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Lecture 11 Gene and nutrition Genetic factor Non-esterified fatty acid rise in blood Hyperlipemia Oxidation Ripo protein Lifestyle related factor Obesity Insulin resistance Abnormal glucose tolerance hyperinsulinemia Hypertension Salt collect. Sympathetic nerve tension Right figure shows the structure of DNA (deoxyribonucleic acid). All genetic codes of the living thing are decided by how of four kinds of bases such as A, G, C, and T to queue up. Only in the array of only two kinds of 0 and 1, the computer is the same as can show all sentences and figures All genetic codes of one cell are called a genome, and the same genome as each one of 60 trillion that make the body exists. Because the genome is a blueprint of the whole body, the cloned sheep can make it from sheep's one soma. Nutrigenomics is a compound word of Nutrition (nourishment) and Genomics (genome analysis) Double stranded of DNA is mutually copied and is inherited Guanine Cytosine Hydrogen bond Direction of DNA strand G-C:3 DNA of parents cell A-T:2 Division The corresponding bases are united DNA of Child cell Double-standard DNA Phosphoric acid Adenine Nucleotide It dissociates into single stranded DNA Pentose Base Guanine Cytosine Base Complementary Pentose Chain DNA Phosphoric against up acid Cytosine Guanine Hydrogen bond Thymin Adenine Single-standard DNA Yasuo KAGAWA et at al. “Core, molecular biology of human body” MARUZEN, 1997, p.2 Identical twin's identity frequency of the attack is higher than that of fraternal twins. Monovular brother's one side is a possibility of the prevention of the high rate because it doesn't get sick Both brotherly appearance of disease frequency of twin Identical twin (Men62 Women63) BMI Blood sugar rise for 120 minutes Systolic pressure Diastolic blood pressure Value of HDL cholesterol 0.68 0.52 0.55 0.47 0.61 Homosexual fraternal twins (Men86 Women92) 0.28 0.26 0.17 0.07 0.26 Statistical, significant difference p value <0.001 <0.05 <0.001 <0.01 <0.001 Article : P.Poulsen et al. Diabetologia 44:537-543 (2001) An increase in disease by making of meal European-style Comparison of 3 groups (40 or more) in Hisayama-machi Age adjustment person Hyperlipemia:Total cholesterol Frequency per 1961 per 1961 Kyushu University the second internal medicine department Hisayama laboratory Women Men (To Cerebral infarction Abnormal glucose Tolerance (To Cerebral infarction Cardiac infarction) (To diabetics) Cardiac infarction) Hyperlipemia Hyperlipemia Abnormal glucose Tolerance (To diabetics) Relation between strength to alcohol and gene Base Normal type Amino acid Of enzyme Threonine Glutamic acid Valin Lysine Threonine From father Strong Deletion form from mother Normal type / Normal type Middle Deletion form / Normal type single nucleotide polymorphism Weak Deletion form /Deletion form Lysine Distribution of aldehyde dehydrogenase multi type and consumption of ethanol. It is small in a lot of Japanese Yayoi Kinki, China, and Hokuriku that is Hokkaido gene Tohoku Hokuriku Kanto Chugoku North kyushu EthanolYear/person) Hokkaido Tohoku Kanto Chubu Hokuriku Kinki Chugoku North Kyushu Shikoku South kyushu Okinawa Kinki Chubu frequency Amount of Alcohol consumption Shikoku South Kyushu Each prefecture investigated for 5000 Japanese or more in total Feature of gene polymorphism related to nourishment in Japanese 1.The hunger tolerance: Light obesity is a diabetic and infarct: βARs and UCPs. 2. The salt receptivity: It is high blood pressure by 10g or more on the salt the first: TT type of AGT. 3. Alcoholic receptivity: The weak person is a cancer of the esophagus in alchol: Two types of ALDH2. 4.No lactose tolerance: Limit 500ml of for drinking milk: Adult lactase loss 5.A passive, joint character: Guidance politely :: The SS type of SerotoninT. 6.Folic acid and Epijeneticcs: Acknowledgment syndrome and cerebral infarction: TT type of MTHFR 7.The amount of the pancreatic island secretion: It is diabetic constitution half of Caucasian: Multi type of SOCS2. 8.Detoxication Nou uniqueness: Racial difference of food function element effectiveness: CYP multi type 9.Haplotype of mitochondria: New mongoloid feature DNA Self prolification Reaction of S period (DNA Polymerase α) DNA reproduction RNA transcript Protein translation Disease and gene information Replication Gene type (Mutation) Change of nucleotide sequence Chromosome) Transcription polymerase Addition (Cap, Poly A) Splicing Abnormal regulation Of expression (Steroid hormone action, etc) Processing abnormal Of the translation product (Thalassemia, etc ) Yasuo KAGAWA et at al. “Core, molecular biology of human body” MARUZEN, 1997, p.16 Peptide bond Messenger RNA Translation Synthesis protein (Start, Extension, Conclusion) Aminoacil Abnormal amino acid (missense energy mutation) Abnormal conclusion Deletion (Frameshift) Ribosome Transfer RNA Amino acid Processing The processing abnorma of the translation produ (Proinsulin syndrome Prepeptide cleavage of membrane protein Peptide cleavage, Glycosylation, Residue modification Targetalization for membrane (1st-5th screening) Conformation ← Chaperonin Abnormal protein Enzyme deficiency Protein Receptor deficiency Transportor deficiency Activity Structure Processing Synthesis of living Peptide bond Of inteprer of biological body material product Phenotype Metabolic abnormality Dysfunction Morphological defect Cell Extraction and detection method of DNA Heat annealing Hybridization (Molecular hybridization) Probe DNA Radioactive phosphoric acid or fluorescent dye Base peculiar hydrogen uniting formation Denatured protein Phenol extraction, Ethanol precipitation, Protein-cutting enzyme Double-stranded DNA Complementary strand DNA Alkali denaturation or heat denaturation Autoradiography or Fluorescence intensity detection T means U when RNA Single Stranded DNA or RNA Yasuo KAGAWA et at al. “Core, molecular biology of human body” MARUZEN, 1997, p.20 Outline of Nutorigenomiccs Environment al factors (Nutrient, Function element, Exercise) DNA : Universal set body in each cell (ohm) Genome Transcript RNA : Transcriptome Amount of ratio in cell (profile) Analysis Gene multi type(SNP etc) Difference of cell Genomics *epigenetics Gene expression profiling (mRNA synthesis amount) Transcriptomics Proteomics Translation Protein Individual difference : Proteome) Protein appearance file (enzyme and receptor, etc.) Vicissitude Metabolite profile (blood sugar, serum lipid, and lactic acid, etc.) Metabolites : Metabolome Diversity of action appearance Metabolomics bioinformatics The mind and body's all activities Lifestyle disease and aging Yasuo KAGAWA. “Easy nourishment study”, Kagawa Nutrition Publishing, 2006, p.163. Lifestyle-related diseases prevention and mongoloid gene polymorphism Appearance of disease and obesity of lifestyle disease Mongoloid hunger resistant gene multi type Non-esterified fatty acid rise in blood Hyperlipemia Oxidation Ripo protein Genetic factor Lifestyle related factor Obesity Insulin resistance Abnormal glucose tolerance Globalization of lifestyle of Corcasoid hyperinsulinemia Hypertension Salt collect. Sympathetic nerve tension festyle disease being found for gene related to appearance of diseas Cancer Hypertension Obesity C type of CYP1A1, etc T type of Angiotensinogen, etc Arg type of β Adrenaline receptor Diabetics Uncoupling protein 3 (UCP 3) etc Alzheimer type dementia Apo E4 type, etc Obesity factor Monobasic multi type Excess nutrient Decrease in amount of body activity Tryptophane β3 adrenaline receptor Mutation Amount of intake energy Amount of consumption energy Arginine Life style factor Obesity Hereditary determinant Amount of metabolizing at rest and β3 adrenaline receptor multi type Kagawa Nutrition University Students:175 (Average age 21) Attendance lecture in Nutrition clinic (KAGAWA Nutrition University) : 127 (kcal/day) (Average age 50) 2000 P<0.01 NS 1500 1000 500 R/W W/W 0 R/W W/W Source : Prof. Kazuhiro UENISHI (Nutrition physiology, KAGAWA Nutrition University) Obesity gene multi type in Nutrition clinic (KAGAWA Nutrition University) Receptor of not enzyme but biomembrane and multi type of transportation body ①β3 Adrenaline receptor (β3AR)Trp64Arg ② uncoupling protein 2 (UCP2)45bp insertion/deletion ③ uncoupling protein 3 (UCP3)C-55T β3AR β3AR UCP2 UCP1 White adipocyte Brown adipocyte β2AR UCP3 Both film proteins concerning energy transduction Non-esterified fatty acid Frame muscle cell Increase and decrease of amount of metabolizing of Japanese obesity gene multi type at frequency and rest. There are a lot of multi types of the receptor and the transportation body, and a multi type of the enzyme is few Name of gene The gene multi type remainder radical and position Difference of amount of resting metabolism Kcal/a day β3-AR Trp64Arg -200 (Arg aryl) 26% β2-AR Arg16Gly +300 (Gly aryl) 16% UCP1 a-3826g -100 (G aryl) 40% UCP2 Insert/Del -200 (Loss) 35% UCP3 c-55t -100 (t aryl) 63% Kir6.2 Glu23Lys +100 (Lys aryl) 41% LEPR Gln233Arg -100 (Arg aryl) 85% RAGE g1704t -350 (t aryl) 14% MTP g-493t -100 (t aryl) 21% Frequency of aryl on Japanese % Toshihide YOSHIDA,「Obesity treatment」, Available from <http://metab.kuhp.kyoto-u.ac.jp/IKAI/report/no8.html>, (accessed 2007-12-11) Racial difference of gene concerning nourishmen Caucasian Japanese Amount of energy place main point Type of energy consumption of large amount Type of tolerance hunger Alcohol metabolism Strong Weak Farming culture Stock raising Rice farming Multi type concerned energy Milk tolerance The Japanese develops diabetes easily because of slight obesity. The insulin secretion is few Comparison of Japan-US diabetic patients Rate of obesity Japan Insulin immunity US US Japan Fasting glucose It is a big difference. the condition physiology and the expression type SOCS2(supressor of cytokine signaling 2) difference of multi type gene When the number of risk factor possession exceeds three, Metaboric syndrome becomes 31 dangerous times the healthy individual Risk is not mere addition Appearance disease odds rate Nu m be r o f r isk fac t o r po sse sio n an d 35 appe ar an c e dise ase o dds r at e 30 25 20 15 10 5 0 Appearance disease 発症オッズ比 Odds rate 0 1 2 3~4 Number of risk factor possesion Risk factor ・Obesity ・hypertension ・High levels of sugar ・Hyperlipemia Kidney disease and losing sight can be prevented by meal and exercise even due to diabetic by the gene polymorphism Data after it passes of 20 years or more of attending a lecture Normal value of blood sugar Diabetics and abnormal glucose tolerance Adiponectin Adiponectin Keiko YANAGISAWA, Sayuri AIDA, Yasuo KAGAWA et at al (Nutrition Clinic, Kagawa nutrition university) Frequency of aryl of gene polymorphism that promotes hypertension α adducin Trp460 Angiotensinogen T235 81 Japanese Caucasian 57 Japanese 45 (Ishikawa, Hypertension 2001) Caucasi15 an (Ishikawa, Am J Hypertens 1998) G proteinβ3(Na-H pump゚) Aldosterone synthase T825 T-344 69 Japanes e Caucasi an 50 (Tsujita, Hypertens Res 2001) (unit:%) Japanes e Caucasi 25 an 52 (Ishikawa, Am J Hypertens 2000) One nitric oxide synthetic enzyme gene T786C multi type doesn't become hypertension in case of the salt intake 11.7g or less/a day either 150 145 140 135 TT type TC/CC type 130 TC/CC type that 17% of 281 Japanese of average age 45 year becomes high blood pressure easily 125 120 115 <7.5g 7.5-9.2g 9.2-11.7g >11,7g Miyaki. K. et al. “Salt Intake Affects the Relation Between Hypertension and the T-786C Polymorphism in the Endothelial Nitric Oxide Synthase Gene” Am J. Hypertension. 18(12), 2005, 1556-62 Hypertension appearance of disease rate and Angeotenshinorgen gene polymorphism after three years intervention examinations 50 45 44 Incidence rate of hypertension (%) 40 41 32 28 30 36 32 25 20 10 s os tl gh ei W di so wLo On ly ob se rv um at di io n et 0 32 TT type TM type MM type Obesity level (BMI) is ameliorable in no administering even if there is a gene polymorphism related to four kinds of obesitys in the guidance of the nutritional clinic β3AR (㎏/m2) 35.0 30.0 25.0 ns p< 26.4 -1.7 p< Wild type 野生型群(n=91) 25.0 Mutation 変異型群(n=56) type UCP3 35.0 30.0 -1.7 25.5 23.9 24.6 20.0 (㎏/m2) (㎏/m2) ns p< -1.8 26.1 24.4 -1.7 p< 25.9 20.0 Wild type 野生型群(n=64) -1.2 35.0 -1.8 30.0 -2.4 25.0 -3 20.0 (㎏/m2) -1.8 30.0 -2.4 25.0 -1.7 26.2 24.5 -1.7 p< 25.5 23.9 Mutation 変異型群(n=42) type -1.7 p< 0.0001 25.8 24.1 20.0 野生型群(n=59) Wild type Amount of change -1.8 -2.4 FABP2 ns 24.2 After lecture -1.2 p< (㎏/m2) 35.0 (㎏/m2) ns Wild type 野生型群(n=105) -1.2 -3.0 Mutation 変異型群(n=83) type Before lecture UCP2 (㎏/m2) -3.0 (㎏/m2) -1.2 -1.7 p< 26.1 24.4 -1.8 -2.4 -3.0 Mutation 変異型群(n=86) type After attending vs before a lecture is attended, the order authorization with the sign and wild type group vs mutation type group of Wilcoxon are U authorization of Mann-Whitney Serum lipid improvement of both of escape after movement is guided of nourishment of deficiency/deficient this type zygotic mutation type of post protein 2 (mg/dl) 260 Total cholesterol p=0.0007 p=0.0005 p<0.0075 (mg/dl) p=0.0417 p<0.0001 115±48 241±53 240 130 Neutral fat 110 p<0.0001 p<0.0001 97±42 225±46 90 220 210±36 80±25 75±25 200 180 70 197±36 50 Before after Wild group (n=105) Before after Mutation type group (n=42) Before after Wild group (n=94) Before after Mutation type group (n=34) The Heart Disease and diabetes increasing suddenly by the change to Western Europe lifestyle also in Thailand During this 15 years: Heart diseases x 5.1 Diabetes x 7.5 Cancer x 1.3 Heart disease Diabetes Cancer Thailand Health Profile 2000 The gene multi type frequency between Asians is similar (By the research of “Kagawa Nutrition University High-tech research Center” Okinawa (n=100) PPARg2 LEPR ex6 Apo E AGT M235T 2 98 11 2 AGT a-20c b3AR LEPR ex14 4 26 7 30 63 52 42 25 56 46 19 40 70 14 25 5 95 5 31 25 36 66 81 90 40 31 3 18 1 91 7 88 96 69 91 99 58 12 4 51 8 1 86 7 35 68 2 12 73 56 9 12 2 71 12 20 36 Mongol (n=252) 96 326 81 3 6 13 70 7 7 91 Palau (n=118) 94 6 89 UCP2 UCP3p Thai (n=212) 81 41 27 3 15 41 52 69 4 45 14 30 1 72 26 2 9 65 33 2 1 71 27 2 Lifestyle disease and mongoloid receptivity gene A Mongoloid receptivity gene B Lipid, salt, sake, milk, movement, stress, and medicine Action alternately Appearance of disease The agreement with the genetic test has increased overwhelmingly as for the public opinion Asahi Newspaper, March 12, 2006 morning newspaper The Ministry of Education, Culture, Sports, Science and Technology specific area research Information on the gene was considerably established. (The percentage of those to whom the person who doesn't know DNA understands 1% and the meaning is 55%. ) It was answered that the genomic study applied to the medical treatment agreed by 70%, was opposite 1%, and it was not able to be said that 29% was either. The percentage of those who had answered that it wanted to receive the genetic test to judge the easiness of the medicine to be effective was 66%. It was a positive response to apply the result to the medical treatment (It questions about 4,000 general people in Japan, 2005.11) The person of 73% hopes for the genetic test Do you want to receive the genetic test? I want to receive it by all means. I want to receive it somewhat. I do not want to receive it. I do not want never to receive it The Ministry of Economy, Trade and Industry: New health enhancement service investigation with genome base (February, 2006) Because the resistance power strengthens economically advantageously as for a saving gene multi type by an appropriate lifestyle guidance, too it is ethical to notify a multi type A multi type is diversity in the normal person group, and it is not sick. Arg multi type of the β3 adrenaline receptor of the saving gene can be ..200kcal.. few during a day. General food is 1kcal=1 yen, and the possibility of the living at the disaster is high in one home. the holder of the saving saving gene during 360,000 yen/year Because it is notified that it is a holder of the saving gene, and is prevented the lifestyle disease as well as a general person if guidance is received, it is not disadvantageous. It is misunderstood to have advertised that discrimination happens because it is disadvantageous the saving gene. Because the saving gene is inspected, and the notification is profitable to prevent the lifestyle disease, the report that fuels opposite and the uneasiness to the genetic test is unethical. I want to promote checkup to a possible genetic test and the guidance of the treatment prevention Patient Me Gene therapy (the first generation) to fatal disease (terminal cancer etc.) Patient Me Gene therapy to quality decrease (the second generation) in important life Patient Me Legal promotion of whole nation's genetic test in Iceland etc Patient Me Gene therapy transmitted by descendant like mitochondria import in the United States. Patient Me Freedom of gene manipulation that improves able-bodied person's mind and body's ability and features, etc ○ × ○ × Others Others Approval or disapproval of ethics of gene medicine (Medical student's result of the survey) Ratio of cultivation area of the world of genetically modified agricultural products in the world (Million ha) 160 Non genetically modified Genetically modified 140 120 100 80 60 40 20 0 55% Soybean 21% 16% Cotton Colza 11% Corn