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1.
Endocr J ; 71(3): 223-231, 2024 Mar 28.
Article in English | MEDLINE | ID: mdl-38123337

ABSTRACT

To identify those who might benefit from weight reduction within a large population of obese individuals, Japan Society for the Study of Obesity (JASSO) advocated the concept of "obesity disease." Here we summarize the definition, criteria, and core concepts for the management of obesity disease based on JASSO's latest guideline. JASSO defines obesity as excessive fat storage in adipose tissue associated with a BMI of ≥25 kg/m2. The threshold BMI of obesity is low as compared to Western countries given that Japanese individuals tend to develop obesity-related health disorders at lower BMI. Obesity with a BMI of ≥35 kg/m2 is referred to as "high-degree obesity" as treatment strategies vary based on the degree of obesity. Obesity is diagnosed as "obesity disease" if accompanied by any of the 11 specific obesity-related health disorders that weight reduction can prevent or alleviate, or if it meets the criteria for visceral fat obesity with a visceral fat area of ≥100 cm2. The initial weight reduction goals for high-degree obesity disease range from 5% to 10% of their current body weight, depending on the associated health disorders. That for those with obesity disease who do not qualify as high-degree is 3% or more. If these initial goals are not achieved, intensifying dietary therapy or introducing drug therapy (or both) may be necessary. While surgical treatment is primarily indicated for high-degree obesity disease, it might be appropriate for cases of obesity disease with a BMI <35 kg/m2, depending on the accompanying health disorders. Enhancing the quality of life for individuals with obesity or obesity disease necessitates a broader societal approach, emphasizing the resolution of related stigma.


Subject(s)
Obesity , Quality of Life , Humans , Japan/epidemiology , Obesity/diagnosis , Obesity/therapy , Obesity/complications , Obesity, Abdominal/complications , Body Mass Index , Weight Loss
2.
Endocr J ; 62(6): 513-21, 2015.
Article in English | MEDLINE | ID: mdl-25832963

ABSTRACT

Visceral fat accumulation contributes to the development of insulin resistance, leading to metabolic syndrome. Adiponectin provides a link between visceral fat accumulation and insulin resistance. In addition to environmental factors, genetic factors play important roles in visceral fat accumulation and circulating adiponectin levels. Genome-wide association studies (GWASs) have identified genetic variations in the adiponectin, C1Q and collagen domain containing (ADIPOQ) gene that are associated with adiponectin levels. In this study, we investigated whether ADIPOQ single nucleotide polymorphisms (SNPs) were associated with visceral fat accumulation and insulin resistance. We measured the visceral fat area (VFA) by computed tomography (CT) and examined the presence of the insulin resistance-related phenotype (fasting plasma glucose, fasting insulin, and homeostasis model assessment-insulin resistance [HOMA-IR]) in a set of Japanese individuals (731 men and 864 women) who were genotyped for seven ADIPOQ SNPs reported by recent GWASs (namely, rs6810075, rs10937273, rs1648707, rs864265, rs182052, rs17366568, and rs6773957). SNPs associated with the phenotype (P < 0.05) were then evaluated by association analysis using a second set of the study participants (383 men and 510 women). None of the SNPs was associated with body mass index (BMI) or VFA in men or women. However, the adiponectin-decreasing alleles of rs10937273 and rs1648707 were significantly associated with HOMA-IR (P = 0.0030 and P = 0.00074, respectively) in women, independently of BMI. These SNPs were significantly associated with decreased adiponectin levels in women. Our results suggested that rs10937273 and rs1648707 may affect insulin sensitivity by regulating adiponectin production by adipose tissue in women.


Subject(s)
Adiponectin/genetics , Down-Regulation , Insulin Resistance , Polymorphism, Single Nucleotide , Adiponectin/blood , Adiponectin/metabolism , Adiposity , Adult , Aged , Alleles , Body Mass Index , Female , Gene Frequency , Genetic Association Studies , Genetic Predisposition to Disease , Humans , Intra-Abdominal Fat/diagnostic imaging , Intra-Abdominal Fat/metabolism , Male , Metabolic Syndrome/blood , Metabolic Syndrome/genetics , Metabolic Syndrome/metabolism , Middle Aged , Sex Characteristics , Tomography, X-Ray Computed
4.
Nihon Hoshasen Gijutsu Gakkai Zasshi ; 71(4): 348-55, 2015 Apr.
Article in Japanese | MEDLINE | ID: mdl-25892422

ABSTRACT

This is the eighth investigation which has been carried out every 5 years since 1974 for the purpose of grasping the trend of X-ray devices and the radiographic condition. We gathered it up mainly on a radiographic condition, in this report. As for the chest radiography and double contrast gastrography, introduction of the flat panel detector (FPD) advanced in comparison with the last survey. Ratio of the imaging system at chest radiography was 65% for computed radiography (CR), 33% for FPD, 1% for screen/film (S/F), and 1% for others. The radiographic condition of FPD was current time product less than CR. Ratio of the imaging system at gastrography was 3% for CR, 48% for FPD, 34% for image intensifier-digital radiography (I.I.-DR), and 15% for S/F. The tube voltage and the exposure time were similar to the last survey time, but the tube current became lower. Through this survey, the change of the radiographic condition was seen in the radiography part where introduction of the FPD advanced. We think the continuous survey is necessary in future.


Subject(s)
Radiographic Image Enhancement/instrumentation , Radiation Dosage , Radiographic Image Interpretation, Computer-Assisted , Surveys and Questionnaires
5.
Clin Exp Hypertens ; 36(4): 236-43, 2014.
Article in English | MEDLINE | ID: mdl-23865387

ABSTRACT

To identify risk factors for cardiovascular disease (CVD) in hypertensive patients with no history of CVD being treated with antihypertensive drugs, we examined subgroup data (n = 13 052) from the prospective, observational Olmesartan Mega Study to Determine the Relationship between Cardiovascular Endpoints and Blood Pressure Goal Achievement (OMEGA) study. Risk factors for CVD, stroke and coronary heart disease (CHD) were examined using a Cox proportional hazards model. In addition, the effect of statin therapy at baseline on CHD prevention was analyzed in dyslipidemic patients. The factors significantly related to CVD were female (hazard ratio [HR] = 0.637, 95% confidence interval [CI] 0.428-0.948), older age (65-69 years: HR = 2.165, 95% CI 1.214-3.861; 70-74 years: HR = 2.324, 95% CI 1.294-4.174; ≥75 years: HR = 2.448, 95% CI 1.309-4.578), family history of CHD (HR = 1.993, 95% CI 1.249-3.179), diabetes (HR = 2.287, 95% CI 1.700-3.078), current smoking (HR = 2.289, 95% CI 1.512-3.466) and alcohol drinking socially (HR = 0.589, 95% CI 0.379-0.913). Diabetes was a risk factor for both stroke and CHD, while age, family history of CHD, and sodium intake score were risk factors for stroke alone. Sex, dyslipidemia, smoking and exercise habits were risk factors for CHD alone. The risk of CHD in dyslipidemic patients on statin treatment was comparable to the risk in patients without dyslipidemia (HR = 1.134, 95% CI 0.604-2.126). However, in dyslipidemic patients not on statin treatment, the HR increased to 1.807 (95% CI 1.156-2.825). In conclusion, some risk factors for CVD in hypertensive patients being treated with antihypertensive drugs with no history of CVD differed between CHD and stroke. These results suggest the importance of managing dyslipidemia with a statin for primary prevention of CHD, as well as the importance of hypertension therapy.


Subject(s)
Cardiovascular Diseases/prevention & control , Hypolipidemic Agents/therapeutic use , Imidazoles/therapeutic use , Lipids/blood , Primary Prevention/methods , Risk Assessment/methods , Tetrazoles/therapeutic use , Aged , Angiotensin II Type 1 Receptor Blockers/therapeutic use , Cardiovascular Diseases/blood , Cardiovascular Diseases/epidemiology , Female , Follow-Up Studies , Humans , Japan/epidemiology , Male , Middle Aged , Retrospective Studies , Risk Factors , Treatment Outcome
6.
Endocr J ; 60(8): 991-1000, 2013.
Article in English | MEDLINE | ID: mdl-23708086

ABSTRACT

The predominant risk factor of metabolic syndrome is intra-abdominal fat accumulation, which is determined by waist circumference, waist-hip ratio measurements and visceral fat area (VFA); the latter can be accurately measured by performing computed tomography (CT). In addition to environmental factors, genetic factors play an important role in obesity and fat distribution. New genetic loci associated with body mass index (BMI) and adiposity have been identified by genome-wide association studies (GWASs). This study utilized CT to investigate whether single nucleotide polymorphisms (SNPs) that confer susceptibility to higher BMI are associated with VFA, subcutaneous fat area (SFA), and the ratio of VFA to SFA (V/S ratio). We measured the VFA and SFA of 1424 obese Japanese subjects (BMI ≥ 25 kg/m(2), 635 men and 789 women) who were genotyped for 13 single nucleotide polymorphisms (SNPs) reported by recent GWASs, namely, TNNI3K rs1514175, PTBP2 rs1555543, ADCY3 rs713586, IRS1 rs2943650, POC5 rs2112347, NUDT3 rs206936, LINGO2 rs10968576, STK33 rs4929949, MTIF3 rs4771122, SPRY2 rs534870, MAP2K5 rs2241423, QPCTL rs2287019, and ZC3H4 rs3810291. The G-allele of NUDT3 rs206936 was significantly associated with increased BMI (P = 5.3 × 10(-5)) and SFA (P = 0.00039) in the obese Japanese women. After adjustment with BMI, the association between rs206936 and SFA was not observed. This significant association was not observed in the men. The other SNPs analyzed were not significantly associated with BMI, VFA, SFA, or V/S ratio. Our results suggest that NUDT3 rs206936 is associated with BMI in Japanese women.


Subject(s)
Acid Anhydride Hydrolases/genetics , Body Mass Index , Intra-Abdominal Fat/metabolism , Obesity/genetics , Subcutaneous Fat/metabolism , Adult , Female , Genome-Wide Association Study , Humans , Intra-Abdominal Fat/diagnostic imaging , Male , Middle Aged , Obesity/diagnostic imaging , Polymorphism, Single Nucleotide , Subcutaneous Fat/diagnostic imaging , Tomography, X-Ray Computed , Waist Circumference
7.
Nihon Rinsho ; 71(2): 341-5, 2013 Feb.
Article in Japanese | MEDLINE | ID: mdl-23631218

ABSTRACT

Therapeutic effects of obesity disease (obesity as a disease) are determined by the weight reduction, decrease of visceral fat and improvement of comorbidities. Evaluation criterion of therapeutic effect is determined a decrease of more than 3% weight reduction, because improvement of comorbidities in obesity, especially visceral obesity, is observed in the weight loss of more than 3%. In obesity more than 30 in BMI or morbid obesity, it is necessary to weight reduction more than 5%.


Subject(s)
Obesity/therapy , Body Mass Index , Humans , Intra-Abdominal Fat , Life Style , Treatment Outcome , Weight Loss
8.
J Hum Genet ; 57(1): 46-51, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22071413

ABSTRACT

Visceral fat accumulation has an important role in increasing the morbidity and mortality rates, by increasing the risk of developing several metabolic disorders, such as type 2 diabetes, dyslipidemia and hypertension. New genetic loci that are associated with increased systolic and diastolic blood pressures have been identified by genome-wide association studies in Caucasian populations. This study investigates whether single nucleotide polymorphisms (SNPs) that confer susceptibility to high blood pressure are also associated with visceral fat obesity. We genotyped 1279 Japanese subjects (556 men and 723 women) who underwent computed tomography for measuring the visceral fat area (VFA) and subcutaneous fat area (SFA) at the following SNPs: FGF5 rs16998073, CACNB2 rs11014166, C10orf107 rs1530440, CYP17A1 rs1004467, NT5C2 rs11191548, PLEKHA7 rs381815, ATP2B1 rs2681472 and rs2681492, ARID3B rs6495112, CSK rs1378942, PLCD3 rs12946454, and ZNF652 rs16948048. In an additive model, risk alleles of the CYP17A1 rs1004467 and NT5C2 rs11191548 were found to be significantly associated with reduced SFA (P=0.00011 and 0.0016, respectively). When the analysis was performed separately in men and women, significant associations of rs1004467 (additive model) and rs11191548 (recessive model) with reduced VFA (P=0.0018 and 0.0022, respectively) and SFA (P=0.00039 and 0.00059, respectively) were observed in women, but not in men. Our results suggest that polymorphisms in the CYP17A1 and NT5C2 genes influence a reduction in both visceral and subcutaneous fat mass in Japanese women.


Subject(s)
5'-Nucleotidase/genetics , Asian People/genetics , Genetic Association Studies , Genetic Variation , Intra-Abdominal Fat/enzymology , Steroid 17-alpha-Hydroxylase/genetics , Subcutaneous Fat/enzymology , Adiposity/genetics , Blood Pressure/genetics , Body Mass Index , Female , Genetic Loci/genetics , Genotype , Humans , Japan , Male , Middle Aged , Polymorphism, Single Nucleotide/genetics
9.
J Hum Genet ; 57(5): 305-10, 2012 May.
Article in English | MEDLINE | ID: mdl-22377712

ABSTRACT

Visceral fat accumulation has an important role in the development of several metabolic disorders, such as type 2 diabetes, dyslipidemia and hypertension. New genetic loci that contribute to the development of type 2 diabetes have been identified by genome-wide association studies. To examine the association of type 2 diabetes susceptibility loci and visceral fat accumulation, we genotyped 1279 Japanese subjects (556 men and 723 women), who underwent computed tomography for measurements of visceral fat area (VFA) and subcutaneous fat area (SFA) for the following single-nucleotide polymorphisms (SNPs): NOTCH2 rs10923931, THADA rs7578597, PPARG rs1801282, ADAMTS9 rs4607103, IGF2BP2 rs1470579, VEGFA rs9472138, JAZF1 rs864745, CDKN2A/CDKN2B rs564398 and rs10811661, HHEX rs1111875 and rs5015480, TCF7L2 rs7901695, KCNQ1 rs2237892, KCNJ11 rs5215 and rs5219, EXT2 rs1113132, rs11037909, and rs3740878, MTNR1B rs10830963, DCD rs1153188, TSPAN8/LGR5 rs7961581, and FTO rs8050136 and rs9939609. None of the above SNPs were significantly associated with VFA. The FTO rs8050136 and rs9939609 risk alleles exhibited significant associations with body mass index (BMI; P=0.00088 and P=0.0010, respectively) and SFA (P=0.00013 and P=0.00017, respectively). No other SNPs were significantly associated with BMI or SFA. Our results suggest that two SNPs in the FTO gene are associated with subcutaneous fat accumulation. The contributions of other SNPs are inconclusive because of a limitation of the sample power.


Subject(s)
Diabetes Mellitus, Type 2/genetics , Genetic Predisposition to Disease , Intra-Abdominal Fat/metabolism , Proteins/genetics , Subcutaneous Fat/metabolism , Adult , Alpha-Ketoglutarate-Dependent Dioxygenase FTO , Asian People/genetics , Body Mass Index , Female , Humans , Male , Middle Aged , Polymorphism, Single Nucleotide , Tomography Scanners, X-Ray Computed
10.
Clin Nephrol ; 78(6): 497-500, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23164418

ABSTRACT

Schnitzler syndrome is a rare clinical entity characterized by the association of chronic urticarial rash and monoclonal immunoglobulin M gammopathy. A 62-year old male developed nephrotic syndrome with Schnitzler syndrome. A renal biopsy revealed mild thickening of the glomerular basement membrane with spikes and mild expansion of the mesangial matrix; prominent fine granular immunoglobulin G depositions were found along the capillary walls by immunofluorescence study and electron dense deposits were observed in the subepithelial spaces and in a part of mesangium by electron microscopically. The histological findings were compatible with secondary form of membranous nephropathy. To the best of our knowledge this is the first renal biopsy case of Schnitzler syndrome. With corticosteroid treatment chronic rash and proteinuria have disappeared, but immunoglobulin (IgM) paraprotein has been still present.


Subject(s)
Glomerulonephritis, Membranous/etiology , Schnitzler Syndrome/complications , Glomerulonephritis, Membranous/drug therapy , Glomerulonephritis, Membranous/pathology , Humans , Kidney/pathology , Male , Middle Aged
11.
J Hum Genet ; 56(9): 647-51, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21796137

ABSTRACT

Metabolic syndrome is defined as a cluster of multiple risk factors, including central obesity, dyslipidemia, hypertension and impaired glucose tolerance, that increase cardiovascular disease morbidity and mortality. Genetic factors are important in the development of metabolic syndrome, as are environmental factors. However, the genetic background of metabolic syndrome is not yet fully clarified. There is evidence that obesity and obesity-related phenotypes are associated with variations in several genes, including NEGR1, SEC16B, TMEM18, ETV5, GNPDA2, BDNF, MTCH2, SH2B1, FTO, MAF, MC4R, KCTD15, SCG3, MTMR9, TFAP2B, MSRA, LYPLAL1, GCKR and FADS1. To investigate the relationship between metabolic syndrome and variations in these genes in the Japanese population, we genotyped 33 single-nucleotide polymorphisms (SNPs) in 19 genes from 1096 patients with metabolic syndrome and 581 control individuals who had no risk factors for metabolic syndrome. Four SNPs in the FTO gene were significantly related to metabolic syndrome: rs9939609 (P=0.00013), rs8050136 (P=0.00011), rs1558902 (P=6.6 × 10(-5)) and rs1421085 (P=7.4 × 10(-5)). rs3764220 in the SCG3 gene (P=0.0010) and rs2293855 in the MTMR9 gene (P=0.0015) were also significantly associated with metabolic syndrome. SNPs in the FTO, SCG3 and MTMR9 genes had no SNP × SNP epistatic effects on metabolic syndrome. Our data suggest that genetic variations in the FTO, SCG3 and MTMR9 genes independently influence the risk of metabolic syndrome.


Subject(s)
Asian People/genetics , Chromogranins/genetics , Metabolic Syndrome/genetics , Polymorphism, Single Nucleotide/genetics , Protein Tyrosine Phosphatases, Non-Receptor/genetics , Proteins/genetics , Adult , Aged , Alpha-Ketoglutarate-Dependent Dioxygenase FTO , Body Mass Index , Case-Control Studies , Delta-5 Fatty Acid Desaturase , Diabetes Mellitus/genetics , Dyslipidemias/genetics , Female , Genetic Predisposition to Disease/genetics , Humans , Hypertension/genetics , Male , Middle Aged , Obesity/genetics
12.
J Hum Genet ; 56(10): 716-9, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21796141

ABSTRACT

Visceral fat accumulation has an important role in increasing morbidity and mortality rate by increasing the risk of developing several metabolic disorders, such as type 2 diabetes, dyslipidemia and hypertension. New genetic loci that contribute to the development of obesity have been identified by genome-wide association studies in Caucasian populations. We genotyped 1279 Japanese subjects (556 men and 723 women), who underwent computed tomography (CT) for measuring visceral fat area (VFA) and subcutaneous fat area (SFA), for the following single-nucleotide polymorphisms (SNPs): NEGR1 rs2815752, SEC16B rs10913469, TMEM18 rs6548238, ETV5 rs7647305, GNPDA2 rs10938397, BDNF rs6265 and rs925946, MTCH2 rs10838738, SH2B1 rs7498665, MAF rs1424233, and KCTD15 rs29941 and rs11084753. In the additive model, none of the SNPs were significantly associated with body mass index (BMI). The SH2B1 rs7498665 risk allele was found to be significantly associated with VFA (P=0.00047) but not with BMI or SFA. When the analysis was performed in men and women separately, no significant associations with VFA were observed (P=0.0099 in men and P=0.022 in women). None of the other SNPs were significantly associated with SFA. Our results suggest that there is a VFA-specific genetic factor and that a polymorphism in the SH2B1 gene influences the risk of visceral fat accumulation.


Subject(s)
Adaptor Proteins, Signal Transducing/genetics , Asian People/genetics , Intra-Abdominal Fat/metabolism , Obesity/genetics , Polymorphism, Single Nucleotide/genetics , Tomography, X-Ray Computed/methods , Adult , Body Fat Distribution , Body Mass Index , Case-Control Studies , Female , Genome-Wide Association Study , Humans , Japan , Male , Middle Aged
13.
J Infect Chemother ; 17(5): 640-5, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21369775

ABSTRACT

Although hemodialysis-associated pneumonia (HDAP) was included among the healthcare-associated pneumonias (HCAP) in the 2005 American Thoracic Society (ATS)/Infectious Diseases Society of America (IDSA) guideline, little information relevant to clinical epidemiology, especially microbiological characteristics, is available. This study aimed to reveal microbiological characteristics and clinical outcomes of HDAP and to assess whether HDAP should be included in the HCAP category. We retrospectively analyzed 69 HDAP patients [42 with moderate and 27 with severe disease based on A-DROP (age, dehydration, respiratory failure, orientation disturbance, and low blood pressure)] in whom sputum cultures were performed at our hospital between 2007 and 2009. The most common pathogens were Staphylococcus aureus (37.7%), which were composed of methicillin-resistant S. aureus (MRSA) (27.5%) and methicillin-sensitive S. aureus (MSSA) (10.1%), followed by Streptococcus pneumoniae (10.1%), Klebsiella pneumoniae (8.7%), Haemophilus influenzae (7.2%), and Moraxella catarrhalis (5.8%). This distribution mostly resembled the microbiological characteristics of HCAP reported previously, except that the frequency of multi-drug-resistant (MDR) gram negatives such as Pseudomonas aeruginosa (2.9%) was clearly lower and that of MRSA was higher. There were no significant differences in microbiological findings, including the incidence of MDR pathogens, between the two severity groups. Despite most cases (82.6%) receiving only monotherapy, the prognosis (30-day survival and in-hospital mortality rates were 88.4% and, 17.4%, respectively) was similar to the past HCAP reports, but there were no significant correlations between prognosis and presence of MDR pathogens (30-day mortality rates 18.2% in MDR positive vs. 8.5% in MDR negative; p = 0.242). Assessment for not only MDR pathogens, but also severity of illness by the A-DROP system made it possible to conduct stratification based on prognosis. Our results suggest that HDAP should be included in the HCAP category, while understanding that there are some differences.


Subject(s)
Cross Infection/epidemiology , Pneumonia, Bacterial/epidemiology , Renal Dialysis/statistics & numerical data , Aged , Aged, 80 and over , Chi-Square Distribution , Community-Acquired Infections/epidemiology , Community-Acquired Infections/microbiology , Cross Infection/microbiology , Drug Resistance, Multiple, Bacterial , Female , Gram-Negative Bacteria/isolation & purification , Humans , Male , Middle Aged , Pneumonia, Bacterial/microbiology , Retrospective Studies , Staphylococcus aureus/isolation & purification , Streptococcus/isolation & purification
14.
J Vet Med Sci ; 73(5): 665-71, 2011 May.
Article in English | MEDLINE | ID: mdl-21224530

ABSTRACT

Seven miniature pigs were injected intravenously with deoxynivalenol (DON) at 1 mg/kg body weight; afterward, the number of leukocytes in peripheral blood, the luminol-dependent chemiluminescence of neutrophils, the serum or plasma concentration of cytokines and acute-phase proteins were evaluated to determine the effects of acute exposure to DON on inflammatory responses. White blood cell counts were transiently increased at 3, 6, and 12 hr post-injection (PI) due to the increased number of neutrophils. The luminol-dependent chemiluminescence value of neutrophils was significantly elevated at 24 hr PI, indicating the activation of the bactericidal function of neutrophils. Significant increases of interleukin (IL)-8 and tumor necrosis factor-α at 3 hr PI and IL-6 at 6 hr PI were detected in the serum. The concentration of haptoglobin and serum amyloid A was significantly increased at 24 hr PI. These results suggest that acute exposure to DON induced a temporary recruitment of neutrophils in the peripheral blood by IL-8 and subsequent activation of the bactericidal function, and a transient increase of proinflammatory cytokines and acute-phase proteins, indicating the immunomodulatory effects of DON in pigs.


Subject(s)
Inflammation/veterinary , Swine Diseases/chemically induced , Trichothecenes/toxicity , Acute-Phase Proteins/metabolism , Animals , Cytokines/genetics , Cytokines/metabolism , Gene Expression Regulation/drug effects , Inflammation/chemically induced , Luminescence , Neutrophils/drug effects , Neutrophils/metabolism , Swine , Swine, Miniature , Time Factors
15.
J Hum Genet ; 55(11): 738-42, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20703240

ABSTRACT

The predominant risk factor of metabolic syndrome is intra-abdominal fat accumulation, which is determined by waist circumference and waist-hip ratio measurements and visceral fat area (VFA) that is measured by computed tomography (CT). There is evidence that waist circumference and waist-hip ratio in the Caucasian population are associated with variations in several genes, including neurexin 3 (NRXN3), transcription factor AP-2ß (TFAP2B), methionine sulfoxide reductase A (MSRA), lysophospholipase-like-1 (LYPLAL1), fat mass and obesity associated (FTO) and melanocortin 4 receptor (MC4R) genes. To investigate the relationship between VFA and subcutaneous fat area (SFA) and these genes in the recruited Japanese population, we genotyped 8 single-nucleotide polymorphisms (SNPs) in these 6 genes from 1228 subjects. Multiple regression analysis revealed that gender, age, and rs1558902 and rs1421085 genotypes (additive model) in FTO were significantly associated with body mass index (BMI; P=0.0039 and 0.0039, respectively), SFA (P=0.0027 and 0.0023, respectively) and VFA (P=0.045 and 0.040, respectively). However, SNPs in other genes, namely, NRXN3, TFAP2B, MSRA, LYPLAL1 and MC4R were not significantly associated with BMI, SFA or VFA. Our data suggest that some SNPs, which were identified in genome-wide studies in the Caucasians, also confer susceptibility to fat distribution in the Japanese subjects.


Subject(s)
Asian People/genetics , Body Mass Index , Intra-Abdominal Fat/diagnostic imaging , Polymorphism, Single Nucleotide/genetics , Proteins/genetics , Adult , Alpha-Ketoglutarate-Dependent Dioxygenase FTO , Female , Humans , Male , Methionine Sulfoxide Reductases/genetics , Middle Aged , Nerve Tissue Proteins/genetics , Radiography , Receptor, Melanocortin, Type 4/genetics , Transcription Factor AP-2/genetics , Waist Circumference , Waist-Hip Ratio
16.
J Hum Genet ; 54(12): 727-31, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19851340

ABSTRACT

There is evidence that the obesity phenotype in the Caucasian populations is associated with variations in several genes, including neuronal growth regulator 1 (NEGR1), SEC16 homolog B (SCE16B), transmembrane protein 18 (TMEM18), ets variant 5 (ETV5), glucosamine-6-phosphate deaminase 2 (GNPDA2), prolactin (PRL), brain-derived neurotrophic factor (BDNF), mitochondrial carrier homolog 2 (MTCH2), Fas apoptotic inhibitory molecule 2 (FAIM2), SH2B adaptor protein 1 (SH2B1), v-maf musculoaponeurotic fibrosarcoma oncogene homolog (MAF), Niemann-Pick disease, type C1 (NPC1), melanocortin 4 receptor (MC4R) and potassium channel tetramerisation domain containing 15 (KCTD15). To investigate the relationship between obesity and these genes in the Japanese population, we genotyped 27 single-nucleotide polymorphisms (SNPs) in 14 genes from obese subjects (n=1129, body mass index (BMI) > or =30 kg m(-2)) and normal-weight control subjects (n=1736, BMI <25 kg m(-2)). The SNP rs10913469 in SEC16B (P=0.000012) and four SNPs (rs2867125, rs6548238, rs4854344 and rs7561317) in the TMEM18 gene (P=0.00015), all of which were in almost absolute linkage disequilibrium, were significantly associated with obesity in the Japanese population. SNPs in GNPDA2, BDNF, FAIM2 and MC4R genes were marginally associated with obesity (P<0.05). Our data suggest that some SNPs identified by genome-wide association studies in the Caucasians also confer susceptibility to obesity in Japanese subjects.


Subject(s)
Genetic Predisposition to Disease/genetics , Obesity/genetics , Polymorphism, Single Nucleotide , Adult , Aldose-Ketose Isomerases/genetics , Apoptosis Regulatory Proteins/genetics , Asian People/genetics , Body Mass Index , Brain-Derived Neurotrophic Factor/genetics , Chi-Square Distribution , DNA-Binding Proteins/genetics , Female , Gene Frequency , Genotype , Humans , Japan , Linkage Disequilibrium , Male , Membrane Proteins/genetics , Middle Aged , Obesity/ethnology , Receptor, Melanocortin, Type 4/genetics
17.
J Hum Genet ; 54(4): 230-5, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19247371

ABSTRACT

Genetic factors are important in the development of metabolic syndrome. However, the genetic background of metabolic syndrome remains unclear. We screened polymorphisms in 85 obesity-related genes to determine which may be associated with metabolic syndrome. A total of 336 single-nucleotide polymorphisms (SNPs) in 85 genes selected from the JSNP database were genotyped. We conducted case-control association analyses using patients with metabolic syndrome (n=1080) and control individuals (n=528) who had no risk of the metabolic syndrome. Three SNPs in the McKusick-Kaufman syndrome (MKKS) gene were significantly related to metabolic syndrome by case-control association study; rs1545 (odds ratio (OR) adjusted for age and gender, 1.45; 95% confidence interval (CI), 1.21-1.74; P=0.000043 (additive model)); rs1547 (OR, 1.45; 95% CI, 1.21-1.74; P=0.000041); and rs2294901 (OR, 1.46; 95% CI, 1.22-1.75; P=0.000033). We selected five tag SNPs (rs2294901, rs221667, rs6133922, rs6077785 and rs6108572) in the MKKS gene. They were in one linkage disequilibrium (LD) block and rs6133922 (P=0.00042), rs6077785 (P=0.000013) and rs6108572 (P=0.000019) as well as rs2294901 were significantly associated with metabolic syndrome. TGAAA haplotype was protective against the metabolic syndrome (P=0.0074), and CCGTT haplotype was susceptible (P=0.00070) to the metabolic syndrome. Our data suggest that genetic variations at MKKS gene influence the risk of metabolic syndrome.


Subject(s)
Abnormalities, Multiple/genetics , Genetic Predisposition to Disease , Genetic Testing , Metabolic Syndrome/genetics , Obesity/genetics , Polymorphism, Single Nucleotide/genetics , Female , Gene Frequency , Group II Chaperonins/genetics , Haplotypes , Humans , Linkage Disequilibrium/genetics , Male , Middle Aged , Regression Analysis , Reproducibility of Results , Syndrome
18.
Toxicol Lett ; 185(3): 193-6, 2009 Mar 28.
Article in English | MEDLINE | ID: mdl-19167471

ABSTRACT

This study investigates the dose-dependent expression of CYP1A1 and CYP1B1 in primary cultured bovine hepatocytes exposed to TCDD, several polybrominated dibenzo-p-dioxins and furans (PBDD/Fs) congeners and fish oil used as animal feed ingredients to identify their dioxin-like potentials. Hepatocytes were isolated from calf liver, cultured and treated for 24h with the target compounds or extracts. Quantitative real time polymerase chain reaction analysis (qRT-PCR) showed that relative mRNA levels for CYP1A1 and CYP1B1 exhibited a dose-dependent induction by TCDD. The EC(50) of the TCDD concentration for CYP1A1 expression was approximately 4-fold less than that of CYP1B1. The estimated dioxin-like toxic potential of PBDD/Fs could be ranked in the following order: 2,3,7,8-TBDD>1,2,3,7,8-PBDF>2,3,4,7,8-PBDF>1,2,3,6,7,8-HBDD. A good correlation was also observed in HRGC/HRMS-derived TEQs in fish oil samples and relative CYP1A1 mRNA induction in bovine hepatocytes treated with purified fish oil extracts. The data suggested that quantification of biomarker regulations in primary cultured hepatocytes could represent an effective tool for both the screening and study of various chemical entities in larger animals.


Subject(s)
Animal Feed , Aryl Hydrocarbon Hydroxylases/biosynthesis , Cytochrome P-450 CYP1A1/biosynthesis , Environmental Pollutants/toxicity , Fish Oils/toxicity , Hepatocytes/drug effects , RNA, Messenger/biosynthesis , Animal Feed/analysis , Animals , Benzofurans/chemistry , Benzofurans/isolation & purification , Benzofurans/toxicity , Cattle , Cells, Cultured , Cytochrome P-450 CYP1B1 , Dose-Response Relationship, Drug , Environmental Pollutants/chemistry , Environmental Pollutants/isolation & purification , Fish Oils/administration & dosage , Fish Oils/chemistry , Hepatocytes/enzymology , Hydrocarbons, Brominated/chemistry , Hydrocarbons, Brominated/isolation & purification , Hydrocarbons, Brominated/toxicity , Male , Polychlorinated Dibenzodioxins/chemistry , Polychlorinated Dibenzodioxins/isolation & purification , Polychlorinated Dibenzodioxins/toxicity , Reverse Transcriptase Polymerase Chain Reaction
19.
Biosci Biotechnol Biochem ; 73(7): 1494-9, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19584558

ABSTRACT

We examined the production of an antimicrobial component, 3-hydroxypropionaldehyde (3-HPA), in laboratory-scale silage inoculated with Lactobacillus coryniformis strain 394, which ferments glycerol to 3-HPA. A modified colorimetric method that used an NaOH-treated blank and determined the absorption spectrum of the samples was employed to detect a 3-HPA-like component (HLC) that was assumed to be 3-HPA. Inoculation with Lb. coryniformis 394 plus glycerol in ensiling produced HLC at 10-460 ppm and contributed to inhibition of butyric fermentation and retardation of aerobic spoilage. HLC was considered to be 3-HPA from its absorption spectrum. These results suggest that the production of 3-HPA by Lb. coryniformis 394 is useful in ensiling and that the modified colorimetric method is effective to detect 3-HPA in silage.


Subject(s)
Glyceraldehyde/analogs & derivatives , Glycerol/metabolism , Lactobacillus/metabolism , Propane/metabolism , Silage/microbiology , Absorption , Aerobiosis , Butyric Acid/metabolism , Colorimetry , Fermentation , Glyceraldehyde/metabolism , Oryza
20.
Ecotoxicol Environ Saf ; 72(1): 26-36, 2009 Jan.
Article in English | MEDLINE | ID: mdl-18006059

ABSTRACT

Elimination kinetics and tissue disposition of perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) in male chickens (Gallus gallus) was determined following exposure by subcutaneous implantation. Chickens were exposed to two levels of PFOA or PFOS for 4wk and then allowed to depurate for an additional 4wk. These exposures did not cause any statistically significant changes in body index, clinical biochemistry or histology among treatments relative to the controls (p>0.05), except that concentrations of total cholesterol and phospholipids were less in chickens exposed to PFOS. The elimination rate constant for PFOA (0.150+/-0.010d(-1)) was approximately six-fold greater than that of PFOS (0.023+/-0.004d(-1)). The greatest concentrations of PFOA and PFOS were found in kidney and liver, respectively. The organ to blood ratio of PFOS concentration was increased after the whole experiment, indicating the importance of organ partitioning of PFOS in elimination kinetics. The depuration half-life of PFOA (t(1/2)=4.6d) and PFOS (t(1/2)=125d) in chickens was calculated.


Subject(s)
Alkanesulfonic Acids/pharmacokinetics , Caprylates/pharmacokinetics , Chickens/metabolism , Fluorocarbons/pharmacokinetics , Subcutaneous Tissue/metabolism , Alkanesulfonic Acids/administration & dosage , Animals , Blood Chemical Analysis , Caprylates/administration & dosage , Cholesterol/metabolism , Fluorocarbons/administration & dosage , Implants, Experimental , Kidney/metabolism , Kinetics , Liver/metabolism , Phospholipids/metabolism , Tissue Distribution
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