Multiple chemical sensitivity: Genotypic characterization, nutritional status and quality of life in 52 patients
MEDICINA CLINICA
Authors: Loria-Kohen, Viviana; Marcos-Pasero, Helena; de la Iglesia, Rocio; Aguilar-Aguilar, Elena; Espinosa-Salinas, Isabel; Herranz, Jesus; Ramirez de Molina, Ana; Reglero, Guillermo
Abstract
Background and objectives: Multiple chemical sensitivity (MCS) is a chronic, multisystem syndrome of unknown etiology. The aim of the present study was to describe the nutritional status and quality of life of patients suffering from MCS, as well as to identify potential polymorphisms associated with this illness. Patients and methods: A cross-sectional, descriptive study was performed on patients with a diagnosis of MCS. Data on anthropometric and body composition variables, hand muscle strength and quality of life were collected. The selection of single nucleotide polymorphisms (SNPs) was based on genes previously associated with MCS and genes involved in inflammatory and oxidative stress pathways. Results: A total of 52 patients (93.2% female), with a mean age of 50.9 (10.3) years were included in the study. Among them, based on their BMI, 48% had an inadequate nutritional status (17% were underweight and 32% were overweight or obese). Thirty percent of patients had a low muscle mass for their age, 84% had muscle strength below the tenth percentile, and 51.8% had a high fat mass percentage. Regarding quality of life, all median scores were lower than those of other illnesses assessed for every subscale assessed. Statistically significant differences between patient cases and controls were found with respect to rs1801133 (MTHFR), rs174546 (FADS1) and rs1801282 (PPAR gamma) polymorphisms. Conclusion: A high percentage of patients had a poor nutritional status, low muscle strength and decreased muscle mass. These facts exacerbate the already-lower quality of life of these patients. Specific genetic polymorphisms associated with the syndrome or its pathogenesis were not identified. (c) 2017 Elsevier Espana, S.L.U. All rights reserved.
Interaction between a common variant in FADS1 and erythrocyte polyunsaturated fatty acids on lipid profile in Chinese Hans
JOURNAL OF LIPID RESEARCH
Authors: Zhu, Jingwen; Sun, Qi; Zong, Geng; Si, Yuan; Liu, Chen; Qi, Qibin; Ye, Xingwang; Sun, Liang; Sheng, Hongguang; Li, Huaixing; Lin, Xu
Abstract
Little is known about the associations of FADS1 genetic variants with circulating levels of PUFA and lipids in Asian populations who have a different dietary pattern and dyslipidemia prevalence compared with Western populations. In a population-based sample of 3,210 unrelated Han Chinese living in Beijing and Shanghai, we examined a FADS1 genetic variant, rs174550, in relation to blood PUFA and lipid levels. C-allele of rs174550 was significantly associated with levels of erythrocyte PUFAs in upstream and downstream pathways of delta-5 desaturase (D5D) (P <= 0.003). Moreover, rs174550 C-allele was associated with a lower HDL cholesterol level (P = 0.02) in total population and a higher triglyceride level (P = 0.0002) in Beijing residents. Interestingly, erythrocyte levels of 18: 2n-6 and 18: 3n-3 modified the effect of rs174550 on HDL cholesterol level: stronger associations between rs174550 C-allele and lower HDL cholesterol levels were exhibited when erythrocyte 18:2n-6 or 18:3n-3 level was low (P for interaction = 0.02 and 0.03, respectively). These data suggested that FADS1 genetic variant was associated with circulating PUFA and lipid levels and that its effect on HDL cholesterol might depend on PUFA status in the Han Chinese population.-Zhu, J., Q. Sun, G. Zong, Y. Si, C. Liu, Q. Qi, X. Ye, L. Sun, H. Sheng, H. Li, and X. Lin. Interaction between a common variant in FADS1 and erythrocyte polyunsaturated fatty acids on lipid profi le in Chinese Hans. J. Lipid Res. 2013. 54: 1477-1483.