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Detox pathway and genes that impact the GST system

Insights into the body’s detox ability may be determined by uploading DNA raw data from genetic testing companies like 23andMe to identify the GST gene variant carried. The GST genes are responsible for synthesizing and recycling glutathione.

The glutathione/GST system is one of the body’s most important detox mechanism, which lowers oxidative stress and plays an important role in DNA repair, immunity and detoxification of chemicals, metals and estrogens.  

The enzymes that belong to the family of glutathione S-transferase (GST) and cytochrome P450 (CYP) families are associated with a two-stage detoxification process for multiple toxins and potential carcinogens. Phase I enzymes act on most potentially toxic compounds and then these activated metabolites undergo detoxification by phase II enzymes, especially GST.

There are eight classes of the GST enzyme, from alpha to zeta (names GSTA, GSTM etc). These enzymes detoxify toxins by adding a glutathione and are found mainly in the liver but are also found in other parts of the body like the intestine. [/vc_column_text][vc_separator color=”white” el_width=”50″][vc_single_image image=”34148″ img_size=”large” add_caption=”yes” alignment=”center”][vc_separator color=”white” el_width=”50″][vc_column_text]

Mechanism of action of the GST enzyme- Detoxification

Any toxin that has been conjugated with glutathione by the GST enzyme is then removed from the body in the urine or in the bile.

Phase I and Phase II detoxification system and risk of disease

Research studies have shown that phase I and phase II gene polymorphisms are associated with the risk for the following diseases

  1. GST gene polymorphism and Cancer risk: Studies on GST gene polymorphism indicated increased risk for breast cancer, bladder cancer and other types of cancer, based on the variant carried.
  2. GST gene polymorphism and Coronary artery disease: A meta analysis of studies was conducted which included 19 studies, with 8020 cases and 11 501 controls. The study conducted in 2010 showed that there was an increase in coronary heart disease among individuals with certain variants of the gene.
  3. GST gene polymorphism and Type 2 diabetes: A study conducted in 2015 showed that GST gene polymorphisms were associated with an increased risk for type 2 diabetes. 84 patients were included in the study that also included 108 controls.
  4. GST gene polymorphism and Miscarriage: A study conducted in 2010 showed that women who carried certain genetic variants were associated with an increased risk of miscarriage. The mechanisms involved in detoxification, according to the study, could influence pregnancy outcomes. A deficient detox system could increase exposure to toxins, which may lead to early pregnancy loss.

Here are a few common polymorphisms in the GST gene that are associated with the level of glutathione transferase activity. To find out the inherited variant of GSTM1 23andme DNA raw data is all that is required. There are extensive pubmed entries for GST polymorphism and their associated disease risk.

Check your 23andMe raw data or Ancestry DNA raw data to identify which variant of rs366631 you carry.

GenotypePhenotype
AAMore likely to have lower enzyme activity
GAMore likely to have normal enzyme activity
GGMore likely to have normal enzyme activity

Check your 23andme raw data or ancestry DNA raw data to identify which variant of rs3957357 you carry.

GenotypePhenotype
AAMore likely to have lower enzyme activity
GAMore likely to have normal enzyme activity
GGMore likely to have normal enzyme activity

Check your 23andme raw data or ancestry DNA raw data to identify which variant of rs1695 you carry

GenotypePhenotype
AAMore likely to have normal enzyme activity
GAMore likely to have reduced enzyme activity
GGMore likely to have reduced enzyme activity

There are genetic testing services like Genetic Genie detox profile which lists even GSTT1 null alleles that are present in the 23andme raw data. However, the genetic genie detox profile interpretation does not include recommendations that Xcode Detox profile does.

References:

  1. https://www.ncbi.nlm.nih.gov/pubmed/17693660
  2. https://www.ncbi.nlm.nih.gov/pubmed/22154357
  3. https://www.ncbi.nlm.nih.gov/pubmed/20354063
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578743/
  5. https://www.ncbi.nlm.nih.gov/pubmed/19892789

23andme celiac disease genetic testing involves assessment of genetic markers associated with gluten sensitivity and celiac disease from your 23andme raw data. The DNA raw data is available to you when you buy the 23andme genetic test for Ancestry.

In recent years, the number of people found to have celiac disease has grown many folds due to increased awareness and ease of diagnosis.

So, why do you need to do genetic testing for coeliac disease? About 1 in 100 people in the U.S have celiac disease. However, 2.5 million people with celiac disease do not know that they have it, i.e they are undiagnosed.


Here are a few important facts about celiac disease genetic testing that everyone must know.

  1. 23andme celiac disease testing indicates your risk for celiac disease:  The 23andme celiac disease report interprets 2 genetic haplotypes called HLA-DQ2.5 and HLA-DQ8 HLA-DQ2.5- rs2187668 and HLA-DQ8 -rs7454108. A haplotype refers to a group of genes that are inherited together from one parent. Research studies have shown that people who carry either one or both these two haplotypes constitute 95 percent of all celiac disease incidences.
  2. What does celiac disease mean?: Celiac (or coeliac)  disease is an autoimmune condition that occurs in people with a genetic predisposition. In such individuals, gluten, present in wheat, affects the villi in the small intestines.  Gluten is a glue-like protein which is also found in rye, barley and spelt.
  3. Is celiac disease hereditary? Celiac disease is hereditary. Individuals with a first degree relative of someone with celiac disease has a one in 10 chance of developing celiac disease.
  4. Is celiac disease genetic? Since it is hereditary, it is genetic too. To develop celiac disease, HLA-DQA1 and HLA-DQB1 risk alleles are required but they may not be sufficient for the development of the disease. The HLA-DQ heterodimers, which are encoded by these HLA-DQ alleles, present wheat peptides to CD4+ T cells. This activates the T cells and, thereby, activating an inflammatory immune response in the intestine.
  5. What are the symptoms of celiac disease? There are more than 200 symptoms identified for this condition. Among children, celiac disease is associated with diarrhoea, vomiting, short stature, irritability, weight loss or abdominal bloating. Celiac symptoms in adults are more to do with autoimmune condition than about abdominal discomfort. Only one-third of celiac disease adult patients experience diarrhoea, other symptoms include osteoporosis, arthritis, depression, missed menstrual period, canker sores or unexplained anaemia.
  6. What is the difference between celiac disease and gluten sensitivity?
Celiac DiseaseGluten Intolerance
Rare condition. Only 1% of the population is known to be
affected with this condition.
Compared to celiac disease, gluten intolerance is more prevalent.
This is an autoimmune condition and it involves the immune system.This is not an autoimmune condition and it does not involve the immune system.
Symptoms of gluten intolerance or gluten sensitivity are restricted to abdominal discomfort
The only treatment is to completely avoid gluten in the dietThe amount of gluten consumed should be below the body's threshold level.
This is a more severe conditionThis is less severe when compared with celiac disease
  1. Genetic testing for celiac disease: HLA DQ testing for gluten sensitivity helps in identifying the presence of genetic variants which have been shown to be associated with an increased risk. However, only 3% of individuals with these genetic variants have been found to develop this condition. Those with high-risk variants should watch out for symptoms or use this test in conjunction with a blood test or an upper endoscopy biopsy. Individuals who do not carry any risk variant will not develop the condition.
  2. How to interpret 23andme celiac disease results:  23andme celiac disease report focuses on two haplotypes. A considerable percentage of celiac disease incidence is caused due to these two variants.Find your variant in the 23andme raw data- HLA DQ 2.5 (rs2187668)
    Genotype
    HLA DQ 2.5 (rs2187668)
    Phenotype
    CC[Advantage] More likely to be gluten tolerant
    CTModerate risk for gluten intolerance
    TT[Limitation] More likely to be gluten intolerant

    Find your variant in the 23andme raw data- HLA DQ 8 (rs7454108)
    GenotypePhenotype
    AA[Advantage] More likely to be gluten tolerant
    AGModerate risk for gluten intolerance
    GG[Limitation] More likely to be gluten intolerant
  1. What is the 23andme celiac disease report missing out?23andme celiac report interprets only HLA DQ2.5 and HLA DQ8, it does not provide the results for HLA DQ 2.2 and HLA DQ 7. The Xcode.Life health report coves more gene variants and SNPs associated with celiac disease and gluten sensitivity than the 23andme celiac report. Besides 23andme raw data, Ancestry DNA raw data, FTDNA raw data and raw data from other companies can also be uploaded.Find your variant in the 23andme raw data- HLA DQ 2.2 (rs2395182, rs7775228,rs4713586)
    GenotypePhenotype
    rs2395182- T[Limitation] More likely to be gluten intolerant
    rs7775228- G[Limitation] More likely to be gluten intolerant
    rs4713586-A[Limitation] More likely to be gluten intolerant
    Find your variant in the 23andme raw data- HLA DQ 8 (rs7454108)
    GenotypePhenotype
    GG[Advantage] More likely to be gluten tolerant
    AGModerate risk for gluten intolerance
    AA[Limitation] More likely to be gluten intolerant
  2. What are some of the research studies for celiac disease and HLA DQ gene testing? In a study conducted on  4,918 celiac disease patients and 5,684 controls of European ancestry, the HLA DQ genes under study were found to have a significant association with the risk for celiac disease.

    In another study conducted on 754 patients, it was found that DQ2.2, DQ2.5, DQ2.7, and DQ8 could be used to predict >95% of celiac disease patients. This study signifies the importance of testing for all these 6 polymorphisms in order to determine risk. Therefore, 23andme celiac disease report may not be sufficient.To view or order your nutrition report with Xcode, click here.

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847618/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386975/
  3. https://www.sciencedirect.com/science/article/pii/S0261561414002180


How well do I convert beta-carotene to vitamin A?

Vitamin A  is important for good vision, healthy eyes, healthy skin, and to fight infections.

Yet, it cannot be synthesized by the body.

Therefore, it becomes an essential nutrient that needs to be included in the diet. 

Conversion of beta carotene to vitamin A is an important metabolic pathway which is genetically influenced.

Vitamin A refers to the interconvertible compounds retinal and retinol.

Both these can be converted into various other metabolites that are functionally important.

The transformation into these metabolites is irreversible.

Retinoic acid is one such metabolite.

What are the primary food sources for vitamin A?

Foods like milk, liver, fish oil, and eggs contain preformed vitamin A.

Beta carotene found in carrots and green leafy vegetables can be converted in the body into vitamin A, an important source for vegetarians.

What is beta carotene?

Beta carotene is an ideal provitamin A carotenoid, and it needs to be converted into active vitamin A in the body.

Carotenoids are found in plants, and they are responsible for the distinct colors that some fruits and vegetables boast of.

Carrots get their orange color because of beta carotene.

What is the daily requirement for beta carotene?

According to the National Institute of Health, the following are the recommended units for the daily intake of beta carotene:

Converting beta carotene to vitamin A

Once it is consumed, beta carotene is converted into vitamin A, which is then utilized by the body for various functions.

It is estimated that nearly 50% of vitamin A in a diet is due to beta carotene and other such carotenoids.

The major organs that are associated with beta carotene conversion are the liver and the intestines.

The liver is associated with storing significant proportion of retinoid.

There are two enzymes associated with beta carotene conversion to vitamin A, including:

Genetic influence on the conversion of  beta carotene to vitamin A

Converting beta carotene to vitamin A is extremely variable with the estimated number of low responders to dietary beta carotene as high as 45%.

Genetic variants in the BCMO1 gene are associated with the conversion of beta carotene into retinol.

Check your Ancestry DNA or 23andMe raw data results for SNP rs7501331 that you carry

GenotypePhenotype
TT[Limitation] Likely reduced beta carotene conversion
CT[Limitation] Likely reduced beta carotene conversion
CC[Advantage] Likely normal beta carotene conversion

Check your Ancestry DNA or 23andMe raw data results for SNP rs12934922 that you variants

GenotypePhenotype
TT[Limitation] Likely reduced beta carotene conversion
AT[Limitation] Likely reduced beta carotene conversion
AA[Advantage] Likely normal beta carotene conversion

Enzyme activity based on genetic variant carried

A study by researchers from Newcastle University showed that individuals who carry the T allele of rs7501331 have a 32% reduction in enzyme activity while individuals who carried T allele for both rs7501331 and rs12934922 had a 69% reduction in enzyme activity.

A more recent study by researchers from the same university showed that apart from these two genetic variants in the BCM01 gene, there were other variants that had an influence on enzyme activity.

Other variants of interest are rs11645428, rs6420424, and rs6564851.

What are the uses of vitamin A?

Vitamin A is important for vision and is used in the treatment of cataracts and age-related macular degeneration. 

It is also important for the skin and immune system.

What are the symptoms of vitamin A deficiency?

Vitamin A deficiency is major public health across the world. Each year, approximately 250,000–300,000 vitamin A-deficient children become, and half of them have been reported to die within a year after getting blind.

The following are some of the symptoms of vitamin A deficiency:

  1. Poor vision
  2. Thinning and ulceration of the cornea
  3. Loss of vision
  4. Dry hair and skin
  5. Throat infections
  6. Miscarriage or infertility
  7. Delayed growth

Hand-picked content for you: Genes can Influence your Vitamin A requirement- Here’s how

What are the benefits of beta carotene?

Beta carotene is considered pre-vitamin, but it also is known to have certain benefits.

  1. Antioxidant property: Beta carotene is known for its anti-oxidant property and reduces the presence of free radicals that give rise to chronic diseases.
  2. Protection against UV radiation: This carotenoid is also known to protect against UV radiations, which could give rise to erythema, redness, or skin irritations.
  3. Oral Leukoplakia: A study by the University of Arizona showed that beta carotene is effective against thick white patches of oral leukoplakia
  4. Improve respiratory function: Beta carotene is also known to improve respiratory function and reduce phlegm production

How much Vitamin A is in a carrot?

Each carrot is known to contain about  10 – 50 mg of beta carotene, apart from other nutrients.

What are the foods rich in beta carotene?

The following are some of the foods rich in beta carotene

Range mg/100 gβ-Carotene
20 -50Red peppers, carrot and paprika
10 -20Carrots, red peppers
5 to 10Acai berry drink, carrot juice, carrots, chili powder, kale, parsley
pumpkin, spinach, turnip greens
1 to 5Apricots, broccoli, cabbage Chinese, cherries, chicory greens
endive, lettuce (green and red leaf), melons, oregano, parsley
peas green, peppers green, plums, pumpkin, sweet potato, thyme, watercress

Source: Non-Provitamin A and Provitamin A Carotenoids as Immunomodulators: Recommended Dietary Allowance, Therapeutic Index, or Personalized Nutrition?

What is beta carotene toxicity?

Increased risk of cancer:

Excess of retinoids is known to lead to teratogenic effects.

High levels of beta carotene are known to increase the risk for certain types of cancers.

One study found that there was an increased risk of lung cancer after β-carotene supplementation among smokers and people who drank more than 11 g ethanol/d.

Carotenodermia:

High levels of beta carotene can affect the skin and lead to a condition known as carotenodermia.

The soles of the feet and the palms turn yellow.

Are you converting sufficient beta-carotene to vitamin A?

Too little beta carotene or too much both have their share of risk, which makes genetic testing for vitamin A needs important.

How well your body converts beta carotene into retinol or vitamin A will help you identify the amount of beta carotene that should be consumed, from the diet or as a supplement.

Upload your 23andme raw data or any other ancestry raw data to avail Xcode Life’s Gene Nutrition Report can be used to identify your vitamin A needs. 

CHIP VersionVitamin A SNPs
23andMe (Use your 23andme raw data to know your DRD2 Variant)
v1 23andmePresent
v2 23andmePresent
v3 23andmePresent
v4 23andmePresent
V5 23andme (current chip)Present
AncestryDNA  (Use your ancestry DNA raw data to know your DRD2 Variant)
v1 ancestry DNAPresent
V2 ancestry DNA (current chip)Present
Family Tree DNA  (Use your FTDNA raw data to know your DRD2 Variant)
OmniExpress microarray chipPresent

Updated 21st June, 2021

The COMT gene codes for the production of catechol – O -Methyltransferase enzyme. This enzyme is associated with degrading neurotransmitters, transfering methyl groups to epinephrine, norepinephrine and dopamine ( catecholamines).  

 

COMT Gene

By uploading DNA raw data from 23andme COMT gene variant carried may be determined ,which can also be used to identify tendency for specific personality traits. 

 

The COMT enzyme is also associated with the breakdown of certain drugs prescribed for hypertension, Parkinson’s disease and asthma.

Function of COMT gene variant


The following processes are associated with the COMT variant under study.

Catechol estrogens- role in cancer

The catechol estrogens are associated with hormone regulation and can have a potent endocrine effect. The hormones that may be affected by these catechol estrogens include prolactin, luteinizing hormone and follicle stimulating hormone.

Estrogens are known to lead to cancer by encouraging proliferation of cells and resulting in damage. These hormones are found to be highly mitogenic, especially in sensitive tissues like breast and uterus. When such sensitive tissues are exposed to such mitogenic stimulation for a prolonged period of time, it is found to lead to cancer.

Estradiols are found to cause DNA damage (sister chromatid exchange and chromosomal aberrations). Such genotoxic effects are also produced by catechol estrogens

Mechanism of conversion to Catechol estrogens:

In the liver, CYP3A4 oxidises estrone and estradiol to 2-hydroxycatechols and by CYP1A in extrahepatic tissues. In extrahepatic sites, CYP1B1 oxidises estrone and estradiol to 4-hydroxycatechols.


The concentration of 4-hydroxyestradiol is found to be the highest in cancerous tissues when compared with the different types of estrogens. In the hypothalamus and in the pituitary glands, the concentration of catechol estrogens is found to be 10 times more than the parent estrogens.

 

Studies have also shown that catechol estrogens have a more carcinogenic effect on mice than estradiol. These catechol estradiols compete with estradiol for binding to

 

23andme COMT Variant in lowering Cancer risk:

 

The Catechol estrogens that are known to affect DNA and result in cancer or autoimmune conditions are converted into methoxy estrogens.

2- and 4-o-methylethers, products of COMT, are excreted in the urine and are found to be less harmful.  


Using the DNA raw data of  23andme COMT gene variant carried by an individual can be used to identify the level of inhibition of COMT. Increased inhibition could lead to increased levels of catechol estrogens.

The reactive oxygen species produced by the catechol estrogens not only increases risk of cancer but also for other autoimmune conditions like rheumatoid arthritis and systemic lupus erythematosus.


COMT rs4680 (Val158Met)

 

This variant of the COMT gene is well studied and is associated with warrior/ worrier personality (personality), pain tolerance(fitness) and in cocaine dependence (Substance dependence) and disease risk (Health)


rs4680- The wild type allele codes for valine while the A allele codes for methionine. This change in amino acid results in nearly 25% reduction in enzyme activity. This results in increased dopamine among A allele carriers.

 

Upload your 23andme raw data or your Ancestry DNA raw data to find the variant of rs4680 that you carry

GenotypePhenotype
GGMore likely to have higher enzyme activity and lower dopamine level
GAModerate enzyme activity and moderate dopamine level
AAMore likely to have lower enzyme activity and higher dopamine level


COMT gene and personality

A study conducted to identify the effect of this COMT variant showed that Valine carriers have better prefrontal hyperactivation and were better at responding to adverse stimuli. These individuals was classified by the researchers as having warrior personality. The met allele carriers had better memory and an advantage in attention tasks. These individuals were termed worriers by the researchers, providing a way to identify warrior and worrier personalities.

 

By uploading Raw data from 23andme COMT variant carried can be used to identify certain other personality traits as well- A study conducted in 2015 on  normal adults showed that people who carried specific variant of this COMT gene scored lower on neuroticism while they had higher scores for conscientiousness and agreeableness.  

 

Xcode Personality report provides information on genetic tendency for certain personality traits, including warrior and worrier personality, and the big 5 personality traits.

 

COMT gene and Disease risk


COMT variant is important in identifying the risk for schizophrenia. A study conducted in 2016 showed that the COMT gene variant was associated with negative symptoms of schizophrenia and bipolar disorder.

Xcode health report includes susceptibility for more than 45 diseases, including schizophrenia.

COMT gene and Cocaine dependence

The COMT variant is known to influence prefrontal cortex (PFC) dopamine regulation which has been associated with cognition and personality. However, PFC dysfunction is also important in cocaine dependence, which could contribute to loss of control and, thereby, dependence. This variant has also been implicated for other substance abuse.

Xcode Substance dependency report includes risk of dependency for many substances including cocaine, cannabis, heroin, alcohol and nicotine.

 

COMT gene and Pain

In a study conducted by researchers from The University of Michigan, COMT variant was associated with the intensity of pain.

Effect of gender on COMT gene variant


The activity of COMT enzyme is about 305 lower among females as it is decreased by the presence of estrogen. This results in greater dopamine activity in females than in males. Therefore men benefit from increasing their dopamine levels than females.

COMT gene variant and supplements

Studying DNA raw data from 23andme will help in identifying individuals who have low COMT enzyme activity and who have higher levels of dopamine, which can eventually build up . However, consumption of certain methyl donor supplements can result in a fall in dopamine levels that can lead to mood swings.  

Some supplements include

COMT and MTHFR


The COMT enzyme plays a role in methylation. Individuals who carry genetic variants associated with lower MTHFR enzyme and genetic variants associated with lower COMT enzyme will be more prone to the effects of stress.

 

DNA raw data from 23andme and other genetic testing services can be used to identify varied risks and benefit based on the COMT variant carried by an individual. Select from the list of Xcode reports available to help tailor lifestyle based on the genetic variant carried.

References:

  1. https://en.wikipedia.org/wiki/Catechol_estrogen
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2583214/
  3. https://www.ncbi.nlm.nih.gov/pubmed/12595695

 

About Xcode Life’s Traits and Personality Report

23andme Hemochromatosis  status can be used to identify a hereditary condition in which the body absorbs the excess of iron from the food consumed. Iron is important for various functions like oxygen transport and for oxidative phosphorylation. While iron deficiency can lead to anemia, excessive iron can lead to iron-overload. The iron levels in the body can be determined by evaluating serum iron levels, serum transferrin and saturation of transferrin with iron. It has been estimated that 25 to 50% variation in these blood iron markers is due to genetic variants carried by an individual.

Normally about 8 to 10% of iron from food is absorbed in the body, however, in people with hemochromatosis, there is 4 times increase in absorption. This condition of iron overload is also known as genetic hemochromatosis and leads to the slow accumulation of iron which can eventually lead to organ damage. DNA raw data can be used to check for variants in the hemochromatosis gene, C282Y and H36D.

Evolutionary origin of hemochromatosis gene mutation:

Genetic variants to specific traits are inherited due to an environmental pressure that either triggered the mutation or which encouraged people with the variants to survive. Evolutionary biologists believe that this condition arose as a result of low iron reserves from food in the Celtic region, about 6000 years ago, which necessitated storage of available iron from food. Though this variant was beneficial during the period of poor iron reserves and when the risk of maternal iron deficiency was high, this condition can lead to serious health effects now, if left undetected.

What are hereditary hemochromatosis symptoms?


Hereditary hemochromatosis is present from birth, as it is caused due to the presence of a genetic variant. However, most people with this condition exhibit symptoms only during middle age. Men are more likely to show symptoms at an earlier age, in their 30s. Women begin to show symptoms only postmenopause, when they no longer lose iron during their monthly menstruation or during pregnancy.

The symptoms are usually mild or remain undetected as most of the symptoms are similar to common conditions. Hereditary hemochromatosis symptoms include

How do hemochromatosis gene variants lead to iron overload?

The liver secretes a hormone called hepcidin which is responsible for maintaining iron levels in the body, how much is absorbed and where it is stored. Certain genetic variants in the hemochromatosis gene disrupt the functioning of hepcidin and result in excessive absorption of iron from the food consumed. This excess iron is then stored in the liver and other major organs. Over a prolonged period of time, the excess of iron in such organs can lead to organ failure, diabetes or heart failure.

How do you find out your 23andme hemochromatosis status?

Upload your DNA raw data from 23andme to find out your hemochromatosis status. There are essentially two significant genetic variants in the HFE gene associated with hemochromatosis.

Significant of the two is  C282Y, people who carry two AA are associated with a higher risk for hemochromatosis. According to a study published in the American Journal of Human Genetics, the C282Y variant contributes to 26% variation in ferritin levels among monozygotic twins and 20% phenotypic variation.

Using DNA raw data to find your hemochromatosis status

Upload your 23andme or your Ancestry DNA raw data to find which variants of rs1800562 you carry

GenotypePhenotype
AA[Limitation] Likely higher risk for hemochromatosis
AG[Limitation] Likely moderate risk for hemochromatosis
GG[Advantage] Likely normal

Upload your 23andme or your Ancestry DNA raw data to find which variants of rs1799945 you carry

GenotypePhenotype
GG[Limitation] Likely higher risk for mild hemochromatosis
CG[Limitation] Likely moderate risk for mild hemochromatosis
CC[Advantage] Likely normal


Who is a hemochromatosis carrier?

A person who has one risk variant of rs1800562  and one normal variant is considered to be a carrier. Approximately 1 in 10 Americans carry one copy of this variant and are carriers.

Compound heterozygous: People who carry one risk variant of rs1800562 and one risk variant on rs1799945 have a higher risk of developing hemochromatosis if the variants are on separate chromosomes, one from the father and the other from the mother.

What are the different types of hemochromatosis?

Apart from hereditary hemochromatosis, there are other hemochromatosis conditions that can lead to iron overload.

Will everyone with the hemochromatosis HFE C282Y variant develop iron overload?

Nearly 1 in 200 Americans carry two copies of the A variant of C282Y, which increases their risk for hemochromatosis. Not everyone who carries two copies of this variant develops hemochromatosis, only about 10 % develops iron overload. Early identification of the genetic variant carried will help in managing this condition and help prevent tissue damage due to excess iron.

How will knowing more about your 23andme hemochromatosis status help?

Identifying the genetic variant carried will help in altering lifestyle and dietary habits to prevent excess iron in the body, specifically in organs and tissues.

The following are some important ways to manage hemochromatosis

  1. Phlebotomy: One of the most effective methods of managing high levels of iron in the blood or for those who have a high risk is to donate blood every 6 months under medical supervision. This will help in preventing excess of iron build up in the body.
  2. Moderate consumption of iron rich foods: Red meat or meat from venison, goat, pork or beef are rich in iron and should be avoided. Cereals and snacks that are fortified with iron should also not be consumed by high risk men and older women.
  3. Consume black tea: Drinking a cup of black tea along with meals lowers absorption of iron from the food consumed.
  4. Watch out for bacterial infections: Gram negative bacteria thrive in iron rich substrates and oysters and other seafood are known to host such bacteria. Therefore consumption of such seafood should be avoided.
  5. Limit intake of alcohol: Hemochromatosis individuals who show signs of liver damage should avoid intake of alcohol.
  6. Moderate intake of vitamin A and Vitamin C rich foods: Vitamin A and Vitamin C upregulate iron absorption and should, therefore, be consumed in moderation.

Upload your 23andme raw data or your Ancestry DNA raw data to find out your hemochromatosis status by availing Xcode health report here.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2668053/
  2. https://haemochromatosis.org.au/genetics/
  3. https://www.mayoclinic.org/diseases-conditions/hemochromatosis/symptoms-causes/syc-20351443
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Learn about your MTHFR gene status for free!

Genetic variants in MTHFR and vaccines induced reactions have been discussed since the publication of the study titled “Genetic basis for adverse events after smallpox vaccination”, conducted by the Dartmouth Public School. The study was carried out to identify the basis for adverse reactions among certain individuals to vaccines. 

There were two independent studies that were detailed in the study about MTHFR and vaccinations. It was found that study subjects who were vaccinia-naïve subjects developed pock formation at the site of vaccination. A section of the study subjects also developed fever, lymphadenopathy or even rash, prompting the researchers to find out if genetic polymorphisms made them more susceptible to such systemic effects.

 

The science behind MTHFR and Vaccines

A single nucleotide polymorphism in MTHFR gene (rs1801133) has been associated with adverse reactions to vaccines, in the study involving small pox virus. This polymorphism leads to a change in amino acid from alanine to valine, affecting both the quality and the quantity of the MTHFR enzyme.

Top 3 Functions of MTHFR enzyme:

  1. The MTHFR enzyme is responsible for the conversion of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate, a substrate for remethylation of homocysteine to methionine.
  2. There are methyl groups that are generated due to the activity of the MTHFR which are necessary for control of DNA synthesis and repair.
  3. Homocysteine metabolism, in which the MTHFR enzyme plays a major role, is important for regulating endothelial function.

Effects of MTHFR Gene Mutations:

MTHFR genetic variation is associated with

Biological basis of genetic variants of MTHFR and Vaccine associated side effects

The study details that an increase in homocysteine levels, associated with a certain genetic variant of MTHFR, could stimulate an inflammatory response. According to the study, this could lead to the adverse reaction due to the effect of MTHFR and vaccine injection.  

An alternate pathway to explain MTHFR gene mutation and vaccines induced side effects is that the rapid proliferation of cells caused by vaccination can increase the need for DNA synthesis.  Genetic polymorphism in the MTHFR gene, and thereby the activity of the MTHFR enzyme, may be significantly associated with this process. The study also noted that genetic variation in MTHFR and vaccines induced cardiac events should be evaluated in future research studies.

Though there does not seem to be considerable research associated with MTHFR mutation and vaccines, there is a lot of speculation about the safety of vaccination. This genetic variant in the gene MTHFR has prompted many groups to advocate against vaccination for children. However, we have not found sufficient scientific evidence to support this notion.

Insufficient evidence for  MTHFR kids vaccination induced injury

Vaccine injury is one of the major topics of debate and, in the United States, there is an exemption from liability for drug manufacturers as well as for the physician. Though there are severe instances of vaccine injury, which includes permanent disability, an autoimmune condition or even death.

While there is under-reporting of vaccine injury, with symptoms showing up even after a few weeks, there have been very few gene based studies of significance.

Apart from the C677T variant in MTHFR, vaccines induced adverse effects were also found, in the study, to be significantly associated with genetic variants in the following genes

Since smallpox has been eradicated from most parts of the world, the relevance of this study and the genetic basis of MTHFR vaccine injury is questionable.

Apart from this study on small pox vaccine, another study was conducted on MTHFR MMR vaccine. This study conducted in 2014 was aimed at identifying genetic variants among children with MMR associated fever. There are 5 genes which were found to be associated with vaccine injury

Mercury and MTHFR-Vaccine adverse effect correlation

Mercury is known to be a potent neurotoxin, however, a study conducted in 2014 showed a potential genetic basis. The study showed an initial association between A1298C (rs1801131) variant of MTHFR and vaccine injury. Another variant associated with variance in response to mercury was identified in PON1 (rs662). However, none of the vaccines currently in use include mercury.

 

Dispelling MTHFR Vaccines correlation

Let’s look at the incidence of occurrence of serious adverse effects of vaccines.

Compare that with the number of people who are homozygous for C677T, the variant under study

Since 40% of the U.S population carries at least one copy of C677T polymorphism, and comparatively, very few people develop adverse effects,  testing for MTHFR-vaccine effect is not appropriate, till further validation studies confirm the need for such screening.


Upload your raw data to find your MTHFR variant

MTHFR variants play an important role in the amount of folic acid supplementation required, as well as in the need for detoxification.

MTHFR and detox:

Some people are more susceptible to mold exposure or may require a longer period of detoxification to help their liver recover from all the pollutant exposure, but how do you find out who does? Upload your 23andme raw data or your ancestry DNA raw data to identify the variant present in your genes.

Though this information may not aid in understanding MTHFR and vaccine adverse effect correlation, it will help in identifying the variant carried and steps to align your lifestyle for better health.

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2746083/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413404/
  3. http://vaccine-safety-training.org/rates-of-adverse-vaccine-reactions.html
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