This application is a competitive renewal of a grant that was awarded four years ago to support a comprehensive test of the hypothesis that genetic variation in genes encoding folate metabolizing enzymes was responsible, at least in part, for the occurrence of neural tube defects (NTDs) among newborns. The original application included a large-scale sequencing component as well as innovative strategies for assessing the impact of nonsynonymous substitutions in these enzymes. To successfully implement this project, we assembled a diverse team of experts in molecular genetics, birth defects epidemiology, and pediatrics. Despite being awarded less funding than originally approved, our team accomplished essentially all of the aims. As a result, we have catalogued a diverse set of mutations, common and rare, in nearly the entire folate pathway and developed novel analytical strategies for such data. Specifically, we have uncovered two provocative, complex genetic signatures, one in Hispanics and another in Caucasians, through analyses based on folate pathway modeling. These signatures show compelling statistical evidence (P-values) for distinguishing cases from controls, and may help explain the mechanistic link between the preventive effects of folate and the occurrence of NTDs - a mechanistic link that has been elusive to scientific inquiry. Interestingly, these signatures are different in each ethnicity suggesting that the underlying disease mechanisms are also different: the Hispanic risk profile points to alterations in purine biosynthesis whereas that in Caucasians implicates homocysteine metabolism. These important observations further support the intriguing epidemiological observations that exist, unexplained in the literature. In the current renewal we strive to advance these findings in three ways. First, we propose replication studies that are sufficiently powered to secure the significance of these associations. Second, these complex signatures offer an excellent opportunity to resolve whether the genetic risk for NTDs is driven by the maternal or fetal genotype. Third, we propose mechanistic studies to empirically determine the metabolic outcome from these genetic risk profiles. Because the Hispanic signature is derived from a combination of common variants, we will use cell lines with relevant genotypes as surrogates to represent a range of risk profiles. We propose to quantify folate pathway intermediates via LC/MS and correlate metabolic profile to risk profile. In addition, we will dissect the contribution of individual alleles to the risk signature by """"""""reverting"""""""" single bases vi precise gene editing techniques. Finally, the genetic risk signature in Caucasians, which implicates homocysteine metabolism, resonates with earlier suggestions of an epigenetic dimension to NTDs. Thus, we propose to explore global DNA methylation in the context of NTDs, which could lead to logical extensions at specific genomic loci.
This proposal should reveal some of the causes of a common class of birth defects known collectively as neural tube defects. Ultimately, this research may lead to better diagnostic and preventive strategies.
|Asrani, Kripa; Shaw, Gary M; Rine, Jasper et al. (2017) DNA Methylome Profiling on the Infinium HumanMethylation450 Array from Limiting Quantities of Genomic DNA from a Single, Small Archived Bloodspot. Genet Test Mol Biomarkers 21:516-519|
|Marini, Nicholas J; Yang, Wei; Asrani, Kripa et al. (2016) Sequence variation in folate pathway genes and risks of human cleft lip with or without cleft palate. Am J Med Genet A 170:2777-2787|
|Sadhu, Meru J; Moresco, James J; Zimmer, Anjali D et al. (2014) Multiple inputs control sulfur-containing amino acid synthesis in Saccharomyces cerevisiae. Mol Biol Cell 25:1653-65|
|Sadhu, Meru J; Guan, Qiaoning; Li, Fei et al. (2013) Nutritional control of epigenetic processes in yeast and human cells. Genetics 195:831-44|
|Dimster-Denk, Dago; Tripp, Katherine W; Marini, Nicholas J et al. (2013) Mono and dual cofactor dependence of human cystathionine ?-synthase enzyme variants in vivo and in vitro. G3 (Bethesda) 3:1619-28|
|Marini, Nicholas J; Hoffmann, Thomas J; Lammer, Edward J et al. (2011) A genetic signature of spina bifida risk from pathway-informed comprehensive gene-variant analysis. PLoS One 6:e28408|
|Marini, Nicholas J; Thomas, Paul D; Rine, Jasper (2010) The use of orthologous sequences to predict the impact of amino acid substitutions on protein function. PLoS Genet 6:e1000968|
|Hoffmann, Thomas J; Marini, Nicholas J; Witte, John S (2010) Comprehensive approach to analyzing rare genetic variants. PLoS One 5:e13584|
|Marini, Nicholas J; Gin, Jennifer; Ziegle, Janet et al. (2008) The prevalence of folate-remedial MTHFR enzyme variants in humans. Proc Natl Acad Sci U S A 105:8055-60|