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GENE-LIFESTYLE INTERACTION (GxL) IN ACTIONS

Understand our biology, improve how our bodies function, and sustain
our ability to live, perform and thrive.
Genomic guided sustainable functional health.

Dynamic red blood cells and metabolic networks

BIOLOGICAL PATHWAY ANALYSES

Understanding of disease progression and suppression from foundational biology syntheses. Provide true guidelines for true recovery from chronic diseases.

CELLULAR METABOLIC SWITCH
mTOR, AMPK
HEPATIC LDL RECEPTOR-MEDIATED CLEARANCE
LDLR, PCSK9
PANCREATIC BETA-CELL FUNCTION
SLC2A2, TCF7L2 PPARG, BMP4, CEBPA
ADIPOGENESIS AND ADIPOCYTE DIFFERENTIATION
RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM
ACE, AGT, AGTr1, CYP11B2
DNA Double Helix molecular visualization

WAY OF LIVING
AS MEDICINE

With genomic-guided lifestyle changes, some reverse early markers. Some improve their performance and some find abundant biological points for datamaxxing.

Genetic mapping...
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Ancestry-matched genetic calibration computed for 01SGLCHPM0.
New patient with ID 01SGLCHPM0 generated.

Partnership

  • National University of Singapore Logo

    National University of Singapore

  • Centre for MedTech & Innovations Logo

    Centre for MedTech & Innovations

  • PT Ganesha Matra Jaya Logo

    PT Ganesha Matra Jaya

  • Singapore Health Technologies Consortium Logo

    Singapore Health Technologies Consortium

  • co11ab Novena Logo

    co11ab Novena

  • Indonesia Neuroscience Institute Logo

    Indonesia Neuroscience Institute

  • Eversana Life Sciences Services Logo

    Eversana Life Sciences Services

  • Department of Health, Indonesia Logo

    Department of Health, Indonesia

  • A*StartCentral Logo

    A*StartCentral

Genomic Digital Therapeutics

CLINICAL EXCELLENCE

We provide DIGITAL THERAPEUTICS for:

Cardiovascular & Vascular Tone

REGULATE BLOOD PRESSURE

Target Pathway: RAAS • ACE • AGT • AGTR1 • CYP11B2

Gene-lifestyle interaction interventions targeting the Renin-Angiotensin-Aldosterone System, autonomic vascular resistance, and sodium-potassium balance to regulate arterial pressure and preserve vascular elasticity.

Target ≤ 120/80 mmHg
Mechanism HEMODYNAMIC REST
Metabolic & Glycaemic Control

REMISSION OF DIABETES

Target Pathway: Beta-Cell Workload • TCF7L2 • SLC2A2 • PPARG

Personalized carbohydrate tolerance profiling, chrononutrition guidance, and visceral adiposity reduction to alleviate pancreatic beta-cell strain, restore cellular insulin sensitivity, and achieve
durable remission.

Target HbA1c < 5.7%
Mechanism BETA-CELL RECOVERY
Atherogenic Lipoproteins

RESTORE LIPID DISORDER

Target Pathway: Hepatic Clearance • LDLR • PCSK9 • APOB

Genomic lipid clearance modulation combining tailored dietary lipid substitution with sterol metabolism targeting to optimize hepatic LDLR uptake, lower circulating ApoB, and reverse atherogenic dyslipidemia.

Target APOB & LDL Lowering
Mechanism LDLR UPREGULATION
GET STARTED TODAY

Begin Your Genomic Health Tracking Experience

Download the Health BETA app to sync your genetic profile, monitor clinical biomarkers, and build lifelong health.

Clinical-grade encrypted data privacy • Compatible with iOS 15+ and Android 10+

CLINICAL METHODOLOGY

GENOMICS HEALTH TRACKING

A guided wellness journey powered by precision genomics and sustained through targeted lifestyle changes. We deliver digital therapeutic solutions designed to regulate blood pressure, remission of Type 2 diabetes, lipid optimization, and prevent heart disease and stroke.

Pre-test Consultation and Test Consent
01
Phase 01 Ordering
Consultation

Registration

Users undergo registration, pre-test consultation with consent, current health screening, family history collection, and pre-test genetic counselling.

EPRS Test DNA Genotyping Laboratory
02
Phase 02 Genomic
Profiling

DNA Genotyping

Following blood or saliva sample collection, laboratory processing performs DNA genotyping or sequencing to generate PRS and gene-lifestyle interaction reports.

Reporting Consultation and Clinical Planning
03
Phase 03 Action
Translation

GxL Analyses

Integrating baseline biomarkers with genetic insights, clinicians formulate personalized lifestyle plans featuring tailored diet and exercise targets.

Lifestyle Changes Coaching Mobile Food Logging
04
Phase 04 Intervention
Coaching

Life-Style Monitoring

Annual risk-reduction targets are structured into actionable weekly goals, backed by dedicated nutrition and exercise coaching.

Program Outcomes Evaluation and PHS Tracking
05
Phase 05 Therapeutic
Effects

Recovery & Outcomes

Continuous lifestyle tracking and periodic biomarker monitoring enable dynamic reviews of risk-reduction progress and chronic disease management.

CLINICAL DEPLOYMENT

Scale Genomic Digital
Therapeutics Across Your Practice

Partner with Health BETA to deliver evidence-based, gene-lifestyle guided care
for cardiovascular and metabolic disease remission.

Health Beta is dedicated to uncovering valuable insights in heart health through research

Precision Genomics & Clinical Evidence

Health BETA’s algorithms and digital therapeutics are anchored in foundational discoveries from multi-ethnic Asian cohorts—uncovering causal variants, gene-lifestyle interactions (GxL), and validated prevention pathways.

GENE - ENVIRONMENT INTERACTIONS

INTERACTION EFFECTS BETWEEN PARAOXONASE 1 VARIANTS AND CIGARETTE SMOKING ON RISK OF CORONARY HEART DISEASE IN A SINGAPOREAN CHINESE POPULATION

Yi Han, Rajkumar Dorajoo, Tingjing Ke, Burger Ayala, Xuling Chang, Chiea-Chuen Khor, Rob M Van Dam, Jian-Min Yuan, Woon-Puay Koh, Jianjun Liu, Daniel Y T Goh, Yechiel Friedlander, Chew-Kiat Heng (2015).

Investigates functional polymorphisms in the PON1 gene (Q192R, L55M) and demonstrates significant synergistic gene-environment interaction with smoking, accelerating coronary atherogenesis through compromised antioxidant enzyme defenses.

Read Full Article Atherosclerosis, Volume 240, Issue 1, May 2015, Pages 40-45
• PON1 - Polymorphism • OXIDATIVE STRESS • GENE X SMOKING • SINGAPORE CHINESE
CARDIOVASCULAR RISK PREDICTION

UTILITY OF GENETIC AND NON-GENETIC RISK FACTORS IN PREDICTING CORONARY HEART DISEASE IN SINGAPORE CHINESE

Xuling Chang, Agus Salim, Rajkumar Dorajoo, Yi Han, Chiea-Chuen Khor, Rob M Van Dam, Jian-Min Yuan, Woon-Puay Koh, Jianjun Liu, Daniel YT Goh, Xu Wang, Yik-Ying Teo, Yechiel Friedlander, Chew-Kiat Heng (2017).

Evaluates the additive discriminatory power of multi-locus genetic risk scores (GRS) over conventional clinical risk models in the Singapore Chinese population, establishing significant clinical risk reclassification for early cardiovascular prevention.

Read Full Article European Journal Of Preventive Cardiology, Volume 24, Issue 2, 1 January 2017, Pages 153–160
• MULTI-LOCUS GRS • SINGAPORE CHINESE • RISK RECLASSIFICATION • PREVENTIVE CARDIOLOGY
POLYGENIC RISK SCORES

A POLYGENIC RISK SCORE FOR PREDICTING CAD RISK FOR THE CHINESE POPULATION.

Xiangfeng Lu, Zhongying Liu, Qingmei Cui, Fangchao Liu, Jianxin Li, Xiaoge Niu, Chong Shen, Dongsheng Hu, Keyong Huang, Jichun Chen, Xiaolong Xing, Yingxin Zhao, Fanghong Lu, Xiaoqing Liu, Jie Cao, Shufeng Chen, Hongxia Ma, Ling Yu, Xianping Wu, Xigui Wu, Ying Li, Huan Zhang, Xingbo Mo, Liancheng Zhao, Jianfeng Huang, Laiyuan Wang, Wanqing Wen, Xiao-Ou Shu, Fumihiko Takeuchi, Woon-Puay Koh, E Shyong Tai, Ching-Yu Cheng, Tien Yin Wong, Xuling Chang, Mark Yan-Yee Chan, Wei Gao, Hong Zheng, Kexin Chen, Jing Chen, Jiang He, Clara Sze-Man Tang, Karen Siu Ling Lam, Hung-Fat Tse, Chloe Yu Yan Cheung, Atsushi Takahashi, Michiaki Kubo, Norihiro Kato, Chikashi Terao, Yoichiro Kamatani, Pak Chung Sham, Chew-Kiat Heng, Zhibin Hu, Y Eugene Chen, Tangchun Wu, Hongbing Shen, Cristen J Willer, Dongfeng Gu (2022).

Validated across ~40,000 Chinese adults in prospective cohorts; proves that an ancestry-specific polygenic risk score reliably predicts lifetime CAD risk, and adherence to ideal cardiovascular health habits produces the largest absolute risk reduction in high-genetic-risk individuals.

Read Full Article European Heart Journal, Volume 43, Issue 18, 7 May 2022, Pages 1702–1711
• 700 SNP CAD PRS • EAST ASIAN ANCESTRY • CARDIOVASCULAR HEALTH • ABSOLUTE RISK REDUCTION
GENE-DIET & LIPID METABOLISM Founding Team Landmark Study

SEQUENTIAL EFFECTS OF A HIGH-FIBER DIET WITH PSYLLIUM HUSKS ON THE EXPRESSION LEVELS OF HEPATIC GENES AND PLASMA LIPIDS

Mei-Yen Chan, Chew-Kiat Heng (2008).

Landmark study co-authored by Health BETA founding scientist a/Prof. Chew-Kiat Heng demonstrating how high-fiber psyllium dietary intervention downregulates hepatic lipogenesis genes (FASN) while upregulating bile acid synthesis and cholesterol clearance pathways (HMGCR, CYP7A1) to significantly lower circulating total cholesterol and triglycerides.

Read Full Article Download PDF (909 KB) Nutrition, Volume 24, Issue 1, January 2008, Pages 57–66
• HEPATIC TRANSCRIPTOMICS • FASN • HMGCR • BILE ACID SYNTHESIS • PSYLLIUM FIBER
CARDIOVASCULAR GENETICS

GENOME-WIDE ASSOCIATION STUDY IDENTIFIES A MISSENSE VARIANT AT APOA5 FOR CORONARY ARTERY DISEASE IN MULTI-ETHNIC COHORTS FROM SOUTHEAST ASIA

Yi Han, Rajkumar Dorajoo, Xuling Chang, Tingjing Ke, Burger Ayala, Chiea-Chuen Khor, Rob M Van Dam, Jian-Min Yuan, Woon-Puay Koh, Jianjun Liu, Daniel YT Goh, Yechiel Friedlander, Chew-Kiat Heng (2017).

Large-scale meta-analysis of four genome-wide association studies across multi-ethnic Southeast Asian cohorts, uncovering an Asian-specific missense variant in APOA5 that significantly impacts circulating triglyceride levels and coronary artery disease susceptibility.

Read Full Article Scientific Reports, Volume 7, Article 18214, 21 December 2017
• APOA5 • TRIGLYCERIDES • MULTI-ETHNIC COHORT • CAD GENETICS
GENE-LIFESTYLE INTERACTION (GxL)

MULTI-ANCESTRY STUDY OF BLOOD LIPID LEVELS IDENTIFIES FOUR LOCI INTERACTING WITH PHYSICAL ACTIVITY

Tuomas O. Kilpeläinen, Amy R. Bentley, Raymond Noordam, et al. (2019).

Global multi-ancestry meta-analysis revealing 4 genome-wide significant loci where habitual physical exercise directly modifies genetic control over HDL-C, LDL-C, and triglycerides—proving at the molecular level that exercise alters genomic cardiovascular predisposition.

Read Full Article Nature Communications, Volume 10, Article 376, 22 January 2019
• GENE × EXERCISE • CLASP1 • LIPC • LIPID MODULATION
GENE-DIET & NUTRITION

GENE-DIET INTERACTION EFFECTS ON BMI LEVELS IN THE SINGAPORE CHINESE POPULATION

Xuling Chang, Rajkumar Dorajoo, Ye Sun, Tingjing Ke, Burger Ayala, Chiea-Chuen Khor, Rob M Van Dam, Jian-Min Yuan, Woon-Puay Koh, Jianjun Liu, Daniel YT Goh, Yechiel Friedlander, Chew-Kiat Heng (2018).

Evaluated 97 BMI susceptibility loci across adult Singapore Chinese cohorts, identifying significant gene-diet interactions where macronutrient balance (carbohydrate quality and dietary fat) directly modulates genetic obesity risk.

Read Full Article Nutrition Journal, Volume 17, Article 73, 2 August 2018
• 97 BMI LOCI • GENE × DIET INTERACTION • MACRONUTRIENT QUALITY • METABOLIC ADIPOSITY
HEALTHY LONGEVITY & AGEING

GENETIC ASSOCIATIONS WITH HEALTHY AGEING AMONG CHINESE ADULTS

Xuling Chang, Yan-Feng Zhou, Ling Wang, Tingjing Ke, Burger Ayala, Chiea-Chuen Khor, Rob M Van Dam, Jian-Min Yuan, Woon-Puay Koh, Jianjun Liu, Daniel YT Goh, Yechiel Friedlander, Chew-Kiat Heng (2022).

Identifies novel East Asian genetic loci associated with exceptional healthy lifespan free from major chronic cardiometabolic diseases, offering molecular targets for genomic-guided longevity and preventative medicine.

Read Full Article npj Aging, Volume 8, Article 14, 15 September 2022
• HEALTHY AGEING GWAS • EAST ASIAN LONGEVITY • CARDIOMETABOLIC RESISTANCE • PREVENTIVE MEDICINE