Tailoring right drug with right dose to right patients based on patient’s genome, proteome, metabolom makeup

Publish Year: 1395
نوع سند: مقاله کنفرانسی
زبان: English
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IPMCMED01_131

تاریخ نمایه سازی: 23 آذر 1397

Abstract:

It is well recognized that a drug may exert different therapeutic and/or toxic impacts in different individual patients due to distinct genome, proteome, metabolom profile of patients. In recent years, pharmacogenomics, proteomics, metabolomics studies have been concerned with the effects of several genes, proteins, metabolites on particular phenotype, especially when inter-individual variation exists in the response to a particular drug or when adverse drug reactions are known to occur. In order to develop optimal patient-specific therapy, we collected the biological samples (e. g. blood, serum, plasma, buffy coat, urine and DNA) from a total 33000 employees of the Ministry of Health (community health workers/Behvarz) selected from all rural areas of Iran through Behvarz health study (Cohort). These samples were collected, processed and stored in biobank based on the consensus protocols that guarantee the suitability of biological samples for omics analyses (e. g. genomics, epigenomics, proteomics and metabolomics). The behhvarz health study biobank was established for long-term storage (at least twenty years) of biological samples. In addition, a new laboratory information management system (LIMS) software was developed to manage, track, and organize the participant’s samples, data, and samples stored in the biobank. A whole experimental approach was performed to measure the blood parameters such as glucose, calcium, creatinine, blood urea nitrogen, Alanine aminotransferase, Alkaline phosphate, low and high density lipoprotein, cardiac c-reactive protein, aspartate aminotransferase, Cholesterol, Triglyceride, urea, phosphate and complete blood count. In addition, the urine parameters including color, appearance, bilirubin, ketone bodies, urobilinogen, ascorbic acid, protein, pH, nitrite, leukocyte and specific gravity were measured using urine test strip. The health and personal condition and lifestyle of all behvarzes were collected and will be tracked for more than 20 years. This approach will provide unique opportunities to determine the biomarkers and risk factors that associate with disease prevalence. The collected samples will be used for omics analyses and therefore, it is possible to develop patient-specific drugs.

Authors

Mohammad Javad Hajipour

The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran

Zohreh Mahmoudi

Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Negar Mahmoudi

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Shohreh NaderiMagham

Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran