Page 41 - CSIR-IGIB Annual Report 2020-21
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Prakriti application in  health, disease &        and their response to different environmental
                responsiveness                                    stimuli. We have shown differential baseline cell
                Inter-individual variability in features of health   proliferation rate among predominant Prakriti,
                and    responsiveness   to   the   external       which impacts outcomes of UV radiation.
                environment is well appreciated both at genetic
                and  molecular as well as  clinical levels.       Perturbation of Dosha beyond limit is
                Ayurveda describes this variability to be largely   responsible  for disease predisposition and
                contributed by one’s basic constitution, termed   progression (Vikriti). Prakriti, thus, is relevant in
                as Prakriti, which is shaped by  three Dosha      stratification of Vikriti  to guide selection of
                proportions at the time of birth.  Diet, lifestyle   therapeutic interventions.  This is being tested
                and environmental  exposures bring further        in a common complex disorder, Type 2 Diabetes
                variations in the health spectrum, by affecting   mellitus, in collaboration with All India Institute
                the Dosha, within an individual and at            of Ayurveda, Delhi under AYUSH CoE.
                population    levels.  At    CSIR-TRISUTRA
                Ayurgenomics Unit, stratification  of this        Repurposing Dosha  specific interventions for
                variability based on Prakriti is studied at clinical   COVID19
                as well as at underlying  physiological,          Ayurveda has a translational framework to
                biochemical and molecular genetic level           connect   physio-pathology   (Vikriti)  with
                variability.                                      therapeutics. The actions of drugs  are also
                                                                  described  based on their effect on  tri-doshas
                Prakriti analysis protocols have been developed   i.e.,Vata (V), Pitta (P) and Kapha (K). Our earlier
                based on Ayurveda literature and validated        study revealed genetic  and expression level
                across diverse populations. clinical assessment   differences in prolylhydroxylase 2 (PHD2) as a
                of Prakriti objective parameters based such as    molecular axis of variation between  extreme
                anthropometric, cardio-vascular, Autonomic,       Pitta  (P) and Kapha (K) constitution types, to be
                lung function etc is also being carried out by the   relevant in high altitude adaptation as well as
                Ayurgenomics group at  AYUSH Centre of            high altitude pulmonary edema  (HAPE).
                Excellence @ CSIR-IGIB. This is expected to not   Modulation  of the PHD2-HIF-1a axis  revealed
                only provide objectivity to assessment of         the cellular hypoxic response to be an important
                Prakriti but also provide  modern medical         modifier of asthma severity. We tested herbal
                interpretation of Dosha as physiological systems   medicine  Adhatoda vasica  (AV), reported for
                explain its relation to health- disease variability.   use in asthma treatment and having a balancing
                Variability in response to environmental stimuli   effect of P-K perturbations, on the cellular
                is also described to be a feature of Prakriti as   hypoxic response. This effect is found to be
                differential sensitivity and adaptability is a    useful for  reversing the hypoxia induced
                function of Dosha. Difference in hypoxia          mitochondrial dysfunction and severe  asthma
                response amongst predominant Dosha Prakriti       patho-phenotype. We further tested the effect
                was earlier reported  by our group with           of whole aqueous extract of AV, in  murine
                discovery of predictive markers for high-altitude   models of bleomycin induced  pulmonary
                adaptation. This is further being studied to find   fibrosis, Cecum Ligation and Puncture (CLP)
                and stratify  more such  molecular markers of     induced sepsis, and siRNA induced hypoxia-
                hypoxia response.                                 thrombosis phenotype. The effect on the lungs
                                                                  of AV treated naïve mice was also studied at
                Cell culture systems (lymphoblastoid cell lines)   transcriptome level. These effects were found
                of predominant Prakriti have been developed to    to be relevant for pandemic disease (COVID-19)
                study baseline differences in cellular processes   as features of hypoxia, inflammation and





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