Source: UNIVERSITY OF ILLINOIS submitted to
GENETIC AND MICROBIAL INFLUENCES ON THE DEVELOPMENT OF OBESITY IN CHILDREN
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
1000298
Grant No.
2013-67011-21024
Project No.
ILLU-971-638
Proposal No.
2013-03387
Multistate No.
(N/A)
Program Code
A7101
Project Start Date
Sep 1, 2013
Project End Date
Aug 31, 2015
Grant Year
2013
Project Director
Wang, A. A.
Recipient Organization
UNIVERSITY OF ILLINOIS
2001 S. Lincoln Ave.
URBANA,IL 61801
Performing Department
c/o OSPRA
Non Technical Summary
Childhood obesity is a nutrition-related disease with multiple underlying etiologies. The gut microbiota is thought to be a contributor in the development of obesity by fermentation of non-digestible polysaccharides to short chain fatty acids (SCFA), which increases host capacity for energy harvest and storage. Several genes encoding SCFA receptors and transporters, as well as other host responders to gut microbiota have been described. However, the collective impact of common genetic variations (single nucleotide polymorphisms [SNP]) in these genes on obesity phenotypes has yet to be examined in humans. Our hypothesis is that genetic variation in SCFA recognition pathways are related to excess weight gain and microbial distinct profiles are associated with overweight and obesity in children. This proposal will also use a unique approach in studying the relationship between gut microbiota and obesity by evaluating both traditional anthropometric measurements and percent body fat measured by dual energy x-ray absorptiometry (DXA). This research proposal aligns with the challenge area regarding improving nutrition and ending childhood obesity. The innovative approach here may reveal novel biomarkers for obesity susceptibility at an early age. Analysis of genetic factors will provide needed information for the development of early detection methods including genetic screening for obesity risk. Additionally, an understanding of key microbial players in the gut of children with normal or high BMI and percent body fat will pave the way for therapeutics designed to achieve and maintain optimal gut health.
Animal Health Component
0%
Research Effort Categories
Basic
50%
Applied
50%
Developmental
0%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7036099101035%
8064010108035%
7247010110030%
Goals / Objectives
Our objectives align with the NIFA challenge area of improving nutrition and ending child obesity and the priority area of food safety, nutrition, and health. Current literature investigating the role of gut microbiota in the development of obesity in children has focused on BMI as the primary metric for assessing obesity. This project will advance our understanding of whether the gut microbiota influences regional fat storage by using percent fat and regional percent fat measured by DXA, in addition to traditional anthropometrics. In combination with the cumulative genetic impact of functional SNPs in or near SCFA receptor and transporter genes on obesity in children, this project will begin to uncover the relationship between the host and its microbial inhabitants as well as an individual's susceptibility towards obesity through host-microbe interactions at an early stage of development. By providing data on this relationship, we hope to improve therapies that target obesity. Specifically, our preliminary research suggests that modulation of gut microbiota (which is now used for a variety of disorders)may be enhanced and applied to obesity therapy if we can determine the precise impact that particular gut microbes have on obesity.
Project Methods
Our approach will consist of building upon our research thus far by increasing our sample size in both the gut microbiota and genetic components of the project. This will be accomplished by utilizing saliva collection that has occurred through the University of Michigan's STRONG Kids cohort (Ann Arbor, MI; n=150), which will be added to the existing cohort of children from Illinois' STRONG Kids Program, for DNA extraction and genetic association with obesity. Addition of these samples will strengthen our ability to conduct genetic association studies with obesity phenotypes. Post-hoc power analysis has indicated that despite our relatively small sample size, the effect size (d=1.7) was sufficient to detect differences in bacterial quantities between ow/ob (n=6) and lean (n=12) individuals (1-β=0.89). However, to detect differences where the effect size is smaller, we will include additional cross-sectional sampling (n=20). We will recruit children (4-5 years old) from Central Illinois to collect stool, breath, and perform DXA to include with the existing data set. The protocol for this recruitment is already in place and has received IRB approval. The following methods will be performed: First, DNA will be extracted from stool using the protocol used by Nava and et al. Quantitative RT-PCR will be performed to quantify levels of bacteria in Clostridium cluster XIVa, Clostridium cluster IV, Lactobacillus, Bifidobacterium, and Bacteroides-Prevotella. Second, DXA scans will be performed using Hologic Discovery A bone densitometer (Bedford, MA), and percent body fat measurements will be obtained with Hologic software (version 12.7.3.1, QDR-Discovery A). Third, breath samples will be collected using a technique developed by our laboratory (in press), and exhaled hydrogen, methane, and carbon dioxide will be measured by the BreathAnalyzer SC by Quintron Instrument Company (Milwaukee, WI). Exhaled methane is a reflection of gut microbial metabolism, and we will test whether associations described between elevated breath methane and obesity can be detected in children. All methods employed in this study are feasible, as equipment and reagents are readily available through the laboratories of the primary mentor and co-advisor. Statistical analysis will be performed using SAS 9.3 using T-test, Spearman partial correlation, stepwise regression, and principal component analysis. Methods for testing individual and cumulative effects of genetic variants on obesity will include the following: Human genomic DNA will be extracted from saliva following standard protocols already established. From height and weight data, BMI, BMI percentile, and anthropometric Z-scores, including weight-for-age, height-for-age, weight-for-height, and BMI-6for-age Z-scores will be calculated by using the standard SAS Program from the Centers for Disease Control and Prevention. SNP selection will be performed using two approaches: Initially, the NCBI database will be searched for functional and tagged SNPs in the following genes of interest (FFAR2, FFAR3, ANGPTL4, SLC16A1, SLC5A8, SLC5A12, TLR4, LPL, PYY, leptin, and GLP-1) with a minor allele frequency of 0.2 or greater. Many of these genes have been previously described as playing a role in the recognition of gut microbiota and SCFAs. Next, selected SNPs will be evaluated for allele frequency in a STRONG Kids case-control subset already genotyped using the Human Omni Express Illumina array. Markers showing heterozygosity (>0.5) will be further genotyped in the full cohort of individuals using conventional genotyping assays. General linear models will be used to test for genetic associations with obesity phenotypes including BMI, BMIPCT, and anthropometric z-scores with age, sex, and breastfeeding duration as covariates. Additionally, GPS will be generated using publically available software (i.e. Plink) according to an additive risk model.

Progress 09/01/13 to 08/31/15

Outputs
Target Audience:The target audiences reached in this reporting period were the Obesity Society through attendance of 2015 Obesity Week in Los Angeles, California and the National Institute of Food and Agriculture's program director's meeting held in Washington, D.C. this year (2015). For Obesity Week, I presented two posters entitled: "FTO and IRX3 Interact to Influence Risk of Overweight in Preschool Age Children"and"A Genetic Risk Score Demonstrates the Cumulative Association of SNPs in Gut Microbiota-related Genes with Obesity Phenotypes in Preschool Age Children". As part of my graduation requirements for the Division of Nutritional Sciences, I presented my dissertation workin a seminarfor the Division faculty and students as well as other members of the campus and the community. There are several manuscripts in preparation, which will be submitted for publication in the near future. This will allow for the work in my dissertation to reach the broader scientific community. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?In the second year of this award, I had the opportunity to collaborate with Dr. George Fahey and his research group at the University of Illinois. From writing the initial proposal to carrying out the research plan, this experience was invaluable for my professional development. In addition, I presented my research in two poster competitions and a one-minute blitz presentation at Obesity Week 2015. These experiences were essential for my continued development and training as I was able to present my work to a diverse range of interested groups within the Obesity Society, including the Pediatric Obesity section, the Basic Sciences section, and the Epidemiology & Population Health section. How have the results been disseminated to communities of interest?The results of this project have been disseminated through the 2015 Obesity Week Meeting and the completion of my doctoral dissertation. There are several manuscripts that are in the process of submission. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? In the final year of the project, all data collection was completed and analyzed. The findings have been presented at scientific conferences and manuscripts are in preparation or under review. Data collection for the microbial analyses outlined in the proposal is summarized below: Data Collected; First Visit; In Vitro Study Follow-Up Study Participants; 19; 11 Stool Samples; 54; 11 Dietary Recall; 17; 11 DXA Scans; 18 Height and Weight; 19 Saliva Samples; 18 Breath Samples; 17 The data collected reflected the aims of the original proposal and the changes/modifications described in last year's progress report. The initial analysis of this data was conducted for the completion of my dissertation, and ongoing work will analyze sequencing data on samples collected in both the child's first visit and the follow-up visit. These data will culminate in a manuscript which will describe a novel approach in gut microbiome research in children. For the genetic portion of the proposal, additional funding from the Division of Nutritional Sciences Margin of Excellence Research Award was obtained to design custom TaqMan SNP genotyping assays. These custom assays were needed to genotype several free fatty acid receptor (FFAR) SNPs that did not perform well in the Fluidigm platform. The cumulative data for all of the children in the STRONG Kids Illinois and Michigan cohorts were analyzed and genetic risk scores were developed. In addition, a short genetics manuscript emerged from data analysis that was conducted through mentorship of an undergraduate student. Manuscripts for the genetic risk score and the short genetics report have been prepared and will be submitted for publication in the near future. As mentioned previously, this information has reached many target audiences on campus as well as researchers and clinicians at Obesity Week 2015.

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2015 Citation: Anthony Wang, Kristen Harrison, Sharon M. Donovan, Margarita Teran-Garcia, and the STRONG Kids Project Research Group. 2015. A Genetic Risk Score Demonstrates the Cumulative Association of SNPs in Gut Microbiota-Related Genes With Obesity Phenotypes in Preschool Age Children. Obesity 2015 Abstract Book. 51-52.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2015 Citation: Anthony Wang, Abby Esker, Kristen Harrison, Sharon M. Donovan, Margarita Teran-Garcia, and the STRONG Kids Project Research Group. FTO and IRX3 Interact to Influence Risk of Overweight in Preschool Age Children. Obesity 2015 Abstract Book 57.
  • Type: Theses/Dissertations Status: Awaiting Publication Year Published: 2015 Citation: Anthony Wang. 2015. Microbial and Genetic Influences on the Development of Obesity in Children.


Progress 09/01/13 to 08/31/14

Outputs
Target Audience: During this reporting period, the target audiences that have been reached by efforts through this fellowship were primarily academic. During the first week of November in both 2013 and 2014, I attended the Obesity Week conference, a joint event held by the Obesity Society and the American Society for Metabolic and Bariatric Surgery. In 2013, I presented my research titled: “Clostridium cluster IV abundance is inversely related to BMI in young Caucasian children” as an oral presentation. I presented a poster at the 2014 Obesity Week meeting entitled: “Butyrate-producing bacterial species are associated with obesity phenotypes in children.” Additionally, I had the unique opportunity to present my research to the Division of Nutritional Sciences External Advisory Committee (EAC) at their meeting on 9/11/14.The EAC consisted of professionals from both academia and industry. In addition, as indicated in the training and career development plan section of the project narrative, I have been able to volunteer through student run clinics to begin translating my knowledge to the patient care setting. Lastly, I have continued to mentor undergraduate students as well which has contributed to my development as an educator. Students I have mentored have presented their research through the Undergraduate Research Symposium and the Summer Research Opportunities Program at the University of Illinois. Changes/Problems: The overall goals of this project remain the same; however, there have been some minor modifications to the methodology in order to utilize the most up-to-date technologies and approaches. For example, we will use the Fluidigm SNP genotyping platform to increase the number of genetic markers investigated in this project (14 to 48 SNPs). By employing this multiplexing approach, we are able to select additional markers within the same genes described in the original proposal and to add additional genes of interest. This will allow us to describe linkage disequilibrium relationships amongst SNPs within the same genomic region and to select the most informative marker to represent the region for the overall genetic risk score. For the genetic analyses, we have also genotyped 94 ancestry informative markers (AIMs) in order to account for ethnic differences within the STRONG Kids cohort. The AIMs have been consolidated into two primary principal component scores that are continuous variables, which when added to the statistical model, will more accurately reflect the diversity between and within the ethnic groups studied. We are using the SNP and Variation Suite 8 software to assist in the analyses of the genetic data. For the gut microbiome part of this project, we have modified the protocol to include a 4th stool sample collection in order to investigate the SCFA-producing capacity of fecal inoculates from a subset (n=10) of the cohort. Our aim will be to compare the production of SCFAs between normal weight and overweight children in an experimentally controlled environment. What opportunities for training and professional development has the project provided? At Obesity Week 2014 in Boston, I attended several workshops and symposia designed for early career investigators. I had the opportunity to share my experiences in my degree program with fellow early career investigators and to learn more about my approach to my career as a physician-scientist of the future. The poster session at this conference also allowed me to interact with prominent obesity researchers and to further enhance my presentation skills. The travel funds available from the grant afforded me the opportunity to connect with colleagues, sharpen my presentation skills, and plan for the future. How have the results been disseminated to communities of interest? The results of this research project have been disseminated through the Obesity Week meetings in 2013 and 2014. For the 2014 conference, I was the recipient of the Pediatric Obesity Society Poster of Excellence Award and the 2014 Early Career Investigator Award from the Obesity Society. What do you plan to do during the next reporting period to accomplish the goals? With the upcoming year representing the last year of the fellowship, my primary aim will be to complete the PhD portion of my dual degree program. To meet that goal, I will complete data collection for the gut microbiome part of the project by March 2015. While these data are collected, I will continue to analyze the genetic data to build upon the initial genetic risk score. This risk score is unique as ethnic background and environmental factors such as socioeconomic status and past nutritional exposures will be taken into account through the statistical modeling of the data. I plan to defend my dissertation in May 2015 and to deposit my dissertation in August 2015, with two additional publications emerging from this last phase of my doctoral research.

Impacts
What was accomplished under these goals? Significant progress has been made for the project titled “Genetic and microbial influences on the development of obesity in children”. The project has advanced in several key areas including: 1) adding sources of funding, 2) data collection, 3) data analyses, and 4) dissemination of the results through presentations and manuscript preparation. On 4/2/14, I received funding from the Division of Nutritional Sciences Margin of Excellence Research Program to investigate the relationship between specific butyrate-producing bacteria and obesity in children. I have also secured funding from the Illinois Transdisciplinary Obesity Prevention Program (I-TOPP) for a seed grant proposal awarded on 6/27/14. This proposal built upon the genetic and microbial themes of the original fellowship proposal with a focus on the mechanisms by which the gut microbiota contributes to early-onset obesity including short chain fatty acid production. After making minor modifications to the research protocol and receiving approval from our institution’s IRB, recruitment and data collection have been ongoing this year. Data collected so far are summarized below. We are seeking to recruit a total of 20 subjects (10 normal weight and 10 overweight/obese). Study participants = 8; Stool Samples = 23; DXA Scans = 7; Height and Weight = 8; Saliva Samples = 8; Breath Samples = 8. Both bacterial quantities and human genotypes have been tested for their relationships to the obesity phenotypes of interest through preliminary statistical analyses. We followed up on our initial findings of an inverse association between Clostridium cluster IV and BMI by finding a similar relationship with F. prausnitzii, a prominent butyrate producer within Clostridium cluster IV. For the genetic data, a risk score using 4 of the selected single nucleotide polymorphisms showing the strongest association with the phenotype, BMI Z-score has been constructed. As mentioned previously, the results of this project were presented at two international conferences. A manuscript with the gut microbiota and body composition data will be resubmitted in the near future for publication.

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2013 Citation: Wang, A., Wang, M., Carbonero, F., Donovan, S.M., Gaskins, H.R. and Teran-Garcia, M. Clostridium cluster IV abundance is inversely related to BMI in young Caucasian children. Obesity 2013 Abstract Book. 2013; S77-78.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2014 Citation: Wang, A., Wang, M., Donovan, S.M. and Teran-Garcia, M. Butyrate-producing bacterial species are associated with obesity phenotypes in children. Obesity 2014 Abstract Book. 2014; 50-51.