From Otzi, the Tyrolean Iceman, to the royal mummies of pharaohs Akhenaten and Tutankhamun, genetic and genomic analyses of ancient deoxyribonucleic acid have shed light on the social and environmental influences on life and longevity, population dynamics, migratory patterns, dietary habits, putative and actual causes of death, and the susceptibility to congenital and acquired diseases during life more than 5,000 years ago [1–3]. For example, detailed analysis of the Otzi genome demonstrated the presence of several single nucleotide polymorphisms associated with increased risk for coronary heart disease, ischemic stroke, sudden cardiac death, and general atherosclerosis [4]. The full impact and clinical manifestations of these genetic variants were likely not experienced because of the short life expectancy at that time. Several articles in this issue of Global Heart on mummies provide intriguing details on the value of genomic analyses and correlates in atherosclerosis and other diseases in ancient humans. [5–10] For modern man, genomic analyses can also provide a unique opportunity to further explore gene-gene and gene-environment interactions that have the potential to greatly inform the prevention, detection, diagnostic valuation, treatment, and control of heritable diseases and traits. In particular, the current ability to link genetic variation to disease susceptibility, at least in rare variants and Mendelian disorders, provides an opportunity for genetic counseling and appropriate behavioral and lifestyle interventions to reduce the risk of specific diseases. However, more is known today about the genomes of Akhenaten, Tutankhamun, and their pharaonic lineage that lived more than 3,500 years ago than those of present-day Egyptians. Additionally, biomedical research in genetics and genomics involving African scientists has been limited [11]. Considering that modern human populations originated in Africa, and that genetic diversity is most profound on that continent, much can be gained by investments in this arena. This perspective presents investments made by the U.S National Institutes of Health (NIH) and the U.K.-based Wellcome Trust to advance the field of human heredity and health in Africa.
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