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2009 Vienna - European Society of Human Genetics

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Complex traits and polygenic disorders<br />

P09.065<br />

A study <strong>of</strong> Kashin-Beck Disease in the homogeneous population<br />

<strong>of</strong> tibet in china<br />

R. S. Gunasekera 1,2 , J. Cokenour 1 , P. Sen 3 , D. Heath 4 , M. Han 5 ;<br />

1 University <strong>of</strong> Houston-Victoria, Victoria, TX, United States, 2 <strong>Human</strong>itarian Solutions,<br />

Inc., Pearland, TX, United States, 3 Baylor College <strong>of</strong> Medicine, Houston,<br />

TX, United States, 4 Innovative <strong>Human</strong>itarian Solutions, Inc., Pearland, TX,<br />

United States, 5 ProHealth Physicians, Manchester, CT, United States.<br />

Kashin-Beck disease (KBD) is an osteoarthropathy which manifests in<br />

children marked by dramatically low levels <strong>of</strong> serum selenium, iodine,<br />

bone and joint deformity, and limited mobility. The disease is endemic<br />

to rural Tibet, China; North Korea, and Siberia. Early investigations had<br />

led to the hypothesis that the disease was due to dietary factors, due<br />

to deficiencies in certain essential nutrients in high plateaus. However,<br />

supplementation <strong>of</strong> the deficient trace minerals conducted by others<br />

has had no positive effect on affected persons. Our group has begun<br />

investigations to the possibility that genetic elements may also be<br />

involved with possible environmental effects in-utero. Pedigree studies<br />

were conducted on 200 individuals in nuclear families with clinical<br />

symptoms. Patients observed ranged from 6 to more than 60 years.<br />

KBD was diagnosed when an affected person had persistent pain,<br />

restricted mobility, or deformity <strong>of</strong> the knees, ankles, elbows, wrist, interphalangeal<br />

joints, hips, or shoulders, in the absence <strong>of</strong> trauma. Preliminary<br />

analysis suggests KBD having an autosomal recessive pattern<br />

<strong>of</strong> inheritance in most families with a possible higher penetrance in<br />

women. Occurrence <strong>of</strong> the disease exhibits familial aggregation while<br />

suggesting the form <strong>of</strong> inheritance polygenetic, and due to multifactorial<br />

factors. Initial studies further suggests that deficiencies in selenium<br />

and iodine may not be causal, but markers <strong>of</strong> an underlying condition<br />

<strong>of</strong> extreme oxidative stress brought on by reactive oxygen species<br />

acting to inhibit proper mesenchymal cell and bone development by<br />

apoptosis. This study attempts to describe pedigree investigations and<br />

nutritional genomics <strong>of</strong> the disease.<br />

P09.066<br />

Association <strong>of</strong> the AcE and BDKRB2 gene polymorphisms with<br />

physical performance <strong>of</strong> kayakers<br />

E. B. Akimov, I. I. Ahmetov, D. V. Rebrikov, A. G. Tonevitsky;<br />

All-Russian Research Institute <strong>of</strong> Physical Culture and Sports, Moscow, Russian<br />

Federation.<br />

Circulating angiotensin I converting enzyme (ACE) exerts a tonic regulatory<br />

function in circulatory homeostasis, through the synthesis <strong>of</strong> vasoconstrictor<br />

angiotensin II, which also drives aldosterone synthesis,<br />

and the degradation <strong>of</strong> vasodilator kinins. A polymorphism in intron 16<br />

<strong>of</strong> the human ACE gene has been identified in which the presence (I allele)<br />

rather than the absence (D allele) <strong>of</strong> a 287 bp Alu-sequence insertion<br />

fragment is associated with lower serum and tissue ACE activity.<br />

Bradykinin is a potent endothelium-dependent vasodilator and acts via<br />

the bradykinin B2 receptor (encoded by BDKRB2). The absence (-9),<br />

rather than the presence (+9), <strong>of</strong> a 9 bp repeat sequence in exon 1 has<br />

previously been shown to be associated with increased gene transcription<br />

and higher BDKRB2 mRNA expression. The aim <strong>of</strong> the study was<br />

to find interrelation between ACE and BDKRB2 gene polymorphisms<br />

and physical performance <strong>of</strong> elite Russian kayakers. Genotyping was<br />

performed by RT-PCR. Physiological parameters were evaluated by<br />

Kayak Ergometer and MetaLyzer II Gas Analyzer at the beginning and<br />

at the end <strong>of</strong> preparation period. Maximal oxygen consumption was<br />

increased by 12.7% and 14.8% in males and females, respectively.<br />

Furthermore, the ventilation volume (VE) was decreased by 9.6% in<br />

males. The total number <strong>of</strong> ACE I and BDKRB2 -9 alleles, favorable for<br />

endurance performance, was negatively correlated with VE values in<br />

males (p=0.0074) and females (p=0.017), indicating that these alleles<br />

are associated with the improvement <strong>of</strong> work economization <strong>of</strong> respiratory<br />

muscles (one <strong>of</strong> the indicators <strong>of</strong> aerobic capacity).<br />

P09.067<br />

<strong>European</strong> Lactase Persistence Allele is Associated With<br />

increase in Body mass index<br />

J. A. Kettunen 1,2 , K. Silander 2,3 , O. Saarela 3 , V. Anttila 1 , J. Laitinen 4 , A. Hartikainen<br />

5 , A. Pouta 5,6 , P. Lahermo 2 , S. Männistö 3 , A. Jula 7 , J. Virtamo 3 , V. Salomaa<br />

3 , G. Davey Smith 8 , M. I. McCarthy 9,10 , M. Järvelin 11,12 , M. Perola 13,3 , L.<br />

Peltonen 1,2 ;<br />

1 Wellcome Trust Sanger Institute, Cambridge, United Kingdom, 2 FIMM, Institute<br />

for Molecular Medicine, Helsinki, Finland, 3 National Institute for Health and<br />

Welfare, Department <strong>of</strong> Chronic Disease Prevention, Helsinki, Finland, 4 Finnish<br />

National Institute <strong>of</strong> Occupational Health, Oulu, Finland, 5 Department <strong>of</strong> Clinical<br />

Sciences/ Obstetrics and Gynecology, Oulu, Finland, 6 National Public Health<br />

Institute and University <strong>of</strong> Oulu, Oulu, Finland, 7 Department <strong>of</strong> Health and<br />

Functional Capacity, National Public Health Institute, Helsinki, Finland, 8 MRC<br />

Centre <strong>of</strong> Causal Analyses in Translational Epidemiology, University <strong>of</strong> Bristol,<br />

Bristol, United Kingdom, 9 Oxford Centre for Diabetes, Endocrinology and Metabolism,<br />

Oxford, United Kingdom, 10 The Wellcome Trust Centre for <strong>Human</strong><br />

<strong>Genetics</strong>, Oxford, United Kingdom, 11 Department <strong>of</strong> Epidemiology and Public<br />

Health, Imperial College London, London, United Kingdom, 12 Institute <strong>of</strong> Health<br />

Sciences, University <strong>of</strong> Oulu, Oulu, Finland, 13 FIMM, Institute for Molecular<br />

Medicine Finland, Helsinki, Finland.<br />

The global prevalence <strong>of</strong> obesity, usually indexed by body mass index<br />

(BMI) cut-<strong>of</strong>fs, has increased significantly in the recent decades,<br />

mainly due to positive energy balance. However, the impact <strong>of</strong> a selection<br />

for specific genes cannot be excluded. Here we have tested the<br />

association between BMI and one <strong>of</strong> the best known genetic variants<br />

showing strong selective pressure: the functional variant in the cisregulatory<br />

element <strong>of</strong> the lactase gene. We tested this variant since it<br />

is presumed to provide nutritional advantage in specific physical and<br />

cultural environments. We found that the variant responsible for lactase<br />

persistence among <strong>European</strong>s was also associated with higher<br />

BMI in a Nordic population sample (p = 1.3*10 -5 ) <strong>of</strong> 15 209 individuals,<br />

the size <strong>of</strong> the effect being close to that <strong>of</strong> FTO. We tested the effect<br />

<strong>of</strong> population stratification and concluded that the association was not<br />

due to population substructure.<br />

P09.068<br />

Association between copy number variation <strong>of</strong> glycogen<br />

synthase kinase 3 beta / Nr1i2 and major depression<br />

Z. Elek 1 , E. Szantai 1 , R. Nagy 1 , G. Faludi 2 , A. Sarosi 2 , M. Sasvari-Szekely 1 ;<br />

1 Department <strong>of</strong> Medical Chemistry, Molecular Biology and Pathobiochemistry,<br />

Semmelweis University, Budapest, Hungary, 2 Department <strong>of</strong> Clinical and<br />

Theoretical Mental Health, Kútvölgyi Clinical Center, Semmelweis University,<br />

Budapest, Hungary.<br />

Copy number variation (CNV) or copy number polymorphism (CNP) is<br />

a novel approach in candidate gene studies. Recently, glycogen synthase<br />

kinase 3 beta (Gsk3β) and its adjacent gene, Nr1i2 (pregnane X<br />

receptor is<strong>of</strong>orm) has been reported to associate with bipolar depression<br />

(Lachman et al, 2007. Here we present a case - control study<br />

<strong>of</strong> 216 patients with major depression and 175 controls, involving the<br />

chromosomal region <strong>of</strong> glycogen synthase kinase 3 beta (Gsk3β) and<br />

its adjacent genes, Nr1i2 and C3ORF15. The gene dosage has been<br />

measured by Taqman (Applied Biosystems) real time PCR systems,<br />

as well as by conventional PCR and capillary electrophoresis. In accordance<br />

with the previously published results, the variations in the<br />

copy number <strong>of</strong> the above genes seem to be very rare, although an<br />

accumulation <strong>of</strong> increased copy number has been found in the patient<br />

group (4/216 vs. 1/175). On the other hand we did not find any deletion<br />

<strong>of</strong> these genes in our samples. Taking together the published results <strong>of</strong><br />

Lachman et al. and ours, amplification <strong>of</strong> this region seems to have a<br />

significant (p=0.006) increase among patients with major depression.<br />

P09.069<br />

Significant associations between AKT1 SNP markers and Major<br />

Depressive Disorder in the chinese population<br />

Z. Z. Zhao1 , X. Q. Chen2 , D. Q. Li1 , M. J. Wang1 , M. Ai1 , N. Chen2 , J. M. Chen1 ,<br />

X. M. Li1 , L. Kuang1 ;<br />

1The First Affiliated Hospital, Chongqing Medical University, Chongqing, China,<br />

2West China Hospital, West China Medical School, Sichuan University, Chengdu,<br />

China.<br />

Background: V-akt murine thymoma viral oncogene homologue 1<br />

(AKT1) is a serine/threonine kinase. Abnormality <strong>of</strong> AKT1 is involved<br />

in various diseases, including mental disorder. Recent evidence suggests<br />

that the Variation in AKT1 gene has been associated with schizophrenia,<br />

Parkinson’s disease and type II diabetes. But the relationship<br />

<strong>of</strong> AKT1 gene variation in depression is unknown. The aim <strong>of</strong> the<br />

present study was to investigate the potential role <strong>of</strong> variability within<br />

AKT1 gene polymorphisms as a risk factor for major depressive disorder<br />

(MDD).<br />

Method: We performed a case-control association analysis <strong>of</strong> AKT1.<br />

Five single nucleotide polymorphisms (SNPs) according to the origi-

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