Page 74 - GTM-4-3
P. 74

Global Translational Medicine                                     Precision medicine via personalized nutrition



                                                               emerging applications in conjunction with nutrigenomics,
                                                               proteomics, and metabolomics.
                                                                 Today, genomics-driven PN accounts for almost all
                                                               relevant environmental influences throughout life on
                                                               human health conditions. The latest advancements show
                                                               that genetic variation affects connections between nutrients
                                                               and the genome, which may alter disease risk. While there
                                                               are food products that cater to the needs or preferences of
                                                               specific consumer groups, these choices are mainly driven by
                                                               empirical consumer science rather than by nutrigenomics and
                                                               nutritional approaches. This understanding helps elucidate
                                                               human variability in dietary preferences, requirements,
                                                               and responses, paving the way for future scientific tools for
                                                               consumption assessment, guided by PN-based advice for
                                                               health maintenance and disease prevention. 33

                                                               2.2. Proteomics
                                                               As mentioned previously, systems biology integrates
                                                               multidisciplinary scientific approaches to predict and
            Figure 8. The evolution of personalized nutrition. Several omics factors   describe the dynamic properties of living biosystems,
            can influence an individual’s response to diet and its impact on health. The   which  are understood as  complex  signaling networks.
            emergence of new nutritional biomarkers, which integrate information   In the realm of nutritional sciences, systems analysis of
            on intake and its effects on the organism, has generated interest, especially   both standard and nutrient-modified signaling networks,
            regarding their relationship with health and disease. Omics technologies   along with an understanding of underlying genetic
            play a crucial role in exploring these connections. At its core, personalized
            and precision medicine represents the intersection of individuals, their   polymorphisms, is expected to pave the way for a future
            environment, and the evolving markers of health and disease, along   where  individual  health  is enhanced through  predictive
            with the social and behavioral factors that shape outcomes over time.   and preventive nutrition. 34
            This includes (i) people: Patients, individuals at risk, and populations
            served; (ii) markers: Indicators of health and illness, encompassing   The advancement of omics technologies has provided
            genetics, genomics, metabolomics, phenomics, pharmacogenomics, and   effective methods for a thorough and targeted study of
            other omics platforms; (iii) exposome: Environmental exposures and   biological systems, leading to more precise diagnostic tools
            influences, both internal (e.g., microbiome and gut–brain interactions)   and the development of targeted treatments. Advances
            and  external  (e.g.,  socioeconomic  factors,  food  quality, agriculture,   in proteomics technology allow for the simultaneous
            and geographical influences); and (iv) behavioral health: Factors such
            as exercise, self-care, addiction, anxiety, and lifestyle choices that   identification and quantification of the expression profiles
            impact individuals and populations. Together, these elements form the   of thousands of proteins. Proteomic analysis has emerged as
            foundation for understanding health and disease through a personalized,   a powerful technique for describing the patients’ molecular
            multidimensional approach. 31                      profiles, allowing analysis of tissue and bodily fluids.

                                                                 Proteomics plays a critical role in discovering
            solutions that deliver meaningful health benefits to a large   novel biomarkers for disease diagnosis, prognosis, and
            population. 32
                                                               therapeutic strategies. Identifying and quantifying proteins
              It is essential to consider both ends of the spectrum—  provides crucial data about disease conditions and how
            nutrigenomics and deep phenotyping—while accounting   they respond to treatment. More broadly, proteomics
            for multiple factors when designing personalized and   can uncover the molecular mechanisms critical for an
            unbiased nutritional solutions for individuals or specific   organism’s  adaptation  to its  ecological  niche.   In  this
                                                                                                     35
            population subgroups. In addition, a collaborative effort   context,  proteomics  involves  the  large-scale  study of
            between basic scientists, clinical researchers, and health-  proteins, focusing on their structures, functions, and roles
            care professionals is essential to create a comprehensive   in living organisms. As such, proteomics is increasingly
            foundation that enables the successful implementation   used to explore both health and disease, as well as to
            of these novel insights at the population level. This   address  issues  related  to  food  quality,  safety,  bioactivity,
            study explores the latest advancements in analyzing and   and to develop healthier food products.
            monitoring dietary habits, food behaviors, and deep   The  goal  of  clinical  proteomics is  to  identify and
            phenotyping. In addition, we highlight the relevance of   quantify proteins in clinical samples such as blood, urine,


            Volume 4 Issue 3 (2025)                         66                          doi: 10.36922/GTM025080017
   69   70   71   72   73   74   75   76   77   78   79