Abstract

The molecular foundation of chronic inflammatory diseases (CIDs) can differ markedly between individuals. As our understanding of the biochemical mechanisms underlying individual disease manifestations and progressions expands, new strategies to adjust treatments to the patient’s characteristics will continue to profoundly transform clinical practice. Nutrition has long been recognized as an important determinant of inflammatory disease phenotypes and treatment response. Yet empirical work demonstrating the therapeutic effectiveness of patient-tailored nutrition remains scarce. This is mainly due to the challenges presented by long-term effects of nutrition, variations in inter-individual gastrointestinal microbiota, the multiplicity of human metabolic pathways potentially affected by food ingredients, nutrition behavior, and the complexity of food composition. Historically, these challenges have been addressed in both human studies and experimental model laboratory studies primarily by using individual nutrition data collection in tandem with large-scale biomolecular data acquisition (e.g. genomics, metabolomics, etc.). This review highlights recent findings in the field of precision nutrition and their potential implications for the development of personalized treatment strategies for CIDs. It emphasizes the importance of computational approaches to integrate nutritional information into multi-omics data analysis and to predict which molecular mechanisms may explain how nutrients intersect with disease pathways. We conclude that recent findings point towards the unexhausted potential of nutrition as part of personalized medicine in chronic inflammation.

Highlights

  • Over the past several decades, increased incidence rates of diseases associated with chronic inflammation, including inflammatory bowel disease (IBD), diabetes, and asthma have been observed in countries experiencing industrial and urban growth [1,2,3]

  • A major challenge in the identification of potential nutritional interventions is the elucidation of the molecular mechanisms illustrating how nutrition and specific dietary compounds influence immunological pathways

  • Since nutrition is an important factor with vast impact on human health, nutritional interventions are often considered promising components in the treatment of a wide range of diseases

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Summary

Precision Nutrition in Chronic Inflammation

Specialty section: This article was submitted to Inflammation, a section of the journal Frontiers in Immunology. Empirical work demonstrating the therapeutic effectiveness of patient-tailored nutrition remains scarce. This is mainly due to the challenges presented by long-term effects of nutrition, variations in inter-individual gastrointestinal microbiota, the multiplicity of human metabolic pathways potentially affected by food ingredients, nutrition behavior, and the complexity of food composition. These challenges have been addressed in both human studies and experimental model laboratory studies primarily by using individual nutrition data collection in tandem with largescale biomolecular data acquisition (e.g. genomics, metabolomics, etc.).

INTRODUCTION
Rheumatoid arthritis
NUTRITION AND PRESCRIPTIVE BIOMARKERS
PERSONALIZED NUTRITIONAL INTERVENTIONS
Precision in Dietary Assessment
Nutrition and the Curse of Dimensionality
Identifying Molecular Mechanisms
DISCUSSION
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