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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">brhejo</journal-id><journal-title-group><journal-title xml:lang="en">The BRICS Health Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>The BRICS Health Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3034-4700</issn><issn pub-type="epub">3034-4719</issn><publisher><publisher-name>Sechenov University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47093/3034-4700.2025.2.3.41-59</article-id><article-id custom-type="elpub" pub-id-type="custom">brhejo-55</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Five years of the Genomas Brasil Program: advancing genomics and precision health within Brazil’s unified health system</article-title><trans-title-group xml:lang="ru"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7530-2017</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Araújo de França</surname><given-names>Giovanny Vinícius</given-names></name></name-alternatives><bio xml:lang="en"><p>Giovanny Vinícius Araújo de França, PhD, Technologist, Department of Science and Technology of the Secretariat for Science,Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil, SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775</p><p> </p></bio><email xlink:type="simple">giovanny.franca@saude.gov.br</email></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6231-891X</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Lupatini</surname><given-names>Evandro de Oliveira</given-names></name></name-alternatives><bio xml:lang="en"><p>Evandro de Oliveira Lupatini, PhD, Technologist, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil, SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775</p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5624-8644</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Rocha</surname><given-names>Rodrigo Theodoro</given-names></name></name-alternatives><bio xml:lang="en"><p>Rodrigo Theodoro Rocha, MSc, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil, SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p><p> </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-3393-6242</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Toledo</surname><given-names>Rafaela de Cesare Parmezan</given-names></name></name-alternatives><bio xml:lang="en"><p>Rafaela de Cesare Parmezan Toledo, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4416-0183</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Figueiredo</surname><given-names>Graziella Santana Feitosa</given-names></name></name-alternatives><bio xml:lang="en"><p>Graziella Santana Feitosa Figueiredo, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-6616-7421</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Gonçalves</surname><given-names>Carlos Eduardo Ibaldo</given-names></name></name-alternatives><bio xml:lang="en"><p>Carlos Eduardo Ibaldo Gonçalves, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health, </p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0051-9307</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Machado</surname><given-names>Isis Laynne de Oliveira</given-names></name></name-alternatives><bio xml:lang="en"><p>Isis Laynne de Oliveira Machado, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1080-1480</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Anzolin</surname><given-names>Ana Paula</given-names></name></name-alternatives><bio xml:lang="en"><p>Ana Paula Anzolin, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p><p> </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8021-5081</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Gontijo</surname><given-names>Carolina Carvalho</given-names></name></name-alternatives><bio xml:lang="en"><p>Carolina Carvalho Gontijo, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p><p> </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-4742-9808</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Vidal</surname><given-names>Julia Freitas Daltro</given-names></name></name-alternatives><bio xml:lang="en"><p>Julia Freitas Daltro Vidal, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p><p> </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4917-4469</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Ribeiro</surname><given-names>Andréa Leite</given-names></name></name-alternatives><bio xml:lang="en"><p>Andréa Leite Ribeiro, PhD, Technical Consultant, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-5788-5917</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>Freitas</surname><given-names>Meiruze Sousa</given-names></name></name-alternatives><bio xml:lang="en"><p>Meiruze Sousa Freitas, Specialist in Health Regulation and Sanitary Surveillance, Director, Department of Science and Technology of the Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil; SRTVN PO700 – Ministry of Health</p><p>Asa Norte, Brasília, Federal District, 70655-775 </p></bio></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3197-5156</contrib-id><name-alternatives><name name-style="western" xml:lang="en"><surname>De Negri</surname><given-names>Fernanda</given-names></name></name-alternatives><bio xml:lang="en"><p>Fernanda De Negri, PhD, Secretary, Secretariat for Science, Technology, and Innovation in Health, Ministry of Health, Brasília, Federal District, Brazil</p><p>Esplanade of Ministries, Block “G”, 8th floor, CEP: 70058-900 </p></bio></contrib></contrib-group><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>12</month><year>2025</year></pub-date><volume>2</volume><issue>3</issue><fpage>41</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Araújo de França G., Lupatini E., Rocha R., Toledo R., Figueiredo G., Gonçalves C., Machado I., Anzolin A., Gontijo C., Vidal J., Ribeiro A., Freitas M., De Negri F., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Araújo de França G., Lupatini E., Rocha R., Toledo R., Figueiredo G., Gonçalves C., Machado I., Anzolin A., Gontijo C., Vidal J., Ribeiro A., Freitas M., De Negri F.</copyright-holder><copyright-holder xml:lang="en">Araújo de França G., Lupatini E., Rocha R., Toledo R., Figueiredo G., Gonçalves C., Machado I., Anzolin A., Gontijo C., Vidal J., Ribeiro A., Freitas M., De Negri F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.bricshealthjournal.com/jour/article/view/55">https://www.bricshealthjournal.com/jour/article/view/55</self-uri><abstract><p>This study aimed to assess the implementation of the Brazilian National Program for Genomics and Precision Public Health (GenBR) over its initial five years, identifying key achievements, challenges, and lessons for integrating genomics into public health systems in low- and middle-income countries (LMICs). Established by Ministerial Ordinance GM/MS No. 1,949 on August 4, 2020, GenBR aims to lay the foundation for genomics and precision health within Brazil’s Unified Health System. Its primary goals include advancing science and technology countrywide, fostering the development of a national genomics industry, and conducting proof-ofconcept studies to assess the practical application of precision health in public healthcare. By August 2025, over 250 research projects had been funded in 19 of the country’s 27 federative units, across a range of areas, including oncological, rare, cardiovascular, infectious, neurological, and non-communicable diseases, as well as population genomics and precision health. Financial investments had exceeded BRL 1 billion, funding the sequencing of 67,000 samples. Nine large-scale genomics research projects associated with the Program have contributed to generating whole-genome data from 45,910 individuals. Moreover, four public calls have selected 209 research projects led by science and technology institutions located across all regions of Brazil. GenBR offers key lessons for LMICs seeking to implement genomics in public health, particularly in contexts marked by population diversity, infrastructure asymmetries, and fiscal constraints. Findings highlight the importance of sustained political commitment, inclusive governance, and long-term planning for building national genomic capacity and advancing health equity.</p></abstract><kwd-group xml:lang="en"><kwd>genomics</kwd><kwd>precision medicine</kwd><kwd>Brazil</kwd><kwd>national health programs</kwd><kwd>databases</kwd><kwd>genetic</kwd><kwd>ethics</kwd><kwd>research</kwd></kwd-group><funding-group><funding-statement xml:lang="en">The authors acknowledge the support of the Brazilian Ministry of Health, particularly the Secretariat for Science, Technology and Innovation in Health (SCTIE/MS), for the conception, coordination, and ongoing implementation of the Genomas Brasil Program. The authors also thank the National Council for Scientific and Technological Development (CNPq) for its critical role in funding research and infrastructure essential to the advancement of genomics and precision health in Brazil. The authors extend their deep appreciation to the partner institutions—universities, research institutes, public laboratories, biobanks, and health services—that contribute technical expertise, scientific knowledge, and operational capacity across all regions of the country. The authors also thank the collaborating researchers, healthcare professionals, and local health authorities whose engagement and commitment have been instrumental to the program’s success. The authors express special gratitude to the communities and individuals who voluntarily participate in the research and contribute their biological samples and clinical data. Their trust and involvement form the foundation of Genomas Brasil’s mission to promote equitable, population-representative genomic science. Finally, the authors recognize the contribution of Alef Janguas da Costa, Alessandra De Sá Earp Siqueira, Alexcia Camila Braun, Amanda Nogueira Brum Fontes, Ana Paula Pereira Neves, Ana Maria Caetano Faria, Arthur Kenji Akimoto, Augusto Barbosa Junior, Augusto César Cardoso Dos Santos, Camile Giaretta Sachetti, Julianna Peixoto Treptow, Laíse Figueiredo Rolo de Oliveira, Liza Yurie Teruya Uchimura, Lucas Francisco Ribeiro do Nascimento, Luis Augusto Ferreira Saraiva, Mariana Bertol Leal, Max Nóbrega de Menezes Costa, Monica Felts de La Roca Soares, Patrícia Maria Fritsch, and Priscilla Azevedo Souza, who made valuable contributions to GenBR’s development and implementation.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Vasconcelos AMN, Gomes MMF. Transição demográfica: a experiência brasileira [Demographic transition: the Brazilian experience]. (In Portuguese). Epidemiol Serv Saúde. 2012;21(4):539–548. doi:10.5123/S1679-49742012000400003</mixed-citation><mixed-citation xml:lang="en">Vasconcelos AMN, Gomes MMF. Transição demográfica: a experiência brasileira [Demographic transition: the Brazilian experience]. (In Portuguese). Epidemiol Serv Saúde. 2012;21(4):539–548. doi:10.5123/S1679-49742012000400003</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Cohen RV, Drager LF, Petry TBZ, Santos RD. Metabolic health in Brazil: trends and challenges. Lancet Diabetes Endocrinol. 2020;8(12):937–938. doi:10.1016/S2213-8587(20)30370-3</mixed-citation><mixed-citation xml:lang="en">Cohen RV, Drager LF, Petry TBZ, Santos RD. Metabolic health in Brazil: trends and challenges. Lancet Diabetes Endocrinol. 2020;8(12):937–938. doi:10.1016/S2213-8587(20)30370-3</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Nunes K, Araújo Castro E Silva M, Rodrigues MR, et al. Admixture’s impact on Brazilian population evolution and health. Science. 2025;388(6748):eadl3564. doi:10.1126/science.adl3564</mixed-citation><mixed-citation xml:lang="en">Nunes K, Araújo Castro E Silva M, Rodrigues MR, et al. Admixture’s impact on Brazilian population evolution and health. Science. 2025;388(6748):eadl3564. doi:10.1126/science.adl3564</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Félix TM, Fischinger Moura de Souza C, Oliveira JB, et al. Challenges and recommendations to increasing the use of exome sequencing and whole genome sequencing for diagnosing rare diseases in Brazil: an expert perspective. Int J Equity Health. 2023;22(1):11. doi:10.1186/s12939-022-01809-y</mixed-citation><mixed-citation xml:lang="en">Félix TM, Fischinger Moura de Souza C, Oliveira JB, et al. Challenges and recommendations to increasing the use of exome sequencing and whole genome sequencing for diagnosing rare diseases in Brazil: an expert perspective. Int J Equity Health. 2023;22(1):11. doi:10.1186/s12939-022-01809-y</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Pimentel FG, Buchweitz C, Campos RTO, Hallal PC, Massuda A, Kieling C. Realising the future: Health challenges and achievements in Brazil. SSM – Mental Health. 2023;4:100250. doi:10.1016/j.ssmmh.2023.100250</mixed-citation><mixed-citation xml:lang="en">Pimentel FG, Buchweitz C, Campos RTO, Hallal PC, Massuda A, Kieling C. Realising the future: Health challenges and achievements in Brazil. SSM – Mental Health. 2023;4:100250. doi:10.1016/j.ssmmh.2023.100250</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Castro E Silva MA, Ferraz T, Couto-Silva CM, et al. Population Histories and Genomic Diversity of South American Natives. Mol Biol Evol. 2022;39(1):msab339. doi:10.1093/molbev/msab339</mixed-citation><mixed-citation xml:lang="en">Castro E Silva MA, Ferraz T, Couto-Silva CM, et al. Population Histories and Genomic Diversity of South American Natives. Mol Biol Evol. 2022;39(1):msab339. doi:10.1093/molbev/msab339</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Naslavsky MS, Scliar MO, Yamamoto GL, et al. Whole-genome sequencing of 1,171 elderly admixed individuals from São Paulo, Brazil. Nat Commun. 2022;13(1):1004. doi:10.1038/s41467-022-28648-3</mixed-citation><mixed-citation xml:lang="en">Naslavsky MS, Scliar MO, Yamamoto GL, et al. Whole-genome sequencing of 1,171 elderly admixed individuals from São Paulo, Brazil. Nat Commun. 2022;13(1):1004. doi:10.1038/s41467-022-28648-3</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Hou K, Bhattacharya A, Mester R, Burch KS, Pasaniuc B. On powerful GWAS in admixed populations. Nat Genet. 2021;53(12):1631-1633. doi:10.1038/s41588-021-00953-5</mixed-citation><mixed-citation xml:lang="en">Hou K, Bhattacharya A, Mester R, Burch KS, Pasaniuc B. On powerful GWAS in admixed populations. Nat Genet. 2021;53(12):1631-1633. doi:10.1038/s41588-021-00953-5</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Collins FS, Fink L. The Human Genome Project. Alcohol Health Res World. 1995;19(3):190–195.</mixed-citation><mixed-citation xml:lang="en">Collins FS, Fink L. The Human Genome Project. Alcohol Health Res World. 1995;19(3):190–195.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Turnbull C, Scott RH, Thomas E, et al. The 100000 Genomes Project: bringing whole genome sequencing to the NHS. BMJ. 2018;361:k1687. doi:10.1136/bmj.k1687</mixed-citation><mixed-citation xml:lang="en">Turnbull C, Scott RH, Thomas E, et al. The 100000 Genomes Project: bringing whole genome sequencing to the NHS. BMJ. 2018;361:k1687. doi:10.1136/bmj.k1687</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ramirez AH, Sulieman L, Schlueter DJ, et al. The All of Us Research Program: Data quality, utility, and diversity. Patterns (N Y). 2022;3(8):100570. doi:10.1016/j.patter.2022.100570</mixed-citation><mixed-citation xml:lang="en">Ramirez AH, Sulieman L, Schlueter DJ, et al. The All of Us Research Program: Data quality, utility, and diversity. Patterns (N Y). 2022;3(8):100570. doi:10.1016/j.patter.2022.100570</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">PFMG2025 contributors. PFMG2025-integrating genomic medicine into the national healthcare system in France. Lancet Reg Health Eur. 2025;50:101183. doi:10.1016/j.lanepe.2024.101183</mixed-citation><mixed-citation xml:lang="en">PFMG2025 contributors. PFMG2025-integrating genomic medicine into the national healthcare system in France. Lancet Reg Health Eur. 2025;50:101183. doi:10.1016/j.lanepe.2024.101183</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Zayed H. The Qatar genome project: translation of whole-genome sequencing into clinical practice. Int J Clin Pract. 2016;70(10):832–834. doi:10.1111/ijcp.12871</mixed-citation><mixed-citation xml:lang="en">Zayed H. The Qatar genome project: translation of whole-genome sequencing into clinical practice. Int J Clin Pract. 2016;70(10):832–834. doi:10.1111/ijcp.12871</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Stark Z, Boughtwood T, Haas M, et al. Australian Genomics: Outcomes of a 5-year national program to accelerate the integration of genomics in healthcare. Am J Hum Genet. 2023;110(3):419–426. doi:10.1016/j.ajhg.2023.01.018</mixed-citation><mixed-citation xml:lang="en">Stark Z, Boughtwood T, Haas M, et al. Australian Genomics: Outcomes of a 5-year national program to accelerate the integration of genomics in healthcare. Am J Hum Genet. 2023;110(3):419–426. doi:10.1016/j.ajhg.2023.01.018</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Alrefaei AF, Hawsawi YM, Almaleki D, Alafif T, Alzahrani FA, Bakhrebah MA. Genetic data sharing and artificial intelligence in the era of personalized medicine based on a cross-sectional analysis of the Saudi human genome program. Sci Rep. 2022;12(1):1405. doi:10.1038/s41598-022-05296-7</mixed-citation><mixed-citation xml:lang="en">Alrefaei AF, Hawsawi YM, Almaleki D, Alafif T, Alzahrani FA, Bakhrebah MA. Genetic data sharing and artificial intelligence in the era of personalized medicine based on a cross-sectional analysis of the Saudi human genome program. Sci Rep. 2022;12(1):1405. doi:10.1038/s41598-022-05296-7</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Li Z, Jiang X, Fang M, et al. CMDB: the comprehensive population genome variation database of China. Nucleic Acids Res. 2023;51(D1):D890–D895. doi:10.1093/nar/gkac638</mixed-citation><mixed-citation xml:lang="en">Li Z, Jiang X, Fang M, et al. CMDB: the comprehensive population genome variation database of China. Nucleic Acids Res. 2023;51(D1):D890–D895. doi:10.1093/nar/gkac638</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Kurki MI, Karjalainen J, Palta P, et al. FinnGen provides genetic insights from a wellphenotyped isolated population. Nature. 2023;613(7944):508–518. doi:10.1038/s41586-022-05473-8</mixed-citation><mixed-citation xml:lang="en">Kurki MI, Karjalainen J, Palta P, et al. FinnGen provides genetic insights from a wellphenotyped isolated population. Nature. 2023;613(7944):508–518. doi:10.1038/s41586-022-05473-8</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Jiwani T, Akinwumi A, Cheé-Santiago J, et al. Conceptualizing the public good for genomics in the global South: a cross-disciplinary roundtable dialogue. Front Genet. 2025;16:1523396. doi:10.3389/fgene.2025.1523396</mixed-citation><mixed-citation xml:lang="en">Jiwani T, Akinwumi A, Cheé-Santiago J, et al. Conceptualizing the public good for genomics in the global South: a cross-disciplinary roundtable dialogue. Front Genet. 2025;16:1523396. doi:10.3389/fgene.2025.1523396</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Rocha CS, Secolin R, Rodrigues MR, Carvalho BS, Lopes-Cendes I. The Brazilian Initiative on Precision Medicine (BIPMed): fostering genomic data-sharing of underrepresented populations. NPJ Genom Med. 2020;5:42. doi:10.1038/s41525-020-00149-6</mixed-citation><mixed-citation xml:lang="en">Rocha CS, Secolin R, Rodrigues MR, Carvalho BS, Lopes-Cendes I. The Brazilian Initiative on Precision Medicine (BIPMed): fostering genomic data-sharing of underrepresented populations. NPJ Genom Med. 2020;5:42. doi:10.1038/s41525-020-00149-6</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Howley C, Haas MA, Al Muftah WA, et al. The expanding global genomics landscape: Converging priorities from national genomics programs. Am J Hum Genet. 2025;112(4):751–763. doi:10.1016/j.ajhg.2025.02.008</mixed-citation><mixed-citation xml:lang="en">Howley C, Haas MA, Al Muftah WA, et al. The expanding global genomics landscape: Converging priorities from national genomics programs. Am J Hum Genet. 2025;112(4):751–763. doi:10.1016/j.ajhg.2025.02.008</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Ojewunmi OO, Fatumo S. Driving Global Health equity and precision medicine through African genomic data. Hum Mol Genet. 2025. doi:10.1093/hmg/ddaf025</mixed-citation><mixed-citation xml:lang="en">Ojewunmi OO, Fatumo S. Driving Global Health equity and precision medicine through African genomic data. Hum Mol Genet. 2025. doi:10.1093/hmg/ddaf025</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Mills MC, Rahal C. The GWAS Diversity Monitor tracks diversity by disease in real time. Nat Genet. 2020;52(3):242–243. doi:10.1038/s41588-020-0580-y</mixed-citation><mixed-citation xml:lang="en">Mills MC, Rahal C. The GWAS Diversity Monitor tracks diversity by disease in real time. Nat Genet. 2020;52(3):242–243. doi:10.1038/s41588-020-0580-y</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Troubat L, Fettahoglu D, Henches L, Aschard H, Julienne H. Multi-trait GWAS for diverse ancestries: mapping the knowledge gap. BMC Genomics. 2024;25(1):375. doi:10.1186/s12864-024-10293-3</mixed-citation><mixed-citation xml:lang="en">Troubat L, Fettahoglu D, Henches L, Aschard H, Julienne H. Multi-trait GWAS for diverse ancestries: mapping the knowledge gap. BMC Genomics. 2024;25(1):375. doi:10.1186/s12864-024-10293-3</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Gadelha CA, Maretto G, Nascimento MA, Kamia F. The health economic-industrial complex: production and innovation for universal health access, Brazil. Bull World Health Organ. 2024;102(5):352–356. doi:10.2471/BLT.23.290838</mixed-citation><mixed-citation xml:lang="en">Gadelha CA, Maretto G, Nascimento MA, Kamia F. The health economic-industrial complex: production and innovation for universal health access, Brazil. Bull World Health Organ. 2024;102(5):352–356. doi:10.2471/BLT.23.290838</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Gadelha CA. Desenvolvimento, complexo industrial da saúde e política industrial [Development, health-industrial complex and industrial policy]. (In Portuguese). Rev Saude Publica. 2006;40 Spec no.:11–23. doi:10.1590/s0034-89102006000400003</mixed-citation><mixed-citation xml:lang="en">Gadelha CA. Desenvolvimento, complexo industrial da saúde e política industrial [Development, health-industrial complex and industrial policy]. (In Portuguese). Rev Saude Publica. 2006;40 Spec no.:11–23. doi:10.1590/s0034-89102006000400003</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Borges S, Rodrigues F, Pires W, et al. PP19 Health Technology Assessment Reports In Brazilian Unified Health System: Number Of Potential Beneficiaries in 2022. International Journal of Technology Assessment in Health Care. 2023;39(Suppl 1):S57. doi:10.1017/S0266462323001769</mixed-citation><mixed-citation xml:lang="en">Borges S, Rodrigues F, Pires W, et al. PP19 Health Technology Assessment Reports In Brazilian Unified Health System: Number Of Potential Beneficiaries in 2022. International Journal of Technology Assessment in Health Care. 2023;39(Suppl 1):S57. doi:10.1017/S0266462323001769</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Love-Koh J, Peel A, Rejon-Parrilla JC, et al. The Future of Precision Medicine: Potential Impacts for Health Technology Assessment. Pharmacoeconomics. 2018;36(12):1439–1451. doi:10.1007/s40273-018-0686-6</mixed-citation><mixed-citation xml:lang="en">Love-Koh J, Peel A, Rejon-Parrilla JC, et al. The Future of Precision Medicine: Potential Impacts for Health Technology Assessment. Pharmacoeconomics. 2018;36(12):1439–1451. doi:10.1007/s40273-018-0686-6</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Borbón A, Briceño JC, Valderrama-Aguirre A. Pharmacogenomics Tools for Precision Public Health and Lessons for Low- and Middle-Income Countries: A Scoping Review. Pharmgenomics Pers Med. 2025;18:19–34. doi:10.2147/PGPM.S490135</mixed-citation><mixed-citation xml:lang="en">Borbón A, Briceño JC, Valderrama-Aguirre A. Pharmacogenomics Tools for Precision Public Health and Lessons for Low- and Middle-Income Countries: A Scoping Review. Pharmgenomics Pers Med. 2025;18:19–34. doi:10.2147/PGPM.S490135</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Suarez-Kurtz G, Kovaleski G, Elias AB, et al. Implementation of a pharmacogenomic program in a Brazilian public institution. Pharmacogenomics. 2020;21(8):549–557. doi:10.2217/pgs-2020-0016</mixed-citation><mixed-citation xml:lang="en">Suarez-Kurtz G, Kovaleski G, Elias AB, et al. Implementation of a pharmacogenomic program in a Brazilian public institution. Pharmacogenomics. 2020;21(8):549–557. doi:10.2217/pgs-2020-0016</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Sidone OJG, Haddad EA, Mena-Chalco JP. A Ciência nas Regiões Brasileiras: Evolução da Produção e das Redes de Colaboração Científica [Science in Brazilian regions: Development of scholarly production and research collaboration networks]. (In Portuguese). Transinformação. 2016;28(1):15–31. doi:10.1590/2318-08892016002800002</mixed-citation><mixed-citation xml:lang="en">Sidone OJG, Haddad EA, Mena-Chalco JP. A Ciência nas Regiões Brasileiras: Evolução da Produção e das Redes de Colaboração Científica [Science in Brazilian regions: Development of scholarly production and research collaboration networks]. (In Portuguese). Transinformação. 2016;28(1):15–31. doi:10.1590/2318-08892016002800002</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Collins FS, Varmus H. A new initiative on precision medicine. N Engl J Med. 2015;372(9):793–795. doi:10.1056/NEJMp1500523</mixed-citation><mixed-citation xml:lang="en">Collins FS, Varmus H. A new initiative on precision medicine. N Engl J Med. 2015;372(9):793–795. doi:10.1056/NEJMp1500523</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Hartl D, de Luca V, Kostikova A, et al. Translational precision medicine: an industry perspective. J Transl Med. 2021;19(1):245. doi:10.1186/s12967-021-02910-6</mixed-citation><mixed-citation xml:lang="en">Hartl D, de Luca V, Kostikova A, et al. Translational precision medicine: an industry perspective. J Transl Med. 2021;19(1):245. doi:10.1186/s12967-021-02910-6</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Sachetti CG, Barbosa A Jr, de Carvalho ACC, Araujo DV, da Silva EN. Challenges and opportunities for access to Advanced Therapy Medicinal Products in Brazil. Cytotherapy. 2024;26(8):939–947. doi:10.1016/j.jcyt.2024.03.492</mixed-citation><mixed-citation xml:lang="en">Sachetti CG, Barbosa A Jr, de Carvalho ACC, Araujo DV, da Silva EN. Challenges and opportunities for access to Advanced Therapy Medicinal Products in Brazil. Cytotherapy. 2024;26(8):939–947. doi:10.1016/j.jcyt.2024.03.492</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Morales Saute JA, Picanço-Castro V, de Freitas Lopes AC, et al. Clinical trials to gene therapy development and production in Brazil: a review. Lancet Reg Health Am. 2025;43:100995. doi:10.1016/j.lana.2025.100995</mixed-citation><mixed-citation xml:lang="en">Morales Saute JA, Picanço-Castro V, de Freitas Lopes AC, et al. Clinical trials to gene therapy development and production in Brazil: a review. Lancet Reg Health Am. 2025;43:100995. doi:10.1016/j.lana.2025.100995</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Albala C, Lebrão ML, León Díaz EM, et al. Encuesta Salud, Bienestar y Envejecimiento (SABE): metodología de la encuesta y perfil de la población estudiada [The Health, Well-Being, and Aging (“SABE”) survey: methodology applied and profile of the study population]. (In Spanish). Rev Panam Salud Publica. 2005;17(5–6):307–322. doi:10.1590/s1020-49892005000500003</mixed-citation><mixed-citation xml:lang="en">Albala C, Lebrão ML, León Díaz EM, et al. Encuesta Salud, Bienestar y Envejecimiento (SABE): metodología de la encuesta y perfil de la población estudiada [The Health, Well-Being, and Aging (“SABE”) survey: methodology applied and profile of the study population]. (In Spanish). Rev Panam Salud Publica. 2005;17(5–6):307–322. doi:10.1590/s1020-49892005000500003</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Lima-Costa MF, Macinko J, Mambrini JV, et al. Genomic Ancestry, Self-Rated Health and Its Association with Mortality in an Admixed Population: 10 Year Follow-Up of the Bambui-Epigen (Brazil) Cohort Study of Ageing. PLoS One. 2015;10(12):e0144456. doi:10.1371/journal.pone.0144456</mixed-citation><mixed-citation xml:lang="en">Lima-Costa MF, Macinko J, Mambrini JV, et al. Genomic Ancestry, Self-Rated Health and Its Association with Mortality in an Admixed Population: 10 Year Follow-Up of the Bambui-Epigen (Brazil) Cohort Study of Ageing. PLoS One. 2015;10(12):e0144456. doi:10.1371/journal.pone.0144456</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Confortin SC, Ribeiro MRC, Barros AJD, et al. RPS Brazilian Birth Cohorts Consortium (Ribeirão Preto, Pelotas and São Luís): history, objectives and methods. Cad Saude Publica. 2021;37(4):e00093320. doi:10.1590/0102-311X00093320</mixed-citation><mixed-citation xml:lang="en">Confortin SC, Ribeiro MRC, Barros AJD, et al. RPS Brazilian Birth Cohorts Consortium (Ribeirão Preto, Pelotas and São Luís): history, objectives and methods. Cad Saude Publica. 2021;37(4):e00093320. doi:10.1590/0102-311X00093320</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Borda V, Loesch DP, Guo B, et al. Genetics of Latin American Diversity Project: Insights into population genetics and association studies in admixed groups in the Americas. Cell Genom. 2024;4(11):100692. doi:10.1016/j.xgen.2024.100692</mixed-citation><mixed-citation xml:lang="en">Borda V, Loesch DP, Guo B, et al. Genetics of Latin American Diversity Project: Insights into population genetics and association studies in admixed groups in the Americas. Cell Genom. 2024;4(11):100692. doi:10.1016/j.xgen.2024.100692</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Fatumo S, Yakubu A, Oyedele O, et al. Promoting the genomic revolution in Africa through the Nigerian 100K Genome Project. Nat Genet. 2022;54(5):531–536. doi:10.1038/s41588-022-01071-6</mixed-citation><mixed-citation xml:lang="en">Fatumo S, Yakubu A, Oyedele O, et al. Promoting the genomic revolution in Africa through the Nigerian 100K Genome Project. Nat Genet. 2022;54(5):531–536. doi:10.1038/s41588-022-01071-6</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Madden EB, Hindorff LA, Bonham VL, et al. Advancing genomics to improve health equity. Nat Genet. 2024;56(5):752–757. doi:10.1038/s41588-024-01711-z</mixed-citation><mixed-citation xml:lang="en">Madden EB, Hindorff LA, Bonham VL, et al. Advancing genomics to improve health equity. Nat Genet. 2024;56(5):752–757. doi:10.1038/s41588-024-01711-z</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Hu Y, Feng J, Gu T, et al. CAR T-cell therapies in China: rapid evolution and a bright future. Lancet Haematol. 2022;9(12):e930–e941. doi:10.1016/S2352-3026(22)00291-5</mixed-citation><mixed-citation xml:lang="en">Hu Y, Feng J, Gu T, et al. CAR T-cell therapies in China: rapid evolution and a bright future. Lancet Haematol. 2022;9(12):e930–e941. doi:10.1016/S2352-3026(22)00291-5</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Doxzen KW, Adair JE, Fonseca Bazzo YM, et al. The translational gap for gene therapies in low- and middle-income countries. Sci Transl Med. 2024;16(746):eadn1902. doi:10.1126/scitranslmed.adn1902</mixed-citation><mixed-citation xml:lang="en">Doxzen KW, Adair JE, Fonseca Bazzo YM, et al. The translational gap for gene therapies in low- and middle-income countries. Sci Transl Med. 2024;16(746):eadn1902. doi:10.1126/scitranslmed.adn1902</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
