(Journal of Nutrition. 2001;131:1319-1321.)
© 2001 The American Society for Nutritional Sciences
Articles
Nutrition: A Reservoir for Integrative Science
S. H. Zeisel1,
L. H. Allen,
S. P. Coburn,
J. W. Erdman,
M. L. Failla,
H. C. Freake,
J. C. King and
J. Storch
Long Range Planning Committee, American Society for Nutritional Sciences
1To whom correspondence should be addressed at University of North Carolina at Chapel Hill, CB#7400, McGavran Hall Room 2212, Chapel Hill, NC 27599-7400. E-mail: steven zeisel{at}unc.edu.
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ABSTRACT
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In the last twenty years, powerful new molecular techniques were
introduced that made it possible to advance knowledge in human biology
using a reductionist approach. Now, the need for scientists to deal
with complexity should drive a movement toward an integrationist
approach to science. We propose that nutritional science is one of the
best reservoirs for this approach. The American Society for Nutritional
Sciences can play an important role by developing and delivering a
cogent message that convinces the scientific establishment that
nutrition fills this valuable niche. The society must develop a
comprehensive strategy to develop our image as the reservoir for life
sciences integration. Our efforts can start with our national meeting
and publications, with the research initiatives for which we advocate,
with our graduate training programs and with the public relations image
we project for ourselves. Defining the image and future directions of
nutrition as the discipline that can integrate scientific knowledge
from the cell and molecule to the whole body and beyond to populations
can be the most important task that our society undertakes. If we do
not effectively meet this challenge, a golden opportunity will pass to
others and nutritional scientists will be left to follow them.
KEY WORDS: nutrition American Society for Nutritional Sciences long range planning scientific integration
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Defining the image of nutrition
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It is likely that the skills of nutrition scientists will become
increasingly valuable as it becomes more necessary to translate from
molecular events to whole body metabolism to behaviors. It is important
that we identify the opportunities for nutrition to become a more
valued science that occupies an important niche as a
cross-disciplinary, integrationist life science. The American
Society for Nutritional Sciences (ASNS) can play an important role in
focusing our disciplines image so that our research and training
programs are viewed as being unique assets within the relevant
scientific communities in which we work. Defining the image of
nutrition may be the most important task that our society undertakes.
This initiative will require that we identify those features of
nutritional science that will provide us with the greatest
opportunities, and then undertake a coordinated effort to develop the
relevant innovations in training and research techniques. A
sophisticated public relations campaign will be required to promote the
unique skills of nutritional scientists.
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The ascendance of reductionism in life sciences
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During the last twenty years, powerful new molecular techniques
have generated incredible insights into human biology using a
reductionist approach. By reductionism we refer to the scientific
approach aimed at identifying the molecules involved in biological
events and examining them in their purified form or in simple systems.
Biochemistry (physiology, pharmacology, and other) departments, once
based on metabolic and nutritional biochemistry, evolved during the
1980s and 1990s so that they focused almost exclusively on molecular
events. This was a heady time for biologists, and most basic life
science disciplines converged in the use of a reductionist approach to
discover new knowledge. As a result, the reservoir of knowledge about
nutritional/metabolic biochemistry, knowledge that used to be at the
core of such departments, was allowed to diminish. The interest in and
capacity to perform metabolic research in these departments became
limited, and the graduates of these doctoral programs now often have
little or no exposure to metabolism. This means that most graduates of
basic life science departments have strong skills focused on reduction
of biology to molecular events, but few of the skills required to
integrate these events into multiorgan and whole-body metabolic
pathways. Although many nutrition departments also included
reductionist approaches to varying degrees in their curricula, for the
most part, nutrition students continued to be trained in the broader
areas of metabolism and metabolic regulation, and, more recently,
epidemiology and behavior. Although they may have lacked some of the
depth of the narrowly focused training, they retained the broader
perspectives and skills required to collect and link information across
the continuum of gene-whole body-clinical-community. Although in
some cases broader skills were not fully valued during the ascendance
of the reductionist approach, there is now a window of opportunity
because there is growing recognition that these skills will be
essential for the next phase of biological science (Shulman 1998
).
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Nutrition is an important reservoir of integrationism
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As we rapidly approach the time when the entire human genome is
sequenced, a pressing need arises for scientific integrationism. There
is a strong case to be made that the nutritional sciences are a vital
reservoir of these skills. It is critical that the discipline of
nutrition, led by the ASNS, develop and deliver a cogent presentation
that convinces the scientific establishment that nutrition fills this
valuable niche. Today we are faced with difficult questions dealing
with the complex interactions that determine phenotype. Basic science
disciplines are becoming increasingly aware that an understanding of
metabolism and metabolic regulation is central to the understanding of
how molecular events result in life itself. How do you explain
phenotype once you know genotype? What are the complex effects on
metabolism of deleting or changing expression of a gene? How do you
design a drug to modulate metabolism? How does behavior modify
phenotype? To approach such questions, it is necessary to understand,
for example, how nutrition modulates the milieu in which biochemical
and genetic mechanisms operate. Gene expression is regulated by
interactions with nutrients and other gene products in a
tissue-specific manner. In turn, tissue-specific interactions
must be modulated by organ-organ interactions. The understanding of
homeostatic mechanisms is an example of an integrationist goal.
Although knockout gene methodology has taught us a great deal about the
functions of some genes, it is certain that complex homeostatic
responses to gene deletions modulate the phenotype we observe in such
animals. Clinicians, often forced to use an empirical approach for
identifying appropriate therapies for disease, require that basic
scientists combine multiple molecular events, gene responses, metabolic
responses and behavioral responses so as to present an integrated
picture of disease processes.
Integration of molecules to metabolism is only the first stage in the
process; eventually we also must integrate metabolism and behaviors.
Epidemiologic approaches have provided intriguing and sometimes
conflicting information about the role of nutrients in disease
processes. Nutritional science is particularly well placed to take
these observations and support them with mechanistic understanding. The
need for scientists to deal with complexity should drive a movement
toward an integrationist approach to science. We have a
long-established presence in this area; thus, we are uniquely well
positioned to take the lead in the integrationist movement. However, we
must move aggressively; many other disciplines are beginning to
recognize the same opportunities. Our society can help to establish
nutritions niche as a lead discipline that brings together our fellow
scientific disciplines in the pursuit of integration; if we do not act
swiftly, a golden opportunity will pass to others and nutritional
science will be left to follow them.
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How does ASNS proceed?
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We do not believe that the mere repackaging of what we do will
suffice to place nutrition appropriately. Thoughtful planning,
educational programs and new methodology will be required. The society
must develop a comprehensive strategy to develop our image as a
reservoir of knowledge and leader for the integration of life sciences.
Our efforts can start with our national meeting and publications, with
the research initiatives for which we advocate, with our training
programs and with the public relations image we project for ourselves.
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Our national meeting and publications
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A well-designed and coordinated series of plenary sessions and
workshops should be aggregated during our national meeting under the
overarching theme of nutrition as an integrationist discipline.
Respected speakers should highlight problems in modern biology solved
by integrative nutrition approaches used by nutritional scientists who
use cutting-edge methodology to not only permit reduction to the
smallest event, but also to integrate these events into metabolic
pathways and beyond. Presentations on the use of elegant methods (e.g.,
microarrays, metabolic modeling, knockouts, nuclear mass resonance
spectroscopy, accelerator mass spectrometry, positron emission
scanning, epidemiological techniques and behavioral approaches),
perhaps with special modification so that they address the integration
process, should acquaint our members with the latest methodology. Such
sessions also will serve to convince our colleagues in other
disciplines that nutrition scientists are leaders in using the
integration approach. The mathematical modeling of metabolism (e.g.,
metabolic control analysis, which allows control to be distributed
among multiple enzymes rather than one rate-limiting step
(Fell 1997
), the integration of the identification of
vitamin A deficiencyinduced blindness with vitamin A metabolism, the
genetic modification of oil seeds to make them overproduce this
vitamin, and the community interventions that deliver this to
populations in a culturally acceptable manner can be presented as
examples of integrative research that crosses disciplines. We could
present the integration of our understanding of the molecular signals
that control appetite and energy expenditure with the metabolic
phenomena underlying lipogenesis and with the behavioral modulators of
eating, ending with the development of a range of therapies for obese
individuals. The use of genetic markers to identify susceptible
populations in nutrition epidemiology or in human clinical nutrition
should be presented under this umbrella concept. The total meeting
package should be designed so that colleagues from other disciplines at
Experimental Biology will attend our sessions to learn how we
integrate. Coordination of these sessions is necessary and will require
careful attention to the central message that we hope to transmit.
Our journal should regularly publish an issue that includes papers
(perhaps from the annual meeting sessions) that reinforce this
integrationist image. This special issue should be widely disseminated
to other disciplines. Perhaps key articles can be placed in the
FASEB Journal to further reinforce this image.
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Funding initiatives
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Our society and its members are actively involved in advocating
funding from the National Institutes of Health and the U.S. Department
of Agriculture. ASNS must sell the concept that the integration of
molecular, metabolic and behavioral events using a nutrition
perspective is the next hot area once the genome has been sequenced. We
must make it clear that the complexity of our grant proposals is a
virtue and not a weakness. We want to encourage requests for
coordinated efforts to introduce integrationist perspectives into
research initiatives, preferably initiatives that use nutrients as
examples. Interesting examples to pursue include the following: folate
genetics, methyl and homocysteine metabolism, and heart disease or
cancer; or fatty acid metabolism, regulation of gene expression,
obesity and progression of diabetes.
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Our training programs
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There are many excellent training programs in nutrition, but the
set of skills and knowledge base of nutrition graduate students is not
clearly apparent, particularly to the non-nutrition community. When
we consider a biochemist, we have an understanding of how this person
has been trained, whereas we have no equivalent insight when we speak
of a nutritional scientist. The ASNS can help resolve this identity
crisis by providing clear guidelines for training programs.
One approach taken by nutritional science training programs has been to
emulate many of the methods of persons from the disciplines with which
we interact (biochemistry, physiology, pathology, pharmacology,
epidemiology). These methods have enriched our approach, but they
should not be the sole training that we provide to students of
nutrition. Although, as indicated earlier, many nutritional scientists
use state-of-the-art molecular biology techniques and other
reductionist approaches, it is an error to limit the scope of a
nutrition department to a single type of investigational approach. For
many nutritional scientists, graduate training did not focus in depth
on a narrow field, but rather encompassed a much broader area. Our
discipline loses something special if the field is defined so that it
is acceptable for our students to understand in great depth, for
instance, the function of only a single gene. Nutritions most
valuable niche is based on the ability to integrate as described
earlier, and our strategy must be to purposefully design our training
programs so that our graduates have this capacity.
Our society must establish a process to identify our strengths in a
thoughtful manner, reach some consensus of common elements in a
nutrition curriculum and help schools incorporate and teach them. The
continuing controversy over optimal nutrient intake for maximum health
and longevity indicates the necessity for well-designed integrative
studies. Content must be presented in such a way that it becomes clear
that nutritional science uses evidence-based approaches that are
critical (as well as familiar) to the entrenched health disciplines.
Moreover, nutritional science provides an excellent venue for those who
seek to build a whole-body perspective from individual molecular
events. Concepts such as metabolic control analysis will have a
significant influence on the design of integrative metabolic studies,
and should be included in nutrition training. Also, we should identify
the requirements that employers have for integrationist approaches and
make bridges to our students so that nutrition is identified as the
place to go to find employment.
Manuscript received December 8, 2000.
Initial review completed December 27, 2000.
Revision accepted January 2, 2001.
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REFERENCES
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1.
Fell D. Understanding the Control of Metabolism 1997 Portland Press London, UK.
2.
Shulman R. G. Hard days in the trenches. FASEB J 1998;12:255-258[Free Full Text]
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