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Typescript. / Thesis (Ph. D.)--University of Hawaii at Manoa, 1974. / Bibliography: leaves 74-79. / viii, 79 leaves ill

plan B / Pacific Islands Studies

Obesity is a complex and a highly individualized disease and the molecular mechanisms behind this disorder need to be better elucidated. Identification of genes and genetic variants that are involved provide opportunities to establish a genetic understanding of the disease. These findings may also provide more rational approaches to therapy, either by identifying underlying causes or point out the need for different treatments. In addition, the timing and severity of obesity may provide insights into the aetiology of obesity and also identify age-specific determinants of weight gain. Recently, genome-wide association studies have led to a rapid progress in our understanding of the genetic basis of various diseases and candidate genes for obesity have been identified. The overall aim of this thesis was to investigate the genetic impact on severity of childhood obesity and the associations between obesity and genetic variants in the fat mass and obesity associated gene, FTO, and MGAT1, the gene encoding mannosyl (α-1,3-)-glycoprotein β-1,2-N-acetyl-glucosaminyltransferase. We show that the impact of parental body mass index (BMI) on the severity of obesity in children is strengthened as the child grows older, whereas the age at obesity onset is of limited importance. By association studies, we show that single nucleotide polymorphisms downstream MGAT1 influence susceptibility to obesity. Moreover, these variants affect the levels of unsaturated fatty acids and desaturase indices, variables previously shown to correlate with obesity. Furthermore, one variant in the first intronic region of FTO is associated with obesity among children but not with BMI or other measures of adiposity at older ages. However, this variant shows a weight-dependent association with cognitive function among elderly men. By direct sequencing, we identified novel variants in FTO, affecting glucose homeostasis in a BMI-independent manner. Furthermore, we found gender specific effects for FTO, both regarding obesity susceptibility and related phenotypes.

Leadership has been an active area of scientific research since the Second World War, with scholars developing different perspectives on antecedents, processes, and outcomes. Since the founding of the Malaysian Chinese Association (MCA) in 1949, the political party has been subjected to many leadership challenges and crises which have many a time threatened its unity and the interests of the party and members. Of interest will be the understanding of the attributes of leadership which the members would prefer. If these preferences of the members can be examined in the context of consumer/voter behaviour or decision in the electoral marketplace based on the contention that the leaders are products and services, we can bring marketing concepts and tools to the study of voter behaviour or decision (in elections) and so take a step towards an understanding of leadership while providing new evidence concerning MCA members' preferences for their President. Consumer behaviour theory can indeed be applied to voter behaviour in the electoral context. / One of the marketing tools available for this purpose is the use of conjoint analysis as a method for predicting choice of leadership, although it is considered exploratory and unprecedented as there are little or no attempts having been made to apply conjoint analysis for such study. Since the mid-1970s, conjoint analysis has been used as a method to realistically simulate consumer decisions in the context of trade-offs among multiple-attribute products and services in the product development and marketing domains. The reliability and validity of this method have been well documented in the literature. The application of conjoint analysis in the Leadership Studies domain will open up a new dimension of its robustness and dynamics as a method for predicting choice. / Consumer behaviour marketing has much to contribute to the broader interdisciplinary interest in politics and the functioning of the democratic process. This research was carried out in three stages: 1) to explore the leadership attributes model construct in a review of literature; 2) using a focus group study, to develop a final leadership attributes construct considered relevant, applicable and meaningful for the study of the members' preferences for their President; and 3) using web-based Adaptive Conjoint Analysis as a method for predicting choice, to operationalize the leadership attributes construct by subjecting them to voter behaviour (decision-making) during elections in the electoral marketplace. The results from the conjoint study show that Decisiveness, Vision, Openness, Inspirational Motivation, and Relational/Network are the top five attributes for the MCA members' preferences for their President whereas Charismatic (Idealized Influence), Intellectual (Basic Qualification), Communication Language Proficiency, Analytical, and Good Performance Record are the bottom five attributes for the preferences for the leadership. This is important because a significant part of political marketing is candidates and parties spending large amounts of money on targeting voters to influence their decisions as experienced by the MCA in the past especially during the leadership struggles. More importantly, the leadership struggles can be very costly and damaging to the interests of the party and its members if unchecked or moderated. The result of the research is not expected to be the solution to the leadership struggle but the implications for a new evidence of MCA members' preferences for the President as discussed may serve as guidance to the future leadership, as are directions for future research. / Thesis (DBA(DoctorateofBusinessAdministration))--University of South Australia, 2005.

Plasma lipid, lipoprotein and apolipoprotein levels are considered as important and well-established intermediate quantitative phenotypes of Cardiovascular Disease (CVD) risk. Both the mean values and the phenotypic variance vary over the human lifespan. However, it is not known whether there is a genetic basis for this age variability. For example, might different genes act, or different gene interactions occur, as a person ages? If so, how might this be influenced by both environment and phenotype? An understanding of traits at different ages will not only provide insight into the genetic components involved in CHD development, but may also identify additional genetic factors that predispose an individual or population to premature (and later-onset) CHD. By identifying genetic factors that account for variation in important intermediate traits (i.e. lipid levels), we hope to gain a better understanding of disease mechanisms and thus a better chance of developing clinical strategies for preventing or possibly treating abnormal lipid levels and, by association, CHD. The aim of this thesis was to better identify and explain the genetic basis of CHD by focusing on the use of lipid traits as intermediate quantitative phenotypes of CHD. First, phenotypic analyses using structural equation modeling were performed to estimate the relative importance of genetic and environmental factors, and also to investigate whether these traits are influenced by the same gene(s) across time or whether they are age-specific genetic effects. Then, genome-wide linkage analysis was performed to localize cardiovascular susceptibility loci. Finally, a small genome-wide association scan (GWAS) was performed on a subset of the data to identify the relevant variants, in particular those showing associations across time. Phenotypes and marker data were collected in two Australian samples: an adolescent and adult twin pair samples. The adult sample consisted of 1453 twin pairs (968 monozygotic and 485 dizygotic), measured for lipid traits. 415 adult twins provided blood on two to five occasions. The adolescent dataset consisted of 965 twin families (397 monozygotic and 568 dizygotic) measured longitudinally at ages twelve, fourteen and sixteen, and their siblings tested once for the same lipid variables. Results from both the adult and adolescent cohorts indicated that there is more than one genetic factor influencing total cholesterol, HDL, LDL and triglycerides over time (i.e. from different measurement occasions). Common environmental factors did not contribute to variances (except for HDL in adolescents). There were no sex differences in the heritabilities of these intermediate phenotypes. Non-shared environmental factors did not have significant long-term effects. Overall, these two cohorts confirmed that genetic variation contributes substantially to variation in these traits, and suggested there are changes in the genes affecting plasma lipid concentration at different periods of life. Thus, there are age-dependent gene effects influencing HDL, LDL, total cholesterol, or triglycerides at different ages. In the adult genome data, there were 485 adult dizygotic twin pairs typed on average 595 markers, at an average inter-marker distance of 5.0 cM. The genome-wide linkage analysis revealed evidence for linkage in the 7p13 region for triglycerides. Possible candidate genes included NPC1L1 and GSBS. Other regions of “suggestive” linkage identified were chromosome 4p13 (at 62 cM) and Xq26.2-28 (81 cM). Adolescent twins and their siblings from 760 families were typed for linkage using 16,781 markers spaced across the genome at an average distance of 6.25 cM. The adolescent data revealed evidence for linkage to region 6p24.3 for triglycerides (–log10p = 6.81; equivalent LOD = 6.13; p = 0.00000016) and to region 2q31.1 for HDL (–log10p = 3.22, equivalent LOD = 2.27; p = 0.00061). No obvious candidate gene is known in this 6p region. Possible candidate genes in the 2q region include LRP2 and ABCB11. A significant region of linkage was also found on 2q35 for LDL (–log10p = 5.59; equivalent LOD score = 4.53). Other interesting regions of linkage included chromosomes 1q32.1, 4p15.1, 5q13.2, 11p14.3 and 18q11.2. Thus, regions were identified by linkage analyses that are likely to harbour genetic risk factors for cardiovascular disease in the analysed Australian population: chromosomes 7p13 (in adults), 6p24 (adolescents), 2q31.1 and 2q35 (in adolescents). Other regions included 1q32.1, 4p15.1, 5q13.2, 11p14.3 and 18q11.2 in adolescents and chromosome 4p13 and Xq26.2–28 in adults. Genome-wide association results for adolescents showed significant evidence of association between total cholesterol at age 14 (p = 8.24x10-7) and rs10503840 on 8p21.1. Such association has not previously been reported. Evidence of differential association across time was also found between HDL and variant rs10492859, located in the intron of the CDH13 gene, consistent with earlier studies on larger datasets. Significant association (p = 2.25x10-6) was also found between rs10507266 on 12q24.21 in an intron of THRAP2, a gene involved in early development of heart and brain, with triglycerides at age 12. Evidence of association was also found between HDL across time and variant rs10492859 on 16q23. Several other “suggestive” potential loci associated with lipid traits at one time point as well as across time were also found. In conclusion, the work described in this thesis establishes the importance of age-specific genetic effects on plasma lipids and lipoproteins, and identifies several regions of highly significant genetic linkage with these phenotypes in either adolescence or adulthood. It is clear that, as well as cross-sectional studies to identify genes affecting CVD risk factors, longitudinal genetic linkage and association studies are needed to assess relative contributions to risk across the lifespan.

Typescript (photocopy) / x, 342 leaves ; 30 cm / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--Dept. of History, University of Adelaide

The metabolism of vitamin D commences with exposure of the skin to sunlight. The growing recognition of its role in insulin resistance, autoimmune disorders, infections, cancer, as well as the health of cells that influence physical and mental function have profound implications on how we define vitamin D requirements and why we should care whether they are met or not. Most of the actions of vitamin D are mediated by the vitamin D receptor (VDR), a protein whose gene sequence can vary, giving rise to polymorphic forms which are potent enough to affect the binding capacity of this protein to vitamin D. Some of these polymorphic forms of VDR gene may be associated with reduced effectiveness of vitamin D and hence predispose individuals to diseases such as type 2 diabetes and insulin resistance. An earlier study, the Surya Study, looked at the responsiveness of the South-Asian women living in Auckland to vitamin D. The research described here is an extension of this study and its focus was to identify the associations/linkages between certain polymorphic forms of the VDR gene and the disease conditions and intervention responsiveness in the same women. The first objective was to compare two well known techniques for genotyping single nucleotide polymorphisms (SNPs) of the VDR gene at the 3’ end, namely BsmI, ApaI and TaqI: the newer real-time polymerase chain reaction (qPCR) and the traditional restriction fragment length polymorphism polymerase chain reaction (RFLP-PCR) techniques. This comparison was performed to evaluate alternative methods for genotyping which consumed less time than RFLP-PCR. When the presence of each polymorphism by both the techniques was compared in this cohort of South-Asian women, it was found that RFLP-PCR proved to be a more reliable technique than qPCR for genotyping the VDR gene. Another objective of this project was to investigate the prevalence of the above three polymorphisms along with Cdx-2 and FokI SNPs which are present at the 5’ end of the VDR gene, in the population under study and their possible association with phenotypes such as vitamin D responsiveness and insulin resistance. These women were screened and biochemical data was collected during the earlier Surya Study. Of these, eighty-one women were then selected for intervention based on them having high insulin resistance (HOMA-IR>1.93) and serum 25(OH)D<50 nmol/L. Out of these eighty-one women, forty-two were given vitamin D supplement and thirty-nine were given a placebo for six months. Baseline and endpoint measurements included insulin resistance (HOMA-IR), insulin sensitivity (HOMA2%S) etc. How each individual responded to treatment in the intervention group was analysed in the context of the polymorphisms that they had. An association of insulin resistance with BsmI, ApaI and TaqI SNPs was observed in this cohort of 239 women. The response to insulin resistance in the vitamin D supplemented group significantly differed for FokI genotype compared to other genotypes. This explained why certain women responded to treatment better than the others. When the frequencies of the genotypes of these five SNPs of the VDR gene were compared to other studies of different ethnicities, the results of this study were consistent with few studies but contradictory to others. The possible reasons for these differences could be because of small sample size and different ethnicities under study due to which the frequency of alleles and hence the genotypes differed.

The metabolism of vitamin D commences with exposure of the skin to sunlight. The growing recognition of its role in insulin resistance, autoimmune disorders, infections, cancer, as well as the health of cells that influence physical and mental function have profound implications on how we define vitamin D requirements and why we should care whether they are met or not. Most of the actions of vitamin D are mediated by the vitamin D receptor (VDR), a protein whose gene sequence can vary, giving rise to polymorphic forms which are potent enough to affect the binding capacity of this protein to vitamin D. Some of these polymorphic forms of VDR gene may be associated with reduced effectiveness of vitamin D and hence predispose individuals to diseases such as type 2 diabetes and insulin resistance. An earlier study, the Surya Study, looked at the responsiveness of the South-Asian women living in Auckland to vitamin D. The research described here is an extension of this study and its focus was to identify the associations/linkages between certain polymorphic forms of the VDR gene and the disease conditions and intervention responsiveness in the same women. The first objective was to compare two well known techniques for genotyping single nucleotide polymorphisms (SNPs) of the VDR gene at the 3’ end, namely BsmI, ApaI and TaqI: the newer real-time polymerase chain reaction (qPCR) and the traditional restriction fragment length polymorphism polymerase chain reaction (RFLP-PCR) techniques. This comparison was performed to evaluate alternative methods for genotyping which consumed less time than RFLP-PCR. When the presence of each polymorphism by both the techniques was compared in this cohort of South-Asian women, it was found that RFLP-PCR proved to be a more reliable technique than qPCR for genotyping the VDR gene. Another objective of this project was to investigate the prevalence of the above three polymorphisms along with Cdx-2 and FokI SNPs which are present at the 5’ end of the VDR gene, in the population under study and their possible association with phenotypes such as vitamin D responsiveness and insulin resistance. These women were screened and biochemical data was collected during the earlier Surya Study. Of these, eighty-one women were then selected for intervention based on them having high insulin resistance (HOMA-IR>1.93) and serum 25(OH)D<50 nmol/L. Out of these eighty-one women, forty-two were given vitamin D supplement and thirty-nine were given a placebo for six months. Baseline and endpoint measurements included insulin resistance (HOMA-IR), insulin sensitivity (HOMA2%S) etc. How each individual responded to treatment in the intervention group was analysed in the context of the polymorphisms that they had. An association of insulin resistance with BsmI, ApaI and TaqI SNPs was observed in this cohort of 239 women. The response to insulin resistance in the vitamin D supplemented group significantly differed for FokI genotype compared to other genotypes. This explained why certain women responded to treatment better than the others. When the frequencies of the genotypes of these five SNPs of the VDR gene were compared to other studies of different ethnicities, the results of this study were consistent with few studies but contradictory to others. The possible reasons for these differences could be because of small sample size and different ethnicities under study due to which the frequency of alleles and hence the genotypes differed.

The central goal of human genetics is to understand genetic differences both within and between populations and how these differences contribute to phenotypic variation. Recent advances in genotyping technologies and statistical methodology mean that we can now examine population differences at high genetic resolution, and attempt to find common variants that underlie variation in complex traits in the population. In this thesis, differences in maternal genetic ancestry in Australia were examined and a number of genetic association studies were undertaken in an attempt to map genetic variants that underlie complex traits. Abstract Before presenting the results from the five main genetic analyses, an overview is given of the history of gene-mapping in humans, the challenges this has presented, and the major discoveries from both empirical and theoretical studies that have advanced the field of human genetics to the point where hypothesis-free association testing of common variants with complex traits is now possible. The reasons why mitochondrial DNA has proved so useful in examining the history of populations, and the major findings from the field of mitochondrial population genetics are summarised. In addition, some of the major evidence of a role for mitochondrial variants in complex trait variation is presented. For the first main paper, data from 69 mitochondrial variants that tag the majority of common mitochondrial SNPs in European populations was used to test whether there is evidence for population stratification (i.e. the presence of more than one randomly mating population) in the maternal genetic line of modern Australians. By combining the genetic data with self-reported maternal ancestry data, it was shown that there are significant differences in the patterns of mitochondrial variation between groups of individuals whose maternal ancestors came from different areas of the world. Specifically, it was shown that there are significant differences between groups from different regions of Europe, with those from Eastern Europe showing large differences in SNP and haplogroup frequencies compared to the other groups. A test for assortative mating was performed by comparing whether mates in our sample shared more mitochondrial variants in common when compared to randomly drawn pairs from the population. No evidence of increased sharing was found. The second study involved testing whether common mitochondrial variants are associated with a number of physiological and biochemical traits, the majority of which are risk factors for the metabolic syndrome and type 2 diabetes. Phenotypic and genotypic data was available for just over 2,000 adolescent twins measured at three different timepoints. This is the first known mitochondrial association study to use family data, and a methodology based on a linear model was presented for performing such an association. In spite of having power to detect variants of modest effect, only viii one significant association was found between mt14365 and triacyglycerol levels in twins measured at age 12. This association was not replicated across the other age groups. The third study used the methodology developed for family-based mitochondrial association studies to test for association between mitochondrial variants and a battery of cognitive tests in twins aged 16. A previous study with a small sample size had shown an association between mitochondria and IQ, but this had never been replicated or followed-up. A total of 1,385 individuals from 665 families were included, but no statistically significant associations were found. The most strongly associated SNP was found in a gene in which variants have been shown to influence cognition in mice with a homogeneous nuclear genetic background. For the fourth study, a genome-wide association analysis was carried out of 6 self-reported traits related to the menstrual cycle. Sample sizes ranged from 468 for age at menopause to 5,743 for age at menarche. No SNPs were found to be associated at a genome-wide significant level, however, the results from previous association analyses of age at menarche and age at menopause were replicated. A number of regions for each trait that show modest evidence of association have been identified, and these should be targeted for replication in another sample. In addition, a number of genes that show strong evidence for association with each trait were identified and using a multivariate approach, a SNP in the RNA polymerase III subunit B gene was shown to potentially have a pleiotropic effect on age at menarche and duration of menses. In the final study, a genome-wide association study data for self-reported caffeine consumption and caffeine-related sleep disturbance was performed. A number of loci that potentially influence each trait were identified. The association data was combined with gene expression data from three cell types that had been treated with caffeine. A gene-based test was performed to test whether genes that were found to be consistently up- or down-regulated by caffeine treatment show increased evidence of association. There was no evidence of increased association signals in these genes. A number of the caffeine-regulated genes show strong evidence for overall association and represent good candidate genes for targeted replication in a larger sample. Finally, a synthesis of the main results of each study is presented including potential limitations of this research. This discussion includes a critical assessment of the current findings in both mitochondrial genetics and genome-wide association studies, and potential future directions in the field of gene-mapping in humans.