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Complex DNA test method with a DNA chip among Hungarian athletes Udvardy, A. 1,Bosnyák, E.1, Trájer, E.1, Protzner, A. 1, Komka, Zs. 1, Szendrei, B. 1,Györe, I.2, Tóth, M. 1 , Pucsok, J.2 SEMMELWEIS UNIVERSITY BUDAPEST1, NATIONAL INSTITUTE OF SPORT MEDICINE2 Hungary Introduction: We have been studying the genetic background of sport and exercise physiology on several genes and their polimorphisms. We wanted to broaden the number of measured genes and examine not only the specific sport genes but the area of cardiovascular diseases, sudden cardiac death (SCD) and metabolic syndrome(MetS) as well. Our research group established a complex test to investigate 64 gene variants at one time (TaqMan OpenArray DNA chip). SCD can strike both professionals and amateurs, young and old. It is particularly disturbing when it happens to an athlete and makes us stop and re-evaluate exercising for health. The reason of the SCD in athletes is mostly unclear, it can rarely be verified (trauma, embolism, aneuryzmarupture, asthma etc.). Therefore it is essential to understand the genetic background Genes, related to physical performance: !"#"$ *+",(-(,./"#".0&'(&#).'"1&)"2.)3.+4"#3)5+". 67&$"2.3#.(#)"'#&)(3#&1.$)82("$9 %&'(&#)$ beta(2)-adrenoceptor (ADRB2) Arg16Gly rs1042713 Arg16 endurance ACTN3 R577X (rs1815739) R speed, strength PGC1A Gly482Ser (rs8192673 Gly endurance C825T rs5443 guanine nucleotide-binding protein, beta polypeptide 3 (GNB3) T endurance PPARA rs4253778? GG endurance Myostatin K153R (GDF8) 2q32.2 rs1805086 KK strength (max. muscle contraction) AMP deaminase-1 (AMPD1) Gln12Ter rs17602729 C endurance beta(2)-adrenoceptor (ADRB2) Gln27->Glu27 rs1042714 Gln27 endurance Genes, related to MetS and make it possible in the future to use it as a tool to filter out individuals who !"#"$ have risk factors. The MetS is a cluster of risk factors including central obesity, hypertension, hyperglycaemia and dyslipidaemia. There is research based evidence already *+",(-(,./"#".0&'(&#).'"1&)"2.)3.+4"#3)5+".67&$"2.3#. (#)"'#&)(3#&1.$)82("$9 %&'(&#)$ APOE rs405509 (-219G>T) G Higher total cholesterol level, lower response to statin therapy beta(2)-adrenoceptor (ADRB2) Gln27->Glu27 rs1042714 Gln27 MetS risk alpha-adducin Gly460Trp rs4961 Trp/Trp high blood pressure risk Gly460Trp exercise induced antihypertensive response is good LIPG i24582 rs6507931 endothelial lipase (LIPG) Peroxisome proliferator-activated receptorPro12Ala rs1801282 gamma (PPARgamma) rs1800629 tumor necrosis factor ( TNF) CC exercise induced HDL increase is good Ala DM type 2 risk GG high blood pressure, hypercholesterinaemia risk Plasminogen activator inhibitor-1 (PAI-1) -844 A>G G MetS-ra veszélyeztetettebbek response to physical training which is one of the basic therapies for MetS. bradykinin B2 receptor gene (BDKRB2) 58C/T rs1799722 T high blood pressure risk HFE H63D rs1799945 D DM type 2 risk Therefore it can be informative to study athlete population who live a healthy preproneuropeptide Y Leu7Pro rs16139 Pro DM type 2 risk calpain 10 SNP43-G allele rs3792267 GG DM type 2 risk lifestyle (nutrition, exercise, non-smoking) to associate the genetic variants fatty acid binding protein 2 (FABP2 endothelial NO synthase gene (eNOS gene) rs1799883 ala 54 to Thr 54 Thr MetS risk Glu298Asp rs1799983 Asp atherogenic lipid profile risk of a complex interplay between genetic determinants and environmental factors as it has been experienced that there are individual differences in the with measurable phenotypes (blood pressure, lipid levels, etc.). Genes, related to cardiovascular diseases Studied population, genes: !"#"$ $+",(-(,*."#"*/&'(&#)$*'"0&)"1*)2*+3"#2)4+"* 56&$"1*2#*(#)"'#&)(2#&0*$)71("$8 %&'(&#)$* Our aim is to use a reliable, fast and complex research method to evaluate the 64 set gene variants on elite athlete population. muscle glycogen synthase gene (GYS1) (XbaIC>T) rs8103451 XbalT Angiotensin II type I receptor (AGTR1) A1166C rs12721235 CC The system has been validated with previously genotyped DNA samples. We would like to introduce some of the chosen genes, based on international angiotensinogen M235T rs699 T adiponectin receptor 2 (ADIPOR2) rs767870 heterozygote cardiovascular risk adiponectin gene (ADIPOQ) +45T >G G lower cardiovascular risk CASP-1 G+7/in6A, rs501192 lack of A allele(in6) cardiovascular risk AMP deaminase-1 (AMPD1) Gln12Ter rs17602729 C cardiovascular risk il18 -137 G/C rs187238 Sudden cardiac death, high blood pressure risk studies related to the previously mentioned three areas, and our preliminary results from the validation process (n=48,elite athletes in kayak-canoe, rowing, triathlon and cycling). GG cardiovascular risk better cardiovascular and anthropometric parameters exercise induced left ventricle hypertrophy Methods: DNA is extracted from blood samples using a DNA isolating kit. 64 genes are studied from each DNA sample. DNA detection is done with a DNA chip at Avidin Ltd. TaqMan OpenArray plate is divided into 48 subarrays (Pic. 1 and 2); each subarray consists of 64 through-holes, which means that 3072 nanocapillary quick reaction time (QRT) PCR can be run at one time. To measure the polimorphisms fluorescently signaled Taqman probes are used. The isolated DNA (150ng) from whole blood is mixed with OpenArray MasterMix and loaded into the nanocapillary reaction chamber. The OpenArray plates are put into Perkin Elmer 1000 Plate PCR device for 50 cycles and afterwards into the BioTrove OpenArrayTM NT Cycler where 3 plates can be analyzed at the same time, which means that more than 9000 individual reactions can be run. The intensity of fluorescence is detected automatically at every point and can be analyzed afterwards. Pic. 1. Pic 2. Discussion: Our future objective is to evaluate the results of the complex DNA testing on a great number of sample and establish a complementary screening method which would filter out the individuals with cumulative risk factors and subject them to further medical control. Continuing our sportgenomic research project we would like to supplement sport selection, exercise physiological, anthropometric and basic sport medicine measurements. Contact: [email protected]