Pharmacogenomics of asthma

Microarrays: Molecular allergology and nanotechnology for personalised medicine (II)

Progress in nanotechnology and DNA recombination techniques have produced tools for the diagnosis and investigation of allergy at molecular level. The most advanced examples of such progress are the microarray techniques, which have been expanded not only in research in the field of proteomics but also in application to the clinical setting. Microarrays of allergic components offer results relating to hundreds of allergenic components in a single test, and using a small amount of serum which can be obtained from capillary blood. The availability of new molecules will allow the development of panels including new allergenic components and sources, which will require evaluation for clinical use. Their application opens the door to component-based diagnosis, to the holistic perception of sensitisation as represented by molecular allergy, and to patient-centred medical practice by allowing great diagnostic accuracy and the definition of individualised immunotherapy for each patient. The present article reviews the application of allergenic component microarrays to allergology for diagnosis, management in the form of specific immunotherapy, and epidemiological studies. A review is also made of the use of protein and gene microarray techniques in basic research and in allergological diseases. Lastly, an evaluation is made of the challenges we face in introducing such techniques to clinical practice, and of the future perspectives of this new technology.

Advances in translational bioinformatics: computational approaches for the hunting of disease genes

Over a 100 years ago, William Bateson provided, through his observations of the transmission of alkaptonuria in first cousin offspring, evidence of the application of Mendelian genetics to certain human traits and diseases. His work was corroborated by Archibald Garrod (Archibald AE. The incidence of alkaptonuria: a study in chemical individuality. Lancert 1902;ii:1616-20) and William Farabee (Farabee WC. Inheritance of digital malformations in man. In: Papers of the Peabody Museum of American Archaeology and Ethnology. Cambridge, Mass: Harvard University, 1905; 65-78), who recorded the familial tendencies of inheritance of malformations of human hands and feet. These were the pioneers of the hunt for disease genes that would continue through the century and result in the discovery of hundreds of genes that can be associated with different diseases. Despite many ground-breaking discoveries during the last century, we are far from having a complete understanding of the intricate network of molecular processes involved in diseases, and we are still searching for the cures for most complex diseases. In the last few years, new genome sequencing and other high-throughput experimental techniques have generated vast amounts of molecular and clinical data that contain crucial information with the potential of leading to the next major biomedical discoveries. The need to mine, visualize and integrate these data has motivated the development of several informatics approaches that can broadly be grouped in the research area of 'translational bioinformatics'. This review highlights the latest advances in the field of translational bioinformatics, focusing on the advances of computational techniques to search for and classify disease genes.

Uso de microarrays na busca de perfis de expressão gênica: aplicação no estudo de fenótipos complexos

Com o advento do seqüenciamento de genoma humano, novas tecnologias foram desenvolvidas e despontaram como promissoras ferramentas metodológicas e científicas para o avanço na compreensão dos mecanismos envolvidos em várias doenças complexas. Dentre elas, a técnica de análise em larga escala (conhecida como microarrays ou chips de DNA) é particularmente eficaz em permitir uma visão global na busca de padrões de expressão gênica em amostras biológicas. Por meio da determinação da expressão de milhares de genes simultaneamente, a promissora tecnologia permite que pesquisadores comparem o comportamento molecular de diversos tipos de linhagens celulares e tecidos diferentes, quando expostos a uma determinada condição patológica ou experimental. A aplicação do método pode trazer novas perspectivas de análise de processos fisiológicos e facilitar a identificação de marcadores moleculares para o diagnóstico, prognóstico e para o tratamento farmacológico atual. Nesse artigo, apresentaremos conceitos teóricos e metodológicos que permeiam a tecnologia de microarrays, assim como suas vantagens, perspectivas e direcionamentos futuros. Com o intuito de exemplificar sua aplicabilidade e eficiência no estudo de fenômenos complexos, serão apresentados e também discutidos resultados iniciais sobre padrões de expressão gênica em amostra de cérebros post-mortem de pacientes psiquiátricos e sobre as conseqüências moleculares e funcionais de perturbações no sono, comumente associadas a transtornos psiquiátricos.