460 likes | 624 Views
E N D
1. PROJECT SUGARGenetic and Metabolic Basis of Diabetes and Obesity in Gullah-Speaking African Americans W. Timothy Garvey, MD
Department of Nutrition Sciences
University of Alabama at Birmingham
2. Causes of Hyperglycemia inType 2 Diabetes
3. Variation in Insulin Sensitivity
4. Metabolic Syndrome Insulin Resistance Syndrome, Syndrome X Hyperinsulinemia
Impaired glucose tolerance
Obesity
Increased visceral fat distribution
Hypertriglyceridemia/Low HDL
Small, dense LDL
Hypertension Positive family history
Disfibrinolysis (high PAI-1)
Vascular reactivity/ endothelial dysfunction
Inflammation
Microalbuminuria
Polycystic ovary syndrome
NAFLD
5. Secreted Adipocyte Factors
7. Multiple Criteria for Metabolic Syndrome
13. Coastal Africa showing historical areas of rice culture Rice had been in cultivation in Africa, and particularly in Sierra Leone, for centuries before the trans-Atlantic slave trade began. Thus, Sierra Leone became a significant slave exportation site, especially for slaves bound for South Carolina rice plantations. Though todays overall African American population is an admixed population of, primarily, African and Caucasian populations, numerous cultural, linguistic, culinary, and historical studies have demonstrated closer associations between the current Gullah and Sierra Leone populations than between between other African Americans and African populations. Rice had been in cultivation in Africa, and particularly in Sierra Leone, for centuries before the trans-Atlantic slave trade began. Thus, Sierra Leone became a significant slave exportation site, especially for slaves bound for South Carolina rice plantations. Though todays overall African American population is an admixed population of, primarily, African and Caucasian populations, numerous cultural, linguistic, culinary, and historical studies have demonstrated closer associations between the current Gullah and Sierra Leone populations than between between other African Americans and African populations.
14. Links between Gullahs and Rice Coast of West Africa Colonists need rice growing expertise
Historical record
Language: Gullah Krio
Cultural similarities
Genetic studies
15. Advantages for Genetic Studies in the Gullahs Minimal genetic admixture
Geographical isolation and cultural identity
Large stable multi-generational families
High prevalence and relative risk for T2DM, obesity, hypertension, lupus, prostate cancer
Uniform diet and lifestyle (maximize expression of disease in patients with susceptibility genes)
16. Admixture Estimates in African American Populations: Autosomal Markers
17. As expected, Caucasians are consistently more genetically distant from all other populations for each genetic distance model studied. No other consistent interpretation across all samples follows from these trees, but the Gullah and Sierra Leone samples are generally close across each genetic distance model. The represented distance between Sierra Leone and each of Jamaican, Charleston African American, and west coast African American samples varies across the models. As expected, Caucasians are consistently more genetically distant from all other populations for each genetic distance model studied. No other consistent interpretation across all samples follows from these trees, but the Gullah and Sierra Leone samples are generally close across each genetic distance model. The represented distance between Sierra Leone and each of Jamaican, Charleston African American, and west coast African American samples varies across the models.
19. Project Sugar Objectives SCIENCE
Ascertain sib-pairs and pedigrees with T2DM, Obesity
Phenotype: anthropometrics, glucose tolerance, lipids, blood pressure, health beliefs/practices
Study genes contributing to T2DM and Obesity in a homogeneous African-derived population: whole genome scan, candidate genes
SERVICE
Health education, disease screenings, health fairs, referrals
21. COMMUNITY Research Coupled with Community Service, Education, and Participation
23. Insulin Resistance Trait Cluster in Gullah-speaking African Americans
25. Multiple Criteria for Metabolic Syndrome
27. Mitochondrion
31. UCP3 exon 6 splice variant affects macronutrient fuel partitioning
32. UCP3 Exon 6 Splice-Donor Variant is Associated with Severe Obesity
33. Project SugarWhole genome scan for Diabetes/Obesity Genes in Gullah-Speaking African Americans Key phenotypes: Type 2 Diabetes, BMI, NMR lipoprotein subclass profile
DNA submitted to CIDR 1028
Represent 426 families (2-7 members)
Affected sib-pair study design with T2DM 834, Unaffected 194
CIDR recently completes Panel IV Illumina SNP scan = ~6,000 SNPs
Statistical Genetics: Michele Sale (UVa) and Carl Langefeld (WFU)
34. Chromosome 3 Linkages for Diabetes With and Without Regard to Age of Onset
43. Metabolic Evolution of Type 2 Diabetes
46. Linkages for Waist Circumference in Gullah Speaking Americans
47. The correlation between HMW Adiponectin and components of the metabolic syndrome varies by ethnicity