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Public Health Genomics

Die Zukunft wird heute gestaltet!

Public health genomics

The future is built today!

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Die Integration genombasierten Wissens in Forschung, Politik und Praxis von Public Health wird eine der größten Herausforderungen für unsere Gesundheitssysteme darstellen. In diesem Kontext trägt Public Health Genomics (PHG) als verantwortungsvolle und effektive Umsetzung genombasierten Wissens und genombasierter Technologien in die Gesundheitspolitik und Gesundheitsversorgung entscheidend zur Verbesserung der Gesundheit der Gesamtbevölkerung bei. Die verschiedenen Public-Health-Akteure sind gefordert, diese Innovationen, die aus Bereichen wie Systembiologie, Epigenomik, Integrativer Genomik, Umwelt-Genomik-Interaktionen resultieren, zeitnah in personalisierte und zielgruppenorientierte Interventionen zu integrieren. Insbesondere die aktuellen Ergebnisse aus der Systembiologie stellen bereits heute klassische Krankheitsklassifikationen wie etwa die ICD10, populationsbezogene genetische Screenings oder auch epidemiologische Modelle wie traditionelles HTA infrage. Das Public Health Genomics European Network (PHGEN) erfüllt diese Aufgabe der Translationsforschung in Europa.

Abstract

The task of public health genomics (PHG) has become a challenge for all healthcare systems having major implications for future research and policy strategies. The various stakeholders in public health play a key role in translating the implications of genomics such as deriving from systems biology, epigenomics, integrative genomics or genome-environmental interactions. Recent advances in systems biology indicate that specific cellular functions are infrequently carried out by single genes, but rather by groups of cellular components. This network-based research is already starting to change nosology as well as to challenge population-based genetic screening or epidemiological methods like HTA. This knowledge will not only enable clinical interventions but also health promotion messages and disease prevention programs to be targeted at susceptible individuals as well as subgroups of the population (personalized healthcare). So far there has been no systematic integration of genome-based knowledge and technologies into public health research, policy, and practice. Thus, the public health agenda demands a vision that reaches beyond the research horizon to arrive at application and health impact of these innovations. The Public Health Genomics European Network (PHGEN) aims to fulfill this task in Europe.

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Abb. 1

Notes

  1. Für weiter Informationen siehe http://www.phgen.eu

Literatur

  1. Beskow LM, Khoury MJ, Baker TG, Thrasher JF (2001) The integration of genomics into public health. Research, policy and practice in the United States. Community Genet 4:2–11

    Article  PubMed  Google Scholar 

  2. Brand A (2005) Public health and genetics – a dangerous combination? Eur J Public Health 15(2):114–116

    Article  PubMed  Google Scholar 

  3. Brand A, Schröder P, Brand H, Zimmern R (2006) Getting ready for the future: integration of genomics into public health research, policy and practices in Europe and globally. Community Genet 9:67–71

    Article  PubMed  Google Scholar 

  4. Holtzmann NA (2006) What role for public health in genetics and vice versa? Community Genet 9:8–20

    Article  Google Scholar 

  5. Brand A, Brand H, Schulte in den Bäumen T (2008) The impact of genetics and genomics on public health. Eur J Hum Genet 16(1):5–13

    Article  PubMed  Google Scholar 

  6. World Health Organisation (WHO) (1998) Health promotion glossary. World Health Organisation, Genf

  7. Schwartz FW (1998) Public Health: Zugang zu Gesundheit und Krankheit der Bevölkerung, Analysen für effektive und effiziente Lösungsansätze. In: Schwartz FW, Raspe H (Hrsg) Das Public Health Buch: Gesundheit und Gesundheitswesen. Urban und Schwarzenberg, München Wien Baltimore

  8. Bellagio Statement (2005) Genome-based research and population health. Report of an expert workshop held at the Rockefeller Foundation Study and Conference Center, Bellagio, Italy, 14–20

  9. Khoury MJ, Gwinn M (2006) Letter to the editor: what role for public health in genetics and vice versa. Community Genetics. Community Genet 9:282

    Article  PubMed  CAS  Google Scholar 

  10. Dabrock P, Schröder P (2006) Public Health Gen-Ethik. Bochum: Medizinethische Materialien (No 171)

  11. Collins FS (1999) Shattuck lecture – medical and social consequences of the human genome project. N Engl J Med 341(1):28–37

    Article  PubMed  CAS  Google Scholar 

  12. Lunshof JE, Chadwick R, Vorhaus DB, Church GM (2008) From genetic privacy to open consent. Nat Rev Genet 9(5):406–411

    Article  PubMed  CAS  Google Scholar 

  13. McGowan PO, Sasaki A, D’Alessio AC et al (2009) Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat Neurosci 12(3):342–348

    Article  PubMed  CAS  Google Scholar 

  14. Mayeux R, Schupf N (1995) Apolipoprotein E and Alzheimer’s disease: the implications of progress in molecular medicine. Am J Public Health 85:1280–1284

    Article  PubMed  CAS  Google Scholar 

  15. Khachaturian AS, Corcoran CD, Mayer LS et al (2004) Apolipoprotein E epsilon4 count affects age at onset of Alzheimer disease, but not lifetime susceptibility: The Cache County Study. Arch Gen Psychiatry 61:518–524

    Article  PubMed  CAS  Google Scholar 

  16. Qiu C, Kivipelto M, Aguero-Torres H et al (2004) Risk and protective effects of the APOE gene towards Alzheimer’s disease in the Kungsholmen project: variation by age and sex. J Neurol Neurosurg Psychiatry 75:828–833

    Article  PubMed  CAS  Google Scholar 

  17. Statement on use of apolipoprotein E testing for Alzheimer disease (1995) American College of Medical Genetics/American Society of Human Genetics Working Group on ApoE and Alzheimer Disease. JAMA 274:1627–1629

    Article  Google Scholar 

  18. Khoury MJ, Burke W, Thomson EJ (2000) Genetics and public health. A framework for the integration of human genetics into public health practice. In: Khoury MJ, Burke W, Thomson EJ (eds) Genetics and public health in the 21st Century. University Press, Oxford

  19. McGinnis JM (2005) The public health system. In: Institute of Medicine. Implications of Genomics for Public Health – Workshop Summary. Washington

  20. Burke W, Khoury MJ, Stewart A, Zimmern R (2006) The path from genome-based research to population health: development of an international public health genomic network. Genet Med 8(7):451–458

    Article  PubMed  Google Scholar 

  21. Janssens AC (2006) Towards predictive genetic testing in predicting disease. Eur J Epidemiol 21(12):869–870

    Article  PubMed  Google Scholar 

  22. Smith GD, Ebrahim S, Lewis S et al (2005) Genetic epidemiology and public health: hope, hype, and future prospects. Lancet 366:1484–1498

    Article  Google Scholar 

  23. Khoury MJ, Davis R, Gwinn M et al (2005) Do we need genomic research for the prevention of common diseases with environmental causes? Am J Epidemiol 161:799–805

    Article  PubMed  Google Scholar 

  24. Bosch X (2006) Group ponders genomics and public health. JAMA 295(15):1762

    Article  PubMed  CAS  Google Scholar 

  25. Colhoun HM, McKeigue PM, Davey Smith G (2003) Problems of reporting genetic associations with complex outcomes. Lancet 361:865–872

    Article  PubMed  Google Scholar 

  26. Ioannidis JP, Trikalinos TA, Ntzani EE, Contopoulos-Ioannidis DG (2003) Genetic associations in large versus small studies: an empirical assessment. Lancet 361:567–571

    Article  PubMed  Google Scholar 

  27. Little J, Khoury MJ, Bradley L et al (2003) The human genome project is complete. How do we develop a handle for the pump? Am J Epidemiol 157:667–673

    Article  PubMed  Google Scholar 

  28. Krawczak M, Nikolaus S, von Eberstein H et al (2006) PopGen: population-based recruitment of patients and controls for the analysis of complex genotype-phenotype relationships. Community Genet 9:55–61

    Article  PubMed  Google Scholar 

  29. Wichmann HE, Gieger C (2007) Biobanken. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50(2):192–199

    Article  Google Scholar 

  30. Smith GD, Gwinn M, Ebrahim S et al (2006) Make it HuGE: human genome epidemiology reviews, population health, and the IJE. Int J Epidemiol. doi:10.1093/ije/dyl071

  31. Nationales Genomforschungsnetz (NGFN) (aufgerufen im März 2009), http://www.ngfn.de/

  32. Laurie G (2002) Genetic privacy. Cambridge University Press, Cambridge, pp 279–293

  33. Burke W, Zimmern RL (2004) Ensuring the appropriate use of genetic tests. Nat Rev Genet (12):955–959

    Google Scholar 

  34. Brand A (2009) Integrative genomics, personal-genome tests and personalized healthcare: the future is being built today. European Journal of Human Genetics advance online publication, 4 March; doi:10.1038/ejhg.2009.32

  35. Morrison PJ (2005) Insurance, unfair discrimination and genetic testing. Lancet 366:877–879

    Article  PubMed  Google Scholar 

  36. Schröder P (2004) Gendiagnostische Gerechtigkeit. Eine ethische Studie über die Herausforderungen postnataler genetischer Prädiktion. Lit, Münster

  37. Janssens AC, Khoury MJ (2006) Predictive value of testing for multiple genetic variants in multifactorial diseases: implications for the discourse on ethical, legal and social issues. Ital J Public Health 3(3–4):35–45

    Google Scholar 

  38. Mielck A, Rogowski W (2007) Bedeutung der Genetik beim Thema „soziale Ungleichheit und Gesundheit“. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50(2):181–191

    Article  Google Scholar 

  39. Austin MA (2002) Ethical issues in human genome epidemiology: a case study based on The Japanese American Family Study in Seattle, Washington. Am J Epidemiol 155(7):585–592

    Article  PubMed  Google Scholar 

  40. Powers M, Faden R (2006) Social justice: the moral foundations of public health and health policy. Oxford University Press, Oxford

  41. Brand A, Brand H, Schröder P, Dabrock P (2005) Newborn screening programme and folic acid fortificatoin – two examples of policy making in public health genetics. In: Georgieva L, Burazeri G (eds) Health determinants in the scope of new public health: a handbook for teachers, researchers and health professionals. Hans Jacobs, Lage, pp 20–30

  42. Brand H, Brand A (2007) Public Health Genomics. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 50:135–144

    Article  Google Scholar 

  43. Human Genetics Commission, UK Screening Committee (2005) Profiling the newborn: a prospective gene technology? March, London

  44. Brand AM, Probst-Hensch NM (2007) Biobanking for epidemiological research and public health. Special issue „Tissue Banking“. Pathobiology 74:227–238

    Article  PubMed  Google Scholar 

  45. Das Nationale Genomforschungsnetz (NGFN) (2006) Die Highlights. NGFN, Bonn

  46. McInerney JD (2006) Introduction. Community Genet 9:223

    Article  Google Scholar 

  47. Schmidtke J, Paul Y, Nippert I (2006) Education in medical genetics for physicians: Germany. Community Genet 9:235–239

    Article  PubMed  Google Scholar 

  48. Adany R (2007) Genetic epidemiology in Europe – a detailed literature overview carried out in the SPHERE EC-Project. 2nd PHGEN Network meeting, Rome, 31st January

  49. Brand A, Brand H (2006) Genetik in Gesundheitsforschung und Public Health. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 49:963–973

    Article  CAS  Google Scholar 

  50. Knoppers BM (2005) Of genomics and public health: Building public „goods“? CMAJ 173(19):1185–186

    PubMed  Google Scholar 

  51. Ellsworth DL, O’Donnell CJ (2004) Emerging genomic technologies and analytic methods for population- and clinic-based research. In: Khoury MJ, Little J, Burke W (eds) Human genome epidemiology. A scientific foundation for using genetic information to improve health and prevent disease. Oxford New York Tokyo, Oxford University Press, pp 17–37

  52. Barabasi AL (2007) Network medicine – from obesity to the „diseasome“. NEJM 357:1866–1868

    Article  Google Scholar 

  53. Motter AE, Gulbahoe N, Almaas E, Barabasi AL (2008) Predicting synthetic rescues in metabolic networks. Mol Syst Biol 4:168

    Article  PubMed  CAS  Google Scholar 

  54. Los Calzo J, Kohane I, Barabasi AL (2007) Human disease classification in the postgenomic era: a complex systems approach to human pathobiology. Mol Syst Biol 3:124

    Google Scholar 

  55. Prainsack B, Reardon J, Hindmarsh R et al (2008) Misdirected precaution. Nature 456(6):34–35

    Article  PubMed  CAS  Google Scholar 

  56. Schulte in den Bäumen T (2006) Governance in genomics – a conceptual challenge for public health genomics Law. Ital J Public Health 4(3):46–52

    Google Scholar 

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Danksagung

Dieser Artikel ist ein Ergebnis des Public Health Genomics European Network (PHGEN), welches im Public Health Programm der Europäischen Kommission (Projekt Nummer: 2005313) gefördert wird. Das Folgeprojekt PHGEN II beginnt in Kürze. Gleichwohl entspricht die beschriebene Sichtweise der der Autoren.

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Correspondence to A. Brand MD PhD MPH.

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Brand, A., Rosenkötter, N., Schulte in den Bäumen, T. et al. Public Health Genomics. Bundesgesundheitsbl. 52, 665–676 (2009). https://doi.org/10.1007/s00103-009-0875-8

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