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FADS1 FADS2 gene cluster, PUFA intake and blood lipids in children.
Results from the GINIplus and LISAplus studies.
Marie Standl
Helmholtz Zentrum München Institute of Epidemiology I
Bristol, 18/10/11
Background
Cardiovascular diseases
• Total cholesterol
• High-density lipoprotein (HDL)
• Low-density lipoprotein (LDL)
• Triglycerides
Dietary PUFA intake
FADS Genes
Fatty acid metabolism
Omega 6fatty acid
AA(Arachidonic acid)
“pro inflammatory”
Omega 3fatty acid
DHA(Docosahexaenoic
acid)
“beneficial effects”
FADS Genes
Major allele
Minor allele
More product
More substrate
Background
Cardiovascular diseases
• Total cholesterol
• High-density lipoprotein (HDL)
• Low-density lipoprotein (LDL)
• Triglycerides
Dietary PUFA intake
FADS Genes
Minor allele:
Total cholesterol, HDL, LDL
Triglycerides
Background
• Total cholesterol
• High-density lipoprotein (HDL)
• Low-density lipoprotein (LDL)
• Triglycerides
Dietary PUFA intake
FADS Genes
Objective
• Are lipid levels already
determined by the
FADS genotype in
school-aged children?
• Interaction between
dietary PUFA intake
and FADS genotype?
Methods
• Dietary n3 PUFA intake:
• Derived from FFQ (food frequency questionnaire)
• n3 PUFA = (ALA+EPA+DPA+DHA)/total dietary energy intake
• Results presented as mg/MJ per interquartile range increase
• FADS genes: six SNPs were genotyped (results presented for rs174556 and
rs174575)
• Linear regression models:
• Total cholesterol, LDL, triglyceride: results presented as means ratios (log NV)
• HDL: results presented as estimate β and standard deviation (Sd)
• Adjustment: gender, study centre, age, BMI, fasting status and total dietary energy intake
Study population(with genetic information)
N=2006 % or Median (Qu. 25%/Qu. 75%)
Study
GINI 64%
LISA 36%
Fasting blood samples 18%
Age [years] 10.2 (10.1/10.3)
BMI [kg/m²] 17 (16/19)
n-3 PUFA intake [mg/MJ]0.14 (0.13/0.16)
Total cholesterol [mmol/L] 4.79 (4.28/5.32)
HDL [mmol/L] 1.24 (1.06/1.44)
LDL [mmol/L] 2.12 (1.72/2.53)
Triglyceride [mmol/L] 1.19 (0.90/1.64)
Results: Total cholesterol
A: major allele / a: minor allele
Results: LDL
A: major allele / a: minor allele
Results: Triglyceride
A: major allele / a: minor allele
Results: HDL
rs174556 n3 PUFA [mg/MJ] AA (ref) Aa (ref AA) aa (ref AA)
Estimate 0.02 - -0.04 0.00
Sd 0.01 - 0.02 0.03
p-value 0.017 - 0.007 0.890
rs174575 n3 PUFA [mg/MJ] AA (ref) Aa (ref AA) aa (ref AA)
Estimate 0.02 - -0.01 -0.01
Sd 0.01 - 0.01 0.03
p-value 0.014 - 0.332 0.691
A: major allele / a: minor allele
Further results
• No interaction between n3 PUFA and FADS genotype
• No association between lipid levels and n6 PUFA intake
• Similar results for the n3 PUFAs ALA, EPA, DPA and DHA
• Similar results in a stratified analysis for LISA and GINI
Summary
• n3 PUFA:
• Total cholesterol, HDL and LDL
• Triglycerides
• Minor allele of FADS genotype:
• Total cholesterol, HDL and LDL
• Triglycerides
Acknowledgements
Eva Lattka
Barbara Stach
Sibylle Koletzko
Carl-Peter Bauer
Andrea von Berg
Dietrich Berdel
Ursula Krämer
Beate Schaaf
Stefan Röder
Olf Herbarth
Anette Buyken
Tim Drogies
Joachim Thiery
Berthold Koletzko
Joachim Heinrich
Characteristics of the FADS SNPs
• Results presented for rs174556 and rs174575
• Genotype frequency
aa aA AA
rs174556 9% 41% 50%
rs174575 7% 37% 56%
a: minor alleleA: major allele