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Basis of Disease Manifestation:A Molecular and Ayurvedic Approach with an Integrated Concept of Ayurgenomics


Affiliations
1 Department of Kriya Sharir, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221005, Uttar Pradesh, India
2 Department of Endocrinology and Metabolism, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221005, Uttar Pradesh, India
 

Ayurveda and contemporary science comprehends human body as model to understand disease state from very different perspective hence their methodology to describe disease manifestation also seems very different as they observe same problem from different viewpoints. For more precision in healthcare system it is essential that best of both systems need to be integrated, In Ayurvedic texts, the description of concept of basic constitution/Prakriti in health and disease states is well described. The scripts are not clearly understandable and hence its importance has not been properly understood by contemporary biological researchers and thus not utilized. According to Ayurveda individual’s basic constitution (Prakriti) influences and directs one’s disease status, its treatment & lifestyle regimen. In genomics, individual’s basic constitution is decided by its genetic makeup. The current trend in Ayurveda-related biomolecular studies is establishment of high correlation between Prakriti and Genomics. This approach of Ayurgenomics would facilitate the development of alternative methods for cost effective screening of predisposed individuals in the population. This would result in development of an integrated approach to systems biology for disease and health state. For the establishment and success of this concept the prerequisite is integration of Ayurveda into mainstream contemporary biology to achieve global acceptability for the concepts and science of Ayurveda, and for this Ayurvedic concept based phenotypic (Prakriti) assessment needs to be made so that difference among individuals from large population based on their physical, physiological and psychological status can be observed and they can be categorized by their specific predominant Prakriti i.e. Vata, Pitta, Kapha. Information about individual predominant Prakriti can be further analyzed on certain genomic parameters related to gene expression, genetic, epigenetic and biochemical factors, which can be further utilized for Integration of Ayurveda with Genomics for systems biology approach in predictive and personalized medicine.

Keywords

Ayurgenomic, Genome, Prakriti, System Biology.
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  • Nayak J. Ayurveda research: Ontological challenges. Journal of Ayurveda and Integrated Medicine 2012; 3(1):17–20. https://doi.org/10.4103/0975-9476.93942. PMid:22529675 PMCid:PMC3326789
  • Prasher B, Gibson G, Mukerji M. Genomic insights into ayurvedic and western approaches to personalized medicine. Journal of Genetics. 2016; 95(1):209–28. https://doi.org/10.1007/s12041-015-0607-9. PMid:27019453
  • Superdi-Furga A, Bonafé L, Rimoin DL. Molecular pathogenic classification of genetic disorder of skeleton. American Journal of Medical Genetics. 2001; 106:282–93. https://doi.org/10.1002/ajmg.10233. PMid:11891680
  • Plopper G. The extracellular matrix and cell adhesion. Cells. 2007.
  • Dobson CM. The structural basis of protein folding and its links with human disease. Philosophical transactions of the Royal Society of London Series B, Biological sciences. 2001; 356(1406):133–45. https://doi.org/10.1098/rstb.2000.0758. PMid:11260793 PMCid:PMC1088418
  • [Internet]. Available from: https://medlineplus.gov.
  • Dworakowska B. Ion channels-related diseases. Acta Biochimica Polonica. 2000; 47(3):685–703.
  • Olkkonen VM, Ikonen E. When intracellular logistics fails - genetic defects in membrane trafficking. Journal of Cell Science. 2006; 119:5031–45. https://doi.org/10.1242/jcs.03303. PMid:17158910
  • [Internet]. Available from:http://www.auburn.edu/academic/classes/biol/6190/CellSignalingBiology/csb012.pdf).
  • Charak. Charak Samhita. Chaukhambha sanskrit sansthan, Varanasi. 1979; 1(7):886.
  • [Internet]. Available from: https://www.bgci.org/education/1686.
  • Sushruta. Sushruta Samhita text. NS Prakashan, Bombay; 1945. p. 376.
  • Charak. Charak Samhita. Chaukhambha sanskrit sansthan, Varanasi. 1979; 1(7).
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan. 1979; 7:786.
  • Sathya N. Dornala et al. Scientific validation of Ayurvedic concept of Prakriti (Psychosomatic Constitution). An International Journal of Research in AYUSH and Allied Systems. 2015; 2(5):297–303.
  • Sharma P. Charaka Samhita: Text with English translation. Chaukambha Orientalia Publisher, Varanasi, India; 1981. p. 240.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):609.
  • Charak. Charak Samhita. Chaukhambha sanskrit sansthan, Varanasi. 1979; 1(7):31.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):656.
  • Sharangdhar. Sharangdhar Samhita purva khand. Chakhabha surbharti, Varanasi, India. 1990:60–1.
  • Srinivasan TM. Genetic, epigenetics and pregenetics. International Journal of Yoga. 2011; 4(2):47–8. https://doi.org/10.4103/0973-6131.85484. PMid:22022121 PMCid: PMC3193653
  • Charak. Charak Samhita. Chaukamba sanskrit sansthan, Varanasi, India. 1979; 1(7):32-7.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):384–85.
  • Sushrute. Sushrute Samhita. NS Prakashan, Bombay. 1945:76–82.
  • Vagbhatta. Ashtanga Sangraha Vaidyanatha Bhawan, Nagpur. 1986:588.
  • Vagbhatta. Ashtang Sangraha. Vaidyanatha Bhawan, Nagpur. 1986:610-17.
  • Sushrute. Sushrute Samhita. NS Prakashan, Bombay. 1945:76.
  • Charak. Charak Samhita. chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):243–52.
  • Charak. Charak Samhita. Chaukhabha Vidya Bhawan, Varanasi, India. 1962; 2:775–80.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):252.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):383–85.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1:252.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):772–74.
  • Sushruta. Sushruta Samhita. NS Prakashan, Bombay; 1945. p. 371.
  • Sushruta. Sushruta Samhita. NS Prakashan, Bombay. 1945. p. 371–6.
  • Charak. Charak Samhita. Chakhambha sanskrit sansthan, Varanasi. 1979; 1(7):400–5.
  • Charak. Charak Samhita.Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):771–4.
  • Acharya YT. Caraka Samhita. Chaukhamba Surbharati, Varanasi. 1992.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1:340-1.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):165.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):32.
  • Sushruta. Sushruta Samhita. NS Prakashan, Bombay. 1945:374–76.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):569.
  • Bhagwat Gita. Gita Press, Gorakhpur; 1954. p. 283–4.
  • Vagbhatt V. Ashtang Sangrah Sutra. Baidyanath Ayurveda Bhawan Pvt. 1986; (3):610.
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):35.
  • Sharma H. Ayurveda: Science of life, genetics, and epigenetics. Ayu. 2016; 37(2):87–91. https://doi.org/10.4103/ayu.AYU_220_16. PMid:29200745 PMCid:PMC5688840
  • Charak. Charak Samhita. Chakhabha sanskrit sansthan, Varanasi, India. 1979; 1(7):204–6.
  • AcharyaYT. Charaka Samhita by Agnivesha. 4th ed. Chowkhambha Sanskrit Sansthan; 1997. p. 315.
  • Acharya YT. Charaka Samhita by Agnivesha. 4th ed. Chowkhambha Sanskrit Sansthan, 4th edition; 1997. p. 322.
  • Acharya YT. Charaka Samhita by Agnivesha. Chowkhambha Sanskrit Sansthan, 4th edition.; 1997. p. 277.
  • Chandran H, Arunraj GR, Ajayan. Ayurgenomics: A new research outlook. An International Journal of Advances in Pharmaceutical Sciences. 2014; 5(4):2214–6.
  • Patwardhan B, Bodeker G. Ayurvedic genomics: Establishing a genetic basis for mind-body typologies. Journal of Alternative and Complementary Medicine (New York, NY). 2008; 14(5):571–6. https://doi.org/10.1089/acm.2007.0515. PMid:18564959
  • Valiathan MS. Ayurvedic biology: A decadal vision document. Indian Academy of Sciences. 2006.
  • Dahanukar SA, Thatte UM. Current status of ayurveda in phytomedicine. Phytomedicine: International Journal of Phytotherapy and Phytopharmacology. 1997; 4(4):359–68. https://doi.org/10.1016/S0944-7113(97)80048-7
  • Mukherji BPM. Ayurgenomics: A new approach in personalized and preventive medicine. Science and Culture. 2011; 77(1–2):10–7.
  • Jayasundar R. If systems approach is the way forward, what can the Ayurvedic theory of Tridosha teach us? Current Science. 2017; 112(6). https://doi.org/10.18520/cs/v112/i06/1127-1133
  • Gibson G. Visscher P. From personalized to public healthgenomics. Genome Med. 2013; 5(1–2). https://doi.org/10.1186/gm464. PMid:23876409 PMCid:PMC3967116
  • Olson MV. What does a “normal” human genome look like? Science and Culture. 2011; 331(872). https://doi.org/10.1126/science.1203236. PMid:21330527
  • Olson MV. Human genetic individuality. Annual Reviews: Human Genetic Individuality. 2012; 13:1–27. https://doi.org/10.1146/annurev-genom-090711-163825. PMid:22657391
  • Venkataraghavan S, Sunderesan TP, Rajagopalan V, Srinivasn K. Constitutional study of cancer patients - its prognostic and therapeutic scope. Ancient Science of Life. 1987; 7(2):110–5.
  • Tripathi JS, Singh RH. Concept of deha Prakriti vis-À-vis human constitution in Ayurveda. Ancient Science of Life. 1994; XIII Nos. (3 & 4):314–25.
  • Joshi RR. A biostatistical approach to ayurveda: Quantifying the tridosha. Journal of Alternative and Complementary Medicine (New York, NY). 2004; 10(5):879–89. https://doi.org/10.1089/acm.2004.10.879. PMid:15650478
  • Bhushan P, Kalpana J, Arvind C. Classification of human population based on HLA gene polymorphism and the concept of Prakriti in Ayurveda. Journal of Alternative and Complementary Medicine (New York, NY). 2005; 11(2):349– 53. https://doi.org/10.1089/acm.2005.11.349. PMid:15865503
  • Hankey A. A test of the systems analysis underlying the scientific theory of Ayurveda’s Tridosha. Journal of alternative and complementary medicine (New York, NY). 2005; 11(3):385–90. https://doi.org/10.1089/acm.2005.11.385. PMid:15992219
  • Hankey A. The scientific value of Ayurveda. Journal of Alternative and Complementary Medicine (New York, NY). 2005; 11(2):221–5. https://doi.org/10.1089/acm.2005.11.221. PMid:15865485
  • Prasher B, Negi S, Aggarwal S, Mandal AK, Sethi TP, Deshmukh SR, et al. Whole genome expression and biochemical correlates of extreme constitutional types defined in Ayurveda. Journal of Translational Medicine. 2008; 6:48. https://doi.org/10.1186/1479-5876-6-48. PMid:18782426 PMCid:PMC2562368
  • Aggarwal S, Negi S, Jha P, Singh PK, Stobdan T, Pasha MA, et al. EGLN1 involvement in high-altitude adaptation revealed through genetic analysis of extreme constitution types defined in Ayurveda. Proceedings of the National Academy of Sciences of the United States of America. 2010; 107(44):18961-6. https://doi.org/10.1073/pnas.1006108107. PMid:20956315 PMCid:PMC2973881
  • HankeyA. Establishing the scientific Validity of Tridosha Part 1:Doshas, Subdoshas and Dosha Prakritis Ancient science of life. 2010;29 (3):6-18.
  • Joshi K, Ghodke Y, Shintre P. Traditional medicine and genomics. Journal of Ayurveda and Integrative Medicine. 2010; 1(1):26-32. https://doi.org/10.4103/0975-9476.59824. PMid:21829298 PMCid:PMC3149388
  • Rizzo-Sierra CV. Ayurvedic genomics, constitutional psychology, and endocrinology: The missing connection. Journal of Alternative and Complementary Medicine (New York, NY). 2011; 17(5):465–8. https://doi.org/10.1089/acm.2010.0412. PMid:21563964
  • Chatterjee B, Pancholi J. Prakriti-based medicine: A step towards personalized medicine. Ayu. 2011; 32(2):141–6. https://doi.org/10.4103/0974-8520.92539. PMid:22408293 PMCid:PMC3296331
  • Purva MC, MS M. A review on role of Prakriti in aging. Ayu. 2011; 32(1):20–4. https://doi.org/10.4103/0974-8520.85719. PMid:22131753 PMCid:PMC3215411
  • Ghodke Y, Joshi K, Patwardhan B. Traditional medicine to modern pharmacogenomics: Ayurveda Prakriti Type and CYP2C19 gene polymorphism associated with the metabolic variability. Evidence-based complementary and alternative medicine: eCAM. 2011; 2011:249528. https://doi.org/10.1093/ecam/nep206. PMid:20015960 PMCid:PMC3135904
  • Mahalle NP, Kulkarni MV, Pendse NM, Naik SS. Association of constitutional type of Ayurveda with cardiovascular risk factors, inflammatory markers and insulin resistance. Journal of Ayurveda and Integrative Medicine. 2012; 3(3):150–7. https://doi.org/10.4103/0975-9476.100186. PMid:23125512. PMCid:PMC3487241
  • Tiwari S, Gehlot S, Tiwari SK, Singh G. Effect of walking (aerobic isotonic exercise) on physiological variants with special reference to Prameha (diabetes mellitus) as per Prakriti. Ayu. 2012; 33(1):44–9. https://doi.org/10.4103/0974-8520.100308. PMid:23049183. PMCid:PMC3456862
  • Juyal RC, Negi S, Wakhode P, Bhat S, Bhat B, Thelma BK. Potential of ayurgenomics approach in complex trait research: leads from a pilot study on rheumatoid arthritis. PloS one. 2012; 7(9):e45752. https://doi.org/10.1371/journal.pone.0045752. PMid:23049851. PMCid:PMC3458907
  • Bhalerao S, Deshpande T, Thatte U. Prakriti (Ayurvedic concept of constitution) and variations in Platelet aggregation. BMC Complementary and Alternative Medicine. 2012; 12(248). https://doi.org/10.1186/1472-6882-12-248. PMid:23228069. PMCid:PMC3562518
  • Manyam BV, Kumar A. Ayurvedic constitution (prakruti) identifies risk factor of developing Parkinson’s disease. Journal of Alternative and Complementary Medicine (New York, NY). 2013; 19(7):644–9. https://doi.org/10.1089/acm.2011.0809. PMid:23819563
  • Rotti H, Guruprasad KP, Nayak J, Kabekkodu SP, Kukreja H, Mallya S, et al. Immunophenotyping of normal individuals classified on the basis of human dosha prakriti. Journal of Ayurveda and integrative Medicine. 2014; 5(1):43–9. https://doi.org/10.4103/0975-9476.128857. PMid:24812475. PMCid:PMC4012362
  • Dey S, Pahwa P. Prakriti and its associations with metabolism, chronic diseases, and genotypes: Possibilities of new born screening and a lifetime of personalized prevention. Journal of Ayurveda and Integrative Medicine. 2014; 5(1):15–24. https://doi.org/10.4103/0975-9476.128848. PMid:24812471. PMCid:PMC4012357
  • Gupta PD. Pharmacogenetics, pharmacogenomics and ayurgenomics for personalized medicine: A paradigm shift. Indian Journal of Pharmaceutical Sciences. 2015; 77(2):135-41. https://doi.org/10.4103/0250-474X.156543. PMid:26009644. PMCid:PMC4442460
  • Shirolkar SG, Tripathi RK, Rege NN. Evaluation of prakrti and quality-of-life in patients with irritable bowel syndrome. Ancient Science of Life. 2015; 34(4):210–5. https://doi.org/10.4103/0257-7941.160865. PMid:26283806. PMCid:PMC4535069
  • Rotti H, Mallya S, Kabekkodu SP, Chakrabarty S, Bhale S, Bharadwaj R, et al. DNA methylation analysis of phenotype specific stratified Indian population. Journal of Translational Medicine. 2015; 13:151. https://doi.org/10.1186/s12967-015-0506-0. PMid:25952924. PMCid:PMC4438459
  • Prasher B, Varma B, Kumar A, Khuntia BK, Pandey R, Narang A, et al. Ayurgenomics for stratified medicine: TRISUTRA consortium initiative across ethnically and geographically diverse Indian populations. Journal of Ethnopharmacology. 2017; 197:274–96. https://doi.org/10.1016/j.jep.2016.07.063. PMid:27457695
  • Chauhan NS, Pandey R, Mondal AK, Gupta S, Verma MK, Jain S, et al. Western Indian Rural Gut Microbial Diversity in Extreme Prakriti Endo-Phenotypes Reveals Signature Microbes. Frontiers in Microbiology. 2018; 9:118. https:// doi.org/10.3389/fmicb.2018.00118. PMid:29487572. PMCid: PMC5816807

Abstract Views: 348

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  • Basis of Disease Manifestation:A Molecular and Ayurvedic Approach with an Integrated Concept of Ayurgenomics

Abstract Views: 348  |  PDF Views: 200

Authors

Shriti Singh
Department of Kriya Sharir, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221005, Uttar Pradesh, India
Sangeeta Gehlot
Department of Kriya Sharir, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221005, Uttar Pradesh, India
N. K. Agrawal
Department of Endocrinology and Metabolism, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221005, Uttar Pradesh, India

Abstract


Ayurveda and contemporary science comprehends human body as model to understand disease state from very different perspective hence their methodology to describe disease manifestation also seems very different as they observe same problem from different viewpoints. For more precision in healthcare system it is essential that best of both systems need to be integrated, In Ayurvedic texts, the description of concept of basic constitution/Prakriti in health and disease states is well described. The scripts are not clearly understandable and hence its importance has not been properly understood by contemporary biological researchers and thus not utilized. According to Ayurveda individual’s basic constitution (Prakriti) influences and directs one’s disease status, its treatment & lifestyle regimen. In genomics, individual’s basic constitution is decided by its genetic makeup. The current trend in Ayurveda-related biomolecular studies is establishment of high correlation between Prakriti and Genomics. This approach of Ayurgenomics would facilitate the development of alternative methods for cost effective screening of predisposed individuals in the population. This would result in development of an integrated approach to systems biology for disease and health state. For the establishment and success of this concept the prerequisite is integration of Ayurveda into mainstream contemporary biology to achieve global acceptability for the concepts and science of Ayurveda, and for this Ayurvedic concept based phenotypic (Prakriti) assessment needs to be made so that difference among individuals from large population based on their physical, physiological and psychological status can be observed and they can be categorized by their specific predominant Prakriti i.e. Vata, Pitta, Kapha. Information about individual predominant Prakriti can be further analyzed on certain genomic parameters related to gene expression, genetic, epigenetic and biochemical factors, which can be further utilized for Integration of Ayurveda with Genomics for systems biology approach in predictive and personalized medicine.

Keywords


Ayurgenomic, Genome, Prakriti, System Biology.

References





DOI: https://doi.org/10.18311/jnr%2F2019%2F23331