Outline. Fitting Nutrition into Your Genes. Martha A. Belury, Ph.D., R.D. Martha A. Belury Sept 2018

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Fitting Nutrition into Your Genes, Ph.D., R.D. Human Nutrition The Ohio State University Outline I. History (abridged) of the Study of Genetics and Nutrition II. The Skinny on Fats & Genes III. How Dietary Fats Work with Your Genetic Code for Health IV. Fitting Genetics and Fats into your Conversation with Patients and Clients 2 1

Making History Together - I. Sciences of Nutrition and Genetics 1865 Mendel Experiments with Plant Hybrids 1930 s & 1940 s Golden Era of Nutrition Structures of Vitamins Discovered 1953 Era of Molecular Biology Watson & Crick discover the structure of DNA 1970 s Fatty acids & eicosanoids were linked with biological activities 2000 Human Genome Unraveled 2004 Post Genomic Era 2005 Metabolomics 2009 Lipidomics 3 II. The Skinny on Lipids Fats & Oils 9 kcal/g Removed, if fat fraction is removed Types Fatty Acids Sterols Fat Soluble Vitamins and Other Bioactive Compounds 4 2

Saturated fat H H H H H H H H H H H H H H H H HO H-C--C--C--C--C--C--C--C--C--C--C--C--C--C--C--C--C-C-OH H H H H H H H H H H H H H H H H H 5 n3 polyunsaturated fats H H H H H H H H H H H O H-C--C--C--C--C--C--C--C--C--C--C--C--C--C--C--C C--C-OH H H H H H H H H H H H H H H H H H -Linolenic Acid Neuronal development and conditions Visual Health Appetite Inflammatory-related diseases 6 3

Alpha-linolenic acid (A-LNA; 18:3n3) Docosahexaenoic acid (DHA; 22:6n3) Eicosapentaenoic acid (EPA; 20:5n3) 7 n6 polyunsaturated fat H H H H H H H H H H H H HO H-C--C--C--C--C--C--C--C--C--C--C--C--C--C--C--C--C-C-OH H H H H H H H H H H H H H H H H H Linoleic acid (octadecadienoic acid) 8 4

Linoleic Acid n6 PUFA Essential for growth Cardioprotective Other effects (?) Oils such as corn, safflower, sunflower, soybean 9 Sterols 10 5

11 III. How Fats Work with Your Genetic Code DNA mrna Protein Activity Transcription Translation Post-Translational Modification 12 6

Polymorphism Having trait of several possible alleles that are Not fatal Usually exhibited as different phenotypes Single nucleotide polymorphism (SNP) Snip One nucleotide is altered in DNA coding for mrna & protein 13 Dietary Fats and Gene Expression DNA mrna Protein Activity Transcription Translation Post-Translational Modification 14 7

Nuclear Hormone Receptors as Transcription Factors Require Ligand Associate with Response Element (RE) Dimerizes with another Nuclear Receptor (requires another molecule of estrogen or estrogen-like compound?) Turn on Responsive Genes 15 Peroxisome Proliferator-Activated Receptors Linoleic acid 18:2n6 PPAR Cytosol PPRE Target Gene Nucleus 16 8

PPARs - A Link Between Fats and Genes Diabetes (Thiazolidinediones, TZDs) Avandia, Actos, [Rezulin] Cardiovascular Disease Fibrates Adipose Tissue Development Cancers of breast, colon, skin, others 17 Dietary Fats and Gene Expression DNA mrna Protein Activity Transcription Translation Post-Translational Modification 18 9

Safflower oil increases a plasma protein, adiponectin * Norris et al., 2009; Asp et al., 2011 19 Dietary Fats and Gene Expression DNA mrna Protein Activity Transcription Translation Post-Translational Modification 20 10

Metabolism of Estrogen Testosterone *** 17 - estradiol *** Aromatase 21 Lipids Affect Activity of Enzyme that Makes Estrogen Testosterone *** Aromatase 17 -estradiol Chen et al., Cancer Res 2006 22 11

Summary: How Dietary Fats Affect Health by Modifying Gene Expression DNA mrna Protein Activity Transcription Translation Post-Translational Modification 23 IV. Fitting in Fats: Bringing the genetic link into your dietetics practice 24 12

De-Clutter --- Consistent, Specific & Measurable 1. Keep it simple (or Lighten Up) 1. Keep a Sense of Humor 2. Dive in to the Science--- 25 Keeping Messages Simple Health Genetics (Heredity) Diet (Environment) Disease 26 13

Keep Messages Simple Analogies Genetics (your inheritance) Is Your Map 27 Keep a Sense of Humor Alpha-linolenic acid (A-LNA; 18:3n3) Docosahexaenoic acid (DHA; 22:6n3) Eicosapentaenoic acid (EPA; 20:5n3) 28 14

De-Clutter --- Consistent, Specific & Measurable 1. Keep it simple 2. Keep a sense of humor 3. Dive in to the science--- Research is the root of nutritional science and practice. We dietitians are the messengers. 29 Thank You National Cattleman s Beef Association Research Organizations: American Institute of Cancer Research, American Cancer Society Carol S. Kennedy Professorship Federal Government Research Agencies for Nutrition (USDA & NIH) Lab people and collaborators, past and present 30 15