Exploring the genetic basis of chronic periodontitis: a genome-wide association study
HUMAN MOLECULAR GENETICS
Authors: Divaris, Kimon; Monda, Keri L.; North, Kari E.; Olshan, Andrew F.; Reynolds, Lindsay M.; Hsueh, Wen-Chi; Lange, Ethan M.; Moss, Kevin; Barros, Silvana P.; Weyant, Robert J.; Liu, Yongmei; Newman, Anne B.; Beck, James D.; Offenbacher, Steven
Abstract
Chronic periodontitis (CP) is a common oral disease that confers substantial systemic inflammatory and microbial burden and is a major cause of tooth loss. Here, we present the results of a genome-wide association study of CP that was carried out in a cohort of 4504 European Americans (EA) participating in the Atherosclerosis Risk in Communities (ARIC) Study (mean ageu62 years, moderate CPu43 and severe CPu17). We detected no genome-wide significant association signals for CP; however, we found suggestive evidence of association (P 5 10(6)) for six loci, including NIN, NPY, WNT5A for severe CP and NCR2, EMR1, 10p15 for moderate CP. Three of these loci had concordant effect size and direction in an independent sample of 656 adult EA participants of the Health, Aging, and Body Composition (Health ABC) Study. Meta-analysis pooled estimates were severe CP (n 958 versus health: n 1909)uNPY, rs2521634 [G]: odds ratio [OR 1.49 (95 confidence interval (CI 1.281.73, P 3.5 10(7)))]; moderate CP (n 2293)uNCR2, rs7762544 [G]: OR 1.40 (95 CI 1.241.59, P 7.5 10(8)), EMR1, rs3826782 [A]: OR 2.01 (95 CI 1.522.65, P 8.2 10(7)). Canonical pathway analysis indicated significant enrichment of nervous system signaling, cellular immune response and cytokine signaling pathways. A significant interaction of NUAK1 (rs11112872, interaction P 2.9 10(9)) with smoking in ARIC was not replicated in Health ABC, although estimates of heritable variance in severe CP explained by all single nucleotide polymorphisms increased from 18 to 52 with the inclusion of a genome-wide interaction term with smoking. These genome-wide association results provide information on multiple candidate regions and pathways for interrogation in future genetic studies of CP.
Time-course microarrays reveal early activation of the immune transcriptome and adipokine dysregulation leads to fibrosis in visceral adipose depots during diet-induced obesity
BMC GENOMICS
Authors: Kwon, Eun-Young; Shin, Su-Kyung; Cho, Yun-Young; Jung, Un Ju; Kim, Eunjung; Park, Taesun; Park, Jung Han Yoon; Yun, Jong Won; McGregor, Robin A.; Park, Yong Bok; Choi, Myung-Sook
Abstract
Background: Visceral white adipose tissue (WAT) hypertrophy, adipokine production, inflammation and fibrosis are strongly associated with obesity, but the time-course of these changes in-vivo are not fully understood. Therefore, the aim of this study was to establish the time-course of changes in adipocyte morphology, adipokines and the global transcriptional landscape in visceral WAT during the development of diet-induced obesity. Results: C57BL/6 J mice were fed a high-fat diet (HFD) or normal diet (ND) and sacrificed at 8 time-points over 24 weeks. Excessive fat accumulation was evident in visceral WAT depots (Epidydimal, Perirenal, Retroperitoneum, Mesentery) after 2-4 weeks. Fibrillar collagen accumulation was evident in epidydimal adipocytes at 24 weeks. Plasma adipokines, leptin, resistin and adipsin, increased early and time-dependently, while adiponectin decreased late after 20 weeks. Only plasma leptin and adiponectin levels were associated with their respective mRNA levels in visceral WAT. Time-course microarrays revealed early and sustained activation of the immune transcriptome in epididymal and mesenteric depots. Up-regulated inflammatory genes included pro-inflammatory cytokines, chemokines (Tnf, Il1rn, Saa3, Emr1, Adam8, Itgam, Ccl2, 3, 4, 6, 7 and 9) and their upstream signalling pathway genes (multiple Toll-like receptors, Irf5 and Cd14). Early changes also occurred in fibrosis, extracellular matrix, collagen and cathepsin related-genes, but histological fibrosis was only visible in the later stages. Conclusions: In diet-induced obesity, early activation of TLR-mediated inflammatory signalling cascades by CD antigen genes, leads to increased expression of pro-inflammatory cytokines and chemokines, resulting in chronic low-grade inflammation. Early changes in collagen genes may trigger the accumulation of ECM components, promoting fibrosis in the later stages of diet-induced obesity. New therapeutic approaches targeting visceral adipose tissue genes altered early by HFD feeding may help ameliorate the deleterious effects of diet-induced obesity.