Implementing food-based dietary guidelines for - United Nations ...
Implementing food-based dietary guidelines for - United Nations ...
Implementing food-based dietary guidelines for - United Nations ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
S102<br />
outcomes <strong>for</strong> assessing nutrient adequacy and risk <strong>for</strong><br />
disease prevention.<br />
Human genetic variation<br />
The primary sequence of the human genome was determined<br />
from 5 to 10 individuals of diverse ancestry and<br />
geographic history. The human genome is composed of<br />
approximately 3.1 billion nucleotide base pairs that are<br />
organized into 24 nuclear chromosomes [12]. There are<br />
an estimated 30,000 genes within the human genome<br />
that encode in<strong>for</strong>mation required <strong>for</strong> the synthesis of<br />
all cellular proteins and functional RNA molecules,<br />
although less than half of human genes have been<br />
assigned known or putative functions. Only about 2%<br />
of the total human DNA primary sequence encodes<br />
genes. Most nuclear DNA is termed noncoding and has<br />
structural or regulatory roles or no known roles. The<br />
biological complexity of the mammalian cell is not limited<br />
by the number of genes encoded by its genome. A<br />
single gene can encode more than one RNA or protein<br />
product through posttranscriptional and posttranslational<br />
processing reactions, including RNA editing,<br />
alternative splicing, and other modifications including<br />
differential phosphorylation or methylation. There<strong>for</strong>e,<br />
human cells contain more than 100,000 proteins with<br />
distinct primary sequences as a result of these processing<br />
and modification reactions [13].<br />
The primary nucleotide sequence of the human<br />
genome varies by approximately 0.2% to 0.4% among<br />
humans [14, 15]. Sequence variations are referred to<br />
as polymorphism and constitute a primary molecular<br />
basis <strong>for</strong> human phenotypic variation. There are<br />
several distinct classes of polymorphism, including<br />
single nucleotide polymorphisms (SNPs), micro- and<br />
macrosatellite repeat sequences, and viral insertions.<br />
SNPs are defined as common nucleotide base pair differences<br />
in the primary sequence of DNA and are the<br />
most common variation in human DNA.<br />
SNPs and haplotypes<br />
There are estimated to be more than 10 million SNPs<br />
in the human genome; over 4.5 million SNPs were<br />
validated as of 2004 [15]. SNPs can be single base pair<br />
insertions, deletions, or substitutions of one base pair<br />
<strong>for</strong> another. Nucleotide substitutions are the most<br />
common polymorphisms, whereas insertion/deletion<br />
mutations occur at 1/10 the frequency [16]. SNPs differ<br />
from DNA mutations in two regards: they are present<br />
in the germ line and there<strong>for</strong>e are heritable, and they<br />
must have a prevalence of at least 1% in humans. The<br />
generation of high-density SNP maps of the human<br />
genome facilitates the identification of human disease<br />
alleles, including low-penetrant alleles that may make<br />
relatively small contributions to the initiation and/or<br />
progression of complex disease [12].<br />
DNA sequence is inherited in “blocks” that average<br />
25,000 base pairs during meiotic recombination [13].<br />
There<strong>for</strong>e, SNPs that are physically close with respect<br />
to DNA primary sequence segregate rarely and are<br />
inherited together [13, 17]. SNPs captured within these<br />
blocks are said to be in linkage disequilibrium, which<br />
is defined as the nonrandom association of alleles<br />
at a nearby locus. Linkage disequilibrium is usually<br />
correlated with physical distance between loci but is<br />
also influenced by distance from the centromere and<br />
recombination frequency, which can vary throughout<br />
the genome. Inherited blocks of genetic variation are<br />
referred to as haplotypes, and the size of the haplotype<br />
blocks decays as the number of meiotic recombination<br />
events increases within a population. Ancestral<br />
populations that maintain a high effective population<br />
size <strong>for</strong> long periods are expected to have smaller haplotype<br />
sizes and there<strong>for</strong>e decreased linkage disequilibrium<br />
because of the increased number of historical<br />
recombination and mutation events, both of which<br />
cause linkage disequilibrium decay [12]. As predicted<br />
from evolutionary theory, African populations display<br />
higher levels of genetic diversity than all other human<br />
populations whose founder groups probably exhibited<br />
less genetic variation than the population from which<br />
they emerged and had less time to respond to their<br />
new environments. African linkage disequilibrium patterns<br />
exhibit a greater number of haplotypes and more<br />
divergent patterns of linkage disequilibrium than non-<br />
African populations [12]. Linkage disequilibrium in the<br />
Nigerian population extends an average distance of 5<br />
kilobases, whereas European linkage disequilibrium<br />
can extend nearly 60 kilobases, a finding consistent<br />
with the increased number of recombination events<br />
that have occurred in ancestral populations [12]. Haplotype<br />
maps of human genetic variation offer advantages<br />
<strong>for</strong> disease associational studies because of their<br />
reduced complexity compared with SNP maps [18], but<br />
their utility may be limited because of the variability<br />
in haplotype diversity across candidate genes [19].<br />
Furthermore, haplotype associations do not identify<br />
disease-causing mutations due to genetic hitchhiking<br />
[12] (polymorphisms that are in linkage disequilibrium<br />
with a mutation that is under selection will change in<br />
frequency along with the site undergoing selection).<br />
Because otherwise rare disease alleles can be enriched<br />
in geographically or culturally isolated populations,<br />
full characterization of SNP diversity and haplotype<br />
structure from ethnically diverse populations is critical<br />
<strong>for</strong> the identification of risk alleles that may be specific<br />
to small but identifiable subpopulations.<br />
Transposable elements<br />
P. J. Stover<br />
Genetic variation can also result from the integration<br />
and/or transposition of viral DNA. Approximately half