Cited by 494Health, Environment, Cognitive AgingMetabolomics and Mass Spectrometry StudiesBioinformatics and Genomic Networks

A Longitudinal Big Data Approach for Precision Health

Open access
Schüssler-Fiorenza Rose, Sophia Miryam, Contrepois, Kévin, Moneghetti, Kegan J., Zhou, Wenyu, Mishra, Tejaswini, Mataraso, Samson, Dagan-Rosenfeld, Orit, Ganz, Ariel B. +22 more·2019·Nature Medicine

Abstract

Precision health relies on the ability to assess disease risk at an individual level, detect early preclinical conditions and initiate preventive strategies. Recent technological advances in omics and wearable monitoring enable deep molecular and physiological profiling and may provide important tools for precision health. We explored the ability of deep longitudinal profiling to make health-related discoveries, identify clinically relevant molecular pathways and affect behavior in a prospective longitudinal cohort (n = 109) enriched for risk of type 2 diabetes mellitus. The cohort underwent integrative personalized omics profiling from samples collected quarterly for up to 8 years (median, 2.8 years) using clinical measures and emerging technologies including genome, immunome, transcriptome, proteome, metabolome, microbiome and wearable monitoring. We discovered more than 67 clinically actionable health discoveries and identified multiple molecular pathways associated with metabolic, cardiovascular and oncologic pathophysiology. We developed prediction models for insulin resistance by using omics measurements, illustrating their potential to replace burdensome tests. Finally, study participation led the majority of participants to implement diet and exercise changes. Altogether, we conclude that deep longitudinal profiling can lead to actionable health discoveries and provide relevant information for precision health.

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  • Omics data, including transcriptomics, proteomics, and metabolomics, have injected mechanistic insights into predictive modeling for diabetic complications.

    “Omics data, including transcriptomics, proteomics, and metabolomics, have injected mechanistic insights into predictive modeling for diabetic complications [158–160].”

    From Artificial intelligence-powered prediction of diabetic complications: from clinical data to molecular omics (2026) · cites this paper as [160]

    The Results (Metabolic Health Profiling; page not provided) report that multi-omics measurements improved prediction of insulin resistance and oral glucose tolerance, with transcriptomic and metabolomic predictors and a protein among the identified molecules. The Discussion links this profiling to insights into glucose dysregulation. The paper does not show predictive modeling of diabetic complications, so that part of the claim is unsupported. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Deep phenotyping integrates genomic sequencing, blood-based omics, microbiome analysis, and wearable device data to capture each patient's unique biological state over time.

    “This strategy integrates genomic sequencing, blood-based omics (e.g., metabolomics and proteomics), microbiome analysis, and wearable device data to capture each patient’s unique biological state over time.”
  • Taking millions of measurements per individual over time enabled the early detection of potential disease states.

    “We found that taking millions of measurements per individual over time enabled the early detection of potential disease states51,87.”

    From The Integrative Human Microbiome Project (2019) · cites this paper as [87]

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Research works printed but not linked: 2

  1. [1]National Research Council (US) Committee on A Framework for Developing a New Taxonomy of Disease. Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease. (National Academies Press (US), 2012). 22536618
  2. [69]Cohen S Perceived stress in a probability sample of the United States. (Sage Publications, Inc, 1988).

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Authors
Schüssler-Fiorenza Rose, S. M., Contrepois, K., Moneghetti, K. J., Zhou, W., Mishra, T., Mataraso, S., Dagan-Rosenfeld, O., Ganz, A. B., Dunn, J., Hornburg, D., Rego, S., Perelman, D., Ahadi, S., Sailani, M. R., Zhou, Y., Leopold, S. R., Chen, J., Ashland, M., Christle, J. W., Avina, M., Limcaoco, P., Ruiz, C., Tan, M., Butte, A. J., Weinstock, G. M., Slavich, G. M., Sodergren, E., McLaughlin, T. L., Haddad, F., & Snyder, M. P.
Affiliations
  • Stanford Medicine (US)
  • The University of Melbourne (AU)
  • University of California, Berkeley (US)
  • The Jackson Laboratory for Genomic Medicine (US)
  • University of California, San Francisco (US)
  • Stanford University (US)
  • University of California, Los Angeles (US)
Corresponding author
Snyder, Michael P.
Venue
Nature Medicine
Published
2019-05
Volume
25
Issue
5
Pages
792-804
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2944477354
Cited by
494
References
95
Citations by year
2026: 51 · 2025: 40 · 2024: 53 · 2023: 61 · 2022: 108 · 2021: 78 · 2020: 70 · 2019: 30 · 2017: 1
FWCI
30.88
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • The Mouseion at the JAXlibrary (Jackson Laboratory) (submittedVersion)
Funders
  • National Institutes of Health (UL1TR001085, UL1TR003142, 1s10od020141-01)
  • National Institute of Mental Health (K08MH103443)
  • National Cancer Institute (P30CA124435)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK110186, U54DK102556, P30DK116074)
  • National Institute of Environmental Health Sciences (K08ES028825)
  • National Institute of Dental and Craniofacial Research (U54DE023789)
  • National Center for Advancing Translational Sciences
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
Keywords
precision health, type 2 diabetes, personalized medicine, wearable monitoring, multi-omics integration, microbiome, metabolomics, transcriptomics, proteomics, immunomics, cardiovascular risk, cancer risk, behavior change, diet and exercise
MeSH terms
Gastrointestinal Microbiome, Big Data, Adult, Aged, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Female, Humans, Insulin Resistance, Longitudinal Studies, Male, Middle Aged, Models, Biological, Risk Factors, Cohort Studies, Metabolome, Precision Medicine, Transcriptome, Exome

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