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Quantile-Specific Heritability of Mean Platelet Volume, Leukocyte Count, and Other Blood Cell Phenotypes. 平均血小板体积、白细胞计数和其他血细胞表型的分位数特异性遗传性。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 DOI: 10.1159/000527048
Paul T Williams

Introduction: "Quantile-dependent expressivity" occurs when the effect size of a genetic variant depends upon whether the phenotype (e.g., mean platelet volume, MPV) is high or low relative to its distribution.

Methods: Offspring-parent regression slopes (βOP) were estimated by quantile regression, from which quantile-specific heritabilities (h2) were calculated (h2 = 2βOP/[1 + rspouse]) for blood cell phenotypes in 3,929 parent-offspring pairs from the Framingham Heart Study.

Results: Quantile-specific h2 (±SE) increased with increasing percentiles of the offspring's age- and sex-adjusted MPV distribution (plinear = 0.0001): 0.48 ± 0.09 at the 10th, 0.53 ± 0.04 at the 25th, 0.70 ± 0.06 at the 50th, 0.74 ± 0.06 at the 75th, and 0.90 ± 0.12 at the 90th percentile. Quantile-specific h2 also increased with increasing percentiles of the offspring's white blood cell (WBC, plinear = 0.002), monocyte (plinear = 0.01), and eosinophil distributions (plinear = 0.0005). In contrast, heritibilities of red blood cell (RBC) count, hematocrit (HCT), and hemoglobin (HGB) showed little evidence of quantile dependence. Quantile-dependent expressivity is consistent with gene-environment interactions reported by others, including (1) greater increases in WBC and PLT concentrations in subjects who are glutathione-S-transferase Mu1 (GSTM1) null homozygotes than GSTM1 sufficient when exposed to endotoxin; (2) significantly higher WBC count in AA homozygotes than carriers of the G-allele of the glutathione S-transferase P1 (GSTP1) rs1695 polymorphism at low but not high benzene exposure in shoe factory workers; (3) higher WBC counts in TT homozygotes than C-allele carriers of the interleukin-1β (IL1B) c.315C>T polymorphism after undergoing surgery for infective endocarditis but not before surgery.

Discussion/conclusion: Quantile-dependent expressivity may explain several purported gene-environment interactions involving blood cell phenotypes.

当基因变异的效应大小取决于表型(例如,平均血小板体积,MPV)相对于其分布是高还是低时,就会出现“分位数依赖性表达性”。方法:采用分位数回归法估计后代-亲本回归斜率(βOP),并计算来自Framingham心脏研究的3,929对亲本血细胞表型的分位数特异性遗传力(h2) (h2 = 2βOP/[1 + rspouse])。结果:分位数特异性h2(±SE)随子代年龄和性别调整MPV分布的增加而增加(线性= 0.0001):第10个百分位数为0.48±0.09,第25个百分位数为0.53±0.04,第50个百分位数为0.70±0.06,第75个百分位数为0.74±0.06,第90个百分位数为0.90±0.12。分位数特异性h2也随子代白细胞(WBC,线性= 0.002)、单核细胞(线性= 0.01)和嗜酸性粒细胞分布(线性= 0.0005)的增加而增加。相比之下,红细胞(RBC)计数、红细胞压积(HCT)和血红蛋白(HGB)的遗传性几乎没有分位数依赖性的证据。分位数依赖性表达与其他人报道的基因-环境相互作用一致,包括(1)暴露于内毒素时,谷胱甘肽- s -转移酶Mu1 (GSTM1)零纯合子的受试者WBC和PLT浓度比GSTM1充足的受试者增加更多;(2)鞋厂工人低而非高苯暴露时AA纯合子的白细胞计数显著高于谷胱甘肽s -转移酶P1 (GSTP1) rs1695多态性g等位基因携带者;(3)感染性心内膜炎术后TT纯合子白细胞计数高于白细胞介素-1β (il - 1b) c.315C>T多态性c -等位基因携带者。讨论/结论:分位数依赖性表达可以解释几种涉及血细胞表型的基因-环境相互作用。
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引用次数: 1
Applications of Metabolomics to Precision Nutrition. 代谢组学在精密营养中的应用。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 Epub Date: 2021-09-08 DOI: 10.1159/000518489
Marcia LeVatte, Ammar Hassanzadeh Keshteli, Parvin Zarei, David S Wishart

Background: For thousands of years, disabilities due to nutrient deficiencies have plagued humanity. Rickets, scurvy, anemia, stunted growth, blindness, and mental handicaps due to nutrient deficiencies affected up to 1/10 of the world's population prior to 1900. The discovery of essential amino acids, vitamins, and minerals, in the early 1900s, led to a fundamental change in our understanding of food and a revolution in human health. Widespread vitamin and mineral supplementation, the development of recommended dietary allowances, and the implementation of food labeling and testing along with significant improvements in food production and food quality have meant that nutrient-related disorders have almost vanished in the developed world. The success of nutritional science in preventing disease at a population-wide level is one of the great scientific triumphs of the 20th century. The challenge for nutritional science in the 21st century is to understand how to use nutrients and other food constituents to enhance human health or prevent disease at a more personal level. This is the primary goal of precision nutrition.

Summary: Precision nutrition is an emerging branch of nutrition science that aims to use modern omics technologies (genomics, proteomics, and metabolomics) to assess an individual's response to specific foods or dietary patterns and thereby determine the most effective diet or lifestyle interventions to prevent or treat specific diseases in that individual. Metabolomics is vital to nearly every aspect of precision nutrition. It can be used to comprehensively characterize the thousands of chemicals in foods, to identify food byproducts in human biofluids or tissues, to characterize nutrient deficiencies or excesses, to monitor biochemical responses to dietary interventions, to track long-term or short-term dietary habits, and to guide the development of nutritional therapies. In this review, we will describe how metabolomics has been used to advance the field of precision nutrition by providing some notable examples or use cases. First, we will describe how metabolomics helped launch the field of precision nutrition through the diagnosis and dietary therapy of individuals with inborn errors of metabolism. Next, we will describe how metabolomics is being used to comprehensively characterize the full chemical complexity of many key foods, and how this is revealing much more about nutrients than ever imagined. Third, we will describe how metabolomics is being used to identify food consumption biomarkers and how this opens the door to a more objective and quantitative assessments of an individual's diet and their response to certain foods. Finally, we will describe how metabolomics is being coupled with other omics technologies to develop custom diets and lifestyle interventions that are leading to positive health benefits. Key Message: Metabolomics is vital to the advancement of nutritional sc

背景:几千年来,营养缺乏导致的残疾一直困扰着人类。在1900年之前,佝偻病、坏血病、贫血、发育迟缓、失明和由于营养缺乏而导致的智力障碍影响了世界上多达十分之一的人口。20世纪初,必需氨基酸、维生素和矿物质的发现,使我们对食物的认识发生了根本性的变化,也给人类健康带来了一场革命。广泛补充维生素和矿物质,制定推荐膳食量,实施食品标签和检测,以及食品生产和食品质量的显著改善,意味着与营养有关的疾病在发达国家几乎已经消失。营养科学在全民预防疾病方面的成功是20世纪最伟大的科学成就之一。21世纪营养科学面临的挑战是了解如何在更个人的层面上利用营养物质和其他食物成分来增强人类健康或预防疾病。这就是精准营养的首要目标。摘要:精准营养是营养科学的一个新兴分支,旨在利用现代组学技术(基因组学、蛋白质组学和代谢组学)评估个体对特定食物或饮食模式的反应,从而确定最有效的饮食或生活方式干预措施,以预防或治疗该个体的特定疾病。代谢组学对精确营养的几乎每个方面都至关重要。它可用于全面表征食品中的数千种化学物质,识别人体生物体液或组织中的食物副产品,表征营养缺乏或过量,监测对饮食干预的生化反应,跟踪长期或短期饮食习惯,并指导营养疗法的发展。在这篇综述中,我们将通过提供一些值得注意的例子或用例来描述代谢组学如何被用于推进精确营养领域。首先,我们将描述代谢组学如何通过对患有先天性代谢错误的个体进行诊断和饮食治疗,帮助启动精确营养领域。接下来,我们将描述代谢组学如何被用于全面表征许多关键食物的全部化学复杂性,以及它如何揭示比以往想象的更多的营养成分。第三,我们将描述如何使用代谢组学来识别食物消费生物标志物,以及这如何为更客观和定量地评估个人饮食及其对某些食物的反应打开大门。最后,我们将描述代谢组学如何与其他组学技术相结合,以开发定制饮食和生活方式干预,从而带来积极的健康益处。关键信息:代谢组学对营养科学的进步和实现精确营养的梦想至关重要。
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引用次数: 19
APOE Genotypes, Lipid Profiles, and Associated Clinical Markers in a Finnish Population with Cardiovascular Disease Risk Factors. 芬兰心血管疾病危险因素人群中的APOE基因型、脂质谱和相关临床标志物
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 Epub Date: 2021-12-23 DOI: 10.1159/000520864
Heidi Leskinen, Maaria Tringham, Heli Karjalainen, Terhi Iso-Touru, Hanna-Leena Hietaranta-Luoma, Pertti Marnila, Juha-Matti Pihlava, Timo Hurme, Hannu Puolijoki, Kari Åkerman, Sari Mäkinen, Mari Sandell, Kirsi Vähäkangas, Raija Tahvonen, Susanna Rokka, Anu Hopia

Introduction: The APOE ε4 allele predisposes to high cholesterol and increases the risk for lifestyle-related diseases such as Alzheimer's disease and cardiovascular diseases (CVDs). The aim of this study was to analyse interrelationships of APOE genotypes with lipid metabolism and lifestyle factors in middle-aged Finns among whom the CVD risk factors are common.

Methods: Participants (n = 211) were analysed for APOE ε genotypes, physiological parameters, and health- and diet-related plasma markers. Lifestyle choices were determined by a questionnaire.

Results: APOE genotypes ε3/ε4 and ε4/ε4 (ε4 group) represented 34.1% of the participants. Genotype ε3/ε3 (ε3 group) frequency was 54.5%. Carriers of ε2 (ε2 group; ε2/ε2, ε2/ε3 and ε2/ε4) represented 11.4%; 1.9% were of the genotype ε2/ε4. LDL and total cholesterol levels were lower (p < 0.05) in the ε2 carriers than in the ε3 or ε4 groups, while the ε3 and ε4 groups did not differ. Proportions of plasma saturated fatty acids (SFAs) were higher (p < 0.01), and omega-6 fatty acids lower (p = 0.01) in the ε2 carriers compared with the ε4 group. The ε2 carriers had a higher (p < 0.05) percentage of 22:4n-6 and 22:5n-6 and a lower (p < 0.05) percentage of 24:5n-3 and 24:6n-3 than individuals without the ε2 allele.

Conclusions: The plasma fatty-acid profiles in the ε2 group were characterized by higher SFA and lower omega-6 fatty-acid proportions. Their lower cholesterol values indicated a lower risk for CVD compared with the ε4 group. A novel finding was that the ε2 carriers had different proportions of 22:4n-6, 22:5n-6, 24:5n-3, and 24:6n-3 than individuals without the ε2 allele. The significance of the differences in fatty-acid composition remains to be studied.

APOE ε4等位基因易导致高胆固醇,并增加患阿尔茨海默病和心血管疾病(cvd)等生活方式相关疾病的风险。本研究的目的是分析APOE基因型与脂质代谢和生活方式因素之间的相互关系,其中心血管疾病危险因素在中年芬兰人中很常见。方法:对211名参与者进行APOE ε基因型、生理参数和健康及饮食相关血浆标志物的分析。生活方式的选择由一份问卷决定。结果:APOE基因型ε3/ε4和ε4/ε4 (ε4组)占34.1%。基因型ε3/ε3 (ε3组)频率为54.5%。ε2载体(ε2基团);ε2/ε2、ε2/ε3和ε2/ε4)占11.4%;基因型为ε2/ε4的占1.9%。ε2携带者LDL和总胆固醇水平低于ε3和ε4组(p < 0.05),而ε3和ε4组差异无统计学意义。与ε4组相比,ε2携带者血浆饱和脂肪酸(sfa)含量较高(p < 0.01), ω -6脂肪酸含量较低(p = 0.01)。与未携带ε2等位基因的个体相比,携带ε2的个体22:4n-6和22:5n-6的比例较高(p < 0.05),携带ε2等位基因的个体24:5n-3和24:6n-3的比例较低(p < 0.05)。结论:ε2组血浆脂肪酸谱表现为SFA较高,omega-6脂肪酸比例较低。与ε4组相比,他们较低的胆固醇值表明患心血管疾病的风险较低。新发现ε2携带者的22:4n-6、22:5n-6、24:5n-3和24:6n-3的比例与不携带ε2等位基因的个体不同。脂肪酸组成差异的意义还有待研究。
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引用次数: 1
Quantile-Dependent Heritability of Glucose, Insulin, Proinsulin, Insulin Resistance, and Glycated Hemoglobin. 葡萄糖、胰岛素、胰岛素原、胰岛素抵抗和糖化血红蛋白的分位数依赖性遗传力。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 Epub Date: 2021-12-06 DOI: 10.1159/000519382
Paul T Williams

Background: "Quantile-dependent expressivity" is a dependence of genetic effects on whether the phenotype (e.g., insulin resistance) is high or low relative to its distribution.

Methods: Quantile-specific offspring-parent regression slopes (βOP) were estimated by quantile regression for fasting glucose concentrations in 6,453 offspring-parent pairs from the Framingham Heart Study.

Results: Quantile-specific heritability (h2), estimated by 2βOP/(1 + rspouse), increased 0.0045 ± 0.0007 (p = 8.8 × 10-14) for each 1% increment in the fasting glucose distribution, that is, h2 ± SE were 0.057 ± 0.021, 0.095 ± 0.024, 0.146 ± 0.019, 0.293 ± 0.038, and 0.456 ± 0.061 at the 10th, 25th, 50th, 75th, and 90th percentiles of the fasting glucose distribution, respectively. Significant increases in quantile-specific heritability were also suggested for fasting insulin (p = 1.2 × 10-6), homeostatic model assessment of insulin resistance (HOMA-IR, p = 5.3 × 10-5), insulin/glucose ratio (p = 3.9 × 10-5), proinsulin (p = 1.4 × 10-6), proinsulin/insulin ratio (p = 2.7 × 10-5), and glucose concentrations during a glucose tolerance test (p = 0.001), and their logarithmically transformed values.

Discussion/conclusion: These findings suggest alternative interpretations to precision medicine and gene-environment interactions, including alternative interpretation of reported synergisms between ACE, ADRB3, PPAR-γ2, and TNF-α polymorphisms and being born small for gestational age on adult insulin resistance (fetal origin theory), and gene-adiposity (APOE, ENPP1, GCKR, IGF2BP2, IL-6, IRS-1, KIAA0280, LEPR, MFHAS1, RETN, TCF7L2), gene-exercise (INS), gene-diet (ACSL1, ELOVL6, IRS-1, PLIN, S100A9), and gene-socioeconomic interactions.

背景:“数量依赖性表达”是遗传效应对表型(如胰岛素抵抗)相对于其分布是高还是低的依赖性。方法:通过Framingham心脏研究6453对后代-父母对空腹血糖浓度的分位数回归估计分位数特异性后代-父母回归斜率(βOP)。结果:空腹血糖分布每增加1%,分位数特异遗传力(h2)(以2βOP/(1+rspouse)估计)增加0.0045±0.0007(p=8.8×10-14),在空腹血糖分布的第10、25、50、75和90个百分位数,h2±SE分别为0.057±0.021、0.095±0.024、0.146±0.019、0.293±0.038和0.456±0.061。空腹胰岛素(p=1.2×10-6)、胰岛素抵抗稳态模型评估(HOMA-IR,p=5.3×10-5)、胰岛素/葡萄糖比率(p=3.9×10-5,以及它们的对数变换值。讨论/结论:这些发现为精准医学和基因-环境相互作用提供了替代解释,包括ACE、ADRB3、PPAR-γ2和TNF-α多态性之间协同作用的替代解释,以及出生小于胎龄对成人胰岛素抵抗的影响(胎儿起源理论),和基因肥胖(APOE、ENPP1、GCKR、IGF2BP2、IL-6、IRS-1、KIAA0280、LEPR、MFHAS1、RETN、TCF7L2)、基因锻炼(INS)、基因饮食(ACSL1、ELOVL6、IRS-1、PLIN、S100A9)和基因社会经济相互作用。
{"title":"Quantile-Dependent Heritability of Glucose, Insulin, Proinsulin, Insulin Resistance, and Glycated Hemoglobin.","authors":"Paul T Williams","doi":"10.1159/000519382","DOIUrl":"10.1159/000519382","url":null,"abstract":"<p><strong>Background: </strong>\"Quantile-dependent expressivity\" is a dependence of genetic effects on whether the phenotype (e.g., insulin resistance) is high or low relative to its distribution.</p><p><strong>Methods: </strong>Quantile-specific offspring-parent regression slopes (βOP) were estimated by quantile regression for fasting glucose concentrations in 6,453 offspring-parent pairs from the Framingham Heart Study.</p><p><strong>Results: </strong>Quantile-specific heritability (h2), estimated by 2βOP/(1 + rspouse), increased 0.0045 ± 0.0007 (p = 8.8 × 10-14) for each 1% increment in the fasting glucose distribution, that is, h2 ± SE were 0.057 ± 0.021, 0.095 ± 0.024, 0.146 ± 0.019, 0.293 ± 0.038, and 0.456 ± 0.061 at the 10th, 25th, 50th, 75th, and 90th percentiles of the fasting glucose distribution, respectively. Significant increases in quantile-specific heritability were also suggested for fasting insulin (p = 1.2 × 10-6), homeostatic model assessment of insulin resistance (HOMA-IR, p = 5.3 × 10-5), insulin/glucose ratio (p = 3.9 × 10-5), proinsulin (p = 1.4 × 10-6), proinsulin/insulin ratio (p = 2.7 × 10-5), and glucose concentrations during a glucose tolerance test (p = 0.001), and their logarithmically transformed values.</p><p><strong>Discussion/conclusion: </strong>These findings suggest alternative interpretations to precision medicine and gene-environment interactions, including alternative interpretation of reported synergisms between ACE, ADRB3, PPAR-γ2, and TNF-α polymorphisms and being born small for gestational age on adult insulin resistance (fetal origin theory), and gene-adiposity (APOE, ENPP1, GCKR, IGF2BP2, IL-6, IRS-1, KIAA0280, LEPR, MFHAS1, RETN, TCF7L2), gene-exercise (INS), gene-diet (ACSL1, ELOVL6, IRS-1, PLIN, S100A9), and gene-socioeconomic interactions.</p>","PeriodicalId":18030,"journal":{"name":"Lifestyle Genomics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766916/pdf/nihms-1746619.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10449465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Upregulated miR-146a Expression in Peripheral Blood Relates to Th17 and Treg Imbalance in Elder Rheumatoid Arthritis Patients. 外周血miR-146a表达上调与老年类风湿关节炎患者Th17和Treg失衡有关
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2022-01-01 Epub Date: 2022-06-10 DOI: 10.1159/000525112
Menglan Liu, Tianli Ren, Zhi Lin, Minhui Hua

Background: The expression level of microRNA-146a (miR-146a) increased in peripheral blood and synovialis tissue of rheumatoid arthritis (RA) patient, and it may play an important role in the pathological process of RA. We investigated its possibility as a diagnostic marker and the correlation with T helper 17 (Th17) and Treg cells in elder RA patients.

Methods: Blood samples were collected from 38 active RA patients, 38 inactive RA patients, and 40 healthy controls. RNA expression levels of miR-146a were detected from the peripheral blood samples. The proportion of Th17 and Treg cells were analyzed, as well as their cell-specific transcription factor retinoic acid-related orphan receptor variant 2 (RORc) and forkhead box protein 3 (FOXP3). Furthermore, secretion of pre-inflammatory and anti-inflammatory factors was detected. Correlations between miR-146a and these factors were also analyzed.

Results: Compared with healthy control, expression levels of miR-146a in inactive and active groups were significantly higher, with the highest level in active group. The expression of miR-146a and the RA severity, Th17 cell ratio, RORc expression, IL-17 level showed a significant positive correlation, while it showed a significantly negative correlation with Treg cell ration, FOXP3 expression, and TGF-β1 secretion.

Conclusions: These results suggested that miR-146a may be used as a disease progression marker in the peripheral blood of elder RA patients.

背景:microRNA-146a (miR-146a)在类风湿关节炎(RA)患者外周血和滑膜组织中表达水平升高,可能在RA的病理过程中发挥重要作用。我们研究了其作为诊断标志物的可能性以及与老年RA患者辅助性T - 17 (Th17)和Treg细胞的相关性。方法:采集活动性RA患者38例,非活动性RA患者38例,健康对照40例。外周血样本中检测miR-146a的RNA表达水平。分析Th17和Treg细胞的比例,以及它们的细胞特异性转录因子视黄酸相关孤儿受体变异2 (RORc)和叉头盒蛋白3 (FOXP3)。此外,检测炎症前因子和抗炎因子的分泌。分析miR-146a与这些因素的相关性。结果:与健康对照组相比,miR-146a在非活性组和活性组的表达水平均显著升高,活性组表达水平最高。miR-146a的表达与RA的严重程度、Th17细胞比例、RORc表达、IL-17水平呈显著正相关,与Treg细胞比例、FOXP3表达、TGF-β1分泌呈显著负相关。结论:这些结果提示miR-146a可能作为老年RA患者外周血中的疾病进展标志物。
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引用次数: 6
Acknowledgement to Reviewers 对评审员的确认
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-12-01 DOI: 10.1159/000521289
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引用次数: 0
Erratum 勘误表
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-20 DOI: 10.1159/000512164
{"title":"Erratum","authors":"","doi":"10.1159/000512164","DOIUrl":"https://doi.org/10.1159/000512164","url":null,"abstract":"","PeriodicalId":18030,"journal":{"name":"Lifestyle Genomics","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000512164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45816331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proceedings of the 4th European Summer School on Nutrigenomics (ESSN 2021), June 21-25, 2021. 第四届欧洲营养基因组学暑期学校论文集(ESSN 2021), 2021年6月21日至25日。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2021-06-29 DOI: 10.1159/000517609
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引用次数: 0
Gene-Centric Database Reveals Environmental and Lifestyle Relationships for Potential Risk Modification and Prevention. 以基因为中心的数据库揭示了环境和生活方式对潜在风险的改变和预防的关系。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2021-01-18 DOI: 10.1159/000512690
Ron L Martin

The database at Nutrigenetics.net has been under development since 2007 to facilitate the identification and classification of PubMed articles relevant to human genetics. A controlled vocabulary (i.e., standardized terminology) is used to index these records, with links back to PubMed for every article title. This enables the display of indexes (alphabetical subtopic listings) for any given topic, or for any given combination of topics, including for genes and specific genetic variants. Stepwise use of such indexes (first for one topic, then for combinations of topics) can reveal relationships that are otherwise easily overlooked. These relationships include environmental and lifestyle variables with potential relevance to risk modification (both beneficial and detrimental), and to prevention, or at least to the potential delay of symptom onset for health conditions like Alzheimer disease among many others. Thirty-four specific genetic variants have each been mentioned in at least ≥1,000 PubMed titles/abstracts, and these numbers are steadily increasing. The benefits of indexing with standardized terminology are illustrated for genetic variants like MTHFR 677C-T and its various synonyms (e.g., rs1801133 or Ala222Val). Such use of a controlled vocabulary is also helpful for numerous health conditions, and for potential risk modifiers (i.e., potential risk/effect modifiers).

自2007年以来,Nutrigenetics.net的数据库一直在开发中,以促进与人类遗传学相关的PubMed文章的识别和分类。受控词汇表(即标准化术语)用于索引这些记录,并为每个文章标题提供返回PubMed的链接。这样就可以显示任何给定主题或主题的任何给定组合的索引(按字母顺序排列的子主题列表),包括基因和特定的遗传变异。逐步使用这些索引(首先针对一个主题,然后针对主题的组合)可以揭示容易被忽略的关系。这些关系包括环境和生活方式变量,这些变量与风险改变(有益和有害)、预防或至少与阿尔茨海默病等健康状况的症状发作的潜在延迟有关。34种特定的基因变异在至少1000篇PubMed标题/摘要中被提及,并且这些数字正在稳步增长。对MTHFR 677C-T及其各种同义词(例如rs1801133或Ala222Val)等遗传变异进行标准化术语索引的好处进行了说明。这种受控词汇的使用对许多健康状况和潜在风险修饰词(即潜在风险/效果修饰词)也有帮助。
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引用次数: 0
Genetic Variation, Diet, Inflammation, and the Risk for COVID-19. 基因变异、饮食、炎症和 COVID-19 的风险。
IF 2.6 4区 医学 Q2 Agricultural and Biological Sciences Pub Date : 2021-01-01 Epub Date: 2021-02-02 DOI: 10.1159/000513886
Artemis P Simopoulos

COVID-19, which is caused by SARS-CoV-2, is characterized by various symptoms, ranging from mild fatigue to life-threatening pneumonia, "cytokine storm," and multiorgan failure. The manifestation of COVID-19 may lead to a cytokine storm, i.e., it facilitates viral replication that triggers a strong release of cytokines, which then modulates the immune system and results in hyperinflammation. Today's diet is high in omega-6 fatty acids and deficient in omega-3 fatty acids; this, along with a high fructose intake, leads to obesity, which is a chronic state of low-grade inflammation. Omega-6 fatty acids are proinflammatory and prothrombotic whereas omega-3 fatty acids are less proinflammatory and thrombotic. Furthermore, omega-3 fatty acids make specialized lipid mediators, namely resolvins, protectins, and maresins, that are potent anti-inflammatory agents. Throughout evolution there was a balance between omega-6 and omega-3 fatty acids with a ratio of 1-2/1 omega-6/omega-3, but today this ratio is 16-20/1 omega-6/omega-3, leading to a proinflammatory state. In addition, genetic variants in FADS1, FADS2, ELOV-2, and ELOV-5 lead to a more efficient biosynthesis of long-chain polyunsaturated fatty acids (PUFAs), e.g., of linoleic acid (LA) to arachidonic acid (ARA), and (alpha-linolenic acid) (ALA) to eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), leading to higher ARA levels. Because the US diet is already high in omega-6 fatty acids, the increased biosynthesis of ARA in people with the derived FADS haplotype (haplotype D) leads to an increased production of leukotrienes, thromboxanes, C-reactive protein (CRP), and eventually elevated levels of cytokines, like interleukin (IL)-1, IL-6, and tumor necrosis factor (TNF), which may increase susceptibility to COVID-19. About 80% of African Americans, 50% of Hispanics, and 45% of European Americans have the FADS haplotype D and are thus efficient metabolizers, which could account for the higher vulnerability of these populations to COVID-19. Therefore, another reason that African Americans and Hispanics are more susceptible to COVID-19 is that they have a higher frequency of haplotype D, which is no longer beneficial in today's environment and diet. Genetic variation must be considered in all studies of disease development and therapy because it is important to the practice of precision nutrition by physicians and other health professionals. The objective of this commentary is to emphasize the importance of genetic variation within populations and its interaction with diet in the development of disease. Differences in the frequency of genes and their interactions with nutrients in various population groups must be considered among the factors contributing to health disparities in the development of COVID-19. A balanced omega-6/omega-3 ratio is essential to health. Physicians should measure their patients' fatty acids and recommend decreasing the intake of foods rich in omega-6 fatty aci

由 SARS-CoV-2 引起的 COVID-19 有多种症状,从轻度疲劳到危及生命的肺炎、"细胞因子风暴 "和多器官衰竭。COVID-19 的表现可能会导致细胞因子风暴,即促进病毒复制,引发细胞因子的大量释放,进而调节免疫系统,导致炎症亢进。当今的饮食中欧米茄-6 脂肪酸含量较高,而欧米茄-3 脂肪酸含量不足;再加上果糖摄入量高,导致肥胖,而肥胖是一种慢性低度炎症状态。欧米伽-6 脂肪酸具有促炎症和促血栓形成的作用,而欧米伽-3 脂肪酸的促炎症和促血栓形成作用较弱。此外,欧米伽-3 脂肪酸还能制造专门的脂质介质,即 resolvins、protectins 和 maresins,它们是有效的抗炎剂。在整个进化过程中,Ω-6 和Ω-3 脂肪酸之间保持着平衡,比例为 1-2/1 Ω-6/Ω-3,但如今这一比例为 16-20/1 Ω-6/Ω-3,导致了促炎状态。此外,FADS1、FADS2、ELOV-2 和 ELOV-5 的基因变异导致长链多不饱和脂肪酸(PUFAs)的生物合成效率更高,例如亚油酸(LA)转化为花生四烯酸(ARA),以及(α-亚麻酸)(ALA)转化为二十碳五烯酸(EPA)和二十二碳六烯酸(DHA),从而导致 ARA 水平升高。由于美国饮食中的ω-6 脂肪酸含量已经很高,因此具有衍生 FADS 单倍型(单倍型 D)的人体内 ARA 的生物合成增加,导致白三烯、血栓素、C 反应蛋白(CRP)的生成增加,最终导致白细胞介素(IL)-1、IL-6 和肿瘤坏死因子(TNF)等细胞因子水平升高,从而可能增加对 COVID-19 的易感性。大约 80% 的非裔美国人、50% 的西班牙裔美国人和 45% 的欧裔美国人具有 FADS 单倍型 D,因此是高效代谢者,这可能是这些人群更容易感染 COVID-19 的原因。因此,非裔美国人和西班牙裔美国人更容易感染 COVID-19 的另一个原因是他们的单倍型 D 频率较高,而这种单倍型在当今的环境和饮食中已不再有益。在所有有关疾病发展和治疗的研究中都必须考虑遗传变异,因为它对医生和其他保健专业人员的精准营养实践非常重要。本评论旨在强调人群中基因变异的重要性及其与饮食在疾病发展中的相互作用。必须将不同人群中基因频率的差异及其与营养素之间的相互作用视为导致 COVID-19 健康差异的因素之一。平衡的欧米伽-6/欧米伽-3 比例对健康至关重要。医生应测量患者的脂肪酸,并建议减少富含欧米伽-6 脂肪酸食物的摄入量,同时增加欧米伽-3 脂肪酸以及水果和蔬菜的摄入量。
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Lifestyle Genomics
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