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malnutrition\t(undernutrition),\t\nJ\tAcad\tNutr\tDiet\n\t112(5):730,\t2012.\nMeasures\tof\tfunctionality\nLoss\tof\tfunctionality\tand\tmobility\thas\ta\tripple\teffect\ton\tachieving\tactivities\tof\tdaily\tliving\t(ADLs)\tand\nnutrition-related\tADLs.\tAn\temerging\tcomponent\tof\tnutrition-focused\texamination\tis\tassessment\tfor
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muscle\tstrength\tand\tfunctionality.\tClinicians\tmay\twork\tcollaboratively\twith\trehabilitation\ttherapists\nto\tassess\tthis\tand\tidentify\tstrategies\tto\timprove\tphysical\tstrength\tand\tmobility\tusing\tdiet\tand\nexercise.
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BOX\t5.6\nPhysical\tActivity\tAssessment\tQuestionnaire\nTo\tbe\tconsidered\tphysically\n\tactive,\tyou\tmust\tget\tat\tleast:\n•\t\n30\tminutes\tof\tmoderate\tphysical\tactivity\ton\t5\tor\tmore\tdays\ta\tweek,\tOR\n•\t\n20\tminutes\tof\tvigorous\tphysical\tactivity\ton\t3\tor\tmore\tdays\ta\tweek\nHow\tphysically\tactive\tdo\tyou\tplan\tto\tbe\tover\tthe\tnext\t6\tmonths?\t\n(Choose\tthe\tbest\tanswer.)
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(Choose\tthe\tbest\tanswer.)\n____\tI\tam\tnot\tcurrently\tactive\tand\tdo\tnot\tplan\tto\tbecome\tphysically\tactive\tin\tthe\tnext\t6\nmonths.\n____\tI\tam\tthinking\tabout\tbecoming\n\tmore\tphysically\tactive.\n____\tI\tintend\tto\tbecome\tmore\tphysically\tactive\tin\tthe\tnext\t6\tmonths.\n____\tI\thave\tbeen\ttrying\tto\tget\tmore\tphysical\tactivity.
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____\tI\thave\tbeen\ttrying\tto\tget\tmore\tphysical\tactivity.\n____\tI\tam\tcurrently\tphysically\tactive\tand\thave\tbeen\tfor\tthe\tlast\t1-5\tmonths.\n____\tI\thave\tbeen\tregularly\tphysically\tactive\tfor\tthe\tpast\t6\tmonths\tor\tmore.\nCompared\twith\thow\tphysically\tactive\tyou\thave\tbeen\tover\tthe\tlast\t3\tmonths,\thow\twould\tyou\ndescribe\n\tthe\tlast\t7\tdays:\t\n(Check\tone)
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describe\n\tthe\tlast\t7\tdays:\t\n(Check\tone)\n______\tMore\tactive______\tLess\tactive______\tAbout\tthe\tsame\nRecall\tyour\tparticipation\tin\tactivities\tor\tin\tsedentary\tbehaviors,\tover\tthe\tpast\t24\thours:\n•\t\nReading,\twatching\tTV,\tor\tcomputer\ttime\t_____\tminutes/day\n•\t\nFast\twalking\t____\tminutes/day\n•
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•\t\nFast\twalking\t____\tminutes/day\n•\t\nPhysical\tactivity\t(swimming,\ttennis,\tracquetball,\tsimilar)\t______\tminutes/day\n•\t\nOther\tphysical\tactivity\t(describe\n\t_________________)\t_______\tminutes/day\nWhat\tare\tthe\t3\tmost\timportant\treasons\twhy\tyou\twould\tconsider\tincreasing\tyour\tphysical\nactivity?\n▫\tImprove\tmy\thealth\t▫\tControl\tmy\tweight\t▫\tLower\tmy\tstress
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activity?\n▫\tImprove\tmy\thealth\t▫\tControl\tmy\tweight\t▫\tLower\tmy\tstress\nMeasures\tof\tstrength\nWith\taging,\tthe\tbalanced\tcycle\tof\tmuscle\tsynthesis\tand\tdegradation\tshifts\ttoward\tmore\tbreakdown\nthan\tsynthesis\tof\tmuscle\ttissue\t(see\t\nChapter\t19\n).\tThe\tconsequence\n\tis\tatrophy\tof\tmuscle\tmass\tand
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Chapter\t19\n).\tThe\tconsequence\n\tis\tatrophy\tof\tmuscle\tmass\tand\nloss\tof\tstrength\tand\tpower.\tHandgrip\tdynamometry\tcan\tprovide\ta\tbaseline\tnutritional\tassessment\tof\nmuscle\tfunction\tby\tmeasuring\tgrip\tstrength\tand\tendurance\tand\tis\tuseful\tin\tserial\tmeasurements.\nMeasurements\tof\thandgrip\tdynamometry\tare\tcompared\twith\treference\tstandards\tprovided\tby\tthe
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manufacturer.\tDecreased\tgrip\tstrength\tis\tan\timportant\tsign\tof\tfrailty\tand\tis\tone\tof\n\tthe\ncharacteristics\tof\tsevere\tmalnutrition\t(\nWhite\tet\tal,\t2012\n).\tLow\tgrip\tstrength\tis\tassociated\nconsistently\twith\ta\tgreater\tlikelihood\tof\tpremature\tmortality,\tthe\tdevelopment\tof\tdisability,\tand\tan
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increased\trisk\tof\tcomplications\tor\tprolonged\tlength\tof\tstay\tafter\thospitalization\tor\tsurgery\tin\tmiddle-\naged\tand\tolder\tadults\t(\nMcLean\tet\tal,\t2014\n).\nRehabilitation\ttherapists\tuse\ta\tnumber\tof\tevidence-based\n\tmeasures\tof\tupper\tand\tlower\textremity\nphysical\tfunction\tand\tperformance\tthat\tinclude\tmuscle\tresistance\ttesting,\twalking\ttests,\tstair
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and\tenvironmental\tindividuality\tof\teach\tperson.\tThe\n\tfocus\tis\tpatient\tcentered,\tnot\tjust\tdisease\ncentered.\tLifestyle\tand\thealth-promoting\tfactors\tinclude\tnutrition,\texercise,\tadequate\tsleep,\thealthy\nrelationships,\tand\ta\tpositive\tsense\tof\tself.\nThe\t\nFunctional\tNutrition\tAssessment\n\tacknowledges\tthe\tweb-like\tinterconnectedness\tof\tinternal
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acknowledges\tthe\tweb-like\tinterconnectedness\tof\tinternal\nphysiologic\tfactors\tand\tidentifies\troot\tcauses\tof\tchronic\tdisease\tby\tintegrating\ttraditional\tdietetic\npractice\n\twith\tnutritional\tgenomics\t(see\t\nChapter\t6\n),\tthe\trestoration\tof\tgastrointestinal\tfunction,\tthe
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quelling\tof\tchronic\tinflammation\t(see\t\nChapter\t7\n),\tand\tthe\tinterpretation\tof\tnutritional\tbiomarkers.\nThe\tfunctional\tnutrition\tpractitioner\torganizes\tthe\tdata\tcollected\tfrom\ta\tdetailed\tintake\tthat\tincludes\nexploration\tof\tcore\tareas\tof\timbalance:\tdietary,\thormonal,\toxidative\tstress,\tenvironmental\texposures,
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immune\tfunction,\tand\tpsychological\tand\tspiritual\thealth.\tThis\tleads\ta\tunique\tand\tpersonalized\nassessment\tof\tdisease\tfor\teach\tindividual\twithin\tthe\tframework\tof\tthe\tNCP\t(see\t\nTable\t5.10\n,\t\nFig.\t5.9\n,\nand\t\nChapter\t11\n).\nFIG.\t5.9\nFunctional\tMedicine\tMatrix\tModel.\nTABLE\t5.10\nSelected\tComponents\tof\tFunctional\tNutrition\tAssessment\nIngestion\nDigestion
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Ingestion\nDigestion\nUtilization—Cellular\tand\nMolecular\tFunctional\nRelationships\nFood,\tfiber,\twater,\tsupplements,\tmedication\nAdequate\tmicroflora\nAntioxidants:\twater-soluble\nvitamin\tC,\tphytonutrients\nIntake\tpatterns\taffected\tby\temotional\tor\ndisordered\teating\nAllergies\nMethylation\tand\tacetylation:\ndependence\ton\tadequate\tB\ncomplex\tvitamins\tand
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-0.01319847535341978, -0.03920084983110428, 0.0386655367910862, 0.03705130144953728, -0.0000760593029554002, 0.01619158498942852, -0.005204466171562672, 0.1021677702665329, -0.04200740158557892, 0.054167795926332474, 0.030941085889935493, -0.05088803917169571, -0.08598054945468903, -0.13353410363197327, 0.11398519575595856, 0.010279607027769089, 0.1259438544511795, -0.027741417288780212, 0.004844320937991142, -0.05509953573346138, 0.022093391045928, -0.007317004259675741, 0.01119847409427166, 0.05855461210012436, 0.09988578408956528, 0.037966467440128326, -0.06671015918254852, 0.06922411173582077, 0.09197697788476944, 0.08277405798435211, -0.028813136741518974, -0.0169176384806633, 0.04359070584177971, 0.007250067312270403, -0.015336500480771065, -0.006969419773668051, -0.10053452104330063, -0.04015495628118515, 0.05606798082590103, 0.028255337849259377, 0.01946953497827053, 0.08833000808954239, -0.018419886007905006, 0.011777469888329506, -0.029684972018003464, -0.0562349408864975, -0.08338069170713425, -0.07673899829387665, 0.023875314742326736, 0.11108151078224182, -0.0010742227314040065, -0.06633566319942474, 0.016810685396194458, 0.06291712820529938, -0.0018812522757798433, 0.022861400619149208, -0.05316546559333801, 0.0325457863509655, -0.10547829419374466, 0.0037087437231093645, 0.002670690417289734, 0.05746936425566673, -0.049292586743831635, -0.002016596496105194, -0.03683176264166832, -0.07538894563913345, -0.0010864577488973737, -0.02171039581298828, -0.038203783333301544, 0.035676635801792145, -0.037001270800828934, 0.009130336344242096, -0.08260278403759003, 0.05867190286517143, 0.009077947586774826, 0.033927250653505325, -0.018395109102129936, -0.03249851241707802, -0.011081988923251629, -0.020288748666644096, -0.01350906677544117, -0.031605448573827744, -0.04676035791635513, -0.04502910003066063, 0.007304732222110033, -0.015820840373635292, -0.0023251655511558056, 0.04233923181891441, 0.058939751237630844, -0.06834977120161057, 0.002661567647010088, -0.04146922007203102, 0.11441288143396378, 0.1469990760087967, -4.25009787363706e-8, 0.08413660526275635, -0.013404837809503078, -0.053925592452287674, 0.0006452312227338552, -0.004513101652264595, -0.0004824345523957163, 0.0254176314920187, 0.0722520649433136, 0.02275451086461544, -0.012550062499940395, -0.03928286209702492, 0.12748366594314575, -0.10532274097204208, -0.021997390314936638, 0.04481165111064911, 0.002016011392697692, -0.01969599351286888, 0.05403205379843712, -0.025074241682887077, -0.059380143880844116, -0.019869498908519745, 0.04681054502725601, -0.06285521388053894, 0.0020585141610354185, 0.04213302209973335, -0.08619276434183121, -0.001811100053600967, -0.012388772331178188, 0.08750031143426895, 0.051032789051532745, 0.07610232383012772, -0.05237054079771042, -0.017014889046549797, -0.04501550644636154, -0.01289740763604641, 0.05754373222589493, -0.023191774263978004, -0.026730652898550034, -0.0523013137280941, 0.09292755275964737, -0.12291426956653595, -0.03911224380135536, -0.06410872936248779, 0.061459098011255264, 0.030612021684646606, -0.01502393651753664, -0.04842011258006096, 0.10533726960420609, 0.0476677343249321, -0.019288137555122375, 0.020121077075600624, 0.06831348687410355, -0.015560129657387733, -0.06929869204759598, -0.08006719499826431, 0.056898992508649826, 0.07284969091415405, -0.03339361026883125, 0.023637672886252403, -0.0965334102511406, -0.021792292594909668, 0.07016558945178986, 0.10906603932380676, -0.03259448707103729 ]
dependence\ton\tadequate\tB\ncomplex\tvitamins\tand\nminerals\nToxins\tentering\tthe\tbody\tvia\tfood,\tskin,\ninhalants,\twater,\tenvironment\t(including\npesticides\tand\tchemicals)\nGenetic\tenzyme\ndeficits\nOils\tand\tfatty\tacids:\nprostaglandin\tbalance,\tcell\nmembrane\tfunction,\tvitamin\nE\tfunction\nHydration\nProtein\tmetabolism:\tconnective\ntissue,\tenzymes,\timmune
[ -0.004348068963736296, -0.07975831627845764, 0.03511299565434456, -0.033500734716653824, -0.028429578989744186, 0.01935112290084362, 0.12690795958042145, 0.036985304206609726, 0.0028586711268872023, 0.039913471788167953, 0.1240263357758522, -0.06496823579072952, 0.05378034710884094, 0.039565104991197586, -0.0016110272845253348, 0.05156918242573738, -0.02539019100368023, 0.01108482200652361, -0.06125897541642189, 0.003973095212131739, 0.025070803239941597, 0.10140342265367508, -0.01124635711312294, -0.01600097492337227, -0.003980761859565973, 0.04770810157060623, -0.054443974047899246, 0.015431568957865238, 0.023547116667032242, -0.07958590239286423, -0.05627928674221039, 0.10156475752592087, -0.008017262443900108, -0.04717695340514183, 0.056018270552158356, 0.026532266288995743, -0.08878906071186066, 0.0021637657191604376, 0.032222259789705276, 0.05388319119811058, 0.0012060576118528843, -0.06003807485103607, -0.02697170339524746, -0.00820240005850792, 0.002975926036015153, 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-0.019320309162139893, -0.04485486075282097, 0.02953180857002735, -0.11836367845535278, 0.003969007171690464, -0.06261184066534042, 0.07681285589933395, 0.03433912619948387, -0.0637778639793396, -0.03562087565660477, 0.003928370773792267, 0.04179636389017105, -0.03485497459769249, -0.07272060215473175, 0.117078498005867, -0.01760435476899147, -0.018963083624839783, -0.009640730917453766, -0.08407987654209137, -0.034625034779310226, 0.03039531596004963, -0.036014262586832047, 0.009209293872117996, 0.05055047199130058, -0.02234688214957714, -0.02495999075472355, 0.011520390398800373, 0.006371427793055773, -0.020515844225883484, -0.07331816852092743, 0.03525075688958168, -0.01875513419508934, -0.03486759960651398, -0.0750996395945549, 0.02299315668642521, 0.020530223846435547, 0.047554273158311844, 0.07229938358068466, -0.015785519033670425, -0.06976873427629471, 0.009133860468864441, 0.04376513883471489, -0.04164411127567291, -0.01969706080853939, -0.014700960367918015, 0.07097042351961136, -0.0583089254796505, -0.043371301144361496, -0.007769271731376648, -0.0289740189909935, 0.014701135456562042, -0.03297564387321472, 0.10675370693206787, -0.03237428516149521, 0.07949835807085037, -0.014644132927060127, -0.046458110213279724, 0.08637667447328568, 0.048118431121110916, -0.1280345916748047, -0.06745175272226334, 0.03672841563820839, 0.027795491740107536, -0.08432595431804657, 0.02334141544997692, 0.01965484395623207, 0.06676173210144043, 0.05942138656973839, -0.009288365021348, 0.013675743713974953, -0.07842449843883514, -0.008226078934967518, -0.012660407461225986, -0.04242269694805145, -0.08953522890806198, -0.00989892054349184, -0.024986635893583298, -0.09560368210077286, -0.04842774197459221, 0.023637298494577408, -0.08188962936401367, 0.006050782278180122, 0.0027555900160223246, -0.0029763898346573114, 0.026720412075519562, 0.0025210522580891848, -0.10754309594631195, -0.10290834307670593, -3.592967176239448e-33, -0.05265098810195923, 0.007078723981976509, -0.006420315708965063, -0.00045714076259173453, -0.004224745556712151, -0.008101889863610268, -0.030243147164583206, -0.009575208649039268, 0.0738004669547081, -0.015649504959583282, 0.04959303140640259, 0.054569486528635025, -0.05121820420026779, -0.08732453733682632, -0.05212554708123207, 0.05617295950651169, -0.020549548789858818, 0.0756683498620987, -0.008096503093838692, 0.0032539002131670713, -0.09843216836452484, -0.006740856915712357, -0.07128235697746277, 0.06602190434932709, 0.01342825312167406, 0.05799824371933937, -0.04197162762284279, -0.021068476140499115, 0.03648112714290619, 0.06318481266498566, 0.0024828833993524313, 0.010896919295191765, -0.04325886443257332, 0.0129784494638443, -0.014933403581380844, 0.006831588689237833, 0.05935463681817055, -0.059652384370565414, -0.11601575464010239, -0.025963330641388893, 0.038128286600112915, 0.01893256977200508, 0.1003653034567833, -0.0044881985522806644, 0.05119333788752556, 0.020221658051013947, -0.08790761232376099, -0.06745720654726028, -0.08235417306423187, 0.023393485695123672, 0.11543988436460495, 0.019962793216109276, -0.018632084131240845, 0.03645836189389229, 0.05027218535542488, 0.03451033681631088, 0.06473139673471451, -0.04279889166355133, -0.020698491483926773, -0.050535738468170166, 0.02358558401465416, -0.010919219814240932, 0.03344317153096199, -0.008428258821368217, 0.01825881563127041, -0.060401517897844315, -0.06439503282308578, 0.004845734219998121, 0.058123938739299774, -0.06362497061491013, 0.01974382810294628, 0.0010684460867196321, -0.024000996723771095, -0.1589711308479309, 0.01826838031411171, -0.030529726296663284, 0.0012620817869901657, -0.05688358470797539, -0.0498521663248539, -0.01657980866730213, 0.023183703422546387, 0.027836812660098076, 0.018278926610946655, -0.00312668620608747, -0.0376703180372715, -0.03983132913708687, 0.010360139422118664, 0.018725771456956863, 0.09865868091583252, 0.06584896147251129, 0.0076189604587852955, 0.04065515100955963, -0.043356604874134064, 0.09323891997337341, 0.0946194976568222, -4.6447450330333595e-8, 0.03511349856853485, -0.03747914731502533, 0.0427769273519516, -0.004206291399896145, 0.054951246827840805, -0.023251106962561607, 0.08291468769311905, 0.02026315964758396, 0.004107191227376461, -0.019806303083896637, 0.02357613854110241, 0.12480144202709198, -0.07706702500581741, -0.028245562687516212, 0.07556533813476562, 0.03952954709529877, -0.04884399101138115, 0.01858600042760372, -0.04447184503078461, -0.043538063764572144, -0.02362748049199581, 0.0647759735584259, -0.061732079833745956, 0.025941910222172737, 0.02851388230919838, -0.059019096195697784, 0.00904134288430214, -0.009822972118854523, 0.07890544831752777, 0.04153783246874809, 0.09481748938560486, -0.02407393977046013, -0.05899213254451752, -0.06021708995103836, -0.007882390171289444, 0.03796977922320366, -0.010233367793262005, -0.05963156744837761, -0.02463739737868309, 0.08899980783462524, -0.06042715534567833, 0.013008266687393188, -0.0445052906870842, 0.08793291449546814, 0.10828334838151932, -0.05853801593184471, -0.03060753270983696, 0.10400762408971786, 0.02455335669219494, -0.12034417688846588, 0.027307292446494102, 0.08208812773227692, -0.011092381551861763, -0.02052224427461624, -0.0648866519331932, 0.017897430807352066, 0.04025207459926605, 0.024206362664699554, -0.02573654241859913, -0.0505317747592926, 0.01329596247524023, 0.08930990099906921, 0.14276337623596191, -0.05043885111808777 ]
Hydration\nProtein\tmetabolism:\tconnective\ntissue,\tenzymes,\timmune\nfunction,\tetc.\nInfection/inflammatory\nresponse\nVitamin\tD\tin\tconcert\twith\nfunctional\tmetabolic\tpartner\nnutrients\tvitamins\tA\tand\tK\nLifestyle:\tsleep,\nexercise,\tstressors\nCLINICAL\tCASE\tSTUDY\nGia,\ta\t58-year-old\tF,\tis\tadmitted\tto\tCity\tHospital\tfollowing\ta\twork-related\taccident.\tShe\thas\ta
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6\nNutritional\tgenomics\nRuth\tDeBusk,\tPhD,\tRDN,\tMichael\tHahn,\tBA\nKEY\tTERMS\nautosome\nbioactive\tfood\tcomponents\ncandidate\tgene\tapproach\nchromosome\ncoding\tregion\ncodon\ndeoxyribonucleic\tacid\t(DNA)\ndominant\nELSI\nepigenetics\nepigenetic\tinheritance\nepigenetic\tmarks/tags\nepigenome,\tepigenomics\nexpression\tgenome-wide\tassociation\tstudies\t(eGWAS)\nexon
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0.07169322669506073, -0.020539995282888412, 0.00347298220731318, -0.06471145898103714, 0.046665988862514496, 0.0391668975353241, -0.04704154655337334, -0.040522217750549316, 0.11536937206983566, 0.007335345260798931, -0.07442542910575867, -0.02649608999490738, 0.02990703657269478, -0.06779661774635315, -0.04257762432098389, -0.08877265453338623, 0.0669008418917656, 0.11965654790401459, 0.0352933406829834, 0.041521891951560974, -0.029659831896424294, 0.10763296484947205, 0.05766250938177109, 0.06814007461071014, -0.061375804245471954 ]
expression\tgenome-wide\tassociation\tstudies\t(eGWAS)\nexon\ngene,\tgenetics\ngene\tvariant/genetic\n\tvariation\nGenetic\tInformation\tNondiscrimination\tAct\t(GINA)\ngenome,\tgenomics\ngenome-wide\tassociation\tstudy\t(GWAS)\ngenomic\timprinting\ngenotype\nheterozygous\nhistone\nhomozygous\nintervening\tsequences\nintron\nkaryotype\nligand\nmendelian\tinheritance
[ -0.029749633744359016, -0.048816099762916565, 0.017193200066685677, -0.02780565805733204, -0.050815049558877945, 0.004933335818350315, 0.010179928503930569, 0.01604596897959709, -0.04288337752223015, 0.07464466989040375, 0.09972695261240005, -0.12175480276346207, -0.07684771716594696, 0.0379086509346962, -0.02695636637508869, 0.06400500982999802, -0.09104277938604355, 0.03693045675754547, -0.0298150721937418, -0.032860442996025085, 0.05441698431968689, 0.09413182735443115, 0.05764714628458023, -0.009484391659498215, 0.0038472041487693787, -0.01564846746623516, -0.02578340843319893, 0.03077113628387451, 0.05940490961074829, 0.011646225117146969, -0.12080400437116623, 0.05761026218533516, 0.03353347256779671, 0.06580278277397156, 0.022085681557655334, 0.011928316205739975, -0.06225297972559929, 0.051042355597019196, 0.08390460908412933, -0.01815320923924446, 0.04261551424860954, -0.09748522192239761, -0.042726051062345505, 0.03704926371574402, 0.07754456996917725, 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-0.03402963653206825, -0.04964626207947731, -0.055644646286964417, -0.04397422447800636, 0.032654810696840286, 0.032795775681734085, 0.006295757833868265, 0.0006976375007070601, -0.05997999757528305, 0.08902351558208466, -0.03488278388977051, -0.026213379576802254, -0.11674435436725616, -0.1349332630634308, -0.044835224747657776, -0.025446292012929916, 0.10476786643266678, 0.05296376720070839, 0.030529513955116272, -0.0057709552347660065, 0.028240373358130455, -0.05955806002020836, 0.09713447093963623, 0.0642605572938919, 0.03643999248743057, 0.012690283358097076, 0.027146365493535995, 0.022420521825551987, 0.08157428354024887, -0.008182081393897533, 0.012840893119573593, 0.0014532596105709672, 0.08208057284355164, 0.05985371023416519, -0.015204976312816143, 0.02752680517733097, -0.020476534962654114, 0.04086242616176605, -0.008695980533957481, 0.03487028181552887, 0.07416052371263504, 0.031783875077962875, 0.04535646736621857, 0.033677343279123306, 0.04411555081605911, -0.05372879281640053, -0.034547872841358185, 0.008325816132128239, -0.026410602033138275, 0.0526338666677475, 0.046559788286685944, -0.01630379818379879, -0.009521176107227802, -0.010310791432857513, -0.06803461164236069, 0.08100749552249908, -0.09466975182294846, -0.06798309087753296, 0.023190272971987724, 0.0036751669831573963, -0.05938764661550522, 0.018876034766435623, 0.0650404766201973, 0.0028402924071997404, -0.04879460111260414, -0.06506762653589249, -0.025257689878344536, 0.03668886050581932, -0.02382080629467964, 0.009144232608377934, -0.04031534120440483, -0.02190939523279667, -0.10247945785522461, 0.04452881962060928, -0.09133196622133255, -0.02026141807436943, -0.03846374899148941, -0.017629437148571014, -0.06832358241081238, 0.008173716254532337, -0.05118243396282196, 0.04763646796345711, 0.010871805250644684, -0.02477206476032734, -0.039724744856357574, -0.0005153444944880903, 0.07318246364593506, 0.062207531183958054, 0.04846379533410072, -0.035367436707019806, 0.06478167325258255, -0.08250810205936432, 0.0803973376750946, -0.0014097389066591859, -4.7391502278060216e-8, 0.06464476138353348, -0.04628131911158562, 0.04357754811644554, -0.04502579942345619, 0.014032377861440182, 0.0765097588300705, -0.027441078796982765, 0.013773736543953419, 0.0702269896864891, -0.011337787844240665, 0.0015279084909707308, 0.016933832317590714, -0.10539679229259491, -0.011404740624129772, 0.12086893618106842, -0.027396617457270622, -0.023518281057476997, 0.036972276866436005, 0.0002635453420225531, -0.02170555479824543, -0.07831931859254837, 0.023903310298919678, -0.07080413401126862, 0.008502287790179253, 0.008189013227820396, -0.01290576159954071, -0.004708056338131428, 0.036643076688051224, 0.013321925885975361, -0.002961959457024932, 0.029952261596918106, 0.0003656301705632359, -0.040701039135456085, -0.021451648324728012, -0.058010030537843704, 0.014424091205000877, 0.007004549261182547, -0.0820164903998375, -0.0036171264946460724, 0.0885397419333458, -0.0003952921542804688, 0.013777396641671658, -0.053984928876161575, 0.03699406981468201, 0.07649188488721848, -0.04197946935892105, 0.03879406675696373, 0.07324138283729553, 0.029971454292535782, -0.04948636144399643, 0.04344181343913078, 0.04010871425271034, -0.05434541031718254, -0.006732957437634468, -0.0690307468175888, 0.015390099957585335, 0.08726728707551956, 0.0466608963906765, 0.05858374014496803, -0.020345522090792656, 0.08762547373771667, 0.08807496726512909, 0.09019353985786438, -0.04791614040732384 ]
intervening\tsequences\nintron\nkaryotype\nligand\nmendelian\tinheritance\nmessenger\tRNA\t(mRNA)\nmetabolome,\tmetabolomics\nmicrobiome,\tmicrobiomics\nmitochondrial\tDNA\t(mtDNA)\nmitochondrial\t(maternal)\tinheritance\nmutation\nnucleotide\nnutrigenetics\nnutrigenomics\nnutritional\tgenomics\nobesogen
[ -0.053445231169462204, 0.00465304683893919, -0.034976884722709656, -0.01901586353778839, -0.03529016301035881, 0.0586705356836319, -0.07901810109615326, 0.005887575447559357, -0.04831046611070633, 0.03339159116148949, 0.12012207508087158, -0.0398765504360199, -0.0547051839530468, 0.006172898691147566, -0.08805426955223083, 0.04304899647831917, -0.06911888718605042, 0.07026594132184982, -0.022410079836845398, -0.036213550716638565, 0.002905856119468808, 0.07428724318742752, 0.07169704884290695, 0.006798745132982731, -0.009175121784210205, -0.05524960905313492, 0.02078709378838539, -0.056739505380392075, 0.007341643329709768, -0.027928819879889488, -0.10329815000295639, 0.05107003077864647, 0.05213477462530136, 0.05036971718072891, 0.01789717748761177, -0.01037468109279871, -0.005820029880851507, 0.06419319659471512, 0.04410529509186745, 0.024474764242768288, 0.07079855352640152, -0.051896337419748306, -0.012368705123662949, 0.0524434968829155, 0.022070812061429024, 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to\tthe\tgenetic\tmakeup,\thas\tthe\tpotential\tfor\tchanging\tthe\thealth\ttrajectory\tfrom\ta\tpoor\tquality\tof\tlife\nfilled\twith\n\tdisease\tand\tdisability\tto\tone\tof\tthriving\tand\tflourishing.\nThis\tunderstanding\tof\tthe\tkey\trole\tof\tchoices\tregarding\tthese\tmodifiable\tlifestyle\tfactors\tis
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is\tnot\tonly\tto\tmanage\tchronic\tdisease\tmore\neffectively\tbut\talso\tto\trestore\thealth\tand,\tultimately,\tto\tprevent\tchronic\tdisease\tfrom\tdeveloping.\tThe\ninteractions\tamong\tgenes,\tdiet\tand\tother\tlifestyle\tfactors,\tand\ttheir\tinfluence\ton\thealth\tand\tdisease\nare\tthe\tfocus\tof\tnutritional\tgenomics.\nGenetic\tand\tgenomic\tfundamentals\nGenetics
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Genetic\tand\tgenomic\tfundamentals\nGenetics\n\tis\tthe\tscience\tof\theredity.\tIt\tis\tthe\tstudy\tof\tindividual\tgenes\n\tand\ttheir\tvariations,\thow\tthey\ngive\trise\tto\tmeasurable\ttraits\tand\tthe\tmechanisms\tby\twhich\ttraits\t(genes)\tare\tinherited\tfrom\tone\ngeneration\tto\tthe\tnext.\t\nGenomics\n\tfocuses\ton\tthe\tfull\tset\tof\tan\torganism’s\tgenes,\tits\t\ngenome\n,\tand
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encode,\tand\thow\ngenes\tare\tassociated\twith\tvarious\ttraits,\tsome\thealth-promoting,\tsome\tdisease-promoting.\tGenomic\nresearch\tlooks\tat\tthe\tstructure\tand\tfunctions\tof\tthe\twhole\tgenome,\tincluding\tinteractions\tbetween\ndifferent\tgroups\tof\tgenes\tor\tother\telements.\tWhereas\tgenetics\twas\tinitially\tconcerned\twith\tdiseases
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addressing\tchronic\tdisease,\twhich\tinvolves\tthe\tinteraction\tamong\tgenes\tand\tenvironmental\tfactors.
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The\tHuman\tGenome\tProject\twas\ta\tmultinational\tcollaboration\tformed\tto\tidentify\teach\tof\tthe\napproximately\t3\tbillion\tnucleotide\tbuilding\tblocks\tof\tthe\thuman\tgenome.\tSee\t\nBox\t6.1\n\tfor\tbackground\ninformation\ton\tthe\timportance\tof\tthis\tproject\tto\tthe\tprogress\tof\tunderstanding\tthe\tinterconnections\namong\tgenes,\tenvironment,\tand\thealth.\nBOX\t6.1
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among\tgenes,\tenvironment,\tand\thealth.\nBOX\t6.1\nThe\tHuman\tGenome\tProject\nThe\tHuman\tGenome\tProject\t(HGP)\thas\tbeen\tthe\timpetus\tfor\ta\tfundamental\tshift\tto\tintegrating\ngenetic\tprinciples\tinto\thealth\n\tcare.\tThis\tambitious\tproject\twas\ta\t$15\tbillion\tinternational\teffort
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care.\tThis\tambitious\tproject\twas\ta\t$15\tbillion\tinternational\teffort\nthat\tbegan\tin\t1990,\theadquartered\twithin\tthe\tU.S.\tby\tthe\tDepartment\tof\tEnergy\tand\tthe\tNational\nInstitutes\tof\tHealth.\tThe\tinitial\tgoal\twas\tto\tidentify\teach\tof\tthe\t3\tbillion\tnucleotides\tin\thuman
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DNA,\tthe\tgenetic\tmaterial\t(genome).\tSubsequent\tgoals\twould\tinclude\t(1)\tcataloging\teach\tgene\tin\nthe\thuman\tgenome,\t(2)\tidentifying\teach\tgene\n\tand\tits\tprotein\tproduct,\t(3)\tdetecting\tchanges\tin\ngenes\tand\ttheir\tassociation\twith\tdisease\tsusceptibility,\tand\t(4)\tshedding\tlight\ton\thow
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environmental\ttriggers\tinfluence\tgenes\tand\tdisease\tsusceptibility.\tAdditionally,\tthe\tgenomes\tof\nother\torganisms\twould\tbe\tsequenced\tto\tenable\ttheir\tuse\tas\tmodel\tsystems\tin\tthe\tlaboratory\tin\norder\tto\texplore\tkey\tmechanisms,\tfrom\tretrieving\tencoded\tinformation\tfrom\n\tDNA\tto\nunderstanding\tgene-environment\tinteractions.
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DNA\tto\nunderstanding\tgene-environment\tinteractions.\nThe\tHGP\tcompleted\tthe\tsequencing\tphase\tin\t2003,\tmuch\tearlier\tthan\texpected.\tHowever,\nidentifying\tthe\thuman\tsequence\tdid\tnot\tautomatically\tprovide\tanswers\tto\tall\tthe\tkey\tquestions\nthat\twere\tneeded\tto\tdevelop\tclinical\tapplications\tthat\tcould\tbe\tused\tto\trestore\thealth\tand\tprevent
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disease,\tparticularly\tfor\tthe\tchronic\tdiseases\twhose\tprevalence\twas\n\tsignificant\tworldwide.\tA\nnumber\tof\tdisciplines\temerged\tcorresponding\tto\tthe\tvarious\tsteps\tin\tthe\tprocesses,\tfrom\nretrieving\tinformation\tto\ttranslating\tthat\tinformation\tinto\tproteins\tto\tregulating\tgene\texpression.
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This\tlatter\tprocess\tincludes\tepigenetics,\twhich\thas\tbeen\ta\tbit\tof\ta\t“missing\tlink”\tin\tunderstanding\nhow\tgenes\tgive\trise\tto\tchronic\tdiseases,\twhich\tis\tessential\tfor\tdeveloping\teffective\n\tclinical\napplications\tand\tfor\tdisease\tprevention.\tSee\t\nBox\t6.2\n\tfor\tinformation\tabout\tthe\tprimary\t“omic”
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Box\t6.2\n\tfor\tinformation\tabout\tthe\tprimary\t“omic”\ndisciplines\tthat\thave\temerged.\tEach\tof\tthese\tdisciplines\thas\tcontinued\tdeveloping\tas\ta\tprimary\nresearch\tfocus\tand\tis\tcontributing\tvaluable\tinsight\tinto\tthe\tgene/environment/health\tand\tdisease\nconnections.\nAnother\tmajor\taccomplishment\tof\tthe\tinitial\tHGP\twork\thas\tbeen\tthe\tadvances\tthat\thave\noccurred
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occurred\n\tin\tgenetic\ttechnologies,\twithout\twhich\tthis\twork\twould\tnot\thave\tbeen\table\tto\tmove\nforward\tso\tquickly.\tAdvances\tinclude\tthe\tability\tto\tmove\tfrom\tstudying\tsingle\tgenes\tand\ttheir\nvariations\tto\thigh-throughput\twhole\tgenome\tsequencing\tthat\thas\tgreatly\tincreased\tthe\tspeed
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with\twhich\tthe\twork\tcan\tbe\tconducted\tand\tdecreased\tthe\tcost\tof\tsequencing.\tAdditionally,\tthe\ngenomes\tof\tnumerous\tother\torganisms\n\thave\tbeen\tsequenced.\tSome\tof\tthese\torganisms,\tsuch\tas\nthe\tlaboratory\tmouse,\thave\tserved\ta\tvaluable\trole\tas\tmodel\tsystems\tfor\tunderstanding\thuman
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Human\tGenome\tProject.\tThe\tmajor\tdisciplines\thave\tbeen\tgenomics,\tproteomics,\tmetabolomics,\nand\tmicrobiomics.\t\nGenomics\n\tis\tthe\tstudy\tof\torganisms\tand\ttheir\n\tgenetic\tmaterial\t(the\tgenome):\ncomposition,\torganization,\tand\tfunction.\nThe\tgenome\t(total\tDNA\tsequence)\tis\ttranscribed\tinto\tcoding\tand\tnoncoding\tRNA\ttranscripts.\nTranscriptomics
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Transcriptomics\n\tis\tthe\tstudy\tof\tthe\ttranscripts\tproduced:\tthe\ttypes\tof\ttranscripts\tgenome-wide\nand\tthe\tamount\tproduced.\tThe\tcoding\tRNA\tcontains\tinformation\tneeded\tto\tsynthesize\tproteins\nand\twas\toriginally\tthought\tto\tbe\tthe\tonly\tfunctional\n\ttype\tof\tRNA.\tTranscriptomics\tresearch\thas
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type\tof\tRNA.\tTranscriptomics\tresearch\thas\nrevealed\tthat\tthe\tmajority\tof\tthe\tgenome\tis\ttranscribed\tbut\tthat\tnoncoding\tRNA\tcomprises\tmost\nof\tthe\ttranscripts\tproduced.\tAlthough\ttheir\tphysiologic\troles\tare\tonly\tbeginning\tto\tbe\tunderstood,\nsome\tof\tthese\ttranscripts\tare\tbeing\tfound\tto\tbe\tassociated\twith\tdisease.\nProteomics
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Proteomics\n\tfocuses\tin\tpart\ton\tidentifying\tthe\tprotein\tencoded\tby\teach\tgene,\tthe\tprotein’s\nfunction,\tand\tthe\teffect\tof\ta\tmutation\tin\ta\tgene\ton\tthe\tstructure\tand\tfunction\tof\tthe\tencoded\nprotein.\tResearch\tin\tproteomics\talso\tincludes\tidentifying\tthe\tposttranslational\tmodifications\tof
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proteins,\tsuch\tas\tenzymatic\tcleavage\tto\tgenerate\tan\tactive\tprotein\tor\tthe\taddition\tof\tchemical\ngroups\tsuch\tas\tin\tglycosylation\tand\tphosphorylation.\nMetabolomics\n\tis\tthe\tstudy\tof\tthe\tsubstrates\tand\tproducts\n\tof\tmetabolism\t(the\tmetabolites).\tThe\ngoal\tis\tto\tidentify\teach\tmetabolite\tand\tits\trole\tin\tthe\tmetabolic\tprocesses\tcarried\tout\tin\tcells,
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biofluids,\ttissues,\tand\torgans.\nMicrobiomics\n\tconcerns\tthe\tmicrobial\tecology\tof\tbody\tcavities,\tsuch\tas\tthe\tdigestive\ttract\tand\nthe\toral\tcavity,\tanother\timportant\tbody\tcavity\tin\tnutrition\tpractice.\tBeneficial\tand\tpathogenic\nmicrobes\tcolonize\tthese\tcavities\tand\tinfluence\n\thealth.\tThe\tHuman\tMicrobiome\tProject\n(\nhttps://hmpdacc.org
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health.\tThe\tHuman\tMicrobiome\tProject\n(\nhttps://hmpdacc.org\n)\thas\tbeen\tinstrumental\tin\tidentifying\twhich\tmicrobes\tare\tpresent\tin\thealth
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and\tdisease\tand\tsequencing\tthe\tgenomes\tof\teach.\nPharmacogenomics\n,\twhich\tis\tconceptually\tsimilar\tto\tnutritional\tgenomics,\tinvolves\tusing\ngenomics\tto\tanalyze\tthe\tgenetic\tvariations\tin\tthe\tgenes\tthat\tencode\tthe\tdrug-metabolizing\nenzymes\tand\tusing\tthis\tinformation\tto\n\tpredict\ta\tpatient’s\tresponse\tto\ta\tdrug.\tGenetic\tvariability
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predict\ta\tpatient’s\tresponse\tto\ta\tdrug.\tGenetic\tvariability\ncan\tlead\tto\tdiffering\tfunction\tin\tthese\tenzymes,\twhich\texplains\twhy\ta\tdrug\tmay\thave\tthe\tintended\neffects\tfor\tone\tperson,\tbe\tineffective\tfor\tanother,\tand\tbe\tharmful\tto\ta\tthird.\tIn\taddition\tto
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identifying\tindividuals\tfor\twhom\tthe\tdrug\ttherapy\twill\tbe\tbeneficial,\tit’s\tpossible\tto\tcalculate\tthe\nappropriate\tstarting\tdosage\tand\tminimize\tadverse\n\tevents.\tThe\tcommon\tblood-thinning\tmedication\nwarfarin\tprovides\tan\texample\tof\tpharmacogenomics\tand\tits\tclinical\tapplications\t(see\t\nBox\t6.14\n).
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Box\t6.14\n).\nMany\tgenetic\ttechnologies\tand\ttools\thave\tbeen\tdeveloped\tfor\tthe\tvarious\t“omics”\tdisciplines.\nBasic\tDNA\tsequencing\ttechnology\tapplied\tto\tmicrobiomics\thas\tsignificantly\tshortened\tthe\ttime\nneeded\tto\tidentify\tpathogenic\tmicroorganisms,\twhich\tallows\tantimicrobial\n\ttherapy\tto\tbe\tinitiated
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therapy\tto\tbe\tinitiated\nmuch\tsooner\tthan\tpreviously\tpossible.\tNext-generation\tsequencing\ttechnology\tenables\tresearch\nand\tclinical\tlaboratories\tto\tgenerate\tcomplete\tgenomic\tprofiles\tin\ta\tfraction\tof\tthe\ttime\tand\tcost\nof\tearlier\ttechnology.\tThe\tvast\tamount\tof\tdata\tgenerated\tby\tthese\tdisciplines\thas\tled\tto\trapid
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growth\tin\tthe\tfield\tof\tbioinformatics.\tThe\tability\tof\tsophisticated\tcomputers\tto\torganize,\n\tstore,\nand\tretrieve\tmassive\tamounts\tof\tdata\thas\tbeen\tintegral\tto\tthe\trapid\tadvances\tof\tthe\tgenomics\nera.\nBOX\t6.14\nApplication\tof\tPharmacogenomics:\tWarfarin\nOne\tof\tthe\tearliest\tclinical\tapplications\tof\tthe\t“omic”\tdisciplines\thas\tbeen\tin\tpharmacogenomics,
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it\tbecomes\tpossible\tto\tidentify\nindividuals\tfor\twhom\tthe\tdrug\ttherapy\twill\tbe\tbeneficial\tbut\talso\tto\tassist\twith\tcalculating\tthe\nappropriate\tdose\tfrom\tthe\toutset\tof\ttherapy.\tFor\tdrugs\twith\tnarrow\ttherapeutic\twindows\tof\nefficacy,\tprescribing\tthe\tcorrect\tdosage\tfrom\tthe\toutset\tof\ttherapy\timproves\tefficacy\tand\treduces
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the\tpotential\tfor\tadverse\tevents.\tSeveral\tdrugs\thave\tnow\tbeen\tassociated\twith\n\tgene\tvariants\tand\ngenetic\ttesting\tis\tavailable\tbefore\tbeginning\ttherapy.\nThe\tblood-thinning\tmedication\twarfarin\thas\ta\tnarrow\ttherapeutic\twindow\tand\tis\twidely\tused.\nAssociated\twith\tfrequent\tadverse\tevents,\twarfarin\twas\tone\tof\tthe\tearliest\tdrugs\tto\twhich
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pharmacogenomics\twas\tapplied.\tVariation\tin\tthe\t\nCYP2C9,\tVKORC1,\n\tor\t\nCYP4F2\n\tgenes\tinfluence\nits\tsafe\tuse.\tThe\tmost\trecent\tcomprehensive\ttrial\tto\n\ttest\tthe\tclinical\tutility\tof\twarfarin\npharmacogenetics\tis\tthe\tClarification\tof\tOptimal\tAnticoagulation\tThrough\tGenetics\t(COAG)\ttrial\n(\nGage\tet\tal,\t2017
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events\tup\tto\t30\ndays\tfollowing\tthe\tend\tof\tthe\ttrial.\nAn\tinteresting\taspect\tof\tthis\ttrial\tpoints\tout\ta\tmajor\tlimitation\tof\tgenomics\tto\tdate:\tthe\tdatabase\nof\tgene\tvariants\thas\tbeen\tdeveloped\tprimarily\tfrom\tindividuals\tof\tEuropean\tdescent.\tGene\tpools\nvary\tamong\tdifferent\tancestral\tpopulations\tand,\tto\tbe\teffective,\trecommendations\tmust\tbe\tbased
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on\tthe\tgene\tvariants\tappropriate\tto\teach\tpopulation.\n\tThe\tCOAG\ttrial\tdid\tnot\ttest\tfor\tthe\nCYP2C9*8\n\tvariant\tthat\tis\tan\timportant\tpredictor\tof\twarfarin\tdose\tin\tAfrican\tAmericans\t(\nNagai\tet\nal,\t2015\n).\tThese\tindividuals\tspent\tless\ttime\twithin\tthe\ttherapeutic\twindow\tand\tdid\tnot\treceive\tthe
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full\teffect\tof\tthe\tdrug.\tBecause\tthe\tstudy\tpopulation\twas\t91%\twhite,\tthe\toverall\teffectiveness\tof\nthe\tdrug\tfor\tthe\tgenotyped\tarm\twas\tnot\taffected.\tHowever,\tgenotyping\n\tfor\twarfarin\twill\tlikely\tnot\nbe\trecommended\tfor\tAfrican\tAmericans\tuntil\tfurther\tresearch\tclarifies\tthe\tset\tof\tgene\tvariants
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that\tbest\tprovides\tsafety\tand\tefficacy\tfor\tthis\tpopulation.\tThis\tlimitation\tin\tthe\tgene\tvariant\ndatabase\tis\twell\trecognized\tby\tresearchers\tand\ta\tglobal\teffort\tis\tunderway\tto\texpand\tthe\ndatabase.\tSee\t\nBox\t6.12\n\tfor\tadditional\tinformation.\tThis\tproject\tis\texpanding\tthe\tpopulations
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included\tand\thelping\tidentify\tcommon\tmutations\tassociated\twith\tspecific\tethnic\tgroups.\nAdditionally,\tvarious\tcountries\tare\testablishing\tdatabases\tthat\trepresent\ttheir\tspecific\npopulations.\nBOX\t6.12\nThe\t1000\tGenomes\tProject\nLike\tthe\tHuman\tGenome\tProject,\tthe\t1000\tGenomes\tProject\tis\ta\tsignificant\tstep\tforward\tin\tthe
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goal\tof\tpersonalizing\ttherapy.\tAdvances\tin\tDNA\ttechnology\tand\tthe\tsubsequent\n\tcost-savings\nallowed\tresearchers\tto\texpand\tthe\tnumber\tof\tgenomes\tand\tpopulations\trepresented\tin\tthe\thuman\ngenome\tdatabase\tbeyond\tthe\toriginal\tEuro-centric\tdata\tset.\tThe\tgenomes\tof\t2504\tindividuals
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from\t26\tpopulations\trepresenting\t5\tcontinental\tregions\twere\tsequenced.\tThe\tpopulations\tinclude\na\tdiverse\tsampling\tof\tthe\thuman\tpopulation:\tAfrican,\tAmerican\t(north,\tcentral,\tand\tsouth\nAmerican,\tincluding\n\tNative\tAmerican),\tEast\tAsian,\tEuropean,\tand\tSouth\tAsian.
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Native\tAmerican),\tEast\tAsian,\tEuropean,\tand\tSouth\tAsian.\nThe\tgoal\tof\tthe\tproject\twas\tto\tidentify\tgenetic\tvariations\tthat\toccurred\tin\t1%\tor\tgreater\tof\tthe\npopulations\tstudied.\tOver\t84.7\tmillion\tsingle\tnucleotide\tpolymorphisms\t(SNPs),\t3.6\tmillion\tshort
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insertion/deletion\tstructural\tvariants,\tand\t60,000\tother\tstructural\tvariants\twere\tdetected\tin\tthese\nindividuals,\tmany\tclustered\tin\thaplotypes.\tThe\n\tresearchers\testimate\tthat\t>99%\tof\tthe\tSNPs
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projected\tto\tbe\tin\tthe\thuman\tgenome\tat\t1%\tor\tgreater\tin\tfrequency\thave\tbeen\tidentified.\tThis\nproject\tis\ta\tmajor\tstep\tforward\tfor\tpersonalized\thealth\tcare.\tFuture\tresearch\twill\tlikely\tfocus\ton\ndetecting\tstrong\tassociations\tbetween\tspecific\tgenetic\tregions\tand\tparticular\tdiseases\tand\tthen
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focusing\ton\tgenetic\tvariation\tis\trevolutionizing\tthe\tway\tclinicians\tthink\tabout\tthe\tclinical\taspects\nof\tmedicine,\tpharmacology,\tand\tnutrition.\tGiven\tthe\tmagnitude\tof\tvariation\tamong\tindividuals,\nclinical\tapproaches\twill\tincreasingly\taccommodate\tthe\tshift\tfrom\tone-size-fits-all\tto\tpersonalized\napproaches\t(\n1000\tGenomes\tProject\tConsortium,\t2015\n).
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approaches\t(\n1000\tGenomes\tProject\tConsortium,\t2015\n).\nThe\tbasic\tunit\tof\theredity\tis\tthe\t\ngene\n,\twhich\tis\tmade\tup\tof\t\nDNA\t(deoxyribonucleic\tacid)\n.\tThe\nnucleotide\tsequence\tof\ta\tgene\tencodes\tthe\tinstructions\tfor\tmaking\ta\tprotein\tor\ta\tpeptide\tcomponent\nof\ta\tprotein.\tChanges\tin\tthe\tnucleotide\tsequence\n\tof\tthe\tDNA\tare\ttranslated\tinto\tthe\tamino\tacid
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0.047110944986343384, 0.05260280892252922, 0.1469031721353531, 0.0794609785079956, -4.4488434269851496e-8, 0.0533267967402935, -0.04357564449310303, 0.03981358930468559, -0.07173217833042145, 0.10910352319478989, 0.017762133851647377, 0.019439740106463432, 0.038031917065382004, 0.0200089979916811, -0.06983751058578491, 0.07420062273740768, 0.07846517860889435, -0.05251453444361687, -0.01070026308298111, 0.1026795282959938, -0.011850706301629543, -0.03978972136974335, -0.03278135508298874, -0.03886701911687851, 0.02143973484635353, -0.03244142606854439, 0.06474465131759644, -0.09430985897779465, -0.01097158808261156, -0.010254933498799801, 0.005934253800660372, 0.007247770205140114, -0.028398998081684113, -0.010135422460734844, -0.04039010405540466, 0.011029625311493874, -0.07033360749483109, -0.03767190873622894, -0.023387473076581955, -0.039866089820861816, 0.023736558854579926, -0.032155562192201614, -0.03376557305455208, 0.003443736582994461, 0.0839061513543129, 0.020631803199648857, 0.01003123726695776, -0.10878781974315643, 0.048206549137830734, 0.04382742941379547, -0.054954033344984055, -0.04872412979602814, 0.10612863302230835, -0.07938919216394424, -0.058348461985588074, -0.025579340755939484, 0.07574274390935898, -0.018633699044585228, -0.08171980828046799, -0.08876073360443115, 0.026908904314041138, 0.05862411856651306, 0.0018396662781015038, -0.017333338037133217, -0.000725447665899992, 0.06780398637056351, 0.038279131054878235, 0.12234719842672348, -0.0015086792409420013 ]
of\tthe\tDNA\tare\ttranslated\tinto\tthe\tamino\tacid\nsequence\tof\tthe\tprotein\tand\tcan\tpotentially\tchange\tthe\tability\tof\tthat\tprotein\tto\tperform\tits\trole.\nThese\tchanges\tare\tpassed\tfrom\tparent\tto\tchild\tand\tare\tthe\tbasis\tfor\tinheritance\tof\ttraits.\tIn\thigher\norganisms\tthe\tDNA\tis\thoused\twithin\tthe\tnucleus\tof\tcells\t(\nFig.\t6.1\n).\tThe\tDNA\tmolecule\tis\ta\tdouble
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-0.09000363200902939, -0.02755824290215969, -0.043215975165367126, 0.012993206270039082, 0.09624750167131424, -0.024853412061929703, 0.01021464355289936, 0.003203271422535181, 0.029061242938041687, 0.004047575872391462, 0.017317315563559532, -0.06023593246936798, -0.03131840005517006, -0.018833888694643974, 0.005780382081866264, 0.003378854366019368, 0.05245957151055336, -0.03019821085035801, 0.08343847095966339, -0.03247089311480522, -0.09480418264865875, -0.009814911521971226, -0.03905133530497551, -0.057406555861234665, -0.003531617345288396, -0.026081331074237823, -0.08477814495563507, -0.09551948308944702, 0.07283226400613785, -0.046590402722358704, 0.048465002328157425, -0.06194379925727844, -0.04013639688491821, -0.018562931567430496, -0.003096151165664196, 0.00734881404787302, -0.033516775816679, -0.009215186350047588, 0.03355174511671066, -0.02392691560089588, -0.001153778750449419, 0.0216903667896986, 0.04740022495388985, 0.05936397239565849, -0.005818904843181372, 0.0505950003862381, 0.031728409230709076, 0.08900440484285355, 0.07037095725536346, -4.626128813356445e-8, 0.004029564559459686, -0.04569121450185776, 0.00439887261018157, -0.02602217346429825, 0.07653345167636871, -0.0007215935038402677, 0.06967158615589142, -0.014002270996570587, -0.012304345145821571, -0.09652482718229294, 0.04301125556230545, 0.0940016508102417, -0.08406540006399155, -0.04979320615530014, 0.0715145617723465, 0.07314979285001755, -0.022346889600157738, 0.04495783895254135, -0.02430737018585205, -0.01511821523308754, -0.015879293903708458, 0.09117443859577179, -0.07882154732942581, 0.0025802322197705507, -0.03291483223438263, 0.01976006105542183, -0.047394998371601105, -0.04631581902503967, -0.03434547036886215, 0.02285667695105076, 0.04574139416217804, -0.052595194429159164, 0.007558236829936504, -0.05069075524806976, -0.009852693416178226, 0.05826815590262413, -0.03961844742298126, -0.06775003671646118, 0.024300124496221542, 0.15659640729427338, 0.06697138398885727, 0.017300259321928024, -0.04732966423034668, 0.057394158095121384, 0.05455129221081734, -0.06894432753324509, -0.0517769493162632, 0.12403412908315659, -0.025007104501128197, -0.05931980535387993, -0.00132450379896909, 0.08280599117279053, -0.008034607395529747, -0.05520116537809372, -0.061413124203681946, 0.015971409156918526, 0.056210245937108994, 0.0456140860915184, -0.009811189956963062, 0.03617585077881813, 0.08097662776708603, 0.05755297839641571, 0.13048137724399567, -0.01787201128900051 ]
Fig.\t6.1\n).\tThe\tDNA\tmolecule\tis\ta\tdouble\nhelix\tconsisting\tof\ttwo\tstrands\tof\t\nnucleotide\n\tsubunits\n\theld\ttogether\tby\thydrogen\tbonds.\tEach\nnucleotide\tcontains\tthe\tsugar\tdeoxyribose,\tthe\tmineral\tphosphorus,\tand\tone\tof\tfour\tnitrogen-\ncontaining\tbases:\tadenine\t(A),\tthymine\t(T),\tguanine\t(G),\tor\tcytosine\t(C).\tAny\tbase\tcan\tsit\tnext\tto\tone
[ -0.05739108473062515, -0.10332890599966049, -0.027501728385686874, -0.09150423109531403, -0.10343660414218903, 0.03698647767305374, 0.010579269379377365, 0.03122931905090809, -0.03321355953812599, 0.10493815690279007, 0.11150442808866501, 0.0033395332284271717, -0.027170633897185326, 0.05764824151992798, -0.044083572924137115, 0.05321939289569855, -0.10629551857709885, 0.034009575843811035, -0.0010240981355309486, -0.03152976557612419, 0.031260740011930466, 0.0839323103427887, 0.008480476215481758, -0.003523282241076231, 0.02366051636636257, 0.02383936010301113, 0.0005892381304875016, 0.03803399205207825, 0.00933799147605896, -0.05459735542535782, -0.08886612951755524, 0.02288965694606304, -0.011059416458010674, -0.02942064218223095, 0.03972822427749634, 0.017657015472650528, -0.08891400694847107, -0.013698960654437542, 0.10161526501178741, 0.039164453744888306, 0.07984721660614014, -0.023477720096707344, -0.007310993503779173, 0.05863480269908905, 0.05271342396736145, 0.01779681257903576, -0.010083203203976154, 0.006946796551346779, -0.02760620042681694, -0.000003038357590412488, 0.017289767041802406, 0.009097966365516186, -0.058056771755218506, 0.06065164878964424, -0.042331185191869736, 0.012568790465593338, -0.05370224639773369, -0.0338764488697052, 0.011766965501010418, -0.018941806629300117, -0.008370422758162022, 0.002453562105074525, -0.028932839632034302, 0.00393136590719223, 0.05830040201544762, 0.03612767904996872, 0.04625527560710907, -0.016342826187610626, 0.01209148671478033, 0.0501173660159111, -0.01911287009716034, -0.01620110683143139, -0.06155715882778168, 0.1184823289513588, -0.00877432618290186, 0.07029645889997482, 0.09255961328744888, -0.01230153813958168, 0.01571800746023655, -0.03560129180550575, -0.08367722481489182, 0.06761836260557175, 0.02092454396188259, 0.07298281788825989, -0.019262846559286118, 0.03349091112613678, -0.001657907385379076, 0.10896039754152298, -0.007497022859752178, 0.046279050409793854, 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0.09652330726385117, -0.03006899356842041, -0.0598374679684639, -0.002352053066715598, -0.04838188365101814, 0.009668699465692043, -0.026682395488023758, 0.08602718263864517, -0.02860429510474205, 0.06262759119272232, 0.004754530265927315, -0.024626469239592552, 0.0191634614020586, 0.0018380413530394435, -0.20425833761692047, -0.03662622347474098, 0.05185767263174057, 0.018000194802880287, 0.000060268921515671536, -0.04382578283548355, 0.022546514868736267, -0.015982959419488907, 0.047115880995988846, 0.08285799622535706, -0.0002629855880513787, -0.03060893714427948, -0.04113023728132248, -0.006430268753319979, -0.05514361709356308, -0.03495208919048309, -0.03438454493880272, -0.05930226668715477, -0.06560575217008591, -0.031603649258613586, 0.020549271255731583, -0.11273428052663803, 0.0018277277704328299, 0.009925365447998047, 0.035504139959812164, -0.035491086542606354, -0.0425611287355423, -0.08149009943008423, -0.04996468126773834, -2.6324163755688313e-33, -0.03246691823005676, 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-0.05946389213204384, -0.026034068316221237, -0.05631571263074875, 0.03899010270833969, 0.05039730668067932, -0.02652168832719326, 0.024409856647253036, -0.032688189297914505, 0.05414123460650444, -0.00027625917573459446, 0.02120968885719776, -0.04280002415180206, -0.007846354506909847, -0.008110307157039642, -0.016090083867311478, -0.0864257887005806, 0.018574386835098267, -0.025005033239722252, 0.021448012441396713, -0.019842207431793213, -0.07344288378953934, 0.006758974399417639, 0.03917919844388962, -0.05172586068511009, -0.005282258149236441, 0.06556791812181473, 0.007608884014189243, -0.0694277361035347, 0.06931623816490173, -0.06180815398693085, 0.02487165667116642, -0.0680072158575058, -0.032300300896167755, -0.03672295808792114, -0.008547180332243443, 0.020626230165362358, 0.013026487082242966, -0.01847023144364357, 0.048143502324819565, 0.006378795485943556, 0.05014696717262268, 0.08821059763431549, 0.006827771198004484, 0.03799477592110634, 0.023476263508200645, 0.05277668312191963, 0.035695694386959076, 0.09290537983179092, 0.08921641111373901, -4.660352459495698e-8, 0.07401654124259949, -0.06742074340581894, 0.03489631041884422, -0.10168301314115524, 0.026738453656435013, 0.008743765763938427, 0.05367433279752731, 0.0008461365359835327, 0.025777962058782578, -0.04191025719046593, 0.003712927922606468, 0.08555708080530167, -0.02954907901585102, -0.007502757478505373, 0.0951106995344162, 0.030932828783988953, -0.07034467160701752, -0.0012603424256667495, -0.04071817919611931, -0.06354960799217224, -0.07380074262619019, 0.035319749265909195, -0.11322987079620361, 0.037056226283311844, -0.022573009133338928, -0.027020005509257317, -0.01820857636630535, 0.007000891026109457, 0.04219004884362221, 0.009315823204815388, 0.02818235568702221, -0.05687004700303078, -0.0032706810161471367, -0.06968916952610016, -0.004949635360389948, 0.03922613337635994, -0.011268052272498608, -0.04000221937894821, -0.014584116637706757, 0.08994030952453613, -0.025481348857283592, -0.021630773320794106, -0.07535602152347565, 0.04480856657028198, 0.08552037924528122, -0.015886196866631508, -0.051982853561639786, 0.10623231530189514, -0.020741499960422516, -0.035070762038230896, 0.00610758550465107, 0.049356840550899506, -0.0449923612177372, -0.09165681898593903, -0.08486975729465485, -0.011089494451880455, -0.023229720070958138, -0.003194566583260894, -0.002763927448540926, -0.037743549793958664, -0.018539486452937126, 0.05998813733458519, 0.13205839693546295, -0.04147827625274658 ]
another,\tbut\tacross\tstrands\tof\tthe\thelix,\tthese\tbases\tpair\tspecifically:\tA\tpairs\twith\tT,\tG\tpairs\twith\tC\n(\nFig.\t6.2\n).\tThe\tnucleotides\tare\tarranged\tin\ta\tlinear\torder,\n\tand\tthis\torder\tdetermines\tthe\tparticular\ninformation\tencoded\tin\ta\tstretch\tof\tDNA\tthat\tresults\tin\tthe\tsynthesis\tof\ta\tprotein.\tThe\tnucleotide
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sequence\tof\tDNA\tis\tunique\tto\tthe\tindividual\tand\tis\tcalled\tits\t\ngenotype\n.\nFIG.\t6.1\nDNA,\tthe\t\nMolecule\tof\tLife.\n\t\nCells\tare\tthe\tfundamental\tworking\tunits\tof\tevery\tliving\tsystem.\tAll\tthe\ninstructions\tneeded\tto\tdirect\ttheir\tactivities\tare\tcontained\twithin\tthe\tchemical\tdeoxyribonucleic\nacid.\n\tSource:
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acid.\n\tSource:\t\n(From\tU.S.\tDepartment\tof\tEnergy,\tHuman\tGenome\tProgram:\t\nwww.ornl.gov/hgmis\n.)
[ -0.020958535373210907, -0.04459218308329582, -0.015256460756063461, -0.04307769984006882, 0.033092424273490906, 0.08351603895425797, 0.111213818192482, 0.14042700827121735, -0.021679269149899483, 0.015263802371919155, 0.07418550550937653, -0.01742423325777054, -0.014827366918325424, 0.03986996412277222, -0.03484407067298889, 0.06663469225168228, 0.015821579843759537, 0.016131768003106117, -0.037099938839673996, -0.09111303091049194, 0.07282835245132446, 0.09603425860404968, 0.007752221543341875, -0.006396092940121889, -0.012999295257031918, 0.07454445958137512, 0.015470623038709164, -0.06496093422174454, 0.019235914573073387, -0.07165578752756119, 0.004056753125041723, -0.02982524037361145, 0.015601640567183495, -0.02093229815363884, -0.04441242292523384, 0.02894584648311138, -0.11081981658935547, -0.053780946880578995, 0.055206362158060074, 0.045058540999889374, 0.01395031064748764, -0.021684182807803154, -0.02850518189370632, -0.03551396355032921, 0.04335391893982887, 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FIG.\t6.2\nDNA\t\nReplication\tPrior\tto\tCell\tDivision.\n\t\nEach\ttime\ta\tcell\tdivides\tinto\ttwo\tdaughter\tcells,\tits\tfull\ngenome\tis\tduplicated;\tfor\thumans\tand\tother\tcomplex\torganisms,\tthis\tduplication\toccurs\tin\tthe\tnucleus.\tDuring\ncell\tdivision\tthe\tdeoxyribonucleic\tacid\t(DNA)\tmolecule\tunwinds,\tand\tthe\tweak\tbonds\tbetween\tthe\tbase\tpairs
[ -0.0697941705584526, -0.020279577001929283, 0.0339159294962883, -0.05876000225543976, -0.08225662261247635, -0.013772455044090748, -0.032249435782432556, -0.019003020599484444, 0.011886829510331154, 0.09640753269195557, 0.152958482503891, -0.02870255336165428, -0.02348005771636963, 0.015628140419721603, -0.04859374463558197, 0.048823654651641846, -0.10282991081476212, 0.05480773374438286, -0.039344921708106995, -0.008590808138251305, 0.01874741166830063, 0.09411284327507019, 0.05725516751408577, -0.012487271800637245, -0.006805256009101868, 0.0165161844342947, -0.03546850383281708, -0.008259691298007965, 0.03646799549460411, -0.05028923228383064, -0.09071273356676102, 0.03117140755057335, -0.014309625141322613, 0.0029870548751205206, 0.07838421314954758, 0.019890666007995605, -0.01891946792602539, 0.029011599719524384, 0.11373091489076614, 0.014196659438312054, 0.03979727625846863, -0.043805304914712906, -0.008404385298490524, 0.06309016048908234, 0.02134741097688675, 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break,\tallowing\tthe\tstrands\tto\tseparate.\tEach\tstrand\tdirects\tthe\tsynthesis\n\tof\ta\tcomplementary\tnew\tstrand,\nwith\tfree\tnucleotides\tmatching\tup\twith\ttheir\tcomplementary\tbases\ton\teach\tof\tthe\tseparated\tstrands.\tStrict\nbase-pairing\trules\tare\tadhered\tto\t(i.e.,\tadenine\tpairs\tonly\twith\tthymine\t[an\tA-T\tpair]\tand\tcytosine\twith\tguanine
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[a\tC-G\tpair]).\tEach\tdaughter\tcell\treceives\tone\told\tand\tone\tnew\tDNA\tstrand.\tThe\tcells’\tadherence\tto\tthese\nbase-pairing\trules\tensures\tthat\tthe\tnew\n\tstrand\tis\tan\texact\tcopy\tof\tthe\told\tone.\tThis\tminimizes\tthe\tincidence\tof\nerrors\t(mutations)\tthat\tmay\tgreatly\taffect\tthe\tresulting\torganism\tor\tits\toffspring.\n\tSource:\t\n(From\tU.S.\tDepartment\tof
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Source:\t\n(From\tU.S.\tDepartment\tof\nEnergy,\tHuman\tGenome\tProgram:\t\nwww.ornl.gov/hgmis\n.)\nTo\tbe\tuseful\tto\tthe\tcells,\tinformation\tin\tthe\tDNA\tfirst\tmust\tbe\tdecoded\tand\ttranslated\tinto\nproteins,\twhich\tperform\tthe\twork\tof\tthe\torganism’s\t“operating\n\tsystem.”\tA\tsequence\tof\tDNA
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system.”\tA\tsequence\tof\tDNA\nnucleotides\tthat\tencodes\tthe\tinformation\tfor\tsynthesizing\ta\tprotein\tis\tcalled\ta\tgene.\tHuman\tDNA\ncontains\tapproximately\t20,000\tgenes.\tEach\tgene\thas\ta\tlocation\tor\t“address”\tat\ta\tspecific\tsite\ton\ta\nparticular\tchromosome.\tLong\tstretches\tof\tnucleotides\toften\tare\tfound\tbetween\tgenes\talong\tthe
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