Precision nutrition: Maintaining scientific integrity while realizing market potential.

Precision Nutrition (PN) is an approach to developing comprehensive and dynamic nutritional recommendations based on individual variables, including genetics, microbiome, metabolic profile, health status, physical activity, dietary pattern, food environment as well as socioeconomic and psychosocial characteristics. PN can help answer the question "What should I eat to be healthy?", recognizing that what is healthful for one individual may not be the same for another, and understanding that health and responses to diet change over time. The growth of the PN market has been driven by increasing consumer interest in individualized products and services coupled with advances in technology, analytics, and omic sciences. However, important concerns are evident regarding the adequacy of scientific substantiation supporting claims for current products and services. An additional limitation to accessing PN is the current cost of diagnostic tests and wearable devices. Despite these challenges, PN holds great promise as a tool to improve healthspan and reduce healthcare costs. Accelerating advancement in PN will require: (a) investment in multidisciplinary collaborations to enable the development of user-friendly tools applying technological advances in omics, sensors, artificial intelligence, big data management, and analytics; (b) engagement of healthcare professionals and payers to support equitable and broader adoption of PN as medicine shifts toward preventive and personalized approaches; and (c) system-wide collaboration between stakeholders to advocate for continued support for evidence-based PN, develop a regulatory framework to maintain consumer trust and engagement, and allow PN to reach its full potential.

Organochlorine and PBDE concentrations in relation to cytochrome P450 activity in livers of Forster's terns (Sterna forsteri) and Caspian terns (Hydroprogne caspia), in San Francisco Bay, California.

We measured halogenated organic contaminants (HOCs) [polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs), and dichloro-diphenyl-trichloroethane (DDT)] and P450 [e.g., ethoxyresorufin-O-dealkylase (EROD)] stress in livers from Caspian tern (Hydroprogne caspia) adults and Forster's tern (Sterna forsteri) adults and chicks in San Francisco Bay (SFB). Penta BDEs and tetra PBDEs composed 46-66% of SigmaPBDE in terns. PCB homologues di, tri, penta, hexa, and hepta composed 93-95% of SigmaPCBs and p'p-DDE composed 82-98% of all SigmaDDTs. We found similar concentrations of SigmaPBDEs [mean micrograms per gram wet weight (ww) +/- standard error = 0.4 +/- 0.1], SigmaPCBs (5.9 +/- 1.6), and SigmaDDTs (0.6 +/- 0.1) among species, sexes, and regions. However, concentrations were higher in Forster's tern adults than chicks (SigmaPBDEs = 0.4 +/- 0.1 and 0.1 +/- 0.1; SigmaPCBs = 7.08 +/- 2.4 and 2.4 +/- 1.4; SigmaDDTs = 0.5 +/- 0.1 and 0.1 +/- 0.1; respectively), and there was a nonsignificant trend of elevated SigmaPBDEs and SigmaPCBs for adult Forster's terns in the Central South Bay and Lower South Bay portions of SFB. Combined Forster's tern and Caspian tern SigmaDDTs bioaccumulated similarly to selenium, but not mercury, and there was a nonsignificant but positive trend for SigmaPBDEs and SigmaPCBs bioaccumulation with mercury. P450 protein activity was higher in adult Forster's terns than Caspian terns, higher in Central South Bay than in Lower South Bay, and higher in adult Forster's terns than in chicks.

Effects of methylmercury exposure on glutathione metabolism, oxidative stress, and chromosomal damage in captive-reared common loon (Gavia immer) chicks.

We quantified the level of dietary mercury (Hg), delivered as methylmercury chloride (CH3HgCl), associated with negative effects on organ and plasma biochemistries related to glutathione (GSH) metabolism and oxidative stress, and chromosomal damage in captive-reared common loon (Gavia immer) chicks reared from hatch to 105 days. Mercury-associated effects related to oxidative stress and altered glutathione metabolism occurred at 1.2 microg Hg/g and 0.4 microg Hg/g, an ecologically relevant dietary mercury level, but not at 0.08 microg Hg/g. Among the variables that contributed most to dissimilarities in tissue chemistries between control and treatment groups were increased levels of oxidized glutathione (GSSG), GSH peroxidase, and the ratio of GSSG to GSH in brain tissue; increased levels of hepatic GSH; and decreased levels of hepatic glucose-6-phosphate dehydrogenase (G-6-PDH). Our results also suggest that chronic exposure to environmentally relevant dietary Hg levels did not result in statistically significant somatic chromosomal damage in common loon chicks.