Public health research needs for molecular epidemiology and to emphasize homeostasis - could the omnipotent endopeptidase inhibitor α-2-macroglobulin be a meaningful biomarker?

Autor: Pattara Sanchaisuriya, Frank Peter Schelp, Ratthaphol Kraiklang, Benja Muktabhant, Pornpimon Chupanit
Rok vydání: 2019
Předmět:
0301 basic medicine
Gerontology
medicine.medical_specialty
Population
Population health
General Biochemistry
Genetics and Molecular Biology

metabolic syndrome
03 medical and health sciences
0302 clinical medicine
Overnutrition
Pregnancy
Epidemiology
Endopeptidases
medicine
Homeostasis
Humans
030212 general & internal medicine
Prospective Studies
General Pharmacology
Toxicology and Pharmaceutics

education
education.field_of_study
Molecular Epidemiology
General Immunology and Microbiology
Molecular epidemiology
business.industry
Public health
dietary restriction
General Medicine
Articles
Opinion Article
medicine.disease
sustainable development goals
Obesity
non-communicable diseases
Pregnancy-Associated alpha 2-Macroglobulins
030104 developmental biology
Biomarker (medicine)
Female
Public Health
business
alpha-2-macroglobulin
Biomarkers
Zdroj: F1000Research
ISSN: 2046-1402
Popis: Public health authorities in low- and middle-income countries face dramatic challenges in handling rapidly increasing non-communicable diseases (NCDs), due to the epidemiological- and particularly nutritional transition. Among major reasons for the development of NCDs are smoking and alcohol, but overnutrition and obesity are also major threats to population health. Obesity is related to diabetes and cancer, but also has a genetic background. It is difficult to recommend a healthy nutrition. This is because of conflicting nutritional conceptions, and given the complexity of human metabolism understanding this topic can be difficult for the laymen. Public health measures advocating physical activity and refraining from high intake of energy, sugar and soft drinks need to be enhanced by supporting the ‘intrinsic motivation’ to preserve a good health. The mission of public health should be to increase awareness about the complexity of human metabolism, and the involvement of genetic and epigenetics in health and diseases. To maintain homeostasis, means to keep an optimal relationship between catabolism and synthesis, seems to be of particular interest. Preconditions for this is, that public health institutions within the administration- and academic sector follow up developments in life science and molecular biology and conduct population-based research making use of molecular epidemiology, especially those related to key metabolic steps and maintenance of ‘homeostasis’, in balancing catabolism and anabolism. A prospective biomarker for this situation might be α-2-macroglobulin.
Databáze: OpenAIRE