequality. For the top 21 industrialized countries, if each person is counted equally, life expectancy is lower in more unequal countries (r = 0.907).[156] There is a similar relationship among states in the US (r = 0.620).[157]
Life expectancy is commonly confused with the average age an adult could expect to live. This confusion may create the expectation that an adult would be unlikely to exceed an average life expectancy, even though, with all statistical probability, an adult, who has already avoided many statistical causes of adolescent mortality, should be expected to outlive the average life expectancy calculated from birth.[158] One must compare the life expectancy of the period after childhood, to estimate also the life expectancy of an adult.[158] Life expectancy can change dramatically after childhood, even in preindustrial times as is demonstrated by the Roman Life Expectancy table, which estimates life expectancy to be 25 years at birth, but 53 years upon reaching age 25.[159] Studies like Plymouth Plantation; "Dead at Forty" and Life Expectancy by Age, 18502004 similarly show a dramatic increase in life expectancy once adulthood was reached.[160][161]
Life expectancy differs from maximum life span. Life expectancy is an average for all people in the population including those who die shortly after birth, those who die in early adulthood (e.g. childbirth, war), and those who live unimpeded until old age. Maximum lifespan is an individual-specific concept maximum lifespan is, therefore, an upper bound rather than an average.[158] Science author Christopher Wanjek said "has the human race increased its life span? Not at all. This is one of the biggest misconceptions about old age." The maximum life span, or oldest age a human can live, may be constant.[158] Further, there are many examples of people living significantly longer than the average life expectancy of their time period, such as Socrates (71), Saint Anthony the Great (105), Michelangelo (88), and John Adams, 2nd president of the United States (90).[158]
However, anthropologist John D. Hawks criticizes the popular conflation of life span (life expectancy) and maximum life span when popular science writers falsely imply that the average adult human does not live longer than their ancestors. He writes, "[a]ge-specific mortality rates have declined across the adult lifespan. A smaller fraction of adults die at 20, at 30, at 40, at 50, and so on across the lifespan. As a result, we live longer on average... In every way we can measure, human lifespans are longer today than in the immediate past, and longer today than they were 2000 years ago... age-specific mortality rates in adults really have reduced substantially."[162]
a. ^ ^ In standard actuarial notation, ex refers to the expected future lifetime of (x) in whole years, while ex (with a ring above the e) denotes the complete expected future lifetime of (x), including the fraction.
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Life expectancy - Wikipedia
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Life Expectancy – Our World in Data
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Given that life expectancy at birth is highly sensitive to the rate of death in the first few years of life, it is common to report life expectancy figures at different ages, both under the period and cohort approaches. For example, the UN estimates that the (period) global life expectancy at age 10 in 2005 was 63.6 years. This means that the group of 10-year-old children alive around the world in 2005 could expect to live another 63.6 years (i.e. until the age of 73.6), provided that mortality patterns observed in 2005 remained constant throughout their lifetime.
Finally, another point to bear in mind is that period and cohort life expectancy estimates are statistical measures, and they do not take into account any person-specific factors such as lifestyle choices. Clearly, the length of life for an average person is not very informative about the predicted length of life for a person living a particularly unhealthy lifestyle.
In practical terms, estimating life expectancy entails predicting the probability of surviving successive years of life, based on observed age-specific mortality rates. How is this actually done?
Age-specific mortality rates are usually estimated by counting (or projecting) the number of age-specific deaths in a time interval (e.g. the number of people aged 10-15 who died in the year 2005), and dividing by the total observed (or projected) population alive at a given point within that interval (e.g. the number of people aged 10-15 alive on 1 July 2015).
To ensure that the resulting estimates of the probabilities of death within each age interval are smooth across the lifetime, it is common to use mathematical formulas, to model how the force of mortality changes within and across age intervals. Specifically, it is often assumed that the proportion of people dying in an age interval starting in year and ending in year corresponds to , where is the age-specific mortality rate as measured in the middle of that interval (a term often referred to as the central death rate for the age interval).16
Once we have estimates of the fraction of people dying across age intervals, it is simple to calculate a life table showing the evolving probabilities of survival and the corresponding life expectancies by age. Here is an example of a life table from the US, and this tutorial from MEASURE Evaluation explains how life tables are constructed, step by step (see Section 3.2 The Fergany Method).
Period life expectancy figures can be obtained from period life tables (i.e. life tables that rely on age-specific mortality rates observed from deaths among individuals of different age groups at a fixed point in time). And similarly, cohort life expectancy figures can be obtained from cohort life tables (i.e. life tables that rely on age-specific mortality rates observed from tracking and forecasting the death and survival of a group of people as they become older).
For some countries and for some time intervals, it is only possible to reconstruct life tables from either period or cohort mortality data. As a consequence, in some instancesfor example in obtaining historical estimates of life expectancy across world regionsit is necessary to combine period and cohort data. In these cases, the resulting life expectancy estimates cannot be simply classified into the period or cohort categories.
Life tables are not just instrumental to the production of life expectancy figures (as noted above), they also provide many other perspectives on the mortality of a population. For example, they allow for the production of population survival curves, which show the share of people who are expected to survive various successive ages. This chart provides an example, plotting survival curves for individuals born at different points in time, using cohort life tables from England and Wales.
At any age level in the horizontal axis, the curves in this visualization mark the estimated proportion of individuals who are expected to survive that age. As we can see, less than half of the people born in 1851 in England and Wales made it past their 50th birthday. In contrast, more than 95% of the people born in England and Wales today can expect to live longer than 50 years.
Since life expectancy estimates only describe averages, these indicators are complementary, and help us understand how health is distributed across time and space. In our entry on Life Expectancy you can read more about related complementary indicators, such as the median age of a population.
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