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Towards Precision Prevention: Technologies for Identifying Healthy Individuals with High Risk of Disease

Abstract

The rise of advanced technologies for characterizing human populations at the molecular level, from sequence to function, is shifting disease prevention paradigms toward personalized strategies. Because minimization of adverse outcomes is a key driver for treatment decisions for diseased populations, developing personalized therapy strategies represent an important dimension of both precision medicine and personalized prevention. In this commentary, we highlight recently developed enabling technologies in the field of DNA damage, DNA repair, and mutagenesis. We propose that omics approaches and functional assays can be integrated into population studies that fuse basic, translational and clinical research with commercial expertise in order to accelerate personalized prevention and treatment of cancer and other diseases linked to aberrant responses to DNA damage. This collaborative approach is generally applicable to efforts to develop data-driven, individualized prevention and treatment strategies for other diseases. We also recommend strategies for maximizing the use of biological samples for epidemiological studies, and for applying emerging technologies to clinical applications.

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References
1.
Shima N, Swiger R, Heddle J . Dietary restriction during murine development provides protection against MNU-induced mutations. Mutat Res. 2000; 470(2):189-200. DOI: 10.1016/s1383-5718(00)00104-2. View

2.
Johnson R, Chien F, Bleyer A . Incidence of breast cancer with distant involvement among women in the United States, 1976 to 2009. JAMA. 2013; 309(8):800-5. DOI: 10.1001/jama.2013.776. View

3.
Ostling O, Johanson K . Microelectrophoretic study of radiation-induced DNA damages in individual mammalian cells. Biochem Biophys Res Commun. 1984; 123(1):291-8. DOI: 10.1016/0006-291x(84)90411-x. View

4.
Eder E, Budiawan . Cancer risk assessment for the environmental mutagen and carcinogen crotonaldehyde on the basis of TD(50) and comparison with 1,N(2)-propanodeoxyguanosine adduct levels. Cancer Epidemiol Biomarkers Prev. 2001; 10(8):883-8. View

5.
Rai G, Vyjayanti V, Dorjsuren D, Simeonov A, Jadhav A, Wilson 3rd D . Synthesis, biological evaluation, and structure-activity relationships of a novel class of apurinic/apyrimidinic endonuclease 1 inhibitors. J Med Chem. 2012; 55(7):3101-12. PMC: 3515842. DOI: 10.1021/jm201537d. View