9 research outputs found
The Hirschsprung'sâmultiple endocrine neoplasia connection
The risk of patients with Hirschsprung's disease later developing multiple endocrine neoplasia remains a matter of concern. The multiple endocrine neoplasia 2âHirschsprung's disease association has been shown to cosegregate in Hirschsprung's disease patients with both short- and long-segment aganglionosis, although patients with long-segment aganglionosis a to carry the greatest risk. The Hirschsprung's diseaseâmedullary thyroid carcinoma relationship also appears to be bi-directional, and activation or suppression of the rearranged during transfection gene appeared to vary over succeeding generations within the same family. Rearranged during transfection gene variations are associated with both conditions. The cosegregation of Hirschsprung's disease and multiple endocrine neoplasia 2 is particularly interesting as it involves both âswitch offâ and âswitch onâ of the rearranged during transfection proto-oncogene in the same patient. This cosegregation mostly relates to the cysteine-rich area on RET-620 (the âJanus geneâ). The mechanism whereby rearranged during transfection influences gene activation in multiple endocrine neoplasia 2 is complex, but genetic variations impair the rearranged during transfection tyrosine kinase response to tyrosine kinase activation, thus appearing to dictate downstream signaling cascade responses. Better understanding of the RET-620 relationship allows for a more cost-effective method of identifying those at risk by focusing rearranged during transfection gene testing to this specific area as a âhot spotâ. The clinical awareness of possible medullary thyroid carcinoma has led to timely intervention and early treatment of this chemo- and radioresistant tumor with poor prognosis. Establishment of âriskâ by genetic testing has become a classic model of molecular medicine being integrated into patient care and offering rearranged during transfection-directed prophylactic surgical management. In addition, novel approaches to treatment based on this genetic knowledge have already shown early promise in randomized clinical trials
Fat Mass and Obesity-Associated (FTO) Gene Polymorphisms Are Associated with Physical Activity, Food Intake, Eating Behaviors, Psychological Health, and Modeled Change in Body Mass Index in Overweight/Obese Caucasian Adults
The fat mass and obesity-associated (FTO) gene is currently recognized as the most robust predictor of polygenic obesity. We investigated associations between the FTO rs1421085 and rs17817449 polymorphisms and the FTO rs1421085ârs17817449 haplotype and dietary intake, eating behavior, physical activity, and psychological health, as well as the effect of these associations on BMI. N = 133 treatment seeking overweight/obese Caucasian adults participated in this study. Genotyping was performed from whole blood samples. Weight and height was measured and a non-quantified food frequency questionnaire was completed to assess food group intake. Validated questionnaires were completed to assess physical activity (Baecke questionnaire), psychological health (General Health questionnaire, Rosenburg self-esteem scale and Beck Depression Inventory), and eating behavior (Three Factor Eating questionnaire). The risk alleles of the FTO polymorphisms were associated with poorer eating behaviors (higher hunger, internal locus for hunger, and emotional disinhibition scores), a higher intake of high fat foods and refined starches and more depressive symptoms. The modeled results indicate that interactions between the FTO polymorphisms or haplotypes and eating behavior, psychological health, and physical activity levels may be associated with BMI. The clinical significance of these results for implementation as part of weight management interventions needs further investigation
Mutational analysis of the solute carrier family 11 member 1 gene (SLC11A1) implicated in iron transport
Thesis (PhD)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: The solute carrier family 11 member 1 gene (SLC11A 1) is a divalent metal ion
transporter with various pleiotropic effects on macrophage function. This gene that
regulates iron, and is also regulated by cellular iron levels, has previously been linked
to many infectious and autoimmune diseases. In this analysis, in vitro studies using
the luciferase reporter system as well as case-control association studies were
applied to investigate the significance of SLC11 A1 allelic variation in patients with
diverse disease phenotypes.
For in vitro studies, five different SLC11A 1 promoter constructs were generated,
followed by transfection into U937 and THP-1 cells. The inserted fragments included
two previously described alleles (alleles 2 and 3), two novel alleles identified in this
study (alleles 8 and 9) and a C to T point mutation at nucleotide position -237 in the
presence of allele 3. The most striking finding was the opposite effect observed for
allele 3 in the presence of the -237C~ T polymorphism, similar to that of allele 2.
Although the SLC11A 1 gene has previously been implicated in iron transport, we
have demonstrated, for the first time, that the various alleles investigated cause
differential expression of the gene upon iron loading.
Association studies were performed by investigating diseases including oesophageal
cancer (DC), inflammatory bowel disease (lBO) and hereditary haemochromatosis
(HH) (or primary iron overload). Significant associations (P<O.05) were observed with
allele 3 for all three conditions investigated only after stratification according to the
presence of the -237C~ T polymorphism. Re-assessment of the promoter alleles
according to expression profiles determined by the in vitro studies, showed
statistically significant associations for allele 3 with DC and primary iron overload,
compared with the respective population-matched control groups. Additionally,
several novel variants were identified in exon 2 (112G~A, 148deIGACCAGCCC,
157insGACCAGCCCAG) and intron 1 (IVS1-28C~T), with variant IVS1-28C~T
occurring at a significantly increased frequency in patients with DC compared with
population-matched controls (P<O.05). Investigation of the SLC11A 1 gene in
individuals presenting with iron overload in the absence of homozygosity for the HFE
C282Y mutation, provided further support for the importance of sequence variation in the promoter region of the SLC11A 1 gene in modified risk of iron-related disorders.
Genes related to iron homeostasis, including HFE, SLC11A3, HAMP and DCYTB,
were investigated in individuals with similar criteria and potential disease-causing
mutations were identified in 11% White and 45% Black South African patients. The
possible significance of the SLC11A3 and DCYTB genes in iron overload in the Black
South African population, and the possible involvement of the DCYTB gene in iron
overload in general, are demonstrated for the first time.
This study contributed to a better understanding of the function of the SLC11A 1 gene
in relation to iron metabolism. The involvement of SLC11A 1 in a range of disease
phenotypes including cancer and inflammatory conditions that may involve iron
dysregulation, can probably be explained by interaction with external factors such as
infectious agents that may affect cellular iron status. Our findings provide both in vivo
and in vitro evidence that iron dysregulation mediated by allelic effects of SLC11A 1
may underlie disease susceptibility to infectious and autoimmune conditions.AFRIKAANSE OPSOMMING: Die opgeloste stof draer familie 11 deel 1 geen (SLC11 A 1) is 'n divalente metaal ioon
vervoerder met verskeie pleiotropiese effekte op makrofaagfunksie. Die geen, wat
yster reguleer en ook deur sellulĂȘre ystervlakke gereguleer word, is voorheen verbind
met verskeie infektiewe en outo-immune siektes. In hierdie studie is in vitro analises,
deur middel van die lusiferase verklikker sisteem, asook gevalle-kontrole assosiasie
studies gebruik om die rol van SLC11A 1 alleel variasie in pasiënte met diverse
siektefenotipes te ondersoek.
Vyf verskillende SLC11A 1 promotor variante is geskep vir in vitro studies en gevolg
deur transfeksie in U937 en THP-1 sellyne. Die ingevoegde fragmente het twee
voorheen beskryfde allele (allele 2 en 3), twee nuwe allele wat in hierdie studie
geĂŻdentifiseer is (allele 8 en 9) en In C na T puntmutasie by nukleotied posisie -237
in die teenwoordigheid van alleel 3 ingesluit. Die opvallendste bevinding was die
teenoorgestelde effek wat waargeneem is wanneer alleel 3 in die teenwoordigheid
van die -237C~ T polimorfisme voorkom, soortgelyk aan alleel 2 uitdrukking.
Alhoewel die SLC11A1 geen voorheen geĂŻmpliseer is in yster vervoer, is daar vir die
eerste keer aangetoon dat na yster lading, die verskillende allele differensiële
uitdrukking van die geen veroorsaak.
Verskeie siektes, insluitend slukderm kanker (OC), inflammatoriese dermsiekte (lBO)
en oorerflike hemochromatose (HH) (of primĂȘre ysteroorlading), is ondersoek deur
middel van assosiasie studies. Betekenisvolle verskille (P<O.05) is waargeneem vir
alleel 3 tussen die kontrole- en pasiëntgroepe in al drie siektes wat ondersoek is,
maar slegs na stratifikasie volgens die teenwoordigheid van die -237C~ T
polimorfisme. Na hersiening van die promotor allele volgens ekspressie profiele
verkry met in vitro studies is statisties betekenisvolle assosiasie ook verkry vir alleel 3
met OC en primĂȘre ysteroorlading in vergelyking met die onderskeie populasie
kontrolegroepe. Verder is verskeie nuwe variante ook geĂŻdentifiseer in ekson 2
(112G~A, 148deIGACCAGCCC, 157insGACCAGCCCAG) en intron 1 (IVS1-
28C~ T) en 'n statisties betekenisvolle verhoogde frekwensie van variant IVS1-
28C~ T is waargeneem in pasiënte met OC in vergelyking met die populasie
kontrolegroep (P<O.05). Die belangrikheid van variasie in die promotor area van die SLC11A 1 geen as 'n modifiserende faktor in ysterverwante siektes, is verder
ondersteun deur die SLC11A 1 geen in individue met ysteroorlading in die
afwesigheid van homosigositeit vir die HFE C282Y mutasie te ondersoek. Ander
gene geassosieerd met yster homeostase, insluitend HFE, SLC11A3, HAMP and
DCYTB, is ondersoek in individue met soortgelyke seleksie kriteria en potensiële
siekte-verwante mutasies is geĂŻdentifiseer in 11% Wit en 45% Swart Suid-Afrikaanse
pasiënte. Die moontlike belang van die SLC11A3 en DCYTB gene in ysteroorlading
in die Swart Suid-Afrikaanse populasie en die moontlike betrokkenheid van die
DCYTB geen in yster oorlading oor die algemeen, is vir die eerste keer aangetoon.
Hierdie studie dra by tot 'n beter insig in die funksie van die SLC11A 1 geen ten
opsigte van ystermetabolisme. Die betrokkenheid van SLC11A 1 in 'n reeks siekte
fenotipes, wat insluit kanker en inflammatoriese toestande wat verband kan hou met
'n yster wanbalans, kan moontlik verklaar word deur interaksie met eksterne faktore
soos infektiewe agente wat die sellulĂȘre yster status kan beĂŻnvloed. Ons bevindinge
verskaf beide in vivo en in vitro getuienis dat yster wanbalans, wat bemiddel word
deur alleliese effekte van SLC11A1, verantwoordelik mag wees vir vatbaarheid vir
infektiewe en outoimmune siekte toestande
Fat mass and obesity-associated (FTO) gene polymorphisms are associated with physical activity, food intake, eating behaviors, psychological health, and modeled change in body mass index in overweight/obese caucasian adults
Please cite as follows: Harbron, J., Van der Merwe, L., Zaahl, M. G., Kotze, M. J. & Senekal, M. 2014. Fat mass and obesity-associated (FTO) gene polymorphisms are associated with physical activity, food intake, eating behaviors, psychological health, and modeled change in body mass index in overweight/obese caucasian adults. Nutrients, 6(8):3130-3152, doi:10.3390/nu6083130.The original publication is available at http://www.mdpi.com/journal/nutrientsThe fat mass and obesity-associated (FTO) gene is currently recognized as the most robust predictor of polygenic obesity. We investigated associations between the FTO rs1421085 and rs17817449 polymorphisms and the FTO rs1421085ârs17817449 haplotype and dietary intake, eating behavior, physical activity, and psychological health, as well as the effect of these associations on BMI. N = 133 treatment seeking overweight/obese Caucasian adults participated in this study. Genotyping was performed from whole blood samples. Weight and height was measured and a non-quantified food frequency questionnaire was completed to assess food group intake. Validated questionnaires were completed to assess physical activity (Baecke questionnaire),psychological health (General Health questionnaire, Rosenburg self-esteem scale and Beck Depression Inventory), and eating behavior (Three Factor Eating questionnaire). The risk alleles of the FTO polymorphisms were associated with poorer eating behaviors (higher hunger, internal locus for hunger, and emotional disinhibition scores), a higher intake of high fat foods and refined starches and more depressive symptoms. The modeled results indicate that interactions between the FTO polymorphisms or haplotypes and eating behavior, psychological health, and physical activity levels may be associated with BMI. The clinical significance of these results for implementation as part of weight management interventions needs further investigation.http://www.mdpi.com/2072-6643/6/8/3130Publisher's versio
Analysis of genes implicated in iron regulation in individuals presenting with primary iron overload
Fat Mass and Obesity-Associated (FTO) Gene Polymorphisms Are Associated with Physical Activity, Food Intake, Eating Behaviors, Psychological Health, and Modeled Change in Body Mass Index in Overweight/Obese Caucasian Adults
The fat mass and obesity-associated (FTO) gene is currently recognized as the most robust predictor of polygenic obesity. We investigated associations between the FTO rs1421085 and rs17817449 polymorphisms and the FTO rs1421085ârs17817449 haplotype and dietary intake, eating behavior, physical activity, and psychological health, as well as the effect of these associations on BMI. N = 133 treatment seeking overweight/obese Caucasian adults participated in this study. Genotyping was performed from whole blood samples. Weight and height was measured and a non-quantified food frequency questionnaire was completed to assess food group intake. Validated questionnaires were completed to assess physical activity (Baecke questionnaire), psychological health (General Health questionnaire, Rosenburg self-esteem scale and Beck Depression Inventory), and eating behavior (Three Factor Eating questionnaire). The risk alleles of the FTO polymorphisms were associated with poorer eating behaviors (higher hunger, internal locus for hunger, and emotional disinhibition scores), a higher intake of high fat foods and refined starches and more depressive symptoms. The modeled results indicate that interactions between the FTO polymorphisms or haplotypes and eating behavior, psychological health, and physical activity levels may be associated with BMI. The clinical significance of these results for implementation as part of weight management interventions needs further investigation