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third column of Table 18.1 is the result of clustering the ribonic matrices measured
from human breast tissues and tumors (Perou et al. 2000). The fourth and fifth
figures in the third column of the same table are the 3-D and 2-D visualizations of
the ViDaExpert-analyzed results of the t-ribons measured from budding yeast
undergoing glucose-galactose shift (Sects. 12.8.2 and 12.8.3 ).
One of the major assumptions of this section is that, to apply ribonoscopy to
personalized medicine, it is necessary to utilize the molecular theory of the living
cell such as the one developed in this topic, especially the concept of dissipative
structures in general and intracellular (ic) dissipative structures (IDSs or ic-
dissipatons ) in particular (Sect. 3.1.2 ). Ribonoscopy is one of the few experimental
methods now available that allows IDSs or ic-dissipatons to be measured genome-
wide. Personalized medicine differs from traditional medicine in that it tailors
health care (through the triad of diagnosis , prognosis , and therapy ) to best fit
individual patients taking into account their unique genetic (i.e., nucleotide
sequence-dependent) and epigenetic (i.e., non-nucleotide sequence-dependent)
characteristics. The roles that ribonoscopy and the molecular theory of the living
cell ( MTLC ) developed in this topic play in personalized medicine are
schematically represented in Fig. 18.2 . Since the cell is the building block of the
human body, it is logical to anticipate that cell biology will play a fundamental role
in personalized medicine (see the top node and the bottom three nodes in Fig. 18.2 ).
Ribonoscopy consists of two parts - (1) the microarray data acquisition (Step 1)
using cDNA microarray technology (Sect. 12.8 ) , and (2) the dimensional reduction
and visualization of high-dimensional microarray data (Step 2) in the form of what
is referred to as ribonic spectra (see Fig. 12.17 ) using ViDaExpert or similar
computer softwares. It is here assumed that, in order to analyze ribonic spectra
correctly and identify the ribonic spectral characteristics reflective of a diseased
cell, it is necessary to apply a comprehensive MTLC (Step 3). In other words, it is
thought to be impossible to identify a biomarker from ribonic spectra without
applying a comprehensive molecular model of the living cell, just as it is impossible
to interpret molecular spectra without quantum mechanics, the theory of the atom.
Once a correct biomarker (or a disease-related cell-state, or biomarker ribonic
spectrum ) is identified, it can be utilized for developing companion diagnostics
(i.e., the diagnostic tools that identify the patients most likely to benefit from a drug)
(Step 4), drug target discovery (Step 5), or personalized drug therapy (or pharma-
cotherapy) (Step 6).
There is an interesting analogy to be drawn between the nuclear power industry
and drug industry on several levels as indicated in Table 18.2 .
The final product of a power plant is electricity ; the final product of a drug
manufacturing plant is safe and efficient drugs . Both kinds of plant activities
inevitably produce wastes that contribute to environmental pollution - the external
environmental pollution by the nuclear power industry (e.g., the Cherbonyl, Three
Mile Island, and Fukushima disasters) and the internal environmental pollution by
drug industry (e.g., the Vioxx fiasco). Nuclear reactor engineering that emerged in
the 1940s as a spinoff from the atomic bomb production in the USA and the then-
USSR is based on the theory of the atom, that is, quantum mechanics that was
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