2.4. From Basic to Applied Research 73
cartilage support, cholesterol maintenance, relief of stress and tension, or main-
tenance of healthy lung function, the emerging field of nutrigenomics is a
serious and well-grounded discipline. Nutrigenomics, at the interface of ge-
nomics, nutrition, and health, was made possible by recent developments in
high-throughput transcriptomics, proteomics, and metabolomics technologies.
Nutrigenomics integrates the genomics sciences with nutrition by studying how
nature (the presence of particular genes or mutations) and nurture (our food in-
take, given environmental and behavioral factors) interact to manifest disease or
protect us from it.
In its simplest form, diets low in certain proteins can be recommended for pa-
tients with phenylketonuria, or diets high in liver, broccoli, and other folic-acid
rich foods can be a remedy for people with a genetic variation that produces a less
efficient enzyme involved in processing folic acid. More generally, nutrition mod-
ifies the extent to which certain genes are expressed because macro-nutrients like
proteins, micro-nutrients like vitamins, and naturally-occurring bioactive mole-
cules like flavonoids regulate gene expression. Some of these compounds like
resveratrol in red wine are ligands for transcription factors, and others like the
natural amine nutrient choline — found in the lipids that make up cell membranes
and in the neurotransmitter acetylcholine — alter signal transduction pathways
and chromatin structure, thereby also affecting gene expression epigenetically.
Because single nucleotide polymorphisms (SNPs) can alter gene functions, much
of the focus in nutrigenomics has been on how the interaction of nutrients with
SNPs increase or decrease disease risk.
Folate, for example, is among the nutrients critical to genome stability because
it can cause DNA damage. More generally, key nutrients like folate, vitamin E,
vitamin B
12
, niacin, or calcium are associated with a reduction in DNA damage,
while riboflavins and biotin tend to increase such damage. The familiar advice
to lower fat intake and increase amounts of cruciferous vegetables can be ra-
tionalized by the lowering by these agents of oxidative DNA damage, which
occurs from environmental factors like tobacco smoke and dietary factors like
ultra high-fat diets. Thus, folate and other antioxidants and phytochemicals are
recommended because they enhance DNA repair and reduce oxidative DNA dam-
age. Such dietary modifications can help compensate for inherited mutations
that may impair DNA damage repair. Because of this connection between DNA
damage/repair and nutrition, some cancer researchers have become particularly
interested in nutrigenomics.
In addition to cancer, diabetes, obesity, and cardiovascular disease have been
researched in connection with food intake. Genetic susceptibility to these diseases
(e.g., APOE-4 polymorphism, associated with elevated total cholesterol and in-
creased risk of type-2 diabetes and Alzheimer’s disease) can be counteracted in
part by dietary modifications that include plant-rich, high-fiber and low-fat diets in
combination with regular exercise. Thus, nutrigenomics is leading to customized
diet ingredients and supplements that are tailored to genetic variations, but the
field is only beginning.