Introduction: As a part of the Gene Regulators in Disease project (GRID), this study aims to create a novel high throughput method to discover the genetic effect on gene translation, taking advantage of the rationale that efficiently translated mRNAs associate with multiple ribosomes, while less active ones with fewer or none. / Methods: Lymphoblastoid cell lines (LCLs) from 44 HapMap European individuals were used for polyribosomal fractionation and establishing the sample bank for the future study. The fractionated mRNA samples of 10 out of the 44 individuals were run on an Illumina GoldenGate Beadarray to detect allelic imbalance (developed by the group of T.J. Hudson and T.M. Pastinen). / Results: This study established a high-quality RNA bank, including 1,100 RNA fraction samples. By the Illumina chip, translational imbalance was detected in 75 out of 1483 (5.06%) assays, and 63 out of269 (23.4%) genes. The translational effect was well replicable by the resequencing method. / Conclusion: This study found that genetic effect on gene translation is a common mechanism of expression regulation. Our best hit found in the integrin beta 1 binding protein 1 gene (ITGB1BP1 ) highlights the role of mRNA 3'UTR secondary structure in gene translation. / Keywords: Gene translation, High throughput genotyping, Human genetics, Polyribosome, RNA, Single nucleotide polymorphism

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Craniofacial growth results from both environmental and genetic factors over time. It would be exciting to isolate genetic factors that influence treatment responses from patients undergoing orthodontic treatment. Genetic genotyping and analysis of orthodontic patients is a new technologic advancement. The aim of this retrospective study is to examine the relationship of a specific single nucleotide polymorphism (SNP), rs6180, of the Growth Hormone Receptor (GHR) gene with various craniofacial length parameters in patients who have received Herbst appliance therapy as part of orthodontic treatment. An initial lateral cephalometric radiograph was taken along with two buccal cheek swabs. The cells obtained have undergone DNA isolation with the Puregene method in microcentrifuge tubes (Gentra Systems, Minneapolis, MN). Upon termination of functional appliance therapy (post-Herbst), a final lateral cephalometric radiograph was taken. To analyze the genetic polymorphism and determine genotype, polymerase chain reaction (PCR) and allelic discrimination were done using the 7000 Sequence Detection System (Applied Biosystems). Lateral cephalometric radiographs (initial, post-Herbst) of 25 patients were digitized and measured using the Dolphin Imaging program. Cephalometric measurements (S-N, S-A, Co-Go, Go-Gn, Ar-Gn, Go-Gn) were used to identify mandibular and craniofacial morphologic changes. Changes in Z-scores based on standards from the Michigan Growth Study were then converted to slow or normal growth status by slow being when the Z-score difference between the initial and final measurements is less than zero. The number of subjects with a slow versus normal growth status was compared to GHR polymorphism genotype. Statistical analysis of Hardy-Weinberg equilibrium and the changes in craniofacial length Z-scores in relation to a patient's genotype were performed using chi-square analysis. Results: The genotype frequencies were in Hardy-Weinberg equilibrium. Z-score differences for the S-A measurement was the only one found to be significant (p=0.005).

by Sung Ying-Man, Mandy. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 112-125). / Abstracts in English and Chinese. / Acknowledgments --- p.I / List of Abbreviations --- p.II / Abstract --- p.IV / 摘要 --- p.VII / Chapter Chapter 1 --- Introduction / Chapter 1.1 --- Epidemiology --- p.1 / Chapter 1.2 --- Aetiological factors --- p.4 / Chapter 1.2.1 --- Hepatitis B infection --- p.4 / Chapter 1.2.2 --- Aflatoxin exposure --- p.5 / Chapter 1.2.3 --- Alcohol consumption --- p.5 / Chapter 1.2.4 --- Genetic risk factors --- p.6 / Chapter 1.3 --- Aims of the study --- p.7 / Chapter Chapter 2 --- Polymorphisms of candidate genes in Interleukin- signalling pathway in HCC --- p.6 / Chapter 2.1 --- Introduction --- p.9 / Chapter 2.2 --- Materials and Methods --- p.15 / Samples and Genomic DNA isolation --- p.15 / PCR-PFLP --- p.15 / dHPLC --- p.16 / Direct Sequencing --- p.17 / Stattistical Analysis --- p.17 / Chapter 2.3 --- Results --- p.25 / Chapter 2.3.1 --- Known IL6 polymorphisms --- p.25 / Chapter 2.3.2 --- IL-6R and gp130 polymorphisms --- p.28 / Chapter 2.3.3 --- Stat-3 polymorphisms --- p.29 / Chapter 2.3.4 --- SOCS-1 polymophisms --- p.32 / Chapter 2.3.5 --- Mutation screening of IL-6 gene --- p.34 / Chapter 2.3.6 --- Mutation screening of SOCS-1 gene --- p.39 / Chapter 2.4 --- Discussion --- p.40 / Chapter 2.4.1 --- Interleukin-6 --- p.40 / Chapter 2.4.2 --- Gp130 and IL6-R --- p.43 / Chapter 2.4.3 --- STAT-3 --- p.44 / Chapter 2.4.4 --- SOCS-l --- p.46 / Chapter Chapter 3 --- Methylation status of SOCS-1 gene in Chinese HCC patients / Chapter 3.1 --- Introduction --- p.49 / Chapter 3.2 --- Methods and Materials --- p.53 / Tissue Sampling --- p.53 / Methylation specific PCR (MSP) --- p.53 / Chapter 3.3 --- Results --- p.55 / Chapter 3.4 --- Discussion --- p.56 / Chapter Chapter 4 --- Polymorphisms of enzyme encoding genesin steroidogenesis in Chinese / Chapter 4.1 --- Introduction --- p.59 / Chapter 4.1.1 --- Steroid 5a reductases (SRD5A) --- p.62 / Chapter 4.1.1a --- Steroid 5a reductase type II (SRD5A2) --- p.63 / Chapter 4.1.1b --- Steroid 5a reductase type I (SRD5A1) --- p.65 / Chapter 4.1.2 --- Cytochrome P450al7 (CYP17) --- p.67 / Chapter 4.1.3 --- "Cytochrome P450, family 1，subfamily A polypeptide1 (CYP1A1)" --- p.69 / Chapter 4.1.4 --- "Cytochrome P450, subfamily IIIA (niphedipine oxidase) polypeptide 4 (CYP3A4)" --- p.71 / Chapter 4.2 --- Materials and Methods --- p.74 / Samples and Genomic DNA isolation --- p.74 / PCR-PFLP --- p.74 / Direct Sequencing --- p.74 / Statistical Analysis --- p.74 / Chapter 4.3 --- Results --- p.77 / Chapter 4.3.1 --- SRD5A2 --- p.77 / Chapter 4.3.2 --- Linkage Disequilibrium in SRD5A2 gene --- p.83 / Chapter 4.3.2 --- SRD5A1 --- p.84 / Chapter 4.3.3 --- CYP17 --- p.87 / Chapter 4.3.4 --- CYP1A1 --- p.89 / Chapter 4.3.5 --- CYP3A4 --- p.92 / Chapter 4.3.6 --- Logistic regression --- p.95 / Chapter 4.4 --- Discussion --- p.96 / Chapter 4.4.1 --- SRD5A2 --- p.96 / Chapter 4.4.2 --- SRD5A1 --- p.99 / Chapter 4.4.3 --- CYP17 --- p.101 / Chapter 4.4.4 --- CYP1A1 --- p.103 / Chapter 4.4.5 --- CYP3A4 --- p.106 / Chapter 4.4.6 --- Logistic Regression --- p.107 / Chapter Chapter 5 --- Conclusions and Future Prospect --- p.108 / Chapter 5.1 --- Conclusions --- p.108 / Chapter 5.2 --- Future works and prospect --- p.111 / References --- p.113

INTRODUÇÃO: O aumento mundial da prevalência de obesidade atribui-se principalmente a mudanças nos hábitos alimentares e na prática de atividade física, que afetam indivíduos predispostos geneticamente. Alterações genéticas podem provocar desequilíbrio na regulação homeostática afetando sinalizadores periféricos e centrais. Um componente do controle central fica no núcleo arqueado hipotalâmico, sendo o receptor tipo 4 de melanocortina (MC4R) de suma importância. Mutações no MC4R têm sido relatadas como causa mais frequente de obesidade monogênica. Há evidência de que polimorfismos de nucleotídeo único (SNP) localizados próximos ao MC4R possam estar relacionados ao aumento do risco para obesidade, porém estudos de variantes nesse gene avaliando o consumo alimentar são escassos e controversos. OBJETIVO: Avaliar a influência de variantes alélicas no MC4R sobre consumo alimentar, presença de compulsão alimentar periódica (CAP), composição corporal e perfil clínico e metabólico em crianças e adolescentes obesos. MÉTODOS: Trata-se de um estudo transversal realizado com crianças e adolescentes obesos. Foram avaliados parâmetros antropométricos, metabólicos e fatores de risco cardiometabólicos, incluindo hipertensão arterial sistêmica, glicemia de jejum alterada, hipertrigliceridemia e HDL-colesterol baixo. A CAP foi avaliada utilizando a Escala de Compulsão Alimentar Periódica e o consumo alimentar por meio do Recordatório de 24 horas, analisando consumo calórico total, percentual de macronutrientes e fibras, além da frequência na omissão do café da manhã, adequação de macronutrientes, frações lipídicas e colesterol. Para verificar o efeito dos SNPs no risco para a obesidade foi incluído um grupo controle composto por 137 crianças e adolescentes eutróficos. Foi realizado o sequenciamento do gene MC4R e a genotipagem por PCR em tempo real das variantes rs17782313 e rs12970134, adotando-se o modelo recessivo para a análise. A análise estatística para comparação dos grupos foi conduzida por meio dos Testes T de Student ou Mann-Whitney U. Para avaliar a magnitude do risco, foi realizada regressão logística ajustada para Z-IMC, idade e gênero, com o nível de significância fixado em 0,05. RESULTADOS: Foram incluídos no estudo 536 obesos (52,1% meninas; 12,7 ± 2,7 anos; Z-IMC 3,24 ± 0,57). A frequência dos SNPs foi semelhante entre os grupos de obesos e controle. Os portadores do polimorfismo rs17782313 apresentaram maior nível de triglicérides (108 ± 48 vs.119 ± 54, p=0,034)e maior risco para hipertrigliceridemia (OR=1,985; IC95% 1,288-3,057; p=0,002). Não houve associação do rs12970134 com os parâmetros clínicos, metabólicos ou alimentares. No gene MC4R foram identificados 10 polimorfismos já descritos e uma variante nova, Asn72Ser (A/G), sendo 8 mutações do tipo missense e 3 sinônimas. CONCLUSÕES: Os SNPs rs17782313 e rs12970134 não influenciam o consumo alimentar nem a presença da CAP. O SNP rs17782313 está associado a maior risco de hipertrigliceridemia e maior nível sérico de triglicérides em crianças e adolescentes obesos. A presença de mutações que resultem na perda de função no gene MC4R é rara nessa coorte / INTRODUCTION: The global increase in the prevalence of obesity is attributed mainly to changes in dietary habits and physical activity, which affects genetically predisposed individuals. Genetic alterations can cause imbalance in the homeostatic regulation affecting peripheral and central signals. One component of the central control is the arcuate nucleus of the hypothalamus, and the melanocortin type 4 receptor (MC4R) is of outstanding importance. Mutations in MC4R have been reported as the most frequent cause of monogenic obesity. Studies indicate that polymorphisms located near the MC4R may be related to increased risk for obesity, but the studies of variations in this gene and its relation to food intake are scarce and controversial. OBJECTIVE: To evaluate the influence of allelic variants of MC4R in food intake, binge eating behavior (BE), body composition, clinical and metabolic profile in obese children and adolescents. METHODS: This is a cross-sectional study with obese children and adolescents. Anthropometric, metabolic parameters and cardiometabolic risk factors including hypertension, impaired fasting glucose, hypertriglyceridemia and low HDL-cholesterol were evaluated. The BE was evaluated through the Binge Eating Scale, and to analyze the dietary intake 24 hour recall was used, evaluating total caloric intake, percentage of macronutrients, fiber, omission of breakfast, adequacy of macronutrients, lipid fractions and cholesterol. To investigate the effect of SNPs on obesity risk, a control group of 137 eutrophic children and adolescents was enrolled. The MC4R gene was sequenced and genotyping was performed by real-time PCR of the variants rs17782313 and rs12970134, adopting the recessive model for the analysis. Statistical analysis for group comparison was conducted using the Student T test or Mann-Whitney U test. To assess the magnitude of risk, logistic regression adjusted for Z-BMI, age and gender was performed, with the significance level of 0.05. RESULTS: The study included 536 subjects (52.1% girls, 12.7 ± 2.7 years-old, Z-BMI = 3.24± 0,57). The frequency of SNPs was similar between the obese and control groups. The C allele carriers for the rs17782313 polymorphism had increased triglyceride levels (108 ± 48 vs.119 ± 54, p = 0.034) and increased risk of hypertriglyceridemia (OR = 1.985, 95% CI 1.288-3.057, p = 0.002). There was no association of the SNP rs12970134 with clinical, metabolic or nutritional parameters. Ten polymorphisms already described and a new variant, Arn72Ser (A/G), were identified in the MC4R gene, with 8 missense mutations and 3 synonymous. CONCLUSIONS: The SNPs rs17782313 and rs12970134 did not influence food intake or the presence of BE. The SNP rs17782313 is associated with increased risk of elevated triglycerides and higher serum triglyceride levels in obese children and adolescents. The presence of mutations resulting in loss of function in the MC4R gene is rare in this cohort

Clinical evidence suggested patients with lower plasma C-reactive protein (CRP) levels after statin therapy could have better clinical outcome. The last part of the study was to measure on-treatment high sensitivity CRP (hsCRP) levels among 229 Chinese patients with hyperlipidaemia undergoing treatment with simvastatin 40 mg daily. The patients were genotyped for 15 SNPs or haplotypes in 11 candidate genes that would have significant allele frequency among Chinese patients and may be linked to statin efficacy or hsCRP levels. The analysis suggested BMI is the largest single contributing factor of 15.0% of the variation in hsCRP levels, followed by plasma triglycerides levels contributing 4.7% and male gender 1.6% (all P<0.05). However comparisons of hsCRP levels among genotype groups did not reveal any significant findings, with or without adjustment with covariate genotypic or phenotypic factors. To further categorize individuals as high or medium risk, we set a threshold hsCRP level of 1 mg/L as the benchmark for evaluation. The CRPc.3872G>A SNP was related to lower risk compared to the homozygous wild-type genotype (adjusted odds ratio AOR = 0.289; P = 0.014) after adjusting for phenotypic factors of age, gender, smoking status, BMI, waist circumference, hip circumference, plasma lipid profiles, co-existing disease and co-medications. Another marginal finding included the HNF1A c.79A>C SNP (AOR = 0.575; P = 0.118). / Polymorphisms in the drug transporters are likely to be more important with hydrophilic statins such as pitavastatin, which undergoes transporter mediated distribution. The SLCO1B1 c.388A>G polymorphism in the gene encoding the uptake transporter organic anion transporting polypeptide (OATP1B1) is common in Chinese and the variant was associated with increases of 63--68% in maximum plasma concentration and 44--47% in systemic exposure of both the lactone and acid compared to wild-type subjects (P<0.05). Co-administration of pitavastatin with grapefruit juice (GFJ) resulted in a small increase of the area under the plasma concentration time curve (AVC) by 15--16% for both the acid and lactone (P<0.05). However, there was no significant effect on the drug-food interaction in relation to relevant SNPs in the enzymes and transporters examined. / The SNPs examined included those in the genes for the enzymes and transporters involved in the metabolic pathway or the distribution of simvastatin. Cytochrome P450 (CYP) enzymes are involved in hepatic and intestinal metabolism of several statins and simvastatin is known to undergo extensive metabolism via the CYP3A4/3A5 pathway. The common candidate SNPs in the CYP3A4/3A5 enzymes found in Chinese populations include CYP3A4*1G, CYP3AP1*3 and CYP3A5*3 , which are associated with altered enzyme expression and activity. However, no statistically significant relationship was found between these SNPs and a potential phenotypic marker of enzyme activity, the urinary ratio of 6beta-hydroxy-cortisol/cortisol (6beta-OHC/C) concentrations. The analysis of lipid lowering responses in relation to individual SNPs or combinations from gene-gene interactions also revealed no statistically significant findings. In the subgroup of patients with familial hypercholesterolaemia, the CYP3A4*1G, CYP3AP1*3 and CYP3A5*3 polymorphisms appeared to have a small effect on the changes in LDL-C and total cholesterol with the subjects with the CYP3A5*3 and CYP3AP1*3 variants showing less reduction and those with the CYP3A4*1G variant showing more reduction than subjects with the wild-type genotype with a tendency for a gene-dose effect. It is difficult to interpret these findings and the significance may be related to multiple testing. / The statins, or 3-hydroxymethyl-3-glutaryl coenzyme A (HMG-CoA) reductase inhibitors, act on the rate limiting step in endogenous cholesterol synthesis. Their primary action results in reduction of plasma low-density lipoprotein cholesterol (LDL-C) levels and this is thought to be the major mechanism by which they reduce cardiovascular events. There are considerable differences between subjects in both the plasma levels of the statins and in their effects on LDL-C and other lipid parameters and some of this variation appears to be related to genetic differences in the pathways of drug metabolism and distribution and in the pathways involved in lipid metabolism. / The variation in response may be related to variations in systemic or hepatic exposure to the drug, which in turn will be related to the pharmacokinetics. This is also likely to play a role in the adverse effects of myopathy and therapeutic tolerance. In a pharmacokinetic study in healthy male Chinese subjects, the common polymorphism of CYP2D6*10 was analyzed in relation to the pharmacokinetics of lovastatin and simvastatin. There was a tendency for reduced clearance of simvastatin lactone by 30% (P>0.05) in subjects with the CYP2D6*10/*10 genotype. With lovastatin, there were similar findings with 38.5--84.9% decrease in clearance which appeared to be related to enzyme activity according to genotype, with *5 carriers showing a greater decline in clearance than *10 carriers (P<0.05). / These results provide some insights into the pharmacokinetics and pharmacodynamics of statins and the pharamacogenetic relationships to candidate SNPs. Future research in this field should help to facilitate safer and more effective treatment with these commonly used medications, resulting in personalized therapy and optimal clinical benefits for patients with cardiovascular disease. / This thesis describes a study of 270 patients recruited from the outpatient clinics at the Prince of Wales Hospital who were treated with simvastatin 40 mg daily for at least 4 weeks. Their mean (+/-SD) LDL-C baseline level was 5.38+/-1.68 mmol/L and the reduction in LDL-C after simvastatin treatment was 2.81+/-0.99 mmol/L or -47.1+/-12.5%. / Mak, Wah Lun Valiant. / Adviser: Brian Tomlinson. / Source: Dissertation Abstracts International, Volume: 73-06, Section: B, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 253-289). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Ching, Ka Wai. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves [69-80]). / Abstract also in Chinese. / Abstract (in English) --- p.ii / Abstract (in Chinese) --- p.v / Acknowledgement --- p.viii / Table of Contents --- p.ix / List of Tables --- p.xii / List of Figures --- p.xiii / Glossary of Terms and Abbreviations --- p.xv / Chapter Chapter 1: --- Introduction --- p.1 / Chapter 1.1 --- Introduction of Atopic Eczema (AE) --- p.1 / Chapter 1.1.1 --- Definition and classification of AE --- p.1 / Chapter 1.1.2 --- Epidemiology --- p.3 / Chapter 1.1.2.1 --- The hygiene hypothesis --- p.5 / Chapter 1.2 --- Pathogenesis and Etiology --- p.6 / Chapter 1.2.1 --- Biphasic type-1/type-2 T-helper lymphocyte (Thl/Th2) immunological responses --- p.6 / Chapter 1.2.2 --- Nature and involvements of immunoglobin E (IgE) --- p.8 / Chapter 1.2.3 --- Microbial colonization --- p.9 / Chapter 1.2.4 --- Cytokines involvement --- p.10 / Chapter 1.2.5 --- Pruritus inducing neurotrophic factors --- p.11 / Chapter 1.2.6 --- "Food allergens, aeroallergens" --- p.12 / Chapter 1.2.7 --- Dysregulation of innate immune system --- p.13 / Chapter 1.2.7.1 --- Dysregulation of antimicrobial peptides --- p.14 / Chapter 1.2.7.2 --- Skin barrier impairment --- p.14 / Chapter 1.2.8 --- Genetic predisposition --- p.15 / Chapter 1.3 --- Assessments of Atopic Eczema (AE) --- p.17 / Chapter 1.3.1 --- AE severity assessment --- p.17 / Chapter 1.3.1.1 --- Scoring of atopic dermatitis (SCORAD) system --- p.17 / Chapter 1.3.1.2 --- Nottingham eczema severity score (NESS) --- p.20 / Chapter 1.3.2 --- Dermatological parameter - skin hydration (SH) and transepidermal water loss (TEWL) --- p.22 / Chapter 1.4 --- Chitinase (CHIA) --- p.22 / Chapter 1.4.1 --- Chitin and CHIA --- p.22 / Chapter 1.4.2 --- Association of acid mammalian chitinase (AMCase) with asthma --- p.23 / Chapter 1.4.3 --- Hygiene hypothesis implies: AMCase and allergy relationship --- p.24 / Chapter Chapter 2: --- Hypothesis and Objectives --- p.25 / Chapter 2.1 --- Hypothesis - based on CHIA involvements in canine AE --- p.25 / Chapter 2.2 --- Hypothesis --- p.25 / Chapter 2.3 --- Objective 226}0ؤ based on AMCase single nucleotide polymorphism (SNPs) in asthma susceptibility --- p.25 / Chapter 2.4 --- Objectives --- p.27 / Chapter Chapter 3: --- Methodology --- p.28 / Chapter 3.1 --- Recruitment of cases and controls --- p.28 / Chapter 3.2 --- Assessment of clinical parameters --- p.29 / Chapter 3.2.1 --- Scoring of atopic dermatitis (SCORAD) system --- p.29 / Chapter 3.2.2 --- Nottingham eczema severity score (NESS) --- p.29 / Chapter 3.2.3 --- Dermatologic parameters --- p.29 / Chapter 3.2.3.1 --- Cutaneous bacterial colonization --- p.29 / Chapter 3.2.3.2 --- Skin hydration (SH) and transepidermal water loss (TEWL) --- p.30 / Chapter 3.3 --- Peripheral blood collection and genomic deoxyribonucleic acid (DNA) extraction --- p.30 / Chapter 3.4 --- Acid mammalian chitinase (AMCase) polymorphism genotyping --- p.31 / Chapter 3.4.1 --- Polymerase chain reactions (PCR) amplification of AMCase gene --- p.31 / Chapter 3.4.1.1 --- List of PCR reagents --- p.32 / Chapter 3.4.1.2 --- Electrophoresis reagents --- p.33 / Chapter 3.4.2 --- Restriction fragment length polymorphism (RFLP) analysis of AMCase and confirmation with direct sequencing --- p.33 / Chapter 3.5 --- Statistical analysis --- p.34 / Chapter Chapter 4: --- Results and Data Analysis --- p.36 / Chapter 4.1 --- Results --- p.36 / Chapter 4.1.1 --- Demographic data of cases and controls --- p.36 / Chapter 4.1.2 --- PCR amplification and RFLP analysis of AMCase gene --- p.37 / Chapter 4.1.3 --- PCR cycle sequencing of the PCR fragments --- p.40 / Chapter 4.2 --- Data analysis --- p.41 / Chapter 4.2.1 --- Data overview --- p.41 / Chapter 4.2.2 --- Genotypes distribution of AMCase polymorphisms --- p.43 / Chapter 4.2.2.1 --- Allele frequency comparison of AMCase single nucleotide polymorphism (SNPs) by chi-square --- p.43 / Chapter 4.2.2.2 --- Allele frequency comparison of AMCase SNPs by logistic regression analysis --- p.44 / Chapter 4.2.3 --- Haplotype frequency estimation via maximum likelihood algorithm --- p.45 / Chapter 4.2.4 --- Association of AMCase polymorphism with Atopic Eczema (AE) clinical parameters --- p.47 / Chapter 4.2.4.1 --- Peripheral blood eosinophil counts --- p.48 / Chapter 4.2.4.2 --- Serum immunoglobin E (IgE) level --- p.49 / Chapter 4.2.4.3 --- Dermatologic factors --- p.49 / Chapter 4.2.4.3.1 --- Cutaneous Staphylococcus aureus colonization --- p.49 / Chapter 4.2.4.3.2 --- Skin hydration (SH) and transepidermal water loss (TEWL) --- p.50 / Chapter Chapter 5: --- Discussion --- p.52 / Chapter 5.1 --- Data overview --- p.52 / Chapter 5.2 --- AMCase rs3806448 polymorphism was significantly different among AE cases and controls --- p.53 / Chapter 5.2.1 --- Allele frequency comparison of AMCase SNPs polymorphisms by chi-square --- p.53 / Chapter 5.2.2 --- Allele frequency comparison of AMCase SNPs polymorphisms by logistic regression analysis --- p.54 / Chapter 5.2.3 --- The possible genetic modification by rs3806448 homozygous recessive genotype --- p.55 / Chapter 5.3 --- "Significant difference of haplotype frequency, 2212 among case-control comparison" --- p.56 / Chapter 5.4 --- Strong associations between AMCase SNPs polymorphisms and clinical parameters of AE --- p.57 / Chapter 5.4.1 --- Peripheral blood eosinophil counts --- p.57 / Chapter 5.4.2 --- Dermatologic factors --- p.58 / Chapter 5.4.2.1 --- Cutaneous Staphylococcus aureus colonization --- p.58 / Chapter 5.4.2.2 --- Skin hydration (SH) and transepidermal water loss (TEWL) --- p.59 / Chapter 5.5 --- Limitation of the present study --- p.59 / Chapter Chapter 6: --- Conclusion and Future Prospect --- p.62 / Chapter 6.1 --- Conclusion --- p.62 / Chapter 6.2 --- Future prospect --- p.62 / Chapter Chapter 7: --- Appendices --- p.64 / Chapter Chapter 8: --- References --- p.69

Stearoyl-CoA desaturase1 (SCD1) catalyzes the synthesis of conjugated linoleic acid (CLA) and mono-unsaturated fatty acids (MUFA) in the mammary gland of ruminant animals. We hypothesized that single nucleotide polymorphisms (SNPs) in the coding region, 5' and 3' untranslted regions (UTRs) of the SCD1 gene would influence the activity of SCD1 enzyme and consequently account for some within-breed variations in milk CLA and MUFA. Sequence analysis of the coding region of the SCD1 gene of Jerseys and Holsteins revealed c.702A→G, c.762T→C and c.878C→T SNPs in exon 5 in both breeds and c.435G→A in exon 3 in Holsteins. The SNPs resulted in: A (G435A702T 762C878), A1 (A435A702T 762C878), B (G435G702C 762T878) and B1 (A435G702C 762T878) coding variants in Holsteins and only variants A and B in Jerseys. Only SNP 878C→T resulted in a non-synonymous codon change resulting in p.293Ala and p.293Val protein variants or alleles at the SCD1 locus. Subsequent association studies found significantly higher C10 index, C12 index and C14 index and consequently higher concentrations of C10:1 and C12:1 in p.293AA cows compared to the p.293VV cows in both breeds. The SCD1 genotype had no influence on concentrations of C141, C16:1, C18:1 and CLA in both breeds. / Sequence analysis of the 5' and 3' UTRs revealed no SNPs in the 5'UTR and a total of 14 SNPs in the 3'UTR of both breeds. The SNPs were in complete linkage disequilibrium resulting in 3 haplotypes or regulatory variants: H1 (G1571G1644C1763C2053A2584 A3007C3107G3208 T3290G 3497G3682A4399C4533G4881), H2 (G1571G1644A1763C2053A 2584G3007 C3107G3208T3290G3497G 3682A4399C4533G4881) and H3 (T 1571C1644A1763 T2053G2584G3007T 3107A3208C3290A3497A3682T 4399T4533A4881) in Holsteins and only H1 and H3 variants in Jerseys. A subsequent association study involving 862 Holstein cows, found the H1 regulatory variant to be associated with higher C10 and C12 desaturase indices and consequently with higher concentrations of C10:1 and C12:1 compared with the H3 variant. The effects of the H2 variant were intermediate to those of H1 and H3. 3'UTR genotype had no influence on the concentrations of C14:1, C16:1, C18:1 and CLA. The concentrations of C10:1 and C12:1 in milk fat could therefore be due to effects of SNPs in the open reading frame and the 3'UTR regions of the SCD1 gene. These results indicate that SNPs in the coding and 3'UTR regions of the SCD1 gene could be used as markers for genetic selection for increased C10:1 and C12:1 contents of milk.

INTRODUÇÃO: O aumento mundial da prevalência de obesidade atribui-se principalmente a mudanças nos hábitos alimentares e na prática de atividade física, que afetam indivíduos predispostos geneticamente. Alterações genéticas podem provocar desequilíbrio na regulação homeostática afetando sinalizadores periféricos e centrais. Um componente do controle central fica no núcleo arqueado hipotalâmico, sendo o receptor tipo 4 de melanocortina (MC4R) de suma importância. Mutações no MC4R têm sido relatadas como causa mais frequente de obesidade monogênica. Há evidência de que polimorfismos de nucleotídeo único (SNP) localizados próximos ao MC4R possam estar relacionados ao aumento do risco para obesidade, porém estudos de variantes nesse gene avaliando o consumo alimentar são escassos e controversos. OBJETIVO: Avaliar a influência de variantes alélicas no MC4R sobre consumo alimentar, presença de compulsão alimentar periódica (CAP), composição corporal e perfil clínico e metabólico em crianças e adolescentes obesos. MÉTODOS: Trata-se de um estudo transversal realizado com crianças e adolescentes obesos. Foram avaliados parâmetros antropométricos, metabólicos e fatores de risco cardiometabólicos, incluindo hipertensão arterial sistêmica, glicemia de jejum alterada, hipertrigliceridemia e HDL-colesterol baixo. A CAP foi avaliada utilizando a Escala de Compulsão Alimentar Periódica e o consumo alimentar por meio do Recordatório de 24 horas, analisando consumo calórico total, percentual de macronutrientes e fibras, além da frequência na omissão do café da manhã, adequação de macronutrientes, frações lipídicas e colesterol. Para verificar o efeito dos SNPs no risco para a obesidade foi incluído um grupo controle composto por 137 crianças e adolescentes eutróficos. Foi realizado o sequenciamento do gene MC4R e a genotipagem por PCR em tempo real das variantes rs17782313 e rs12970134, adotando-se o modelo recessivo para a análise. A análise estatística para comparação dos grupos foi conduzida por meio dos Testes T de Student ou Mann-Whitney U. Para avaliar a magnitude do risco, foi realizada regressão logística ajustada para Z-IMC, idade e gênero, com o nível de significância fixado em 0,05. RESULTADOS: Foram incluídos no estudo 536 obesos (52,1% meninas; 12,7 ± 2,7 anos; Z-IMC 3,24 ± 0,57). A frequência dos SNPs foi semelhante entre os grupos de obesos e controle. Os portadores do polimorfismo rs17782313 apresentaram maior nível de triglicérides (108 ± 48 vs.119 ± 54, p=0,034)e maior risco para hipertrigliceridemia (OR=1,985; IC95% 1,288-3,057; p=0,002). Não houve associação do rs12970134 com os parâmetros clínicos, metabólicos ou alimentares. No gene MC4R foram identificados 10 polimorfismos já descritos e uma variante nova, Asn72Ser (A/G), sendo 8 mutações do tipo missense e 3 sinônimas. CONCLUSÕES: Os SNPs rs17782313 e rs12970134 não influenciam o consumo alimentar nem a presença da CAP. O SNP rs17782313 está associado a maior risco de hipertrigliceridemia e maior nível sérico de triglicérides em crianças e adolescentes obesos. A presença de mutações que resultem na perda de função no gene MC4R é rara nessa coorte / INTRODUCTION: The global increase in the prevalence of obesity is attributed mainly to changes in dietary habits and physical activity, which affects genetically predisposed individuals. Genetic alterations can cause imbalance in the homeostatic regulation affecting peripheral and central signals. One component of the central control is the arcuate nucleus of the hypothalamus, and the melanocortin type 4 receptor (MC4R) is of outstanding importance. Mutations in MC4R have been reported as the most frequent cause of monogenic obesity. Studies indicate that polymorphisms located near the MC4R may be related to increased risk for obesity, but the studies of variations in this gene and its relation to food intake are scarce and controversial. OBJECTIVE: To evaluate the influence of allelic variants of MC4R in food intake, binge eating behavior (BE), body composition, clinical and metabolic profile in obese children and adolescents. METHODS: This is a cross-sectional study with obese children and adolescents. Anthropometric, metabolic parameters and cardiometabolic risk factors including hypertension, impaired fasting glucose, hypertriglyceridemia and low HDL-cholesterol were evaluated. The BE was evaluated through the Binge Eating Scale, and to analyze the dietary intake 24 hour recall was used, evaluating total caloric intake, percentage of macronutrients, fiber, omission of breakfast, adequacy of macronutrients, lipid fractions and cholesterol. To investigate the effect of SNPs on obesity risk, a control group of 137 eutrophic children and adolescents was enrolled. The MC4R gene was sequenced and genotyping was performed by real-time PCR of the variants rs17782313 and rs12970134, adopting the recessive model for the analysis. Statistical analysis for group comparison was conducted using the Student T test or Mann-Whitney U test. To assess the magnitude of risk, logistic regression adjusted for Z-BMI, age and gender was performed, with the significance level of 0.05. RESULTS: The study included 536 subjects (52.1% girls, 12.7 ± 2.7 years-old, Z-BMI = 3.24± 0,57). The frequency of SNPs was similar between the obese and control groups. The C allele carriers for the rs17782313 polymorphism had increased triglyceride levels (108 ± 48 vs.119 ± 54, p = 0.034) and increased risk of hypertriglyceridemia (OR = 1.985, 95% CI 1.288-3.057, p = 0.002). There was no association of the SNP rs12970134 with clinical, metabolic or nutritional parameters. Ten polymorphisms already described and a new variant, Arn72Ser (A/G), were identified in the MC4R gene, with 8 missense mutations and 3 synonymous. CONCLUSIONS: The SNPs rs17782313 and rs12970134 did not influence food intake or the presence of BE. The SNP rs17782313 is associated with increased risk of elevated triglycerides and higher serum triglyceride levels in obese children and adolescents. The presence of mutations resulting in loss of function in the MC4R gene is rare in this cohort

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