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Dodger
Fri, Oct-22-04, 15:40
Gene May Account for Range of Ills, Study Finds
Fri 22 October, 2004 18:23

By Maggie Fox, Health and Science Correspondent

WASHINGTON (Reuters) - A rare genetic mutation may help explain why some people get hit with a triple whammy of high blood pressure, cholesterol and a tendency to gain weight easily, U.S. researchers reported on Friday.

The mutation is seen in one gene found in mitochondrial DNA -- handed down virtually unchanged from mother to child. Mitochondrial DNA affects basic cell functions and while the mutation itself is rare, it may help explain so-called metabolic syndrome or syndrome X, in which people are prone to diabetes, heart disease and obesity.

"This finding raises the possibility that all features of the metabolic syndrome may be attributable to altered mitochondrial function," said Dr. Richard Lifton, a geneticist at Connecticut's Yale medical school who led the study.

This in turn could help explain why people are more prone to heart disease as they age -- because mitochondria work less efficiently as people get older, Lifton and colleagues wrote in Friday's issue of the journal Science.

Lifton and colleagues studied 142 people in four generations of a family whose members frequently had high blood pressure, cholesterol and another, less well-known disorder in which their blood carried low levels of magnesium.

It was this rare disorder that first put them onto the case, said Lifton, whose work is funded by the Howard Hughes Medical Institute. Colleagues at the State University of New York treated a woman with a rare condition causing her to have low magnesium levels.

"She said, 'Gosh I think several of my other family members have the same problem'," Lifton said in a telephone interview.

"That led us to suspect that this might be a new disease."

The family also tended to have high blood pressure and cholesterol.

"That's when the real saga began," said Lifton. "The family was extraordinarily cooperative, and we eventually studied 142 relatives. When we looked at the pattern of these pathologies, we found there was a whopping excess of affected individuals on the maternal lineage."

That points to mitochondrial DNA.

Genetic tests showed that everyone in the family had a certain mutation in the mitochondria, although they did not all have high cholesterol, for instance, or high blood pressure. The mutation affected each family member differently.

Lifton said many studies have shown that people prone to high cholesterol often have high blood pressure too, or other symptoms such as diabetes or even low magnesium.

"Not everybody who has any one of these traits has all of the others. The pattern of inheritance is complicated, and there hasn't been a clear understanding of what's driving this relationship."

Now it will be worth studying mitochondrial DNA to see just what its role is in heart disease -- the no. 1 killer in the United States and much of the developed world -- and diabetes -- the sixth leading cause of death.

Clearly, other genes will play a role, Lifton said. Genes found in the nucleus regulate mitochondrial DNA and as with everything in human biology, its gets complicated quickly.

What the finding does not provide is a quick answer. The woman's family members are treated for symptoms such as high blood pressure or cholesterol but there is no cure for their overall condition.

Lifton said the finding provides no easy out for people with metabolic syndrome, either. All the symptoms can be helped with regular exercise, a diet rich in whole grains, fruits and vegetables and reduced fat.

http://www.reuters.co.uk/newsArticle.jhtml?type=healthNews&storyID=6585374&section=news

Lisa N
Fri, Oct-22-04, 15:57
A rare genetic mutation may help explain why some people get hit with a triple whammy of high blood pressure, cholesterol and a tendency to gain weight easily, U.S. researchers reported on Friday.

If they are correct about the gene mutation, it may not be as rare as they think given the number of people exhibiting Syndrome X symptoms currently in the world today and the rate at which those who have this problem are being diagnosed.

ceberezin
Fri, Oct-22-04, 17:46
Wait a minute! Metabolic syndrome is not caused by a genetic mutation, it's caused by insulin resistance and hyperinsulinemia. There are genetic factors that cause individuals to react one way or another to insulin resistance, that may affect how particular tissues respond. But it is a diservice to tell people that metabolic syndrome is genetic.

This is a case of a geneticist seeing the workd through the lens of his discipline. I am tempted to say that this study is yet another example of the medical-pharmaceutical complex trying to shift the blame away from carbs and insulin, but it seems to be merely the result of bad scientific training.

Elihnig
Sat, Oct-23-04, 06:32
Do you think those people with low levels of magnesium unknowingly medicated themselves with chocolate to feel better?

An interesting article except for the last sentence.

Beth

diemde
Sat, Oct-23-04, 07:39
Wait a minute! Metabolic syndrome is not caused by a genetic mutation, it's caused by insulin resistance and hyperinsulinemia. There are genetic factors that cause individuals to react one way or another to insulin resistance, that may affect how particular tissues respond. But it is a diservice to tell people that metabolic syndrome is genetic.

But don't you think the insulin resistance stems from "something" genetic? I see it in my own family. All of my sisters, my mom, etc have insulin resistance. We've struggled with weight all of our lives. My sister married a man who is thin as a rail, and his parents and family are all thin. Of their 2 children, one can eat anything he wants and never gains. The other has to watch what he eats so he doesn't gain. We can control it, now that we understand it, but why do some people never even have to control it?

Good article. I agree with Beth, though. That last sentence should be corrected.

Lisa N
Sat, Oct-23-04, 08:15
Wait a minute! Metabolic syndrome is not caused by a genetic mutation, it's caused by insulin resistance and hyperinsulinemia.

Yes, but those also have a root cause. I think what these researchers are trying to get at is why some people can seemingly eat a high carb diet and not develop these problems and why some people do.
I think it's possible that carb intolerance has a genetic component to it much like intolerance to any food group (milk, for instance).
What I don't agree with is that the group of people who are unfortuante enough to develop Syndrome X, carb intolerance, whatever you want to call it have no hope and are doomed to a lifetime of dependence on drugs to control their condition.
When someone is lactose intolerant (or gluten intolerant), most doctors don't say, "here take this pill and keep drinking milk/keep eating foods with gluten in them.", they advise the patient to avoid products with lactose or gluten in them. It only makes sense to me that if a group of people are found to be carb intolerant, they should be advised to limit their carb intake to a point where symptoms no longer occur, not to eat more of them and take drugs to cover up the symptoms produced.

Grimalkin
Sat, Oct-23-04, 09:40
Hmm. It's my dad's side of the family that I share my insulin-resistance problems with. My mom is fine.

ceberezin
Sat, Oct-23-04, 11:12
But don't you think the insulin resistance stems from "something" genetic? I see it in my own family. All of my sisters, my mom, etc have insulin resistance. We've struggled with weight all of our lives. My sister married a man who is thin as a rail, and his parents and family are all thin. Of their 2 children, one can eat anything he wants and never gains. The other has to watch what he eats so he doesn't gain. We can control it, now that we understand it, but why do some people never even have to control it?

diemde--You're confusing insulin resistance with obesity. Obesity is only one of the conditions associated with insulin resistance. It's possible to be thin as a rail and die from another of those disorders. My father-in-law was quite thin and suffered from severe type 2 diabetes. He also had a heart arythmia associated with insulin resistance. Genes will determine which of those disorders will destroy your health first, not whether you're prone to insulin resistance. It's in the genotype. When someone who eats high carb remains thin, all that it means is that his fat cells become resistant before other tissues.

Also, the study never said that some people can eat high carb and not develop insulin resistance. It merely pointed out that some are unusually prone to insulin resistance, as opposed to the rest of us who are normally prone to insulin resistance. These people may develop metabolic syndrome faster, but the rest of us will not be far behind if we maintain a high carb diet.

The last sentence of the article says it all. After all the research they did on insulin resistance, the researchers recommend a low-fat diet. They still haven't understood that insulin resistance is caused by insulin, not genes. What a waste!

CindySue48
Sat, Oct-23-04, 12:47
This kind of thing is more of a "predisposition" to a condition than a cause.

Having the gene doesn't mean you WILL get something, just that you're more susceptable to get it.

andrea69au
Mon, Oct-25-04, 08:11
hi i have just read what was said so far on Metabolic syndrome, and or tho i have no knowledge about this it does to me make sence, i have been over weight for 16 yrs and am feed up with doctors and people thinking gee she is big she must eat like a horse ect which is bullshit in fact i bet anyone that i eat less then most people do as i only eat one small meal aday when im hungey which is at night when i have to cook the kids a good meal which is healthy with vegies when im finshed i feel sick having eatten less then the 11 yr old boy, doctors say i have to eat 3 meals aday to lose weight but i cant eat that much it makes me sick and i put on weight, i had tests and they said i had a 98% chance of heart desiese and not from diet, im as fit as anything i can walk for hours ect my blood pressure is good but everything else isnt that good. im adopted and my adopted family are all skinny my birth family are all big so doesnt take much to work out that its gernetic and i had a uncle die of heart desiese when i found my birth family he was 42, so i think there is alot to learn about Metabolic syndrome

tom sawyer
Mon, Oct-25-04, 08:37
I think the gene may well doom you to a certain fate, but there are also people who do not have this gene that can acquire the syndrome through strictly environmental (diet) means.

I say this, because I see different kinds of obesity out there. There are some people who appear to be inherently obese. Don't ask me to describe what I mean because I'm not entirely sure I can. And I might not even be right, but I just have this hunch.