Precision Medicine and Public Health: New Challenges for Effective and Sustainable Health.

early disease prevention epigenetic modulations genetic and microbiome markers genetic polymorphisms health technology assessment miRNA public health genomics

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
16 Feb 2021
Historique:
received: 18 12 2020
revised: 11 02 2021
accepted: 14 02 2021
entrez: 6 3 2021
pubmed: 7 3 2021
medline: 7 3 2021
Statut: epublish

Résumé

The development of high-throughput omics technologies represents an unmissable opportunity for evidence-based prevention of adverse effects on human health. However, the applicability and access to multi-omics tests are limited. In Italy, this is due to the rapid increase of knowledge and the high levels of skill and economic investment initially necessary. The fields of human genetics and public health have highlighted the relevance of an implementation strategy at a national level in Italy, including integration in sanitary regulations and governance instruments. In this review, the emerging field of public health genomics is discussed, including the polygenic scores approach, epigenetic modulation, nutrigenomics, and microbiomes implications. Moreover, the Italian state of implementation is presented. The omics sciences have important implications for the prevention of both communicable and noncommunicable diseases, especially because they can be used to assess the health status during the whole course of life. An effective population health gain is possible if omics tools are implemented for each person after a preliminary assessment of effectiveness in the medium to long term.

Identifiants

pubmed: 33669364
pii: jpm11020135
doi: 10.3390/jpm11020135
pmc: PMC7920275
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Deborah Traversi (D)

Department of Public Health and Pediatrics, University of Torino, Piazza Polonia 94, 10126 Torino, Italy.

Alessandra Pulliero (A)

Department of Health Sciences School of Medicine, University of Genoa, 16132 Genova, Italy.

Alberto Izzotti (A)

Department of Experimental Medicine, University of Genoa, 16132 Genova, Italy.
IRCCS Ospedale Policlinico San Martino, 161632 Genova, Italy.

Elena Franchitti (E)

Department of Public Health and Pediatrics, University of Torino, Piazza Polonia 94, 10126 Torino, Italy.

Licia Iacoviello (L)

Research Center in Epidemiology and Preventive Medicine (EPIMED), Department of Medicine and Surgery, University of Insubria, 21100 Varese, Italy.
Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy.

Francesco Gianfagna (F)

Research Center in Epidemiology and Preventive Medicine (EPIMED), Department of Medicine and Surgery, University of Insubria, 21100 Varese, Italy.
Mediterranea Cardiocentro, 80122 Napoli, Italy.

Alessandro Gialluisi (A)

Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy.

Benedetta Izzi (B)

Department of Epidemiology and Prevention, IRCCS NEUROMED, 86077 Pozzilli, Italy.

Antonella Agodi (A)

Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.

Martina Barchitta (M)

Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.

Giovanna Elisa Calabrò (GE)

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Ilda Hoxhaj (I)

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Michele Sassano (M)

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Luca Gino Sbrogiò (LG)

Dipartimento di Prevenzione, Az. ULSS3 Serenissima, 30174 Venezia, Italy.

Annamaria Del Sole (A)

Dipartimento di Prevenzione, SIAN, Az. ULSS5, 45100 Rovigo, Italy.

Francesco Marchiori (F)

Azienda Ospedaliera Universitaria Integrata di Verona, 37126 Verona, Italy.

Erica Pitini (E)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.

Giuseppe Migliara (G)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.

Carolina Marzuillo (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.

Corrado De Vito (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.

Manuela Tamburro (M)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, 86100 Campobasso, Italy.

Michela Lucia Sammarco (ML)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, 86100 Campobasso, Italy.

Giancarlo Ripabelli (G)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, 86100 Campobasso, Italy.

Paolo Villari (P)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Roma, Italy.

Stefania Boccia (S)

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Department of Woman and Child Health and Public Health-Public Health Area, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.

Classifications MeSH