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1.
Osteoporos Int ; 28(8): 2409-2419, 2017 08.
Article in English | MEDLINE | ID: mdl-28462469

ABSTRACT

In this cohort of community dwelling older adults (>60 years), we observed significant positive associations between the frequencies of yogurt intake with measures of bone density, bone biomarkers, and indicators of physical function. Improving yogurt intakes could be a valuable health strategy for maintaining bone health in older adults. INTRODUCTION: The associations of yogurt intakes with bone health and frailty in older adults are not well documented. The aim was to investigate the association of yogurt intakes with bone mineral density (BMD), bone biomarkers, and physical function in 4310 Irish adults from the Trinity, Ulster, Department of Agriculture aging cohort study (TUDA). METHODS: Bone measures included total hip, femoral neck, and vertebral BMD with bone biochemical markers. Physical function measures included Timed Up and Go (TUG), Instrumental Activities of Daily Living Scale, and Physical Self-Maintenance Scale. RESULTS: Total hip and femoral neck BMD in females were 3.1-3.9% higher among those with the highest yogurt intakes (n = 970) compared to the lowest (n = 1109; P < 0.05) as were the TUG scores (-6.7%; P = 0.013). In males, tartrate-resistant acid phosphatase (TRAP 5b) concentrations were significantly lower in those with the highest yogurt intakes (-9.5%; P < 0.0001). In females, yogurt intake was a significant positive predictor of BMD at all regions. Each unit increase in yogurt intake in females was associated with a 31% lower risk of osteopenia (OR 0.69; 95% CI 0.49-0.96; P = 0.032) and a 39% lower risk of osteoporosis (OR 0.61; 95% CI 0.42-0.89; P = 0.012) and in males, a 52% lower risk of osteoporosis (OR 0.48; 95% CI 0.24-0.96; P = 0.038). CONCLUSION: In this cohort, higher yogurt intake was associated with increased BMD and physical function scores. These results suggest that improving yogurt intakes could be a valuable public health strategy for maintaining bone health in older adults.


Subject(s)
Bone Density/physiology , Feeding Behavior/physiology , Physical Fitness/physiology , Yogurt , Activities of Daily Living , Aged , Aged, 80 and over , Bone Diseases, Metabolic/epidemiology , Bone Diseases, Metabolic/physiopathology , Bone Diseases, Metabolic/prevention & control , Female , Femur Neck/physiology , Frailty/physiopathology , Geriatric Assessment/methods , Hip Joint/physiology , Humans , Life Style , Male , Middle Aged , Northern Ireland/epidemiology , Osteoporosis/epidemiology , Osteoporosis/physiopathology , Osteoporosis/prevention & control , Spine/physiology
2.
Int J Geriatr Psychiatry ; 26(3): 307-13, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20623775

ABSTRACT

BACKGROUND: Vitamin B12 and homocysteine have been shown to be associated with depression or depressive symptoms, but the relationship has not been universal. Both vitamin B12 and homocysteine may exert an effect via vascular mechanisms; it is possible that other mechanisms apply. Holotranscobalamin is a novel, more accurate measure of tissue vitamin B12. OBJECTIVES: To examine associations between vitamin B12, serum folate, holotranscobalamin, homocysteine and depressive symptoms in a sample of healthy elderly. METHODS: Cross-sectional, observational community based study. RESULTS: Lower levels of holotranscobalamin and vitamin B12 were associated with higher levels of depressive symptoms when controlled for Mini-mental state examination scores and psychosocial and cardiovascular risk factors. Homocysteine was not associated with depressive symptoms when biological and psychosocial covariates were included. CONCLUSIONS: It is possible that low levels of vitamin B12 or holotranscobalamin are associated with depressive symptoms via mechanisms other than vascular pathology.


Subject(s)
Depressive Disorder/blood , Homocysteine/blood , Transcobalamins/analysis , Vitamin B 12/blood , Aged , Aged, 80 and over , Biomarkers/blood , Cohort Studies , Depressive Disorder/epidemiology , Depressive Disorder/psychology , Female , Humans , Male , Northern Ireland/epidemiology , Personal Satisfaction , Prospective Studies , Urban Population
3.
J Med Genet ; 47(10): 677-85, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20577008

ABSTRACT

OBJECTIVE: Women who have low cobalamin (vitamin B(12)) levels are at increased risk for having children with neural tube defects (NTDs). The transcobalamin II receptor (TCblR) mediates uptake of cobalamin into cells. Inherited variants in the TCblR gene as NTD risk factors were evaluated. METHODS: Case-control and family-based tests of association were used to screen common variation in TCblR as genetic risk factors for NTDs in a large Irish group. A confirmatory group of NTD triads was used to test positive findings. RESULTS: 2 tightly linked variants associated with NTDs in a recessive model were found: TCblR rs2336573 (G220R; p(corr)=0.0080, corrected for multiple hypothesis testing) and TCblR rs9426 (p(corr)=0.0279). These variants were also associated with NTDs in a family-based test before multiple test correction (log-linear analysis of a recessive model: rs2336573 (G220R; RR=6.59, p=0.0037) and rs9426 (RR=6.71, p=0.0035)). A copy number variant distal to TCblR and two previously unreported exonic insertion-deletion polymorphisms were described. CONCLUSIONS: TCblR rs2336573 (G220R) and TCblR rs9426 represent a significant risk factor in NTD cases in the Irish population. The homozygous risk genotype was not detected in nearly 1000 controls, indicating that this NTD risk factor may be of low frequency and high penetrance. 9 other variants are in perfect linkage disequilibrium with the associated single nucleotide polymorphisms. Additional work is required to identify the disease-causing variant. Our data suggest that variation in TCblR plays a role in NTD risk and that these variants may modulate cobalamin metabolism.


Subject(s)
Genetic Predisposition to Disease , Neural Tube Defects/genetics , Polymorphism, Genetic , Receptors, Cell Surface/genetics , Alleles , Case-Control Studies , Cohort Studies , Family , Female , Gene Frequency , Genotype , Humans , Ireland , Male , Receptors, Cell Surface/metabolism , Risk Factors , Transcobalamins/metabolism
4.
J Nutr Health Aging ; 21(9): 954-961, 2017.
Article in English | MEDLINE | ID: mdl-29083435

ABSTRACT

BACKGROUND: Consumption of dairy products has been associated with positive health outcomes including a lower risk of hypertension, improved bone health and a reduction in the risk of type 2 diabetes. The suggested dairy intake for health in older adults is three servings per day but recent analysis of the NHANES data for older adults reported 98% were not meeting these recommendations. No studies have investigated the consequences of such declines in the dairy intakes of Irish older adults and the subsequent effects on vitamin micronutrient status. OBJECTIVES: To study the daily dairy intakes of older Irish adults and to examine how the frequency of dairy food consumption affects vitamin micronutrient status. METHODS: Participants (n 4,317) were from the Trinity Ulster Department of Agriculture (TUDA) Study, a large study of older Irish adults (aged >60 yrs) designed to investigate gene-nutrient interactions in the development of chronic diseases of aging. The daily intake portion for milk, cheese and yoghurt was calculated from food frequency questionnaire (FFQ) responses. Blood samples were analysed for vitamin biomarkers as follows: vitamin B12 (total serum cobalamin and holotranscobalamin (holoTC)), folate (red cell folate (RCF) and serum folate), vitamin B2 (erythrocyte glutathione reductase activation coefficient (EGRac)), vitamin B6 (serum pyridoxal phosphate) and vitamin D (serum 25(OH)D). RESULTS: The mean total reported dairy intake was 1.16 (SD 0.79) portions per day with males consuming significantly fewer total dairy portions compared to females (1.07 vs 1.21 respectively) (P<0.05). There was no significant difference in total daily dairy serving intakes by age decade (60-69, 70-79, >80 yrs). Overall, only 3.5% of the total population (n 151) achieved the recommended daily dairy intake of three or more servings per day. A significantly higher proportion of females (4%) compared to males (2.4%) met these dairy requirements (P=0.011). Blood concentrations of vitamin B12 biomarkers, RCF, vitamin B2 and vitamin B6 were significantly worse in those with the lowest tertile of dairy intake (0-0.71 servings) compared to those in the highest tertile (1.50-4.50 servings) (P<0.05). CONCLUSION: This study found that more than 96% of the older adults sampled did not meet current daily dairy intake recommendations. The study is the largest to-date examining dairy intakes in older Irish adults, and provides evidence that daily dairy intakes (in particular yogurt) contribute significantly to the B-vitamin and vitamin D biomarker status of older adults. These results suggest that older adults who are already vulnerable to micronutrient inadequacies, are forgoing the nutritional advantages of vitamin-rich dairy products.


Subject(s)
Dairy Products/analysis , Micronutrients/metabolism , Nutrition Surveys/methods , Vitamins/metabolism , Aged , Female , Humans , Male , Middle Aged
5.
J Thromb Haemost ; 14(9): 1888-98, 2016 09.
Article in English | MEDLINE | ID: mdl-27359253

ABSTRACT

UNLABELLED: Essentials Variants at ABO, von Willebrand Factor (VWF) and 2q12 contribute to the variation in plasma in VWF. We performed a genome-wide association study of plasma VWF propeptide in 3,238 individuals. ABO, VWF and 2q12 loci had weak or no association or linkage with plasma VWFpp levels. VWF associated variants at ABO, VWF and 2q12 loci primarily affect VWF clearance rates. SUMMARY: Background Previous studies identified common variants at the ABO and VWF loci and unknown variants in a chromosome 2q12 linkage interval that contributed to the variation in plasma von Willebrand factor (VWF) levels. Whereas the association with ABO haplotypes can be explained by differential VWF clearance, little is known about the mechanisms underlying the association with VWF single-nucleotide polymorphisms (SNPs) or with variants in the chromosome 2 linkage interval. VWF propeptide (VWFpp) and mature VWF are encoded by the VWF gene and secreted at the same rate, but have different plasma half-lives. Therefore, comparison of VWFpp and VWF association signals can be used to assess whether the variants are primarily affecting synthesis/secretion or clearance. Methods We measured plasma VWFpp levels and performed genome-wide linkage and association studies in 3238 young and healthy individuals for whom VWF levels had been analyzed previously. Results and conclusions Common variants in an intergenic region on chromosome 7q11 were associated with VWFpp levels. We found that ABO serotype-specific SNPs were associated with VWFpp levels in the same direction as for VWF, but with a much lower effect size. Neither the association at VWF nor the linkage on chromosome 2 previously reported for VWF was observed for VWFpp. Taken together, these results suggest that the major genetic factors affecting plasma VWF levels, i.e. variants at ABO, VWF and a locus on chromosome 2, operate primarily through their effects on VWF clearance.


Subject(s)
Protein Precursors/blood , von Willebrand Factor/genetics , von Willebrand Factor/metabolism , ABO Blood-Group System , Adolescent , Adult , Chromosome Mapping , Chromosomes, Human, Pair 2/genetics , Female , Genetic Linkage , Genetic Variation , Genome-Wide Association Study , Genotype , Haplotypes , Humans , Male , Phenotype , Young Adult , von Willebrand Diseases/blood , von Willebrand Diseases/genetics
6.
Acta Neurol Scand Suppl ; 154: 27-31, 1994.
Article in English | MEDLINE | ID: mdl-7941962

ABSTRACT

INTRODUCTION: Central nervous system (CNS) methyltransferases methylate a wide range of substrates including proteins, lipids, nucleic acids and hormones. In every instance the methyl donor is S-adenosylmethionine (SAMe) and the demethylated product is S-adenosylhomocysteine (SAH). Methylation can be disrupted when there is an inadequate supply of methionine synthase (following vitamin B12 deficiency or folate deficiency), SAMe synthetase (due to ethanol), or SAH hydrolase (for unknown reasons). MATERIAL AND METHODS: 5-week-old pigs were maintained in an environment of either air or nitrous oxide, which inhibits methionine synthase, and were fed either a methionine-unsupplemented or methionine-enriched diet. After 3 to 10 weeks, pigs were killed by pentobarbitone injection and the levels of methionine and SAMe in the pigs' brain, spinal cord, plasma, liver, and kidney assessed. RESULTS: Pigs maintained in nitrous oxide displayed a dramatic fall in methionine levels in plasma and brain tissues but maintained relatively normal SAMe levels in these tissues. Brain and spinal cord cystathionine levels were markedly elevated, especially in those animals receiving oral methionine, as in the absence of methionine synthase homocysteine can be metabolized only through the catabolic pathway to cystathionine and cysteine. CONCLUSION: Disorders such as vitamin B12 deficiency or folate deficiency inhibit methylation by limiting the availability of SAMe or by elevating levels of the inhibitor SAH. In either case, the disruption of a wide range of methylation reactions can cause clinical sequelae ranging from structural abnormalities such as myelopathy to functional abnormalities such as depression.


Subject(s)
Brain/metabolism , Methyltransferases/metabolism , S-Adenosylmethionine/pharmacokinetics , Spinal Cord/metabolism , 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/metabolism , Animals , Brain/enzymology , Cystathionine/biosynthesis , Depressive Disorder/metabolism , Folic Acid Deficiency/metabolism , Liver/metabolism , Methylation/drug effects , Plasma/metabolism , Swine , Vitamin B Deficiency/metabolism
7.
Atherosclerosis ; 129(1): 67-71, 1997 Feb 28.
Article in English | MEDLINE | ID: mdl-9069519

ABSTRACT

Much attention has been focused recently on the relationship between homocysteinaemia and the development of premature atherosclerosis. Hyperhomocysteinaemia constitutes as strong a risk factor for the development of the disease as either hypercholesterolaemia or smoking. Although the mechanism involved is unclear homocysteine exhibits prooxidative activity in vitro. This finding suggests that it may be involved in the oxidative modification of low density lipoprotein (LDL). In the current study hyperhomocysteinaemia was induced in eight domestic pigs by intermittent exposure to nitrous oxide for 4 weeks. At necropsy, cardiac tissue was removed and malondialdehyde (MDA) and the unsaturated fatty acid content were measured and compared with values obtained from air-breathing control animals. Nitrous oxide treated animals had significantly higher tissue concentrations of MDA than the controls. There was also a reduction in the contribution of linoleic and linolenic acids to the total fatty acid content of heart. The hyperhomocysteinaemic animals also had a significantly higher iron concentration in the heart than controls. Hyperhomocysteinaemia was associated with elevations in tissue iron stores and increased in vivo lipid peroxidation.


Subject(s)
5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/metabolism , Fatty Acids, Unsaturated/metabolism , Homocysteine/blood , Lipid Peroxidation , Malondialdehyde/metabolism , Myocardium/metabolism , Animals , Disease Models, Animal , Heart/drug effects , Homocysteine/drug effects , Hypercholesterolemia/blood , Hypercholesterolemia/chemically induced , Iron/metabolism , Lipoproteins, LDL/blood , Lipoproteins, LDL/drug effects , Myocardium/pathology , Nitrous Oxide , Random Allocation , Risk Factors , Swine
8.
Biochem Pharmacol ; 44(7): 1349-55, 1992 Oct 06.
Article in English | MEDLINE | ID: mdl-1417958

ABSTRACT

Using nitrous oxide to inactivate methionine synthase in vivo, the relationship of the activity of methionine synthase to the S-adenosylmethionine (AdoMet)/S-adenosylhomocysteine (AdoHcy) ratio was examined in neural and other tissues of the pig. Pigs were exposed to 15% nitrous oxide for varying intervals of up to 7 days or studied at varying intervals of recovery in air after 7 days nitrous oxide inhalation, and the rate of inactivation or resynthesis of methionine synthase was related to the corresponding AdoMet/AdoHcy ratios. The rate of inactivation of enzyme during nitrous oxide exposure was considerably faster in the liver and kidney than in the brain and spinal cord with activity levelling off between 10% and 20% of control values. The AdoMet/AdoHcy ratio fell in all tissues during nitrous oxide treatment, the fall being most marked in the brain and spinal cord where a 10-fold change occurred. This change was attributed mainly to a rise in AdoHcy levels. The recovery pattern of methionine synthase was broadly linear but was slower in the spinal cord (0.10 +/- 0.03% per hr; mean +/- SEM) than in any other tissue examined including brain (0.35 +/- 0.04% per hr). Correspondingly, the recovery of the AdoMet/AdoHcy ratio was also significantly slower in the spinal cord. When values for exposure and recovery were combined there was a significant correlation between the activity of methionine synthase and the AdoMet/AdoHcy ratio in both the brain (r = 0.90; P < 0.001) and the spinal cord (r = 0.92; P < 0.001). These results support the concept that the AdoMet/AdoHcy ratio is closely related to the pathogenic process which produces the neurologic lesions associated with a reduction in methionine synthase activity.


Subject(s)
5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/metabolism , Brain/metabolism , S-Adenosylhomocysteine/metabolism , S-Adenosylmethionine/metabolism , Air , Animals , Cerebral Cortex/metabolism , Nitrous Oxide , Spinal Cord/metabolism , Swine
9.
Am J Med Genet ; 92(3): 206-11, 2000 May 29.
Article in English | MEDLINE | ID: mdl-10817656

ABSTRACT

The human T developmental gene has been implicated in the etiology of neural tube defects (NTDs) on the basis both of mouse studies of its homologue, T (Brachyury), and of allelic association in a Caucasian population. We have investigated the frequency of the T allelic variant TIVS7-2 in 218 Irish NTD case-parent triads. This population showed the same trend as previously reported, with an excess of the TIVS7-2 allele among cases. Log-linear modeling of case and maternal genotypic effects within families indicated that TIVS7-2 was elevated in cases (relative risk, RR = 1.36) but not in mothers (RR = 0.91). The TIVS7-2 allele is markedly associated with cases born before 1980 (RR = 2.09; CI = 1.23-3.55; corrected p = 0.030), but not with more recent cases (RR = 0.92). Cases carrying a TIVS7-2 allele did not show any increased tendency to be homozygous for the thermolabile variant of the folate-dependent enzyme 5,10-methylene tetrahydrofolate reductase, which is an established genetic risk factor for NTDs. Since the incidence of NTDs has declined markedly in Ireland over the last few decades, we suggest that the T-associated risk is potentiated by nutritional or environmental risk factor(s), the impact of which have been diminishing over time.


Subject(s)
Fetal Proteins , Genetic Predisposition to Disease , Neural Tube Defects/genetics , Oxidoreductases Acting on CH-NH Group Donors/genetics , T-Box Domain Proteins/genetics , Adolescent , Adult , Alleles , Animals , DNA Mutational Analysis , Female , Genotype , Humans , Linkage Disequilibrium , Male , Methylenetetrahydrofolate Reductase (NADPH2) , Mice , Risk
10.
Am J Med Genet ; 86(1): 71-4, 1999 Sep 03.
Article in English | MEDLINE | ID: mdl-10440833

ABSTRACT

Folic acid can prevent neural tube defects; in some cases the mechanism is probably a correction of a metabolic defect caused by thermolabile methylenetetrahydrofolate reductase (MTHFR) found in increased frequency in cases. It is less clear whether folic acid can prevent oral clefts, in part because it is not known whether thermolabile MTHFR is more common in those with oral clefts. This study examined the prevalence of the mutation (677 C-->T) that causes thermolabile MTHFR in subjects with oral clefts from a national Irish support group, and an anonymous control group randomly selected from a neonatal screening program covering all births in Ireland. Eighty-three of 848 control subjects were homozygous (TT) thermolabile MTHFR (9.8%). This defect was almost three times as common in the 27 subjects (25.9%) with isolated cleft palate (odds ratio 3.23, 95% confidence interval 1.32 -7.86, P = 0. 02) and somewhat more common in the 66 subjects with cleft lip with or without cleft palate (15.2%, odds ratio 1.65, 95% confidence interval 0.81-3.35, P = 0.20). When the two groups with different etiologies were combined, the overall odds ratio was 2.06 (95% confidence interval 1.16-3.66, P = 0.02). In the Irish population homozygosity for the common folate-related polymorphism associated with thermolabile MTHFR is significantly more frequent in those with isolated cleft palate, and could be etiologically important. Am. J. Med. Genet. 86:71-74, 1999. Published 1999 Wiley-Liss, Inc.


Subject(s)
Cleft Lip/enzymology , Cleft Palate/enzymology , Mutation , Oxidoreductases Acting on CH-NH Group Donors/genetics , Child , Cleft Lip/etiology , Cleft Lip/genetics , Cleft Palate/etiology , Cleft Palate/genetics , Enzyme Stability , Family Health , Female , Folic Acid/metabolism , Gene Frequency , Homozygote , Humans , Infant, Newborn , Ireland , Male , Methylenetetrahydrofolate Reductase (NADPH2) , Odds Ratio , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Polymorphism, Genetic/genetics , Temperature
11.
Am J Med Genet ; 78(2): 155-9, 1998 Jun 30.
Article in English | MEDLINE | ID: mdl-9674907

ABSTRACT

Thermolabile 5,10-methylenetetrahydrofolate reductase (MTHFR) is the first folate-related variant to be associated with an increased risk of neural tube defects (NTDs). The variant causes high plasma homocysteine levels and reduced red cell folate (RCF) levels, both of which have also been linked to an increased risk of NTDs. We examined the relationship between folate status and presence of the common mutation MTHFR C677T in 82 NTD-affected and 260 control mothers. Homozygosity for the TT genotype was associated with very low folate status among both the cases (n = 13) and the controls (n = 21). However, after exclusion of TT homozygotes, only 10% of the remaining 240 controls had RCF levels less than 200 microg/L compared with 29% of the 69 cases (odds ratio, 3.67; 95% confidence interval, 1.88-7.18; P < 0.001), and those with RCF less than 150 microg/L had eight times higher risk of NTD than subjects with levels over 400 microg/L. Plasma homocysteine levels of non-TT cases were also higher than those of controls (P = 0.047). This study shows that homozygosity for the C677T MTHFR variant cannot account for reduced blood folate levels in many NTD-affected mothers. Thus, a strategy of genetic screening of all childbearing women for this variant would be ineffective as a method of primary prevention of NTDs. The data suggest that low maternal folate status is itself the major determinant of NTD risk, or else that other folate-dependent genetic variants confer risk through the reduction of folate levels. These results emphasize the importance of a food-fortification program as a population strategy for reducing the occurrence of NTDs.


Subject(s)
Cysteine/genetics , Folic Acid/blood , Neural Tube Defects/genetics , Oxidoreductases/genetics , Pregnancy Complications , Threonine/genetics , 5,10-Methylenetetrahydrofolate Reductase (FADH2) , Case-Control Studies , Female , Genotype , Humans , Methylenetetrahydrofolate Reductase (NADPH2) , Neural Tube Defects/etiology , Pregnancy
12.
J Clin Pathol ; 47(1): 78-9, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8132815

ABSTRACT

A method is described whereby the packed cell volume (PCV) of a blood sample can be estimated from the haemoglobin concentration. The method defines the relation existing between haemoglobin concentration and the PCV of blood samples and uses the mathematical formula thus obtained to estimate an unknown PCV value for a sample by extrapolation from the known haemoglobin value of the same sample. The method could be used in large scale field studies where haematological services are not available and where an evaluation of red cell status of vitamins such as folate is required.


Subject(s)
Hematocrit/methods , Hemoglobins/analysis , Erythrocyte Indices , Humans
13.
QJM ; 88(11): 763-6, 1995 Nov.
Article in English | MEDLINE | ID: mdl-8542260

ABSTRACT

It is now well-established that folic acid, taken peri-conceptionally, can reduce the risk of neural tube defects (NTDs). Recent work has demonstrated that an abnormality of homocysteine metabolism is a critical factor. The gene for 5,10 methylenetetrahydrofolate reductase, an enzyme important in homocysteine metabolism, was studied in relation to NTDs. To determine the frequency of the allele for the thermolabile form of the reductase, DNA samples were collected from people with NTDs, parents of people with NTDs, and normal controls. Of 82 people with NTDs, 15 (18.3%) were homozygous for the abnormal, thermolabile allele. This was significantly higher (p = 0.01) than the rate of 6.1% in the control population (odds ratio 3.47, 95% CI 1.28-9.41). This is the first specific genetic abnormality to be identified in NTDs. It explains the association between some NTDs and elevated homocysteine, given that the reductase is important in homocysteine metabolism. It also explains how folic acid supplementation prevents some NTDs, by overcoming a partial block in the conversion of 5,10 methylenetetrahydrofolate to 5 methyltetrahydrofolate. Genetic screening could identify women who will require folic acid supplements to reduce their risk of having a child with an NTD.


Subject(s)
Neural Tube Defects/enzymology , Oxidoreductases Acting on CH-NH Group Donors/genetics , Case-Control Studies , Genotype , Humans , Methylenetetrahydrofolate Reductase (NADPH2) , Odds Ratio
14.
QJM ; 95(11): 733-40, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12391385

ABSTRACT

BACKGROUND: Ongoing clinical trials are investigating whether lowering plasma homocysteine reduces the risk of vascular disease. If so, food fortification with folic acid will be the likely result, and sub-optimal amounts are likely to be preferred, for safety reasons. Dose-finding studies are needed before the outcomes of these trials, to establish the benefits and risks of folic acid consumption over the widest intake range likely to be encountered. AIM: To find the lowest dose of folic acid that effectively reduces plasma homocysteine in premenopausal women. DESIGN: Double-blind, randomized placebo-controlled trial. METHODS: Women of child-bearing age (n=95) were randomly allocated to 0, 100, 200, or 400 microg/day of folic acid. Red-cell folate and plasma homocysteine were measured at baseline and after 10 weeks supplementation. RESULTS: Median red cell folate levels increased significantly in the 200 microg(p=0.0001) and 400 microg(p=0.0001) groups; but not in the placebo (0 microg) (p=0.25) or the 100 microg (p=0.5) groups. Only the 200 microg and the 400 microg groups had significant decreases in plasma homocysteine, (p=0.04 and p=0.0008, respectively). However, when subjects whose initial plasma homocysteine was <8 micromol/l (already optimally low) were removed from the analysis, there were significant plasma homocysteine decreases in all three treatment groups, but not the placebo group. DISCUSSION: In this sub-population, low doses of folic acid significantly lower plasma homocysteine. This could be achieved safely by fortification.


Subject(s)
Folic Acid/administration & dosage , Hematinics/administration & dosage , Homocysteine/blood , Adult , Cross-Sectional Studies , Double-Blind Method , Female , Homocysteine/drug effects , Humans , Patient Selection , Software Design , Treatment Outcome
15.
Int J Gastrointest Cancer ; 30(3): 105-11, 2001.
Article in English | MEDLINE | ID: mdl-12540022

ABSTRACT

BACKGROUND AND AIM: Folate deficiency predisposes to sporadic colorectal cancer (CRC). Methylenetetrahydrofolate reductase (MTHFR) is a critical folate-metabolising enzyme and a polymorphism at position 677 (C677T), is associated with reduced enzyme activity. We investigated whether this functional polymorphism modulates the risk of developing CRC. METHODS: This was a retrospective case-control study. 136 unselected cases of sporadic CRC and 848 normal population controls were genotyped for the MTHFR C677T polymorphism. Tumor tissue was genotyped to assess loss of heterozygosity (LOH). RESULTS: MTHFR CT heterozygotes had a significantly increased risk of developing CRC (53.7% of CRC cases vs 38.4% of controls), odds ratio 1.86 (95% CI 1.3-2.7, p < 0.005). No increased cancer risk was observed in TT homozygotes. The MTHFR 'T' allele frequency was significantly higher in the cancer group (0.3713) as compared to controls (0.2900, p < 0.008). LOH at the MTHFR locus was observed in 18% of informative cancers, with exclusive loss of the variant 'T' allele, in all cases. CONCLUSION: In this study of a homogenous northern European population, MTHFR CT heterozygotes had an almost two-fold increased risk of developing sporadic CRC. The exclusive pattern of MTHFR allele loss in cases of LOH, suggest that functional MTHFR activity within a tumor might play an important role in the survival and progression of a colonic neoplasm.


Subject(s)
Adenocarcinoma/genetics , Colorectal Neoplasms/genetics , Oxidoreductases Acting on CH-NH Group Donors/genetics , Adenocarcinoma/enzymology , Case-Control Studies , Colorectal Neoplasms/enzymology , Disease Progression , Humans , Loss of Heterozygosity , Methylenetetrahydrofolate Reductase (NADPH2) , Polymorphism, Genetic/genetics , Retrospective Studies , Risk Factors
16.
Biofactors ; 10(2-3): 291-4, 1999.
Article in English | MEDLINE | ID: mdl-10609896

ABSTRACT

Periconceptional folic acid supplementation prevents approximately 70% of neural tube defects (NTDs). While most women carrying affected fetuses do not have deficient blood folate levels, the risk of having an NTD affected child is inversely correlated with pregnancy red cell folate levels. Current research is focused on the discovery of genetic abnormalities in folate related enzymes which might explain the role of folate in NTD prevention. The first candidate gene to emerge was the C677T variant of 5,10-methylenetetrahydrofolate reductase. Normal subjects who are homozygous for the mutation (TT) have red cell folate status some 20% lower than expected. It is now established that the prevalence of the TT genotype is significantly higher among spina bifida cases and their parents. Nevertheless, our studies show that the variant does not account for the reduced blood folate levels in many NTD affected mothers. We conclude that low maternal folate status may in itself be the most important risk factor for NTDs and that food fortification may be the only population strategy of benefit in the effort to eliminate NTDs.


Subject(s)
Folic Acid Deficiency/genetics , Folic Acid/metabolism , Neural Tube Defects/genetics , Oxidoreductases/genetics , Pregnancy Complications , 5,10-Methylenetetrahydrofolate Reductase (FADH2) , Dietary Supplements , Erythrocytes/metabolism , Female , Folic Acid/administration & dosage , Folic Acid/therapeutic use , Folic Acid Deficiency/blood , Genetic Variation , Genotype , Humans , Methylenetetrahydrofolate Reductase (NADPH2) , Neural Tube Defects/prevention & control , Oxidoreductases/deficiency , Point Mutation , Pregnancy , Pregnancy Complications/blood , Spinal Dysraphism/genetics
17.
Int J Vitam Nutr Res ; 64(4): 270-6, 1994.
Article in English | MEDLINE | ID: mdl-7883464

ABSTRACT

A disease, known as ovine white liver disease (OWLD) was experimentally reproduced in lambs by feeding a diet depleted of cobalt. At necropsy, affected animals had pale, swollen, friable fatty livers, and showed marked accumulation of lipofuscin. Control animals, fed the same diet to which adequate amounts of cobalt had been added, were clinically normal. In animals with OWLD, liver triglyceride and free fatty acid concentrations were increased. A decrease in the ratio of phosphatidyl choline to phosphatidyl ethanolamine in the liver may result in a reduced ability to export triglycerides as very low density lipoprotein. This may cause the lipid accumulation characteristic of OWLD. Lipofuscin accumulation, another feature of OWLD, is a consequence of lipid peroxidation. Evidence for a peroxidative challenge was provided by the finding of reduced concentrations of alpha-tocopherol, elevated concentrations of induced 4-hydroxynonenal, and decreased amounts of the most readily peroxidizable fatty acids in the liver of animals with OWLD, by comparison with controls. The initiator of the peroxidative challenge is unknown, but may be related to the finding of increased concentrations of homocysteine in the plasma of animals with OWLD.


Subject(s)
Cobalt/deficiency , Lipid Metabolism , Liver/metabolism , Sheep Diseases/metabolism , Vitamin B 12 Deficiency/veterinary , Aldehydes/metabolism , Animals , Cobalt/administration & dosage , Fatty Acids/metabolism , Fatty Acids, Nonesterified/metabolism , Lipid Peroxidation , Liver/pathology , Sheep , Sheep Diseases/pathology , Triglycerides/metabolism , Vitamin B 12 Deficiency/metabolism , Vitamin B 12 Deficiency/pathology , Vitamin E/metabolism
18.
Int J Vitam Nutr Res ; 65(4): 241-7, 1995.
Article in English | MEDLINE | ID: mdl-8789620

ABSTRACT

Cobalt deficiency was induced in cattle by feeding two groups of animals either a basal diet that was very low in Co (12.9-17.6 micrograms Co per kg), or the same diet supplemented with cobalt, for a total of 64 weeks. Vitamin B12 deficiency was induced, as judged by hepatic concentrations of vitamin B12 and plasma concentrations of MMA. However, the activity of holo-methylmalonyl CoA mutase was significantly reduced only in brain. This was reflected in very minor alterations in the tissue concentrations of branched chain- and odd numbered-fatty acids. The activity of holo-methionine synthase was significantly reduced in liver and brain, but there were no consequent alterations in the concentrations of phosphatidyl choline and phosphatidyl ethanolamine. This study confirms that cattle are less susceptible to the effects of cobalt deficiency than sheep, and concludes that prolonged cobalt deficiency had little significant effect on tissue metabolism.


Subject(s)
5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/metabolism , Cattle Diseases/enzymology , Cobalt/deficiency , Methylmalonyl-CoA Mutase/metabolism , Vitamin B 12 Deficiency/veterinary , Animals , Brain/enzymology , Brain/metabolism , Cattle , Cobalt/administration & dosage , Diet , Liver/enzymology , Liver/metabolism , Male , Vitamin B 12/metabolism , Vitamin B 12 Deficiency/enzymology
19.
Int J Vitam Nutr Res ; 65(4): 255-60, 1995.
Article in English | MEDLINE | ID: mdl-8789622

ABSTRACT

Activity of the vitamin B12-dependent enzyme, methylmalonyl CoA mutase, was measured in the tissues of pigs, fed a diet which was low in cobalt and vitamin B12, and which were intermittently exposed to nitrous oxide until they displayed marked ataxia. Methylmalonyl CoA mutase activity was reduced in liver, kidney and brain. However, the methylmalonic acid concentration was reduced in liver and heart, in marked contrast to the expected increase which was only observed in brain. Liver and kidney also showed an unexpected reduction in the concentration of C17 odd-numbered fatty acids, possibly as a consequence of reduced propionate availability. Brain however, which had elevated methylmalonic acid concentrations showed no change in either odd-numbered or branched-chain fatty acids. These results suggest that nitrous oxide-induced neuropathy does not occur as a result of misincorporation of odd-numbered/branched-chain fatty acids in brain.


Subject(s)
Fatty Acids/metabolism , Nitrous Oxide/pharmacology , Swine Diseases/metabolism , Vitamin B 12 Deficiency/metabolism , Animals , Brain/metabolism , Kidney/metabolism , Liver/metabolism , Methylmalonic Acid/metabolism , Methylmalonyl-CoA Mutase/metabolism , Myocardium/metabolism , Nitrous Oxide/administration & dosage , Propionates/metabolism , Swine , Weight Gain
20.
Ir J Med Sci ; 165(3): 173-6, 1996.
Article in English | MEDLINE | ID: mdl-8824021

ABSTRACT

Neutrophil taurine was measured in 30 subjects presenting with chronic stable plaque-type psoriasis. The taurine concentration expressed per 5 x 10(6) cells was significantly lower (p < 0.002) in these subjects compared to neutrophil taurine measured in 20 control subjects. In view of increasing evidence proposing possible roles for taurine in maintaining normal neutrophil function coupled with previously observed anti-inflammatory effects of taurine in vitro, an assessment of possible roles of taurine in the aetiology of psoriasis is discussed.


Subject(s)
Neutrophils , Psoriasis/etiology , Taurine/blood , Adult , Aged , Female , Humans , Male , Middle Aged , Neutrophils/metabolism , Psoriasis/physiopathology , Reference Values , Taurine/analysis
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