Understanding The Genetics Behind Asthma

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Understanding The Genetics Behind Asthma

Date of Content: May 4, 2024
Written by: Jess Gayo
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

What is Asthma?

More than just a wheeze or a cough, asthma is a chronic condition that can significantly impact quality of life and health. Understanding the causes and triggers of t asthma can help manage and potentially prevent its symptoms.

Asthma is a chronic inflammatory disease of the airways characterized by episodes of airflow obstruction, bronchospasm, and increased mucus production. These episodes, known as asthma attacks, can be triggered by a variety of factors including allergens, exercise, cold air, and respiratory infections. The prevalence of asthma is significant, affecting approximately 300 million people worldwide, with numbers expected to rise due to increasing urbanization and pollution.

Scientifically, asthma is marked by an overreaction of the immune system to normally harmless substances, leading to inflammation and narrowing of the bronchial tubes. This results in difficulty breathing, chest tightness, coughing, and wheezing. 

The severity of asthma can vary widely among individuals, from mild and occasional symptoms to severe and persistent cases that require continuous medical management. Ongoing research aims to uncover the genetic and environmental factors that contribute to asthma, to develop more targeted and effective treatments.

What are the Symptoms of Asthma?

Asthma is a chronic condition marked by a range of symptoms that can vary in intensity and frequency. Understanding these symptoms can help individuals recognize and manage their asthma effectively.

  1. Shortness of Breath: One of the hallmark symptoms of asthma is shortness of breath. This can occur suddenly or gradually and is often exacerbated by physical activity or exposure to allergens. Individuals may feel as though they cannot get enough air, which can be particularly distressing during an asthma attack.
  2. Wheezing: Wheezing is a high-pitched whistling sound made while breathing, especially during exhalation. This occurs due to the narrowing and inflammation of the airways, causing airflow to be turbulent. Wheezing can be a clear indicator of an asthma attack.
  3. Coughing: Chronic coughing, especially at night or early in the morning, is a common symptom of asthma. The cough is often dry and persistent, though it can sometimes produce mucus. This symptom can disrupt sleep and daily activities, significantly impacting quality of life.
  4. Chest Tightness: Many individuals with asthma experience a sensation of tightness or pressure in the chest. This can feel like a heavy weight or constriction and is often worse during an asthma attack. Chest tightness results from the constriction of muscles around the airways and the increased effort required to breathe.
  5. Difficulty Sleeping: Asthma symptoms, particularly coughing and shortness of breath, often worsen at night, leading to difficulty sleeping. This can result in fatigue and decreased daytime functioning, affecting overall well-being and productivity.
  6. Respiratory Infections: People with asthma are more susceptible to respiratory infections, such as colds and the flu. These infections can trigger asthma symptoms or exacerbate existing ones, leading to more frequent and severe asthma attacks.
  7. Rapid Breathing: During an asthma attack, individuals may breathe rapidly, known as tachypnea. This is the body’s response to the decreased airflow and the need to take in more oxygen. Rapid breathing can be accompanied by a feeling of panic and anxiety, which can further worsen symptoms.

Recognizing these symptoms and understanding their potential genetic underpinnings can help individuals with asthma manage their condition proactively. Genetic factors can influence the severity and frequency of asthma symptoms, making it important for those with a family history of asthma to be vigilant and seek appropriate medical advice.

How is Asthma Diagnosed?

Diagnosing asthma involves a combination of medical history, physical examinations, and specific tests to assess lung function and rule out other conditions.

  • Medical History: Physicians begin by gathering a detailed medical history. They inquire about the patient’s symptoms, frequency, and triggers, as well as any family history of asthma or allergies. Understanding genetic predispositions can provide crucial insights into the likelihood of asthma.
  • Physical Examination: During a physical exam, doctors listen for signs of wheezing and observe for other respiratory issues. They may also check for allergic reactions, such as eczema and nasal polyps, which are commonly associated with asthma.
  • Spirometry: This is a key diagnostic test for asthma. Spirometry measures the amount of air a person can exhale after a deep breath and how quickly they can do so. Reduced airflow indicates obstructed airways, a hallmark of asthma.
  • Peak Flow Measurement: Patients may use a peak flow meter to measure the maximum speed of exhalation. Regular monitoring helps track asthma control and detect early signs of an impending attack.
  • Bronchodilator Response: To confirm asthma, doctors may administer a bronchodilator and then repeat spirometry. Significant improvement in airflow after the medication indicates reversible airway obstruction typical of asthma.
  • Allergy Testing: Identifying specific allergens that trigger asthma symptoms can guide treatment and lifestyle adjustments. Skin prick tests or blood tests help determine sensitivities to common allergens like pollen, dust mites, or pet dander.
  • Methacholine Challenge: If initial tests are inconclusive, a methacholine challenge may be performed. Methacholine causes airway narrowing in people with asthma. A positive test confirms hyperresponsiveness of the airways.

These diagnostic methods, combined with an understanding of genetic predispositions, allow for accurate diagnosis and effective management of asthma.

Is Asthma Genetic?

ADAM33 Gene

Asthma is a chronic inflammatory disease of the airways, causing frequent coughing and wheezing. It affects about 5% of adults and 10% of children worldwide, though prevalence in Indian adults is lower at 2.4%.

Asthma’s complexity arises from genetic and environmental interactions. Key genes like ADAM33 have been linked to asthma through various studies. ADAM33 polymorphisms are associated with asthma in several ethnic groups, including Caucasians and North Indians, but not in Latinos or South Indians.

Research suggests that multiple SNPs increase the risk of developing asthma than single polymorphism. Severe and moderate asthma cases have shown a higher expression of  ADAM33 mRNA in endobronchial biopsy compared with those who do not have the condition and with mild asthma.

ADAM33 is involved in cell interactions and signaling, crucial for normal lung development and function. It is linked to asthma features such as bronchial hyperresponsiveness, wheezing progression, airway remodeling, and lower lung function. Some asthma patients with ADAM33 polymorphisms do not respond to steroids, indicating potential treatment challenges.

The discovery of ADAM33 highlighted non-atopic mechanisms like fibroblast and smooth muscle proliferation, contributing to airway remodeling and chronic asthma progression. This remodeling is due to abnormal communication between airway cells, with ADAM33 playing a crucial role.

ORMDL3 Gene

Asthma has a strong genetic component, and numerous genome-wide association studies have identified ORM1 (yeast)–like protein 3 or ORMDL3, a member of a family of 3 endoplasmic reticulum (ER) localized proteins relative to yeast orthologs ORM1 and ORM2, as a gene associated with asthma susceptibility.

However, the role of ORMDL3 in asthma pathogenesis and its physiological functions is still debated. Recent advances have provided new insights into the multifaceted functions of ORMDL3 in patients with allergic asthma. Researchers suggest a potential unifying paradigm, discussing molecular mechanisms related to ORMDL3’s role in regulating sphingolipid homeostasis. Additionally, there is interest in sphingolipid metabolites as potential biomarkers for allergic asthma.

Is Asthma a Respiratory Problem?

Asthma is fundamentally a respiratory problem. It is a chronic inflammatory disease that affects the airways in the lungs, leading to symptoms such as wheezing, shortness of breath, chest tightness, and coughing. The condition arises from a combination of genetic and environmental factors, influencing the severity and frequency of symptoms.

In individuals with asthma, the airways are hyperresponsive, meaning they are more sensitive to various triggers such as allergens, pollutants, and respiratory infections. When exposed to these triggers, the airways become inflamed and produce excess mucus, causing the muscles around them to tighten and narrow, making it difficult to breathe.

Managing asthma involves understanding both the genetic predispositions and the environmental factors that contribute to the condition. By identifying triggers and employing preventive strategies, individuals with asthma can better control their symptoms and lead healthier lives. Genetic research continues to uncover new insights, paving the way for more personalized and effective treatments for asthma.

Potent Mediators for Developing Type-2 Asthma

Interleukins (IL)-4 and -13 belong to the family of the T helper 2 (Th2) and play a crucial role in the development of type-2 asthma. IL-4 is essential for Th2 cell differentiation, immunoglobulin (Ig) class switching, and eosinophil trafficking. IL-13 works alongside IL-4 to promote IgE synthesis and induces nitric oxide (NO) production, goblet cell metaplasia, and fibroblast proliferation. It also causes contractile responses and hyperplasia of airway smooth muscle cells.

Both IL-4 and IL-13 share common signaling pathways, activated when they bind to receptor complexes that include the α-subunit of the IL-4 receptor (IL-4Rα). This receptor dimerization leads to the pathophysiologic effects of IL-4 and IL-13. The monoclonal antibody dupilumab blocks IL-4Rα, acting as a dual receptor antagonist for both IL-4 and IL-13. This action effectively reduces type-2 inflammation, decreases asthma exacerbations, lowers FeNO (fractional exhaled NO) levels, and reduces the need for oral corticosteroids (OCS).

Dupilumab is approved for add-on biological therapy for severe asthma and is also licensed for treating nasal polyposis and atopic dermatitis. Through its targeted mechanism, dupilumab offers significant therapeutic benefits for patients with type-2 inflammation-related conditions.

Is Asthma Curable?

Asthma is currently considered a chronic condition without a definitive cure. While asthma cannot be cured in the traditional sense, it can be effectively managed with proper treatment and lifestyle adjustments.

Research continues to explore new avenues for asthma management and treatment, focusing on understanding the underlying mechanisms and developing more targeted therapies. Current treatments aim to control symptoms, reduce inflammation, and prevent asthma attacks through medications such as inhaled corticosteroids, bronchodilators, and biologics. These treatments help manage the condition and improve quality of life, but they do not cure asthma permanently.

Managing asthma involves identifying and avoiding triggers, using medications as prescribed, monitoring symptoms, and maintaining regular communication with healthcare providers. With proper management, many individuals with asthma can lead active, fulfilling lives. Ongoing research into genetics, environmental factors, and personalized medicine offers hope for future advancements in asthma treatment strategies.

What to Avoid When You Have Asthma?

Managing asthma effectively involves avoiding certain triggers that can exacerbate symptoms. Here’s a list of things to avoid to keep asthma under control:

  1. Allergens: Pollen, dust mites, pet dander, and mold are common allergens that can trigger asthma symptoms. Reducing exposure by keeping living spaces clean, using air purifiers, and avoiding contact with pets can help.
  2. Tobacco Smoke: Smoking and secondhand smoke can severely irritate the airways. Individuals with asthma should avoid smoking and stay away from smoke-filled environments.
  3. Air Pollutants: Pollution from vehicle exhaust, industrial emissions, and other sources can worsen asthma. Limiting outdoor activities on high-pollution days and ensuring good indoor air quality is crucial.
  4. Respiratory Infections: Colds, flu, and other respiratory infections can trigger asthma attacks. Practicing good hygiene, getting vaccinated, and avoiding close contact with sick individuals can reduce the risk.
  5. Strong Odors and Fumes: Perfumes, cleaning products, and paint fumes can irritate the airways. Using fragrance-free products and ensuring proper ventilation when using strong-smelling substances can help minimize exposure.
  6. Extreme Weather Conditions: Too cold and dry air or too hot and humid conditions can trigger asthma symptoms, especially during exercise or any intense energy-engaging activity. Certain Medications: Some medications, such as beta-blockers and nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, can trigger asthma symptoms. Individuals should consult their healthcare provider before taking new medications.
  7. Stress and Strong Emotions: Intense stress and strong emotions can trigger asthma attacks. Practicing stress management techniques like deep breathing, meditation, and regular exercise can help maintain emotional well-being.
  8. Food Additives: Sulfites and other preservatives in processed foods and beverages can trigger asthma symptoms in some individuals. Reading food labels and avoiding these additives can be beneficial.

By understanding and avoiding these triggers, individuals with asthma can better manage their condition, leading to improved quality of life and reduced asthma attacks.

How to Manage Asthma

Managing asthma involves a combination of medication, lifestyle adjustments, and awareness of triggers. Here are some effective strategies for controlling asthma:

Medications

The cornerstone of asthma management is the use of medications. These include:

  • Long-term Control Medications: These are used daily to prevent symptoms and include inhaled corticosteroids, leukotriene modifiers, long-acting beta-agonists, and combination inhalers. They reduce inflammation and keep the airways open.
  • Quick-relief Medications: Also known as rescue inhalers, these provide immediate relief during an asthma attack. Short-acting beta-agonists or bronchodilators like albuterol and ipratropium are commonly used.

Avoid Triggers

Identifying and avoiding asthma triggers is crucial. Common triggers include:

  • Allergens: Pollen, dust mites, pet dander, and mold. Using air purifiers, keeping homes clean, and using allergen-proof bedding can help reduce exposure.
  • Tobacco Smoke and Air Pollutants: Avoid smoking and exposure to secondhand smoke. Monitor air quality reports and limit outdoor activities on high pollution days.

Regular Monitoring

Keeping track of asthma symptoms and lung function is essential. Using a peak flow meter can help monitor how well the lungs are working. Keeping an asthma diary to note symptoms, triggers, and medication use can provide valuable insights.

Asthma Action Plan

Developing a personalized asthma action plan with a healthcare provider is vital. This plan outlines daily management strategies, how to handle worsening symptoms, and when to seek emergency care. It serves as a guideline for managing asthma proactively.

Healthy Lifestyle

Maintaining overall health can improve asthma control. Key aspects include:

  • Regular Exercise: Exercise can strengthen the respiratory system, though it’s important to choose activities that do not trigger symptoms. Warm up properly and consider indoor exercises if outdoor conditions are poor.
  • Healthy Diet: Eating a balanced diet rich in fruits, vegetables, and omega-3 fatty acids can reduce inflammation and improve overall health.

Stress Management

Stress and strong emotions can trigger asthma symptoms. Practicing relaxation techniques such as deep breathing, yoga, and meditation can help manage stress levels.

Vaccinations

Respiratory infections can worsen asthma. Staying up-to-date with vaccinations, including the flu shot and pneumonia vaccine, can help prevent infections.

Educate Yourself

Understanding asthma and staying informed about new treatments and management strategies can empower individuals to take control of their condition. Participating in asthma education programs or support groups can provide valuable information and support.

Regular Medical Check-ups

Regular visits to a healthcare provider, particularly a board-certified pulmonologist are essential to monitor asthma control, adjust medications as needed, and address any concerns. These check-ups ensure that the management plan is effective and up-to-date.

Environmental Control

Reducing exposure to indoor and outdoor pollutants can help manage asthma. Use air purifiers and filters with HEPA technology to maintain a clean living environment. Avoid using strong-smelling cleaning products or chemicals.

By implementing these strategies, individuals with asthma can better manage their symptoms, reduce the frequency and severity of asthma attacks, and lead healthier, more active lives. Understanding the genetic predispositions and environmental factors that influence asthma can further aid in tailoring effective management plans.

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References

  1. https://www.who.int/news-room/fact-sheets/detail/asthma/?gad_source=1&gclid=CjwKCAjwkJm0BhBxEiwAwT1AXNpOgz2czCUrkmr6IsFz8BUfxZKrIC0hA9r7nQeTfdedhmdFYR-slhoCwwIQAvD_BwE
  2. https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
  3. https://www.nhs.uk/conditions/asthma/diagnosis/#:~:text=The%20main%20tests%20used%20to,can%20hold%20in%20your%20lungs
  4. https://aafa.org/asthma/asthma-diagnosis/lung-function-tests-diagnose-asthma/#:~:text=Spirometry.,and%20its%20rate%20of%20flow.
  5. https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/methacholine-challenge-test
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705653/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910079/
  8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957960/
  9. https://www.nhlbi.nih.gov/health/asthma
  10. https://www.nhs.uk/conditions/asthma/treatment/#:~:text=There’s%20currently%20no%20cure%20for,if%20your%20asthma%20is%20severe.
  11. https://www.webmd.com/asthma/ss/slideshow-asthma-and-your-diet
  12. https://www.medsafe.govt.nz/profs/PUarticles/nsaid-induced.htm#:~:text=Aspirin%20and%20other%20NSAIDs%20can,death%20in%20aspirin%2Dsensitive%20asthmatics.&text=This%20reaction%20is%20generally%20referred,and%2020%25%20of%20adult%20asthmatics.
  13. https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma
  14. https://www.mayoclinic.org/diseases-conditions/asthma/in-depth/asthma-medications/art-20045557#:~:text=including%20the%20following.-,Inhaled%20corticosteroids,and%20tightening%20in%20your%20airways.

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Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Can Your Genetics Increase the Likelihood of Restless Syndrome?

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Can Your Genetics Increase the Likelihood of Restless Syndrome?

Date of Content: June 3, 2024
Written by: Jess Gayo
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

Restless Leg Syndrome (RLS) is more than just an annoying urge to move your legs; it’s a condition that genetics can influence. Understanding the genetic basis of RLS can unlock the secrets to why some people are more prone to those nighttime leg twitches and discomfort. 

What is Restless Leg Syndrome?

Restless Leg Syndrome, also known as Willis-Ekbom Disease, is a neurological disorder characterized by an uncontrollable urge to move the legs, usually due to uncomfortable sensations. This condition predominantly occurs during periods of inactivity, such as sitting or lying down, and is often most severe in the evening and nighttime, leading to disrupted sleep. 

The exact cause of RLS remains unclear, but it is believed to be related to the dysfunction of dopamine, a neurotransmitter responsible for controlling muscle movements. Genetic factors also play a significant role, as RLS can be run in families. Additionally, iron deficiency, kidney failure, diabetes, and peripheral neuropathy are associated conditions that can trigger or exacerbate RLS symptoms. 

Management of RLS involves lifestyle changes, such as maintaining a healthy sleep pattern, reducing caffeine and alcohol intake, and incorporating moderate exercise. In some cases, medications that increase dopamine levels or other treatments to address underlying conditions may be prescribed. Understanding and addressing RLS is crucial, as it significantly impacts quality of life and overall well-being.

What are the Symptoms of Restless Leg Syndrome?

Restless Leg Syndrome (RLS), or Willis-Ekbom Disease, manifests through a range of symptoms that significantly impact daily life and sleep quality. Recognizing these symptoms can help individuals understand their condition better and seek appropriate management strategies.

  • Uncomfortable Sensations: The hallmark symptom of RLS is an uncomfortable sensation in the legs. This sensation is often described as creeping, crawling, tingling, or itching. It typically begins after periods of inactivity, such as sitting or lying down.
  • Urge to Move the Legs: These uncomfortable sensations create an overwhelming urge to move the legs. Movement temporarily relieves the discomfort, but the sensations often return once the activity stops.
  • Evening and Nighttime Worsening: RLS symptoms generally worsen in the evening and at night, leading to significant sleep disturbances. This nocturnal pattern is a key feature of RLS, distinguishing it from other conditions.
  • Periodic Limb Movements: Many individuals with RLS also experience periodic limb movements during sleep (PLMS). These involuntary, repetitive movements can further disrupt sleep and affect sleep quality.
  • Daytime Fatigue and Impaired Functioning: The sleep disturbances caused by RLS lead to daytime fatigue, irritability, and difficulty concentrating. This can affect overall functioning, productivity, and quality of life.
  • Associated Conditions: RLS is often associated with other medical conditions such as iron deficiency, kidney failure, diabetes, and peripheral neuropathy. Addressing these underlying conditions can sometimes alleviate RLS symptoms.

Understanding these symptoms and their impact on daily life is crucial for individuals seeking to manage RLS. By recognizing the signs and considering genetic predispositions, those affected can take proactive steps toward effective treatment and improved quality of life.

How is Restless Leg Syndrome Diagnosed?

Diagnosing Restless Leg Syndrome (RLS) involves a comprehensive approach that includes evaluating symptoms, and medical history, and ruling out other conditions. Here are the key steps in the diagnosis process:

  • Symptom Evaluation: The first step in diagnosing RLS is a thorough evaluation of the patient’s symptoms. Doctors look for the hallmark signs of RLS: an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations such as creeping, crawling, or tingling. These symptoms typically worsen during periods of inactivity and are more pronounced in the evening and nighttime.
  • Medical History: A detailed medical history helps identify potential underlying causes and genetic predispositions. Doctors inquire about family history, as RLS often runs in families, suggesting a hereditary link. They also consider any associated conditions, such as iron deficiency, kidney disease, diabetes, and peripheral neuropathy, which can trigger or exacerbate RLS symptoms.
  • Physical Examination: A physical examination helps rule out other potential causes of the symptoms. This examination might include a neurological assessment to check for signs of nerve damage or other neurological disorders.
  • Blood Tests: Blood tests are often conducted to check for iron deficiency and other metabolic abnormalities. Low levels of iron are commonly associated with RLS and can contribute to symptom severity.
  • Sleep Study: In some cases, a sleep study (polysomnography) may be recommended. This overnight test monitors brain activity, heart rate, breathing, and limb movements during sleep to assess the extent of sleep disruption and identify periodic limb movements, which are common in individuals with RLS.
  • Diagnostic Criteria: Doctors use specific diagnostic criteria for RLS, which include the presence of the key symptoms, symptom worsening during inactivity, relief through movement, and a nocturnal pattern. Meeting these criteria is essential for a definitive diagnosis.

By following these diagnostic steps, healthcare professionals can accurately identify RLS and recommend appropriate treatment strategies, considering the patient’s genetic predispositions and overall health.

Is Restless Leg Syndrome Genetic?

MEIS1 Gene

Restless Legs Syndrome (RLS) is a common sleep disorder with unclear biological and genetic causes. Although genetics play a role, identified factors account for less than 10% of the disease’s heritability. A 2007 genome-wide association study (GWAS) revealed multiple RLS risk variants, especially within the non-coding regions of the MEIS1 gene, which is part of the homeobox transcriptional regulatory network (HOX). 

Research in C. elegans linked MEIS1 to iron homeostasis, supporting the idea that CNS iron insufficiency may cause RLS. Studies in zebrafish and mice found that an RLS-associated SNP- rs12469063 in the HCNR 617 of MEIS1 affects enhancer activity in MEIS1’s non-coding regions.

Another study analyzes RLS patients’ lymphoblastoid cell lines (LCL) and two different brain regions (thalamus and pons) for a gene expression study. Individuals with the MEIS1 risk haplotype (GG/GG, rs12469063–rs2300478) show lower expression in their blood and thalamus. This is also supported by a mouse model experiment simulating this reduced expression, which showed behaviors similar to RLS.

While MEIS1 is strongly associated with RLS, its exact role in the disorder’s pathway is unknown. Its links to iron and enhancer activity suggest significant connections to RLS, but more research is needed. MEIS1 encodes a crucial developmental transcription factor, and future studies on its regulatory role could reveal new insights into RLS.

BTBD9 and MAP2K5/SKOR1 Genes

The study aimed to explore the genetic factors linked to primary Restless Legs Syndrome (RLS) in a Chinese population. Researchers recruited 116 RLS patients and 200 controls, diagnosing RLS based on the International RLS Study Group criteria. They used polymerase chain reaction (PCR) and sequencing to examine 19 single nucleotide polymorphisms (SNPs) across six genetic loci: MEIS1, BTBD9, PTPRD, MAP2K5/SKOR1, TOX3, and an intergenic region of 2p14.

Results revealed that one SNP, rs6494696 in MAP2K5/SKOR1, increased the risk of RLS (odds ratio [OR] = 0.09, p < .0001, recessive model). A meta-analysis of RLS in the Asian population showed that two SNPs in BTBD9 also increased RLS risk: rs9296249 (OR = 1.44, p = .000, T allele) and rs9357271 (OR = 1.38, p = .021, dominant model).

The study confirmed the association of BTBD9 and MAP2K5/SKOR1 with primary RLS in the Chinese population. However, statistical power remains low even after meta-analysis suggesting a larger RSL cohort to investigate more genetic evidence that supports its influence in developing risk among the Asian population.  

What to Avoid if You Have Restless Leg Syndrome?

For individuals with Restless Leg Syndrome (RLS), certain lifestyle choices and habits can exacerbate symptoms. Avoiding these factors can help manage the condition more effectively.

  1. Caffeine: Caffeine is a stimulant found in coffee, tea, chocolate, and many sodas. It can interfere with sleep patterns and exacerbate RLS symptoms. Reducing or eliminating caffeine intake, especially in the late afternoon and evening, can help improve sleep quality and reduce symptom severity.
  2. Alcohol: Alcohol may initially act as a sedative, but it often disrupts sleep later in the night and can worsen RLS symptoms. Limiting or avoiding alcohol consumption can contribute to better sleep and reduced discomfort.
  3. Nicotine: Nicotine is a stimulant that can worsen RLS symptoms and disrupt sleep. Quitting smoking or avoiding nicotine in any form, including e-cigarettes and smokeless tobacco, can help alleviate RLS symptoms and improve overall health.
  4. Certain Medications: Some medications can exacerbate RLS symptoms. These include certain antihistamines, antidepressants, antipsychotics, and medications used to treat nausea. If an individual suspects their medication is worsening their RLS, they should consult their healthcare provider for alternatives.
  5. Inactivity: Prolonged periods of inactivity can trigger RLS symptoms. It is beneficial to incorporate regular physical activity into daily routines. Gentle exercises, such as walking, stretching, or yoga, can help reduce symptoms and improve overall well-being.
  6. Iron Deficiency: Iron deficiency is closely linked to RLS. Ensuring adequate iron intake through diet or supplements, under a healthcare provider’s guidance, can help manage symptoms. Foods rich in iron include red meat, poultry, fish, lentils, and fortified cereals.
  7. Stress and Anxiety: Stress and anxiety can exacerbate RLS symptoms. Incorporating stress-reducing activities, such as meditation, deep breathing exercises, and mindfulness, can be beneficial in managing RLS.

By avoiding these triggers and making lifestyle adjustments, individuals with RLS can significantly reduce their symptoms and improve their quality of life. Understanding the genetic and lifestyle factors that influence RLS can empower individuals to take proactive steps in managing their condition.

How to Manage Restless Leg Syndrome

Managing Restless Leg Syndrome (RLS) involves a combination of lifestyle changes, home remedies, and medical treatments. Understanding how genetics and lifestyle influence RLS can help individuals tailor their management strategies effectively.

Lifestyle Changes

  • Regular Exercise: Regular physical activity can alleviate RLS symptoms. Low-impact exercises such as walking, swimming, and yoga are particularly beneficial. However, intense exercise close to bedtime may exacerbate symptoms.
  • Sleep Hygiene: Maintaining good sleep hygiene is crucial. This includes sticking to a consistent sleep schedule, creating a comfortable sleep environment, and avoiding screen time before bed. A regular sleep routine can help manage the nocturnal worsening of RLS symptoms.
  • Dietary Adjustments: Certain foods can exacerbate RLS. Reducing or eliminating caffeine and alcohol intake is recommended. Ensuring an adequate intake of iron-rich foods, such as red meat, poultry, fish, lentils, and fortified cereals, is also important. Iron supplements may be necessary for those with diagnosed deficiencies.

Home Remedies

  • Leg Massages: Massaging the legs before bedtime can help relieve the uncomfortable sensations associated with RLS. This can be done manually or with a massage device.
  • Warm or Cool Packs: Applying warm or cool packs to the legs can temporarily relieve RLS symptoms. Some people find alternating between warm and cool packs to be particularly effective.
  • Epsom Salt Baths: Soaking in a warm bath with Epsom salts before bed can help relax the muscles and alleviate RLS symptoms. The magnesium in Epsom salts may also be beneficial.

Stress Management

  • Relaxation Techniques: Stress and anxiety can worsen RLS symptoms. Incorporating relaxation techniques such as deep breathing, meditation, and progressive muscle relaxation into daily routines can help reduce stress levels and improve RLS symptoms.
  • Mindfulness and Yoga: Practices such as mindfulness meditation and yoga can improve overall well-being and reduce the stress that may exacerbate RLS.

Medical Treatments

  • Iron Supplements: Iron deficiency is closely linked to RLS. A healthcare provider may recommend iron supplements if blood tests indicate low iron levels. It’s important to take iron supplements under medical supervision to avoid potential side effects and complications.
  • Medications: Several medications can help manage RLS symptoms. These include:
    • Dopaminergic Agents: Medications that increase dopamine levels, such as pramipexole and ropinirole, can effectively reduce RLS symptoms.
    • Anti-seizure Drugs: Gabapentin and pregabalin are often used to manage RLS, especially when associated with pain.
    • Benzodiazepines: These medications can help improve sleep quality but are generally used as a short-term solution due to the risk of dependence.
    • Opioids: In severe cases, opioids may be prescribed, but their use is typically limited due to the potential for addiction and other side effects.
  • Addressing Underlying Conditions: If RLS is secondary to another condition, such as diabetes or peripheral neuropathy, managing the underlying condition is crucial. Treating these conditions can significantly improve RLS symptoms.

Regular Follow-ups

  • Monitoring and Adjusting Treatment: Regular follow-ups with a healthcare provider are essential to monitor the effectiveness of treatment and make necessary adjustments. This ensures that the management plan remains effective and responsive to changes in symptoms.

By combining lifestyle changes, home remedies, stress management techniques, and medical treatments, individuals with RLS can effectively manage their symptoms and improve their quality of life. Understanding the genetic and lifestyle factors influencing RLS can empower individuals to take control of their condition and make informed decisions about their health.

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Summary

  • Restless Leg Syndrome (RLS) has a significant genetic component, influenced by variants in genes like MEIS1, BTBD9, and MAP2K5/SKOR1, which are involved in neural development and iron regulation.
  • RLS is characterized by uncomfortable leg sensations, an irresistible urge to move the legs, worsened symptoms at night, periodic limb movements during sleep, and daytime fatigue.
  • Diagnosis involves evaluating symptoms, medical history, physical examination, blood tests for iron deficiency, and sometimes a sleep study to confirm the nocturnal pattern of symptoms.
  • MEIS1 is associated with RLS risk through its role in iron regulation and enhancer activity, impacting neurotransmitter function in conditions like RLS.
  • Mutations in BTBD9 increase RLS risk, affecting striatal neuron activity and contributing to motor restlessness and sleep disturbances.
  • SNPs in MAP2K5/SKOR1 are linked to increased RLS risk in populations like the Chinese, highlighting genetic variability in RLS susceptibility.
  • Management involves lifestyle changes (exercise, sleep hygiene, diet adjustments), home remedies (leg massages, warm/cold packs, Epsom salt baths), stress management (relaxation techniques, mindfulness, yoga), medical treatments (iron supplements, dopaminergic agents, anti-seizure drugs), and addressing underlying conditions to alleviate symptoms and improve quality of life.
  • Avoiding caffeine, alcohol, nicotine, certain medications, prolonged inactivity, and managing stress are crucial in minimizing RLS symptoms.
  • Understanding genetic predispositions and adopting tailored management strategies empower individuals to effectively manage RLS and enhance overall well-being.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2653903/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736557/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787346/
  4. https://pubmed.ncbi.nlm.nih.gov/28329290/
  5. https://www.ninds.nih.gov/health-information/disorders/restless-legs-syndrome#:~:text=Restless%20legs%20syndrome%20(RLS)%E2%80%94,irresistible%20urge%20to%20move%20them.
  6. https://www.mayoclinic.org/diseases-conditions/restless-legs-syndrome/symptoms-causes/syc-20377168
  7. https://my.clevelandclinic.org/health/diseases/9497-restless-legs-syndrome
  8. https://www.hopkinsmedicine.org/health/conditions-and-diseases/restless-legs-syndrome-rls#:~:text=Your%20healthcare%20provider%20can%20diagnose,definitive%20test%20to%20diagnose%20RLS.
  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727615/
  10. https://www.msdmanuals.com/professional/neurologic-disorders/sleep-and-wakefulness-disorders/periodic-limb-movement-disorder-plmd-and-restless-legs-syndrome-rls
  11. https://baimed.com.au/the-link-between-diet-and-restless-leg-syndrome/#:~:text=Iron%2Drich%20foods%3A%20Iron%20deficiency,if%20iron%20supplementation%20is%20necessary.
  12. https://baimed.com.au/the-link-between-diet-and-restless-leg-syndrome/#:~:text=Iron%2Drich%20foods%3A%20Iron%20deficiency,if%20iron%20supplementation%20is%20necessary.
  13. https://www.healthline.com/health/fitness-exercise/low-impact-cardio
  14. https://www.webmd.com/a-to-z-guides/epsom-salt-bath
  15. https://my.clevelandclinic.org/health/drugs/14568-iron-oral-supplements-for-anemia
  16. https://pubmed.ncbi.nlm.nih.gov/11909990/
  17. https://pubmed.ncbi.nlm.nih.gov/11909990/
  18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464545/
  19. https://jcsm.aasm.org/doi/10.5664/jcsm.10436#:~:text=Symptoms%20of%20restless%20legs%20syndrome,after%20completion%20of%20opioid%20withdrawal.

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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

The Genetic Connection of PCOS and Women’s Wellness

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The Genetic Connection of PCOS and Women's Health

Date of Content: June 21, 2024
Written by: Catherine Alcalde
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

What is PCOS?

If your weight gain, persistent acne, and irregular menstruation feel overwhelming, these could be signs of PCOS, a common but often left undiagnosed condition. Polycystic ovary syndrome is a hormonal disorder that causes infertility, hormonal imbalance,  and metabolism problems that affect 1 in every 10 women during their reproductive age.

Most people are diagnosed in their mid-20s or 30s, usually when they’re trying to conceive or when symptoms such as those mentioned above become noticeable. Factors such as obesity or a family history of PCOS may increase the risk.  Women in the general population who have polycystic ovary syndrome are more likely to experience mood disorders such as depression.

While it may be alarming that there is no known cure for PCOS, there are treatments to help address common symptoms and manage such conditions. It’s essential to openly discuss and understand women’s health issues such as PCOS, for them to be guided to the first step towards effective care. 

Why Do Women Develop PCOS?

PCOS occurs in a woman’s ovaries, where hormonal imbalances may disrupt the normal ovulation process. Normally, ovulation releases a mature egg from the ovary for potential fertilization. In PCOS, these hormonal imbalances may prevent regular ovulation, leading to higher levels of androgens, male hormones that are usually present in small amounts in women. This excess of androgens disrupts the menstrual cycle and contributes to the symptoms associated with PCOS, such as irregular periods, infertility, and other hormonal imbalances.

Can PCOS be Inherited?

Researchers have studied different aspects of PCOS, including its genetic, hormonal, and environmental factors, to understand it better. The genetic basis of PCOS was first reported by Cooper and colleagues in 1968, who found that PCOS often runs in families. This suggested it might be inherited in an autosomal dominant pattern, meaning that having just one copy of the affected gene could increase the risk of developing such a condition. 

Twin studies have been helpful with identical (monozygotic) and fraternal (dizygotic) twins showing that PCOS has a strong genetic component. The heritability of PCOS, which is the proportion of the risk that is genetic, is observed to be about 72%. 

Additionally, studies of families have found that 55-60% of first-degree relatives (like sisters or daughters) of someone with PCOS also have the condition. This means that genetics play a big role in whether someone develops PCOS. However, because many genes and environmental factors contribute to PCOS, the exact genetic basis may differ between and within families. This complexity means that while genetics play a significant role, other factors are also important.

Genetic Studies and Insights on PCOS

Polycystic Ovary Syndrome (PCOS) is now established as a complex and multifactorial endocrine disorder that affects a significant number of women globally, with a prevalence ranging from 8-13% depending on the diagnostic criteria and population studied.  

A study by Khan, Ullah, and Basit provides a comprehensive overview of the genetic and molecular understanding of PCOS. The study emphasizes that PCOS is a polygenic disorder with no single genetic marker fully explaining the condition. About 72% of risk variants identified highlighted their hereditary involvement and their interplay with one another along with other extrinsic factors, contribute to the development and manifestation of PCOS.

The study also highlighted several genes involved in ovarian and adrenal steroidogenesis, including CYP11a, CYP17, and CYP19, which are crucial for androgen production and metabolism. Mutations and polymorphisms in these genes may lead to elevated androgen levels, a hallmark of PCOS. Additionally, genes involved in insulin signaling, such as INSR and IRS-1, also play a significant role, as insulin resistance is a common feature in many women with PCOS.

Genome-wide association studies have further revealed associations between PCOS and other conditions such as obesity, type 2 diabetes, and heart disease, indicating shared genetic factors in their development.  Researchers identified 14 specific genetic loci associated with PCOS through a large-scale analysis involving over 10,000 PCOS cases and more than 100,000 controls of European ancestry. Among these loci, three genetic variations (PLGRKT with SNP-rs10739076, ZBTB16 with SNP-rs1784692, and MAPRE1 with SNP- rs853854) were newly discovered along with others (THADA, GATA4/NEIL2, YAP1, etc.) that have been previously observed in Han Chinese and European populations. Although obesity is commonly associated with PCOS, the study did not reveal new loci, most genetic variants showed consistent effects across PCOS symptoms such as hormone imbalances and ovarian issues. 

Another study highlights the challenges of identifying risk variants through GWAS, as most of these variants are non-coding (parts that do not directly encode proteins) and located in regulatory regions of the genome. However, about 60% of these variants are found in DNA hypersensitivity and regulatory regions. For example, variants near the FSHβ gene (SNPs- rs11031006 and rs11031005) not only increase the risk for PCOS but are also associated with lower follicle-stimulating hormone (FSH) and higher luteinizing hormone (LH) levels. These instances show how non-coding variants may influence gene expression and hormone levels, contributing to the risk of PCOS. Researchers have also used Mendelian randomization to demonstrate that genetic influences for traits such as BMI, fasting insulin, and age at menopause are more frequent in women with PCOS, suggesting these traits causally contribute to the syndrome. 

Understanding the genetic factors behind Polycystic Ovary Syndrome (PCOS) offers valuable insights into its impact on women’s overall health- including reproductive, metabolic, and mental health

The Impact of PCOS on Women's Health

Polycystic Ovary Syndrome (PCOS) affects many aspects of women’s health, going beyond just fertility issues. These listed below are some of which may significantly impact a woman’s quality of life:

Reproductive Health

Many women with PCOS struggle to conceive because their ovaries may not release eggs regularly. Symptoms like irregular periods and high levels of  (androgens) male hormones are typical signs of PCOS, often leading to delayed diagnosis. Genes like FSHR and LHCGR, which play crucial roles in follicle-stimulating hormone and luteinizing hormone regulation, are often implicated in PCOS. Variations in these genes may lead to hormonal imbalances, resulting in irregular menstrual cycles and difficulty in conceiving.

Metabolic Health

The Impact of PCOS on one’s metabolic health increases the risk of developing metabolic health conditions such as insulin resistance. This means the body’s cells don’t respond well to insulin,  which may lead to high blood sugar. This is often associated with what is known as metabolic syndrome, which relates to weight gain, high cholesterol, and high blood pressure

Mental Health

The impact of PCOS extends beyond physical health, significantly affecting mental well-being. Women with PCOS are more likely to experience anxiety, depression, and mood disorders. Genetic factors, including variations in genes related to neurotransmitter regulation like COMT and MAOA, contribute to these mental health challenges.

The hormonal imbalances associated with PCOS, particularly elevated androgen levels, may influence mood and emotional stability. Additionally, the psychological stress of dealing with symptoms like acne, hirsutism, and weight gain may further exacerbate mental health issues. Factors such as concerns about body image due to symptoms like excess hair growth (hirsutism), weight gain, and difficulty conceiving may contribute to these mental health challenges. 

Managing PCOS

While there is no exact cure for PCOS, it may be effectively managed through various approaches aimed at alleviating symptoms and improving overall health outcomes:

Lifestyle Modifications

Diet and Nutrition: For women with PCOS, this involves a balanced eating plan to get proper nutrition that may help promote overall health. Focusing on a balanced diet may help manage weight, reduce insulin resistance, and regulate hormonal imbalances that contribute to PCOS symptoms like irregular periods and excessive androgen production. Foods such as carbohydrates, lean proteins, and healthy fats while limiting refined sugars and processed foods may help. 

Exercise: Exercise is beneficial for one’s overall well-being. It helps us burn stored energies which may improve insulin sensitivity, manage weight, and even our mood stability which are beneficial for managing PCOS-related symptoms and improving quality of life.

Stress management: Practices such as meditation and deep breathing exercises may help reduce stress levels, improve hormonal balance, and reduce symptoms of anxiety or depression commonly associated with women who have PCOS.

Medical Treatments

Oral contraceptives: This usually contains estrogen and progestin that may be prescribed to help regulate menstrual cycles, lower androgen levels, and improve acne in women with PCOS. They help manage symptoms such as excessive hair growth (hirsutism).

Insulin sensitizing agents: These are prescribed to improve insulin resistance, which is often a key feature of PCOS. These medications help lower insulin levels, reduce androgen production, and restore regular ovulation in women with insulin-resistant PCOS. They are particularly beneficial for those with concurrent metabolic issues like obesity or type 2 diabetes.

Surgery: In cases where other treatments prove ineffective for some women, they may feel the need for surgical options such as ovarian drilling may be considered. This procedure involves using heat or laser to puncture the ovarian surface, aiming to reduce the number of androgen-producing follicles and restore hormonal balance, potentially improving ovulation.

Emotional and Psychological Support

Counseling and support groups: Counseling sessions with a mental health professional may help provide emotional support and coping strategies for women living with PCOS. Counseling and support groups offer a safe space to discuss personal challenges and may help develop coping strategies for managing stress associated with the condition.

Awareness and learning: This serves to empower women to understand their condition better and actively participate in their treatment plans, enabling them to make informed decisions more confidently and advocate for their own needs.

Mental health care: Addressing mental health concerns not only improves psychological outcomes but also enhances the overall quality of life for individuals managing the complex realities of PCOS. Treatment may involve therapy sessions focused on cognitive-behavioral techniques, mindfulness practices, or medication management. 

Summary

  • PCOS affects 1 in 10 women, causing infertility due to irregular ovulation and hormone imbalances.
  • Having a family history increases the likelihood of developing PCOS, with about 72% of the risk.
  • PCOS shares genetic links with obesity, type 2 diabetes, and heart disease.
  • Symptoms extend beyond reproductive issues to include metabolic problems like insulin resistance. 
  • While PCOS isn’t curable, effective management may significantly improve symptoms and overall health.
  • Treatment focuses on lifestyle changes, medications like contraceptives, surgery, or therapy.
  • GWAS have pinpointed 14 genetic spots linked to PCOS, including PLGRKT, ZBTB16, and MAPRE1, affecting hormone levels and ovarian function.
  • Emotional support through counseling and education is essential for managing the psychological impact of PCOS.
  • Weight management is challenging in PCOS due to insulin resistance and hormonal factors.

References

  1. https://medlineplus.gov/genetics/condition/polycystic-ovary-syndrome/#references
  2. https://my.clevelandclinic.org/health/diseases/8316-polycystic-ovary-syndrome-pcos
  3. https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
  4. https://www.womenshealth.gov/a-z-topics/polycystic-ovary-syndrome
  5. https://www.hopkinsmedicine.org/health/conditions-and-diseases/polycystic-ovary-syndrome-pcos
  6. https://www.mayoclinic.org/diseases-conditions/pcos/diagnosis-treatment/drc-20353443
  7. https://my.clevelandclinic.org/health/diseases/8316-polycystic-ovary-syndrome-pcos
  8. https://www.ncbi.nlm.nih.gov/books/NBK279000/#:~:text=An%20androgen%2C%20or%20male%20sex,anabolic%20status%20of%20somatic%20tissues.
  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201802/
  10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730780/
  11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8285346/
  12. https://www.ncbi.nlm.nih.gov/books/NBK470417/#:~:text=Hirsutism%20means%20the%20growth%20of,for%20dermatological%20consultation%20%5B1%5D.

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Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Genetic Insights into Non-alcoholic Fatty Liver Disease

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Genetic Insights into Non-alcoholic Fatty Liver Disease

Date of Content: June 19, 2024
Written by: Catherine Alcalde
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

What Is Non-alcoholic Fatty Liver Disease?

What if your liver started storing excess fat without you realizing it? This is what happens in Non-alcoholic Fatty Liver Disease also known as NAFLD, a common liver condition that occurs when the liver builds up excessive fat, similar to the damage caused by heavy drinking, but in people who don’t consume much alcohol

Research shows that about 25 percent of the global population are affected by NAFLD, making it the most common liver problem, especially  in older adults and often goes along with other health issues like obesity, high blood pressure, and diabetes. Its frequency is increasing in Western countries like the US due to the rising number of people who are overweight or obese. 

Most people with NAFLD don’t have symptoms, but some may feel tired or experience abdominal pain. The specific causes of Non-alcoholic fatty liver disease may still be unclear.  However, it is evident that various factors, such as genetics, lifestyle choices, and metabolic wellness, can significantly influence its development and progression. Understanding these known contributing factors is important for developing effective management and treatment. 

Symptoms of Non-alcoholic Fatty Liver Disease

Early-stage NAFLD often doesn’t show any symptoms, making it challenging to detect. However, as the condition progresses, individuals may begin to experience the following symptoms:

Chronic Fatigue: A common symptom with various causes like physical strain, stress, or sleep deprivation, may also be connected to NAFLD. In individuals with this condition, fatigue might stem from metabolic syndrome, inflammation,  underlying health issues, and emotional challenges of managing physical and mental stress. 

Malaise: Malaise refers to a vague sense of discomfort or unease, often without a specific cause. It can be a symptom experienced by individuals with NAFLD, contributing to their overall sense of unwellness. 

Pain or discomfort in the upper right of the abdomen area: This discomfort often stems from liver-related issues such as inflammation in the liver caused by NAFLD. 

When NAFLD progresses to a more severe form known as Non-alcoholic Steatohepatitis or NASH, the symptoms may become more noticeable, and additional complications may develop. These symptoms may include:

Itchy skin:  Also known as Pruritus, this occurs when the liver is not functioning properly.  Itchiness  may persist due to toxin build-up in the bloodstream,which then leads to skin irritation.  l This is a sign  to seek for medical attention for proper management of liver health to prevent further complications.

Abdominal swelling : This condition known as ascites is  an abdominal swelling which occurs when fluid builds up in the abdominal cavity. This fluid build up indicates a progression of liver disease, emphasizing the importance of early detection and management of NAFLD to prevent such complications.

Shortness  in breathing: When there is abdominal swelling, the pressure makes it harder to breathe, leading to noticeable difficulty in breathing. This symptom highlights the severity of liver damage and the need for immediate treatment. 

Swelling of the legs: In individuals with NASH, severe liver damage can lead to edema, resulting in noticeable swelling and discomfort in the legs. 

Spider-like blood vessels: These are small, dilated blood vessels, often associated with liver disease and can indicate underlying liver dysfunction.  It appears as red spots on the skin, known as Spider Angiomas.

Enlarged spleen: Liver dysfunction can lead to an enlarged spleen or splenomegaly, which may cause discomfort or pain in the upper left abdomen.

Red palms: The palms of the hands may appear reddish due to increased blood flow and altered circulation associated with liver disease.

Yellowing of the skin and eyes: A condition known as Jaundice appears as a yellow discoloration of the skin and the whites of the eyes. This is a visible indication of liver dysfunction, highlighting the severity of liver’s wellness.

It’s important to understand that progression may be among individuals and that not all who have NAFLD will develop NASH.  

What Causes Glaucoma?

Glaucoma’s primary cause is increased fluid pressure within the eye, which can harm the optic nerve. However, there are additional factors to consider:

Impaired Drainage Pathways:  As we age, the eye’s drainage system can become less effective over time, making it harder for fluid called aqueous humor to flow out properly. This inefficiency can result in fluid buildup within the eye, leading to increased intraocular pressure.

Genetic Factors: Family history is a crucial factor in assessing an individual’s risk of glaucoma. Genetic predispositions can significantly increase the chances of developing this condition, emphasizing the need to understand one’s familial medical background to comprehend potential risks.

Increased Intraocular Pressure (IOP): This refers to elevated pressure within the eye that causes stress on the optic nerve which could lead to vision impairment. 

Eye Injuries and Severe Inflammation: These conditions can significantly increase the risk of developing glaucoma. Physical trauma to the eye or too much inflammation affecting ocular tissues can disrupt normal eye function. This disruption can lead to increased intraocular pressure, contributing to the development and progression of glaucoma.

Stages of Non-alcoholic Fatty Liver Disease

NAFLD

This is the first stage where the liver accumulates excessive fat, leading to the condition termed hepatic steatosis. During this phase, liver damage remains minimal, and symptoms, if present, are usually subtle or even none at all. This initial stage highlights the importance of early detection and management to prevent further development of the disease.

NASH

Non-alcoholic Fatty Liver Disease (NAFLD) may progress to a more severe stage known as Non-alcoholic Steatohepatitis (NASH) in 7-30% of cases. As NAFLD advances, it may transition from simple hepatic steatosis to NASH, which involves inflammation and injury to liver cells. This escalation can lead to liver fibrosis, cirrhosis, and potentially liver failure. However, it is important to understand that not all cases of NAFLD will develop into NASH.

Liver Fibrosis

In this stage, the liver gradually builds up scar tissue, which affects both its structure and function. The severity of Liver Fibrosis can vary widely, ranging from mild to advanced, with significant implications for liver health. As the Liver Fibrosis progresses, it increases the risk of complications and may compromise liver function.

Cirrhosis

At this stage, liver function declines, increasing the risk of critical complications such as liver failure and even an increased susceptibility to liver cancer. It’s important to understand the implications of Cirrhosis. However, it’s crucial to remember that not all cases of NAFLD progress to this advanced stage. It highlights the importance of early detection, monitoring, and actionable  treatment. 

How Genetics May Influence Non-alcoholic Fatty Liver Disease

A Genome-Wide Association Study (GWAS) utilizing electronic health records (EHR) from the UK Biobank analyzed data from 4,761 NAFLD cases. This 2021 study identified six key  loci: APOE, PNPLA3, TM6SF2, GCKR, MARC1, and TRIB1. with the most significant association to Non-alcoholic Fatty Liver Disease. Variations in the genetic regions revealed that this condition may be influenced by a variety of genetic factors. 

Another study  involving diverse populations has shown the role of genetics- in how Non-alcoholic Fatty Liver Disease affects individuals from different races. NAFLD varies a lot among different ethnic groups like Europeans, Asians, and Africans. By studying different groups, scientists found that certain genetic make-up -are  at risk of developing  NAFLD and have a higher progression rate than others.

Hispanic populations, for example, exhibit the highest occurrence and more severe disease progression, often linked to genetic factors such as polymorphism  in the PNPLA3 gene that is linked to hepatic fat content which is common among Latinos. In contrast, African-Caribbean populations generally show lower occurrence rates but higher levels of insulin resistance. Asian populations, despite being less frequently reported, show increasing rates of NAFLD, corresponding with rising obesity rates in these regions. Understanding these ethnic and genetic variations is important for effective treatments with individuals who have NAFLD.

Non-Genetic Factors Influencing Non-alcoholic Fatty Liver Disease

Apart from genetics, non-genetic factors also play a significant role in the development of NAFLD. These include:

Hormonal

Changes in hormones are important for how the body handles fats, including how they’re stored in the liver. For example, for women during menopause, it can change how fat is processed because of estrogen levels dropping, it may possibly lead to more fat in the liver. Conditions like this and PCOS, which affect hormones, can also mess with how the body handles fats, potentially causing fat buildup in the liver.

Diet

To help prevent NAFLD, it’s important to choose healthier food options along with a well-balanced diet . Consuming higher amounts of processed, sugary, and high in trans fat  food varieties could worsen your liver’s wellness as it may promote fat build up in the liver.

Lifestyle

NAFLD may be significantly influenced by lifestyle choices, particularly in terms of physical activity. When individuals lead sedentary lifestyles, meaning they don’t engage in regular physical activity, it can disrupt their metabolism and lead to various health issues including weight gain and fatty liver disease.

By incorporating regular physical activity, individuals can effectively manage their weight and improve their metabolic wellness that may help prevent the development and progression of NAFLD.  By doing so, individuals promote overall liver health and well-being.

Medical Conditions

Medical conditions: Certain health conditions significantly increase the risk of developing NAFLD.  A combination of obesity, high blood pressure, high blood sugar, and abnormal cholesterol levels  is called Metabolic syndrome. This is when the body struggles to regulate blood sugar due to conditions like type 2 diabetes or insulin resistance can lead to fat buildup in the liver.

Obesity, especially when excess fat accumulates around the waist, is a major contributor too. Other conditions such as high cholesterol, polycystic ovary syndrome (PCOS), sleep apnea, and thyroid or pituitary gland issues can worsen liver fat accumulation and metabolic problems, making NAFLD more likely.

Medications and Toxins

Some medications, while not directly causing NAFLD, can make it worse by affecting how the liver accumulates fat and may  disrupt the body’s metabolic processes. For instance, corticosteroids used to treat inflammation can interfere with how the body processes fats, leading to fat buildup in the liver. Similarly, certain antidepressants have been linked to changes in metabolism that might encourage liver fat accumulation. It’s important for individuals taking these medications to be aware of their potential effects on liver health and to discuss any concerns with their doctors.

Preventing Non-alcoholic Fatty Liver Disease

Adopting these preventive measures in your daily life may help prevent  progression of Non-alcoholic Fatty Liver Disease and improve your overall liver health.

Maintain a Healthy Weight

Obesity is a significant risk factor for Non-alcoholic Fatty Liver Disease.  To help  reduce the risk of developing this liver condition, individuals with NAFLD may practice a balanced lifestyle including proper exercise and healthy food.

Stay Physically Active

Regular exercise Including aerobic activities, strength training, and flexibility exercises in your lifestyle may help enhance your overall health and prevent liver fat buildup.

Stay Hydrated

Make it a habit to drink water daily to keep your body hydrated. Opt for herbal or infused water instead of sugary beverages. Proper hydration supports liver function and overall health.

Manage Underlying Conditions

If you have any other health conditions like diabetes and high cholesterol affecting your liver, it is important to address these conditions as it may help lower the likelihood of developing Non-alcoholic Fatty Liver Disease.

Limit Alcohol Intake

While Non-alcoholic Fatty Liver Disease is not directly caused by alcohol consumption, excessive alcohol intake may worsen liver damage. Therefore, limiting alcohol consumption to moderate levels or refraining from alcohol altogether is recommended as a preventive measure against NAFLD.

Monitor Medication Use

Be cautious with medications that may affect liver health. Discuss potential risks and alternatives with your healthcare provider, especially if you have underlying liver conditions.

Summary

  • NAFLD is liver fat buildup in non-heavy drinkers and is a common  liver damage.
  • NAFLD affects 25% of the global population especially in Western countries due to rising obesity rates.
  • Between 7-30% of NAFLD cases develop into NASH, which can lead to liver fibrosis, cirrhosis, and liver failure. (include this on its designated part above)
  • NAFLD is associated with obesity and diabetes.
  • Risk factors of NAFLD include family history, obesity, diabetes, and high cholesterol.
  • Genetic factors like polymorphism in the PNPLA3 gene may affect fat accumulation in the liver.
  • Lifestyle choices, including diet, play significant roles in NAFLD development.
  • Diagnosis involves imaging and blood tests, while treatment focuses on lifestyle changes.
  • NASH is a form of NAFLD which can cause liver inflammation, cirrhosis, and life-threatening complications.
  • Symptoms of NAFLD are often subtle, but advanced stages can lead to significant liver damage and complications.

References

  1. https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2019.01413/full
  2. https://www.mayoclinic.org/diseases-conditions/nonalcoholic-fatty-liver-disease/symptom
  3. https://medlineplus.gov/genetics/condition/non-alcoholic-fatty-liver-disease/
  4. https://www.nhs.uk/condi
  5. https://www.pennmedicine.org/for-patients-and-visitors/
  6. https://www.hopkinsmedicine.org/health/conditions-and-diseases/nonalcoholic-fatty-liver
  7. https://tgh.amegroups.org/article/view/8382/
  8. https://www.ncbi.nlm.nih.gov/gtr/conditions/C3150651/?_ga=2.80848798.820274473.1719300086-488133728.1718960409
  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4836586/#:~:text=Hepatic%20steatosis%20or%20fatty%20liver,viral%20infection%2C%20or%20drug%20treatments
  10. https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash/definition-facts#:~:text=Nonalcoholic%20fatty%20liver%20disease%20(NAFLD)%20is%20a%20condition%20in%20which,called%20alcohol%2Dassociated%20liver%20disease
  11. https://www.ncbi.nlm.nih.gov/gene/80339#:~:text=PNPLA3%20is%20a%20lipase%20responsible,in%20increased%20susceptibility%20to%20NAFLD.
  12. https://www.cms.gov/priorities/key-initiatives/e-health/records#:~:text=An%20Electronic%20Health%20Record%20(EHR,progress%20notes%2C%20problems%2C%20medications%2C
  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430068/

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Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Genetics Behind the Etiology of Gout

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Genetics Behind the Etiology of Gout

Date of Content: June 18, 2024
Written by: Catherine Alcalde
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

What Is Gout?

Gout is a serious form of arthritis. It is known as a sudden and severe inflammation in the joints caused when uric acid levels in the bloodstream are high, leading to the formation of sharp urate crystals within the joints. If this is not addressed,  gout can result in chronic pain and joint damage that could also lead to compromising renal health.

Gout mostly affects men, especially after age 40, and post-menopausal women when they lose estrogen’s protective effects. It commonly targets the big toe joint but can also impact knees, ankles, hands, wrists, and elbows. A deeper understanding of the different types of gout, its risk factors, and available treatment options are important for effective management and prevention of gout attacks.

You May Also Like: Genetics of Kidney Stones.

Types of Gout

Gout comes in two main types: primary gout and secondary gout. Primary gout refers to elevated levels of uric acid due to extrinsic factors such as too much consumption of alcohol or sugary beverages and food items that are high in purine. Secondary gout is linked to underlying health issues like chronic kidney disease or long-term use of certain medications that affect the kidneys’ function in filtering excess uric acid and excretion through urine.

Phases of Gout

  • Asymptomatic Hyperuricemia: At first, your body starts building up uric acid in your blood. It doesn’t cause any symptoms right away, so you might not even know it’s happening. But it’s important to make some lifestyle changes to keep those urate levels in check.
  • Acute Gout: When uric acid levels get too high, it can form crystals around your joints, causing a gout attack. This comes on suddenly and can be painful. Doctors can confirm it’s gout by checking for uric acid crystals in your joint fluid.
  • Intercritical Gout: After an attack, you might not have any symptoms for a while. But uric acid can still build up during this time, so it’s important to keep an eye on it and stick to any treatment your doctor recommends.
  • Chronic Tophaceous Gout: If uric acid levels stay high for a long time, it can lead to chronic tophaceous gout. This is when urate crystals form lumps called tophi in different parts of your body, like your joints or under your skin. It can cause joint damage and other problems if it’s not managed properly.

What Causes Gout?

Increased Uric Acid Levels:  This condition referred to as hyperuricemia is a main trigger for gout as it can lead to the formation of urate crystals in the joints.  

Impaired Excretion Pathways: This condition is a result of factors such as kidney disease or certain medications that interfere with uric acid excretion. As a result, the accumulated uric acid crystallizes in the joints, triggering inflammation and pain. 

Genetic Factors: Genetic factors are crucial in gout, specifically those affecting how the body handles uric acid. Studies have shown that 65% of gout cases are inherited or run in the family. Recognizing genetic influences like identifying family medical history along with lifestyle modification will help individuals at higher risk.

Diet and Lifestyle Factors: High purine foods (e.g. crustaceans, red and organ meats, oily fishes) and alcohol or sugary beverages are the most common causes of the spike in uric acid levels. What you do daily and what you give your body is essential in treating gout as it could help lower uric acid levels and reduce strain on the joints, therefore preventing gout flare-ups. 

What Are the Symptoms of Gout?

  • Joint Pain:  This is described as a sudden throbbing or burning pain in the joints such as your big toe, knees, elbows, and wrists.
  • Joint Swelling: The affected joint usually becomes swollen, tender, and warm to the touch. Swelling occurs due to the accumulation of urate crystals, which trigger an inflammatory response in the joint tissues.
  • Redness: Gout attacks are often accompanied by redness in the affected joint. This redness is a visible sign of inflammation caused by the accumulation of urate crystals.
  • Limited Range of Motion: Pain and swelling associated with gout can restrict the joint’s range of motion, making movement difficult and causing stiffness.
  • Fever: This may occur in some individuals as part of the body’s response to a joint’s inflammation. 
  • Joint Stiffness: Gout attacks frequently lead to joint stiffness, particularly following periods of inactivity or during the early morning. This stiffness may improve with movement but can persist throughout the day.

How Is Gout Diagnosed?

Diagnosing gout involves a thorough assessment of symptoms, medical history, and laboratory findings. Healthcare providers begin by evaluating the distinct traits of joint pain, considering its sudden onset, severity, and associated symptoms like swelling and redness. 

They also explore potential risk factors such as family history, dietary patterns, and existing medical conditions such as hypertension or kidney disease. This approach ensures accurate identification of gout, enabling healthcare providers to implement appropriate treatment and preventive measures effectively.

Genetics Predisposition of Gout

Our understanding of gout genetics has been completely transformed by Genome-Wide Association Studies (GWAS) and Mendelian Randomization (MR) investigations. These studies have greatly improved our grasp of the genetic factors behind gout. By involving diverse populations in studies and combining research findings, we can advance our understanding of how genetics influence gout and its connections to other health factors like hypertension as well.

A study, involving 88,347 participants, among whom 3.68% had gout and 13.52% had hypertension(with men representing 31.9% and a mean age of 51.1 years) used a new method called Mendelian randomization (MR) to identify the relationship between gout and hypertension. The result suggests that having gout might increase the chances of developing hypertension, while hypertension does not seem to have a causal effect on gout.

In addition, recent studies using Mendelian randomization have not only established the relationship between high uric acid levels and gout but have also broadened our understanding of the genetic factors involved.  Our recent findings have revealed numerous other genes implicated in various stages of gout development. Among these, SLC2A9 (GLUT9) is involved in moving substances across cell membranes, playing a vital role in regulating uric acid levels in the body. Variation in the SLC2A9 gene may disrupt its function, potentially disrupting uric acid metabolism and contributing to the development of gout. Additionally, numerous genes such as SLC22A11 and GCKR  also contribute to regulating uric acid levels, expanding our understanding of the genetic factors behind gout.

Research in the UK Biobank has identified several genetic markers as well that are linked to uric acid levels, including GCKR, which regulates glucose metabolism in the liver. The GCKR gene has been associated with changes in uric acid concentrations, potentially affecting gout susceptibility through metabolic pathways. Another key gene, PDZK1, plays a crucial role in urate excretion through filtration by the kidneys until release via urination. Variations in PDZK1 can disrupt these interactions, leading to disturbances in uric acid handling and increasing the risk of gout. 

A 2020 study has analyzed 190 DNA samples from pregnant Filipino women in Hawaii. It found that more of them carry a gene variant that is linked to a higher susceptibility risk of gout compared to Caucasians, Han Chinese, and African Americans. A specific variation rs2231142 G>T in ABCG2 was observed to be associated with a higher risk of hyperuricemia and gout. When ABCG2 doesn’t work properly due to genetic changes, it slows down the removal of uric acid. This can lead to higher uric acid levels in the blood, increasing the likelihood of developing gout. Even though none of the women had gout, the results suggest that Filipinos may have a higher genetic tendency for gout and high uric acid levels. This may be the reason why they seem to produce less urine acid than Caucasians, showing how genes, ethnicity, and diet all play a role in developing gout.

Ways to Treat Eyelid Sagging

Treating age-related eyelid sagging, or ptosis, involves a range of options from non-invasive therapies to surgical interventions. Here are some effective ways to address this condition, based on scientific evidence and expert recommendations:

Non-Genetic Risk Factors for Gout

  • Age: The likelihood of developing gout increases with advancing age, with peak incidence typically occurring in older adults.
  • Diet: Consumption of high-purine foods such as red meat, seafood, and sugary beverages, as well as alcohol, can elevate uric acid levels, increasing the risk of gout.
  • Obesity: Excessive body weight is associated with higher uric acid levels, predisposing individuals to gout.
  • Medications: Certain medications, particularly diuretics used to treat hypertension and heart failure, can interfere with uric acid excretion, raising the risk of gout.
  • Medical Conditions: Conditions such as hypertension, diabetes, and kidney disease are linked to metabolic abnormalities that contribute to elevated uric acid levels, increasing susceptibility to gout.

Can Gout Be Treated?

Although gout cannot be cured, it can be effectively managed with various approaches that help reduce symptoms, control inflammation, and prevent future flare-ups. Here are some common treatment options:

Lifestyle Modifications

  • Hydration: Making sure that you are drinking plenty of water helps prevent uric acid crystallization in the joints, this reduces the frequency and severity of gout attacks.
  • Dietary Changes: Dietary changes are important because they address one of the primary causes of gout, which is the high uric acid level. This will help to prevent flare-ups and manage symptoms more effectively. Reducing red meat and opting for lean meats instead can be beneficial. Limiting seafood, sugary foods, and alcohol also helps lower uric acid levels, decreasing the risk of gout attacks. Consuming more fruits, vegetables, low-fat dairy, and lentils for protein can effectively manage gout by further lowering uric acid levels.
  • Weight Management:  By maintaining a healthy weight through exercise and diet, individuals can help lower their uric acid levels and lessen the strain on their joints. 
  • Regular Monitoring: Having regular check-ups for uric levels and kidney function helps doctors see if treatments are working and catch any problems early. This way, they can adjust treatments as needed and prevent any serious issues related to gout.

Medications

  • NSAIDs: Common examples like ibuprofen and naproxen are used to help pain and reduce inflammation during gout attacks, providing relief from pain, swelling, and redness in the affected joints.  
  • Colchicine: This is a medication particularly helpful when taken at the start of a gout attack. It works by calming down inflammation in the body and stopping the build-up of urate crystals in the joints, which are the main cause of gout symptoms. 
  • Corticosteroids: These are other treatment options for gout that reduce inflammation throughout the body and help relieve pain and swelling associated with gout attacks. Corticosteroids can be taken as pills or injected directly into the affected joint.
  • Xanthine Oxidase Inhibitors: Allopurinol and febuxostat, are medications that work by reducing the production of uric acid in the body. This helps lower the levels of uric acid in the bloodstream, which is crucial for preventing gout attacks. These medications are commonly used for long-term management of gout to keep uric acid levels under control and reduce the frequency of flare-ups.

Joint Care

  • Rest and Elevation: Elevating the joint above heart level helps promote circulation and drainage of excess fluid, reducing swelling and further relieving pain. Resting the joint reduces movement and stress on the inflamed area, which can help reduce pain and swelling during gout attacks.
  • Cold Compresses:  The numbing effect of the cold can offer temporary relief from symptoms. This is a simple and effective way to help decrease inflammation and reduce swelling.

Surgical Options

  • Joint Aspiration: This is a minimally invasive procedure performed to drain extra fluid from a swollen joint. This treatment also known as Arthrocentesis is commonly performed in cases of severe gout attacks with significant inflammation and fluid buildup. This helps ease discomfort, improve joint movement, and can be followed by other treatments to address the underlying cause of joint inflammation. 
  • Surgical Removal of Tophi: In cases where tophi, which are accumulations of urate crystals, grow to be large, painful, or lead to joint deformities, surgical removal might be required. This procedure aims to relieve symptoms and prevent further complications associated with gout.

References

  1. References
    https://pubmed.ncbi.nlm.nih.gov/32107664/
  2. https://medlineplus.gov/genetics/condition/gout/#references
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452604/
  4. https://gouteducation.org/
  5. https://www.arthritis.org/diseases/gout
  6. https://goutalliance.org/
  7. https://my.clevelandclinic.org/health/diseases/4755-gout
  8. https://www.aafp.org/pubs/afp/issues/1999/0215/p925.html
  9. https://www.arthritis.org/diseases/more-about/stages-of-gout
  10. https://versusarthritis.org/about-arthritis/conditions/gout
  11. https://medlineplus.gov/genetics/gene/abcg2/
  12. https://www.ncbi.nlm.nih.gov/gene/2646
  13. https://www.ncbi.nlm.nih.gov/gene/5174
  14. https://medlineplus.gov/genetics/gene/slc2a9
  15. https://my.clevelandclinic.org/health/treatments/11086-non-steroidal-anti-inflammatory-medicines-nsaids
  16. https://www.ncbi.nlm.nih.gov/books/NBK557805/
  17. https://creakyjoints.org/about-arthritis/gout/gout-symptoms/what-are-gout-tophi/
  18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617405

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Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

How Does Genetics Elevate the Potential Risk of Glaucoma?

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How Does Genetics Elevate the Risk of Glaucoma?

Date of Content: June 17, 2024
Written by: Catherine Alcalde
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

What Is Glaucoma?

Glaucoma is known to be one of the primary causes of permanent blindness in the world. It’s defined as a serious eye condition where damage to the optic nerve can result in peripheral vision loss to complete permanent blindness if not diagnosed and treated early.

Genetics plays a big part in how likely someone is to get glaucoma. Therefore, gaining insight into the various types of glaucoma, the factors that increase the likelihood of developing it, and the treatment options available is important for effectively managing this condition.

Types of Glaucoma

Primary Open-Angle Glaucoma (POAG): This is the most common type of glaucoma that progresses slowly, typically without any noticeable symptoms in the early stages. POAG is usually painless and does not cause immediate vision loss. However, as it progresses gradually, it often remains undetected until considerable damage to the optic nerve has occurred.

Primary Angle-Closure Glaucoma (PACG): Also known as closed-angle or narrow-angle glaucoma. This occurs when your iris, the colored part of your eye, gets too big and blocks the fluid from draining properly. This leads to an increase in pressure inside your eye. When it suddenly happens, it’s called acute angle-closure glaucoma, and it causes eye pain, a red eye, and nausea. It’s crucial to seek urgent medical attention for this condition.

Normal-Tension Glaucoma: The condition may arise from an optic nerve overly sensitive to pressure changes or compromised blood supply due to factors such as atherosclerosis, or the thickening of the arteries. This highlights the complexity of the diagnostics of glaucoma, where factors beyond intraocular pressure (IOP) play critical roles in disease progression. This aspect complicates diagnosis, as symptoms such as visual changes and eye discomfort can manifest even with seemingly normal pressure levels.

Secondary Glaucoma: Secondary glaucoma arises when elevated pressure within the eye is triggered by an underlying condition, such as eye trauma, severe inflammation (uveitis), or certain medical conditions (e.g. systemic hypotension, diabetes mellitus) and medications (e.g. steroids and some types of antidepressants and antihypertensives). Symptoms may vary depending on the underlying cause but commonly include visual disturbances, eye discomfort, and redness.

What Causes Glaucoma?

Glaucoma’s primary cause is increased fluid pressure within the eye, which can harm the optic nerve. However, there are additional factors to consider:

Impaired Drainage Pathways:  As we age, the eye’s drainage system can become less effective over time, making it harder for fluid called aqueous humor to flow out properly. This inefficiency can result in fluid buildup within the eye, leading to increased intraocular pressure.

Genetic Factors: Family history is a crucial factor in assessing an individual’s risk of glaucoma. Genetic predispositions can significantly increase the chances of developing this condition, emphasizing the need to understand one’s familial medical background to comprehend potential risks.

Increased Intraocular Pressure (IOP): This refers to elevated pressure within the eye that causes stress on the optic nerve which could lead to vision impairment. 

Eye Injuries and Severe Inflammation: These conditions can significantly increase the risk of developing glaucoma. Physical trauma to the eye or too much inflammation affecting ocular tissues can disrupt normal eye function. This disruption can lead to increased intraocular pressure, contributing to the development and progression of glaucoma.

What Are the Symptoms of Glaucoma?

Glaucoma’s symptoms can vary depending on the specific type of the condition. Open-angle glaucoma often goes unnoticed in its initial stages, without any symptoms showing but gradually results in peripheral vision impairment characterized by patchy blind spots. As the condition progresses, central vision may also be affected. 

Acute angle-closure glaucoma, on the other hand, presents with severe symptoms including headache, intense eye pain, nausea, blurred vision, halos around lights, eye redness, and sometimes vomiting. Normal-tension glaucoma, despite lacking early symptoms, may eventually lead to blurred vision followed by the loss of peripheral vision in advanced stages. 

Glaucoma in children is marked by subtler signs such as a dull or cloudy eye, increased blinking, tears without crying, blurred vision, worsening nearsightedness, and headaches. 

How Is Glaucoma Diagnosed?

The diagnosis of glaucoma requires a comprehensive eye examination. This procedure encompasses various steps, including measuring intraocular pressure, examining the drainage angle, evaluating the optic nerve for indications of damage, conducting visual field tests, and assessing corneal thickness. Consistent eye check-ups play a critical role in the early detection of glaucoma and the preservation of visual acuity.

Genetics Predisposition of Glaucoma

Genome-wide Association Studies (GWAS) have provided valuable genetic information about glaucoma, helping us to understand the complex mechanisms behind optic nerve damage that could lead to vision loss. By examining the genetics behind glaucoma, we can understand the roles of certain genes in how they increase the disease’s developing risks and progression. These research findings aim to offer supportive insights into how genetic factors influence glaucoma that may be applied in developing personalized treatment strategies based on individual genetic profiles.

Most current studies have supported potential therapeutic targets for some patients with early-onset glaucoma by examining the molecular and cellular events caused by identified MYOC, OPTN, and TBK1 mutations. Genes that are associated with the complex inheritance of common adult-onset glaucoma are also identified. 

Primary open-angle glaucoma:

ABCA1

ATP binding cassette subfamily A member 1 (ABCA1) is a protein that has an important role in maintaining cellular integrity within the eye, particularly through its facilitation of cholesterol and phospholipid transport. Research highlights ABC1’s importance in regulating intraocular pressure and supporting optic nerve function, both crucial aspects of eye health. However, variants in the ABCA1 gene may influence the development of primary open-angle glaucoma (POAG by impacting these functions).

AFAP1

The Actin Filament Associated Protein 1 (AFAP1) gene is involved in organizing the actin cytoskeleton and facilitating cellular signaling processes. 

The study has identified that AFAP1 plays a critical role in maintaining the structural integrity of trabecular meshwork cells and optic nerve head astrocytes. These cells are essential for regulating the outflow of aqueous humor and preserving optic nerve health. Disruptions in AFAP1-mediated processes may lead to abnormalities in cytoskeletal organization, potentially influencing increased intraocular pressure and optic nerve damage, characteristic of glaucoma.

Primary angle-closure glaucoma:

ABCC5

ABCC5 is also known as multidrug resistance-associated protein 5 (MRP5). It is a protein involved in moving various substances across cell membranes. While the ABCC5 is primarily studied in the context of drug resistance, recent genetic studies have associated it with glaucoma.

A 2014 study has identified ABCC5 gene association with primary angle-closure glaucoma (PACG). A  particular rs1401999 SNP  in the ABCC5 is being linked to influence susceptibility risk to PACG. This SNP is associated with altered expression of ABCC5,  which may affect the regulation of intraocular pressure and contribute to the development of PACG.

Exfoliation syndrome (XFS) and glaucoma

LOXL1

The Lysyl oxidase-like 1 (LOXL1) gene produces a protein involved in elastogenesis (the formation of elastic fibers) and collagen cross-linking (strengthening collagen fibers within the extracellular matrix). The presence of SNPs rs1048661, rs2165241, and rs3825942 have been strongly associated with exfoliation syndrome (XFS), a condition characterized by abnormal deposits in various tissues, including the eye’s lens capsule, which can lead to secondary open-angle glaucoma. 

LOXL1’s role in maintaining extracellular matrix stability suggests a potential connection to structural changes in the eye’s anterior segment, influencing the development of primary angle closure glaucoma  (PACG). 

Non-Genetic Risk Factors for Glaucoma

Several factors contribute to the development of glaucoma, a condition characterized by optic nerve damage and vision loss. Age is a significant risk factor, particularly beyond 40 years old, indicating an increased vulnerability with the advancing age. Eye Injuries, particularly those causing trauma and severe inflammation, refractive errors like farsightedness or nearsightedness, and systemic health conditions and medications are other known contributing factors that could further increase the risk of developing glaucoma.

 

Can Glaucoma Be Treated?

Although damage caused by glaucoma is irreversible, treatment can effectively stop further damage. Various treatment options are available, including:

Medication: Eye drops are a common treatment method for reducing eye pressure in glaucoma. They work by decreasing the aqueous humor production or enhancing its outflow from the eye. This simple and effective approach helps manage the condition by targeting the underlying cause of elevated eye pressure, thus preserving vision and preventing further damage to the optic nerve.

Laser Surgery: These are minimally invasive surgical techniques like Laser trabeculoplasty and Iridotomy where procedures are utilized to enhance the drainage of fluid from the eye, reducing intraocular pressure, a primary factor in glaucoma progression. Laser trabeculoplasty targets the trabecular meshwork, enhancing its drainage capacity, while iridotomy creates a small opening in the iris, enabling fluid outflow. 

Trabeculectomy: This common glaucoma surgery involves making a small flap in the white part of the eye called the sclera and forming a reservoir or filtering bleb under the transparent covering of the eye called the conjunctiva. This setup enables the aqueous humor to drain from the eye, reducing intraocular pressure and minimizing the risk of optic nerve damage,  helping to preserve vision.

Minimally Invasive Glaucoma Surgery (MIGS): This treatment involves several less invasive techniques designed to improve fluid drainage, reduce complications, and shorten recovery times. It creates new drainage pathways in the eye, effectively lowering intraocular pressure with fewer risks compared to traditional surgeries

References

  1. https://www.aao.org/eye-health/diseases/what-is-glaucoma
  2. https://glaucoma.org/articles/the-genetics-of-glaucoma
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074793/
  4. https://www.brightfocus.org/glaucoma/article/glaucoma-what-your-genetic-risk
  5. https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/glaucoma?sso=y
  6. https://www.hopkinsmedicine.org/health/conditions-and-diseases/glaucoma
  7. https://glaucoma.org/articles/the-genetics-of-glaucoma
  8. https://www.aao.org/eye-health/diseases/what-is-cataract-surgery
  9. https://www.aao.org/eye-health/diseases/glaucoma-drainage-implants
  10. https://www.ncbi.nlm.nih.gov/books/NBK532237/#:~:text=
  11. https://www.google.com/search?q=atherosclerosis+meaning&oq=atherosclerosis
  12. https://medlineplus.gov/genetics/gene/abca1/
  13. https://www.genecards.org/cgi-bin/carddisp.pl?gene=AFAP1
  14. https://www.ncbi.nlm.nih.gov/gene/2762
  15. https://medlineplus.gov/genetics/gene/pmm2/
  16. https://www.genecards.org/cgi-bin/carddisp.pl?gene=TGFBR3
  17. https://www.mayoclinic.org/diseases-conditions/glaucoma/diagnosis-treatment/drc-20372846
  18. https://glaucoma.org/types/secondary-glaucoma
  19. https://www.aao.org/eye-health/anatomy/aqueous-humor
  20. https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms-causes/syc-20372839
  21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945113/
  22. https://www.genecards.org/cgi-bin/carddisp.pl?gene=LOXL1
  23. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945113/

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I am so impressed with this service. I have even discussed these recommendations with my health care providers and they are all impressed too! I can’t compare it with other services as I have only tried this but I recommend. Also I think I pulled my genetics in from ancestry too which was super convenient.
Lei'a
Lei'a
LifeDNA Customer
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Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
Shiraz Dole
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It is crazy how I felt that I had a strong understanding of my bodies needs, but after having my DNA analyzed by the LifeDNA team, I realized that there was so much I still did not know.
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I got some pretty useful insight that helped me with my diet.
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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Are Cleft Chins Inherited? How Genes Affect Chin Shape and Wellness

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Are Cleft Chins Inherited? How Genes Affect Chin Shape and Health

Date of Content: June 16, 2024
Written by: Catherine Alcalde
Reviewed by: Maarit Tiirikainen, PhD

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Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

Overview

Have you ever wondered why some people have that distinctive Y-shaped dimple in the middle of their chin called a cleft chin and others don’t? The answer comes down to genetics.

About a month into a baby’s growth in the womb, the chin starts forming. Usually, the two sides come together smoothly, but sometimes they don’t, leaving a gap or “cleft.” This distinctive trait happens before birth when the jaw’s sides don’t fully join. Despite its look, a cleft chin typically doesn’t cause serious health issues.

However, it raises questions about how they’re formed and how they might indicate underlying genetic patterns relevant to other health conditions. Understanding the inheritance of cleft chins is important for those seeking insights into one’s genetic makeup and potentially also their well-being

What is A Cleft Chin?

A cleft chin, also known as a dimpled chin, is a distinctive facial feature characterized by a small indentation or crease in the center of the chin. This characteristic trait develops during fetal growth, as the lower jawbones form and come together in the middle of the chin. However, in some cases, variations in the fusion of these jawbones result in a gap in the formation, hence the cleft chin.

The development and appearance of a cleft chin can vary from person to person. It may be influenced by a combination of genetic and lifestyle factors that can affect the prominence of the dimple. With weight gain, it can often become more noticeable whereas weight loss can reduce its visibility.

Is Cleft Chin Genetic?

Yes, a cleft chin is influenced by genetics, but it’s not as straightforward as once believed. Initially, it was thought that a cleft chin was a dominant trait determined by a single gene. However, we now understand that chin shape is affected by multiple genes, making it impossible to predict accurately using simple Punnett squares.

A Punnett square is a tool chart used to predict the likely distribution of genotypes in the offspring of two parents.  When applied to cleft chins, it demonstrated the probability of an offspring inheriting a cleft chin or a smooth chin from their parents.

How Are Cleft Chins Inherited?

Understanding how cleft chins are inherited involves the complexity of genetics as researchers like John H. McDonald of the University of Delaware concluded. We now know that each individual inherits two copies of every gene, one from a mother and one from a father. Variation in genes is presented by different versions known as alleles. In the case of cleft chins, when simplified, there are at least two alleles: one for a cleft chin and one for a smooth chin. The cleft chin allele is dominant, meaning it usually manifests itself even if only one copy is inherited, while the smooth chin allele is recessive and requires two copies to be expressed.

So, if an individual has a cleft chin, they may have inherited two dominant alleles or one dominant and one recessive allele. This genetic combination influences the likelihood of passing the cleft chin trait to their offspring. Family studies have shown that even parents with smooth chins can have children with cleft chins, indicating the complexity of the actual inheritance patterns.

While early genetic theories suggested that a single dominant gene controlled cleft chin inheritance, recent research by Bhanu and Malhotra has revealed a more nuanced picture. Their studies demonstrated significant variation in cleft chin occurrence among different populations and genders, with factors like age also playing a role. Furthermore, John H. McDonald’s research at the University of Delaware debunked the idea of a simple dominant-recessive trait, highlighting the involvement of multiple genes and environmental factors such as aging in shaping the chin. 

Instead of a simple dominant model, many genes work together to determine chin shape, resulting in a wide range of chin types. For example, in early studies, Guenther (1939) found 9 cases in 5 generations, and von Meirowsky (1924) reported 25 cases in 4 generations. Gorlin (1982) noted it in 4 generations, and McKusick (1988) found it in 3 generations. McKusick (1992) stated that a publishing colleague of his, who had this trait, was in the third generation of affected males in his family. In general, females appear to be less conspicuously affected than males. Family studies have shown that having a cleft chin is not just about having strong “cleft”  alleles—sometimes even parents with smooth chins have kids with cleft chins.

Research by Bhanu and Malhotra (1972), shows that there’s significant variation in the occurrence of cleft chins among different groups and genders. For example, the data showed that 4% to 71% of Indian populations had cleft chins and that German males possessed them with greater frequency than their female counterparts. Moreover, they discovered that as age progresses, so does the likelihood of a cleft chin becoming more prominent. This, therefore shows the intricate nature of cleft chin inheritance, its appearance, and the need for a comprehensive understanding of genetic and environmental influences on facial traits.

Is a Cleft Chin Permanent?

A cleft chin is permanent, as it is a physical characteristic determined by genetics and the structure of the jawbone. While there are some nonsurgical and surgical procedures that can alter the appearance of a cleft chin, these are not always permanent solutions and may carry risks or complications. It is advisable to consult a professional for personalized advice.

Impact of Cleft Chins on Health

Age-related eyelid sagging is generally a permanent condition due to the natural aging process. While the condition itself is permanent, there are effective treatments available to address and manage eyelid sagging. 

Non-surgical options include the use of skin-firming creams and treatments that can temporarily tighten the skin around the eyes. For a more long-lasting solution, surgical procedures like blepharoplasty can remove excess skin and tighten the muscles, significantly improving the appearance of sagging eyelids.

Impact of Cleft Chins on Health

While cleft chins are generally considered a harmless genetic trait, their presence can sometimes indicate underlying genetic patterns that might be relevant for other wellness conditions. Here are a few considerations:

  1. Jaw and Bone Structure: Cleft chins can be part of a broader pattern of jaw and bone development. The same genetic factors that contribute to the formation of a cleft chin can also influence the overall shape and alignment of the jaw. This can be important for understanding dental health and the need for orthodontic treatments.
  2. Associated Other Genetic Conditions: In rare cases, a cleft chin might be associated with certain genetic syndromes or conditions. However, these instances are uncommon, and a cleft chin is typically an isolated trait without significant wellness conditions.

Can You Prevent Cleft Chin?

For individuals concerned about the appearance of their cleft chin, there are both non-surgical and surgical procedures available to address this trait. Non-surgical procedures offer temporary solutions by reducing the visibility of a cleft chin and requiring regular maintenance to sustain the desired outcome.

On the other hand, surgical options provide more permanent alterations to the chin’s appearance. While these surgical procedures offer long-lasting results, they also come with potential risks and complications, such as infection, bleeding, or dissatisfaction with the aesthetic outcome. Therefore, individuals considering surgical options should consult with a qualified healthcare provider to thoroughly understand the associated risks and benefits before proceeding with this type of treatment.

Nonsurgical Procedures

For individuals seeking non-surgical procedures, these options focus on enhancing chin contours and reducing the appearance of the cleft through minimally invasive techniques.

  • Dermal Filler Injections: This procedure involves injecting substances like hyaluronic acid or collagen-based fillers into the chin area. The goal is to increase volume and reduce the appearance of the cleft. It’s a fast and straightforward procedure, offering results that can last anywhere from several months to a year. However, there may be some consequences to watch out for,  like redness, swelling, or bruising at the injection site.
  • Fat Grafting: This is a procedure where fat is taken from one part of the body and injected into the chin. This allows the fat cells to blend naturally with the surrounding tissue, resulting in a long-lasting effect. However, achieving the desired look may require multiple sessions.
  • Botox Injections: Botox injections target the muscles around the chin to reduce the visibility of the cleft. It’s a fast procedure and the effects usually last for three to six months. Although generally safe, there might be temporary side effects like bruising, swelling, or muscle drooping.

Surgical Options

These procedures involve more permanent solutions for reshaping the chin structure to remove the cleft and achieve the desired outcomes.

  • Radiofrequency Microneedling: This surgical procedure is great for those with slight to moderate chin creases. It uses microneedles and radiofrequency energy to boost collagen and smoothen chin skin. This process tightens skin and reduces cleft appearance permanently. Some might have temporary redness, swelling, or mild discomfort.
  • Genioplasty (Chin Surgery): This surgery reshapes the chin bone to fix a cleft and improve facial harmony. Usually done under general anesthesia, it might involve cutting and repositioning the chin bone. Genioplasty provides permanent fixes for both aesthetic and functional chin issues. However, it’s more invasive than non-surgical choices and could mean a longer recovery period. Risks include infection, inflammation, bleeding, nerve issues, and dissatisfaction with the appearance.
  • Chin Implant Surgery (Mentoplasty): This procedure involves implanting silicone or synthetic material onto the chin bone to increase its size and projection. Tailored to match the patient’s anatomy and preferences, these implants provide enduring outcomes. However, there’s a possibility of issues like implant displacement, infection, or unevenness, which might require further procedures. Patients should note the potential visibility or palpability of the implant, particularly in thinner or aging skin.
  • Liposuction: Liposuction removes excess fat from the chin area to refine contours and reduce the prominence of a cleft. Using a cannula inserted through small incisions, fat is suctioned out during the procedure. While providing immediate results, liposuction may not address underlying structural issues. Risks include bruising, swelling, or irregularities in the chin’s appearance.
  • Soft Tissue Augmentation:  This involves injecting synthetic or biological materials into the chin area to enhance volume and conceal the cleft’s appearance. Common fillers include hyaluronic acid, collagen, or calcium hydroxylapatite, offering temporary enhancement. Results may last several months to a year, with potential risks including allergic reactions or infection.

Summary

  • A cleft chin, or dimpled chin, is a distinctive facial feature resulting from variations in the fusion of lower jawbones during fetal growth.
  • Cleft chin is now known to be influenced by numerous factors such as genetics, lifestyle, and environment. 
  • Understanding how genetics works helps in predicting the likelihood of having a cleft chin and in appreciating the diversity of chin shapes.
  • Notable research by Bhanu and Malhotra highlights significant variation in cleft chin prevalence across populations and ages.
  • John H. McDonald’s work emphasizes the involvement of multiple genes and non-genetic factors in cleft chin development.
  • Understanding cleft chin genetics helps us learn more about jaw and bone development.
  • Sometimes, cleft chins might signal other health conditions, so genetic analysis is essential.
  • Environmental factors like aging may also affect the visibility of a cleft chin.
  • Individuals considering surgical options should thoroughly understand the associated risks and benefits.
  • Surgical and non-surgical interventions offer options for modifying cleft chin appearance, with varying permanence and risks.

References

  1. https://www.plasticsurgery.org/news/blog/how-to-get-rid-of-a-cleft-chin
  2. https://omim.org/entry/119000
  3. https://udel.edu/~mcdonald/mythcleftchin
  4. htmlhttps://www.thetech.org/ask-a-geneticist/ask47
  5. https://www.ancestry.com/c/traits-learning-hub/cleft-chin
  6. https://www.plasticsurgery.org/news/blog/how-to-get-rid-of-a-cleft-chin
  7. https://washingtonindependent.org/cleft-chin/
  8. https://www.thetech.org/ask-a-geneticist/articles/2023/what-causes-cleft-chin/

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*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

How Likely Are You to Develop Gallstones Based on Your Genetics?

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How Likely Are You to Develop Gallstones Based on Your Genetics?

Date of Content: March 4, 2024
Written by: Jess Gayo
Reviewed by: Maarit Tiirikainen, PhD

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Overview

What are Gallstones?

Gallstones, often lurking without symptoms, can unleash excruciating pain when they block bile ducts. But did you know that your genetic makeup might play a significant role in their development? 

Gallstones, crystalline deposits formed within the gallbladder or bile ducts, pose a prevalent yet often silent threat to millions worldwide. These tiny pebbles, ranging from as small as a grain of sand to as large as a golf ball, can trigger intense pain and complications when they obstruct the flow of bile. 

While lifestyle factors such as diet and obesity are commonly associated with gallstone formation, emerging research suggests a strong genetic component in predisposing individuals to this condition. Understanding the intricate interplay between genetics and gallstone formation holds pivotal importance in both preventive strategies and personalized medical interventions. 

By unraveling the genetic underpinnings of gallstones, scientists aim to uncover novel therapeutic targets and refine risk assessment models, ultimately paving the way for more effective management and prevention strategies.

Gallstones

How are Gallstones Formed?

Gallstones, small, solid particles formed in the gallbladder, originate from imbalances in the components of bile, a digestive fluid produced by the liver. Bile typically contains cholesterol, bile salts, and bilirubin, a waste product from the breakdown of red blood cells. When the balance of these components is disrupted, gallstones can develop.

The most common type of gallstone, cholesterol stones, forms when bile contains too much cholesterol and not enough bile salts or when the gallbladder fails to fully empty. Over time, excess cholesterol in the bile crystallizes, leading to the formation of stones. Pigment stones, on the other hand, result from an excess of bilirubin in the bile. These stones are often smaller and darker than cholesterol stones and are commonly associated with conditions such as cirrhosis or blood disorders.

The process of gallstone formation is multifactorial, involving a complex interplay of genetic, environmental, and lifestyle factors. While genetics can predispose individuals to gallstone formation, dietary choices, obesity, rapid weight loss, certain medications, and underlying medical conditions also contribute to their development. Understanding these factors is crucial for preventing gallstone formation and managing associated complications effectively.

What are the Contributing Factors to Developing Gallstones?

Genetic Factors

A 2016 large-scale study also delved into the genetic factors contributing to gallstone disease. Researchers conducted a meta-analysis of multiple genome-wide association studies (GWAS) involving individuals of European ancestry, aiming to identify genetic risk factors associated with gallstone disease.

The study identified several genetic variants linked to an increased risk of gallstone disease. Notably, two single-nucleotide polymorphisms (SNPs) located within the ABCG8 gene, namely rs11887534 and rs4245791, showed independent associations with gallstone disease risk. The ABCG8 gene encodes a cholesterol transporter, and variants in this gene were previously implicated in gallstone disease risk. The newly identified SNPs further support the role of ABCG8 in cholesterol metabolism and gallstone formation.

Additionally, associations were found for SNPs in other genes involved in cholesterol metabolism and bile acid regulation, including TM4SF4, SULT2A1, GCKR, and CYP7A1.

These other genes implicated in the study also play crucial roles in cholesterol metabolism, bile acid synthesis, and liver function. Variants in these genes may influence bile composition and cholesterol levels, contributing to gallstone formation.

Researchers have uncovered new insights into gallstone development through a more recent 2018 study involving over 27,000 cases and almost 737,000 controls. This study identified 21 novel genetic variants associated with gallstone disease, shedding light on the genetic factors contributing to this common condition.

Of particular significance are two low-frequency missense variants in the SLC10A2 gene, which encodes the apical sodium-dependent bile acid transporter (ASBT). These variants, Pro290Ser (SNP rs56398830) and Val98Ile (SNP rs55971546) were found to increase the risk of gallstone disease. ASBT protein plays a crucial role in reabsorbing bile salts from the intestines, and impairment of this function may disrupt the enterohepatic circulation of bile acids, leading to gallstone formation.

Other genes with genetic variants implicated in gallstone disease include SERPINA1 (rs28929474) and HNF4A (rs1800961), as well as several previously reported variants involved in cholesterol homeostasis, such as in ABCB4 (rs4148808) ABCG8 (rs11887534)  and CYP7A1(rs6471717).

The study also highlighted the complex interplay between genetic factors, bile acid transportation, and cholesterol metabolism in gallstone formation. While serum cholesterol levels do not directly correlate with gallstone risk, variants affecting cholesterol secretion into bile, or bile acid synthesis, may contribute to gallstone formation.

Environmental Factors

Environmental factors play a significant role in influencing an individual’s likelihood of developing gallstones. These factors encompass various aspects of lifestyle, diet, and other external influences that can contribute to the formation of gallstones. Here are several key environmental factors:

  1. Dietary Choices: High intake of certain foods, particularly those high in cholesterol and saturated fats, can increase the risk of gallstone formation. Diets rich in red meat, fried foods, and processed foods have been linked to a higher prevalence of gallstones. Conversely, diets high in fiber, fruits, and vegetables have been associated with a reduced risk.
  2. Obesity: Excess body weight is a well-established risk factor for gallstones. Obesity is thought to promote gallstone formation through various mechanisms, including increased cholesterol secretion into bile, reduced gallbladder motility, and alterations in bile composition. Individuals with a body mass index (BMI) above the normal range are more likely to develop gallstones.
  3. Rapid Weight Loss: Crash diets or rapid weight loss regimens can disrupt the balance of bile components, leading to the formation of gallstones. When the body sheds weight too quickly, the liver releases extra cholesterol into the bile, which may exceed the bile’s capacity to dissolve it. This excess cholesterol can then precipitate and form stones.
  4. Physical Inactivity: Sedentary lifestyle habits, characterized by lack of exercise and prolonged periods of sitting, have been associated with an increased risk of gallstones. Regular physical activity helps maintain healthy body weight and may reduce cholesterol levels, thereby lowering the risk of gallstone formation.
  5. Medications: Certain medications, such as hormone replacement therapy, cholesterol-lowering drugs, and drugs used to treat obesity, may alter bile composition or gallbladder function, increasing the likelihood of gallstone formation. It is essential to discuss the potential side effects of medications with a healthcare provider.
  6. Smoking: Smoking has been identified as a risk factor for gallstone formation. The exact mechanisms by which smoking influences gallstone development are not fully understood, but it may involve alterations in bile composition or gallbladder motility. Quitting smoking may help reduce the risk of gallstones and improve overall health.
  7. Alcohol Consumption: Excessive alcohol consumption has been linked to an increased risk of gallstones, particularly in men. Alcohol may affect bile composition and gallbladder function, contributing to stone formation. Moderation is key, and individuals should adhere to recommended alcohol intake guidelines.

Understanding the impact of these environmental factors on gallstone formation is essential for implementing preventive strategies and lifestyle modifications. Consulting with a healthcare professional for personalized guidance is advisable, especially for individuals with underlying medical conditions or genetic predispositions.

Are Gallstones Dangerous to Your Health?

Gallstones can indeed pose significant health risks, particularly when they cause symptoms or complications. While many people with gallstones remain asymptomatic, others may experience intense pain and complications that require medical intervention. 

When gallstones block the bile ducts, they can lead to acute inflammation of the gallbladder, known as acute cholecystitis. This condition typically manifests with severe abdominal pain, fever, nausea, and vomiting. If left untreated, acute cholecystitis can progress to serious complications such as gallbladder perforation or infection.

Moreover, gallstones can obstruct the common bile duct, preventing the flow of bile into the intestine. This obstruction can result in a buildup of bile in the liver, leading to jaundice, a yellowing of the skin and eyes, and potentially severe infections. In some cases, gallstones may also cause pancreatitis, inflammation of the pancreas, when they block the pancreatic duct.

Although not all gallstones cause immediate harm, the potential for complications underscores the importance of addressing them promptly. Timely diagnosis and appropriate management can help prevent serious complications and improve outcomes. 

Individuals experiencing symptoms such as abdominal pain, fever, jaundice, or persistent nausea should seek medical attention promptly to determine the underlying cause, including the possibility of gallstones, and receive appropriate treatment.

Should Gallstones be Removed Immediately?

The decision to remove gallstones depends on several factors, including the presence of symptoms, the type of gallstones, and the risk of complications. While not all gallstones require immediate removal, those causing symptoms or complications typically necessitate intervention.

For individuals experiencing severe abdominal pain, fever, jaundice, or other symptoms indicative of gallstone-related complications, prompt medical attention is crucial. In such cases, surgical removal of the gallbladder, known as cholecystectomy, is often recommended to prevent further complications and alleviate symptoms. 

Cholecystectomy is considered a safe and effective procedure, with minimally invasive techniques such as laparoscopic surgery offering shorter recovery times and reduced postoperative pain.

However, for asymptomatic individuals with incidental discovery of gallstones, the decision to remove the gallbladder may vary. In many cases, asymptomatic gallstones do not require immediate intervention. Instead, healthcare providers may opt for a watch-and-wait approach, monitoring the condition over time and recommending treatment only if symptoms develop or complications arise.

Ultimately, the decision to remove gallstones is individualized and should be based on a thorough assessment of the patient’s symptoms, medical history, and overall health. Consulting with a healthcare provider is essential for determining the most appropriate course of action and ensuring optimal outcomes.

What are the Symptoms of Gallstones?

Gallstones can manifest with a variety of symptoms, ranging from mild discomfort to severe complications. The most common symptoms include:

  • Abdominal Pain: The hallmark symptom of gallstones is sudden, intense pain in the upper right or center of the abdomen, often radiating to the back or right shoulder. This pain, known as biliary colic, typically occurs after meals, especially those high in fat, and can last for several hours.
  • Nausea and Vomiting: Gallstone-related abdominal pain may be accompanied by nausea and vomiting, particularly as the pain becomes more severe.
  • Jaundice: In cases where gallstones obstruct the bile ducts, bile may accumulate in the bloodstream, leading to jaundice. This condition is characterized by yellowing of the skin and whites of the eyes, dark urine, and pale-colored stools.
  • Fever and Chills: If gallstones cause inflammation of the gallbladder (acute cholecystitis) or infection, fever and chills may occur in addition to abdominal pain.
  • Indigestion: Some individuals with gallstones may experience symptoms of indigestion, such as bloating, gas, and discomfort in the abdomen, especially after consuming fatty or greasy foods.
  • Back Pain: Gallstone-related pain may radiate to the back or between the shoulder blades, mimicking symptoms of other conditions such as muscle strain or spinal issues.
  • Unexplained Weight Loss: In cases where gallstones lead to persistent symptoms or complications, unexplained weight loss may occur due to dietary restrictions or malabsorption of nutrients.

Recognizing these symptoms is crucial for prompt diagnosis and appropriate management of gallstones. Individuals experiencing persistent abdominal pain, jaundice, fever, or other concerning symptoms should seek medical evaluation to determine the underlying cause and receive appropriate treatment.

What are Treatments for Gallstones?

Treatment options for gallstones depend on various factors, including the presence of symptoms, the type of gallstones, and the individual’s overall health. Here are several common treatments for gallstones:

  • Observation: Asymptomatic gallstones that do not cause any symptoms may be monitored without intervention. Regular follow-up appointments with a healthcare provider are essential to monitor for any changes or development of symptoms.
  • Lifestyle Modifications: Adopting a healthy lifestyle, including maintaining a balanced diet low in fat and cholesterol, exercising regularly, and avoiding rapid weight loss, can help prevent the formation of new gallstones and reduce the risk of complications.
  • Medications: In some cases, medications such as bile acid medications (ursodeoxycholic acid) may be prescribed to dissolve cholesterol gallstones in individuals who are not suitable candidates for surgery or prefer nonsurgical options. However, this treatment is typically reserved for small gallstones and may take months or even years to be effective.
  • Extracorporeal Shock Wave Lithotripsy (ESWL): This noninvasive procedure uses shock waves to break up gallstones into smaller pieces, making them easier to pass through the bile ducts. ESWL is most effective for individuals with smaller gallstones and can be used as an alternative to surgery in certain cases.
  • Surgery: Surgical removal of the gallbladder, known as cholecystectomy, is the most common and definitive treatment for gallstones, particularly when they cause symptoms or complications. Cholecystectomy can be performed using minimally invasive techniques such as laparoscopic surgery, which typically results in shorter recovery times and less postoperative pain compared to traditional open surgery.

Individuals experiencing symptoms such as abdominal pain, nausea, vomiting, jaundice, or fever should seek medical evaluation promptly to determine the most appropriate treatment for their condition. Consulting with a healthcare provider is essential for personalized guidance and management of gallstone-related issues.

Ways to Lessen the Possibility of Developing Gallstones

Reducing the risk of developing gallstones involves adopting healthy lifestyle habits and making dietary choices that promote gallbladder health. Here are several evidence-based strategies to lessen the possibility of gallstone formation:

Maintain a Healthy Weight

Obesity is a significant risk factor for gallstones, as excess body weight can increase cholesterol levels in the bile and decrease gallbladder motility. Aim to achieve and maintain a healthy weight through a combination of balanced diet and regular physical activity. Gradual weight loss is preferable to rapid weight loss, which can increase the risk of gallstone formation.

Follow a Balanced Diet

Consume a diet rich in fruits, vegetables, whole grains, and lean proteins while limiting intake of high-fat and high-cholesterol foods. Foods high in saturated fats, such as red meat, fried foods, and full-fat dairy products, may contribute to gallstone formation. Instead, opt for healthier fats found in sources such as olive oil, avocados, and fatty fish.

Increase Fiber Intake

Dietary fiber, found in fruits, vegetables, legumes, and whole grains, may help prevent gallstones by reducing cholesterol absorption in the intestines and promoting regular bowel movements. Aim for at least 25-30 grams of fiber per day to support digestive health and reduce the risk of gallstone formation.

Stay Hydrated

Adequate hydration is essential for maintaining optimal bile flow and preventing gallstone formation. Aim to drink plenty of water throughout the day, as dehydration can lead to concentrated bile, increasing the risk of gallstones. Limit intake of sugary beverages and alcohol, which may contribute to dehydration and other health issues.

Moderate Alcohol Consumption

Excessive alcohol consumption has been linked to an increased risk of gallstones, particularly in men. Limit alcohol intake to moderate levels, defined as up to one drink per day for women and up to two drinks per day for men, to reduce the risk of gallstone formation and other health problems.

Be Cautious with Rapid Weight Loss

Avoid crash diets or rapid weight loss regimens, as they can disrupt the balance of bile components and increase the risk of gallstone formation. Instead, focus on gradual weight loss through a combination of healthy eating and regular exercise.

Consider Vitamin C Supplementation

Some studies suggest that vitamin C supplementation may help reduce the risk of gallstone formation by increasing bile acid secretion and decreasing cholesterol saturation in bile. However, more research is needed to confirm these findings and determine the optimal dosage for gallstone prevention.

Regular Physical Activity

Engage in regular physical activity, such as brisk walking, jogging, cycling, or swimming, to support overall health and reduce the risk of gallstones. Exercise helps maintain a healthy weight, improves bile flow, and promotes digestive regularity, all of which can contribute to gallbladder health.

By incorporating these lifestyle modifications into your daily routine, you can lessen the possibility of developing gallstones and promote overall digestive health. However, it’s essential to consult with a healthcare professional before making any significant changes to your diet or exercise regimen, especially if you have existing health conditions or concerns about gallstone risk.

LifeDNA’s Gallstones Trait Report

Unlock the secrets of your genetic blueprint with LifeDNA’s Gallstones Trait Report. Our scientifically-backed and comprehensive Wellness Report provides valuable insights into your unique genetic profile, empowering you to make informed decisions about your health and well-being.

Understanding your genetic predispositions to conditions like gallstones is essential for optimizing your wellness journey. With LifeDNA, you’ll gain access to personalized recommendations tailored to your genetic traits, helping you mitigate risk factors and prioritize preventive measures.

But that’s not all – explore our range of trait reports, including the Appendicitis Trait Report, Kidney Stone Predisposition Trait Report, and Diet and DNA Damage Trait Report, to delve deeper into your genetic predispositions and uncover hidden insights about your health.

With seven main categories and nearly 200 trait reports available under LifeDNA’s Wellness,  Vitamins and Supplements, Nutrition, Fitness, Sleep, Skin, and Personality and Cognition Reports, there’s something for everyone on their path to wellness.

Start your wellness journey today and take control of your health with LifeDNA. Avail of our plans to unlock access to our comprehensive Wellness Report and gain valuable insights into your genetic makeup. Don’t wait – seize the opportunity to optimize your health and well-being with LifeDNA’s scientifically-backed solutions.

Summary

  • Gallstones, crystalline deposits in the gallbladder or bile ducts, can cause severe pain when they obstruct bile flow.
  • Genetics plays a significant role in gallstone development alongside lifestyle factors like diet and obesity.
  • Imbalances in bile components, such as cholesterol and bile salts, lead to gallstone formation.
  • Various genetic variants, including those in SLC10A2, ABCG8, SULT2A1, and GCKR, are associated with gallstone risk.
  • Lifestyle factors like diet, obesity, rapid weight loss, and physical inactivity also contribute to gallstone formation.
  • Gallstones can cause acute cholecystitis, jaundice, pancreatitis, and other complications.
  • Treatment options include observation, lifestyle modifications, medications, lithotripsy, and surgery.
  • Lifestyle modifications to reduce gallstone risk include maintaining a healthy weight, following a balanced diet, increasing fiber intake, staying hydrated, moderating alcohol consumption, avoiding rapid weight loss, and considering vitamin C supplementation.

References

  1. https://www.mayoclinic.org/diseases-conditions/gallstones/symptoms-causes/syc-20354214
  2. https://my.clevelandclinic.org/health/body/21690-gallbladder
  3. https://www.mountsinai.org/health-library/special-topic/bile#:~:text=Bile%20is%20a%20fluid%20that,body%20by%20the%20digestive%20tract.
  4. https://www.ncbi.nlm.nih.gov/books/NBK459370/#:~:text=There%20are%20two%20types%20of,The%20bilirubinate%20stones%20contain%20bilirubin.
  5. https://www.nature.com/articles/s41467-018-07460-y
  6. https://www.gastrojournal.org/article/S0016-5085(16)30110-X/fulltext
  7. https://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/eating-diet-nutrition#:~:text=Eat%20fewer%20refined%20carbohydrates%20and,in%20desserts%20and%20fried%20foods.
  8. https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/s12986-023-00741-4#:~:text=Obese%20people%20are%20at%20a,14%2C15%2C16%5D.
  9. https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
  10. https://pubmed.ncbi.nlm.nih.gov/16350561/
  11. https://www.nature.com/articles/s41598-023-50509-2#:~:text=15%25%20of%20US%20adults%20have,symptomatic%20gallstones%20and%20cholecystectomy%20risk.
  12. https://www.ncbi.nlm.nih.gov/books/NBK459171/#:~:text=Acute%20cholecystitis%20is%20inflammation%20of,to%20stones%20or%20biliary%20sludge.
  13. https://www.mountsinai.org/health-library/diseases-conditions/jaundice#:~:text=Jaundice%20is%20a%20condition%20produced,the%20whites%20of%20the%20eyes.
  14. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/cholecystectomy#:~:text=What%20is%20a%20cholecystectomy%3F,is%20made%20in%20the%20liver.
  15. https://www.hopkinsmedicine.org/health/conditions-and-diseases/gallstones
  16. https://www.ncbi.nlm.nih.gov/books/NBK430772/#:~:text=Biliary%20colic%20is%20a%20common,usually%20constant%20and%20not%20colicky.
  17. https://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/treatment
  18. https://academic.oup.com/bjsopen/article/7/2/zrac152/7084846
  19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1357788/
  20. https://www.medicalnewstoday.com/articles/317196#:~:text=A%20higher%20intake%20of%20fiber,bile%20in%20those%20with%20gallstones.
  21. https://www.webmd.com/digestive-disorders/ss/slideshow-how-healthy-gallbladder

Customer Reviews

Christopher Devlin
Christopher Devlin
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Read More
I am so impressed with this service. I have even discussed these recommendations with my health care providers and they are all impressed too! I can’t compare it with other services as I have only tried this but I recommend. Also I think I pulled my genetics in from ancestry too which was super convenient.
Lei'a
Lei'a
LifeDNA Customer
Read More
Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
Shiraz Dole
Shiraz Dole
LifeDNA Customer
Read More
It is crazy how I felt that I had a strong understanding of my bodies needs, but after having my DNA analyzed by the LifeDNA team, I realized that there was so much I still did not know.
Doc Sheila Lim
Doc Sheila Lim
LifeDNA Customer
Read More
I got some pretty useful insight that helped me with my diet.
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Next

*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Can Your Job-Related Exhaustion Be Genetic?

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Can Your Job-Related Exhaustion Be Genetic?

Date of Content: March 2, 2024
Written by: Jess Gayo
Reviewed by: Maarit Tiirikainen, PhD

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Overview

In the relentless pursuit of career success, individuals often find themselves grappling with the overwhelming burden of job-related exhaustion. This pervasive phenomenon not only affects personal well-being but also poses significant challenges to workplace productivity and satisfaction. 

While environmental factors such as workload and organizational culture play pivotal roles, recent scientific inquiries suggest a genetic predisposition to experiencing job-related exhaustion. Understanding the interplay between genetic makeup and occupational stress is crucial for devising effective interventions and support systems.

Job-Related Exhaustion

What is Exhaustion?

Exhaustion, in psychological terms, refers to a state of physical and emotional depletion resulting from prolonged periods of stress or exertion. It encompasses feelings of fatigue, disengagement, and reduced efficacy, manifesting as burnout in occupational contexts. 

While environmental stressors undoubtedly contribute to this condition, emerging research sheds light on the genetic underpinnings that may predispose certain individuals to heightened vulnerability.

Can Exhaustion Be Purely Job-Related?

Exhaustion, particularly when it comes to job-related burnout, is a multifaceted phenomenon influenced by various factors. While the workplace undoubtedly plays a significant role, it’s essential to recognize that exhaustion can stem from a combination of job-related stressors and personal predispositions.

Research in occupational psychology consistently demonstrates the impact of workplace factors on exhaustion levels. High work demands, lack of autonomy, and poor organizational support are commonly cited contributors to job-related burnout. Studies have shown that individuals in demanding professions such as healthcare, education, and customer service are particularly susceptible.

However, it’s crucial to acknowledge that exhaustion isn’t solely determined by external job-related factors. Genetic predispositions also play a role in an individual’s susceptibility to burnout. Genetic variations can influence an individual’s stress response mechanisms, resilience levels, and susceptibility to mental health disorders—all of which contribute to their vulnerability to job-related exhaustion. 

Understanding this interplay between genetics and environmental stressors is vital for developing targeted interventions and support systems to mitigate burnout in the workplace. Recognizing this complexity is crucial for addressing and preventing job-related exhaustion effectively.

What are the Factors That Can Contribute to Job-Related Exhaustion?

Genetic Factors

A 2017 study delving into the world of shift work has uncovered intriguing findings regarding genetic factors associated with job-related exhaustion. Scientists aimed to understand why some shift workers experience fatigue and burnout while others adapt more easily to irregular schedules.

Through a genome-wide association study (GWAS) involving 176 shift workers, researchers identified a significant genetic signal linked to job-related exhaustion. This signal, observed at a specific genetic variant called rs12506228, is located near the gene responsible for encoding the melatonin receptor 1A (MTNR1A).

Further investigation revealed that individuals carrying the risk allele (A) of rs12506228 tended to have reduced expression levels of MTNR1A in brain tissue. This suggests a potential mechanism whereby genetic variation influences melatonin signaling in the brain, impacting an individual’s ability to cope with shift work schedules.

Melatonin, a hormone regulated by the circadian rhythm, plays a crucial role in maintaining our biological night. Reduced signaling through melatonin receptors, particularly type 1A receptors, could make individuals more sensitive to nocturnal light exposure, disrupting their circadian rhythms and exacerbating symptoms of job-related exhaustion.

While the study focused on shift workers, its implications extend to anyone navigating irregular work schedules. Understanding the genetic underpinnings of job-related exhaustion could pave the way for personalized interventions and support systems tailored to individual needs.

This groundbreaking research underscores the complex interplay between genetics, circadian biology, and workplace well-being. By shedding light on the genetic factors influencing tolerance to shift work, the study offers valuable insights into strategies for promoting resilience and mitigating the adverse effects of irregular work schedules.

Environmental Factors

Job-related exhaustion is influenced by a variety of environmental factors, each contributing to the overall stress experienced in the workplace. Understanding these factors is essential for organizations and individuals seeking to mitigate burnout and promote well-being. Here are some key environmental factors known to affect job-related exhaustion:

  1. Workload: Perhaps the most obvious factor, workload refers to the volume and intensity of tasks assigned to an individual within a given timeframe. High workloads, especially when combined with tight deadlines and insufficient resources, can lead to feelings of overwhelm and exhaustion. 
  2. Job Demands: Beyond sheer volume, the nature of job demands can also impact exhaustion levels. Jobs that require constant multitasking, decision-making, and emotional labor are particularly draining. For instance, healthcare professionals often face high emotional demands due to the need for empathy and compassion in patient care.
  3. Autonomy and Control: The degree of autonomy and control employees have over their work can significantly influence their exhaustion levels. Jobs that offer greater autonomy allow individuals to make decisions and manage their workload according to their preferences and abilities, which can buffer against burnout. Conversely, a lack of autonomy, micromanagement, and rigid control structures can exacerbate feelings of frustration and helplessness, leading to heightened exhaustion levels.
  4. Social Support: The presence of supportive relationships and a positive social environment in the workplace can act as a protective factor against burnout. Coworker support, supervisor support, and a sense of belonging within the organization contribute to employee well-being and resilience. 
  5. Organizational Culture: The values, norms, and practices upheld within an organization can either foster or hinder employee well-being. Cultures that prioritize work-life balance, employee recognition, and open communication tend to have lower rates of burnout. Conversely, toxic cultures characterized by competitiveness, fear of failure, and lack of transparency can fuel exhaustion and disengagement. Studies have shown that organizational culture significantly influences burnout levels, with supportive cultures associated with lower exhaustion rates.
  6. Work Environment: Physical aspects of the work environment, such as noise levels, lighting, and ergonomic conditions, can also impact exhaustion. Poorly designed workspaces or environments that lack amenities for relaxation and rejuvenation can contribute to stress and fatigue. Research suggests that optimizing the work environment to promote comfort and well-being can help reduce exhaustion levels and enhance productivity.

In sum, job-related exhaustion is influenced by a multitude of environmental factors spanning workload, job demands, autonomy, social support, organizational culture, and the physical work environment. Recognizing and addressing these factors is crucial for preventing burnout and promoting employee well-being in today’s demanding workplaces.

Is Job-Related Exhaustion a Medical Condition?

Job-related exhaustion, commonly referred to as burnout, is not classified as a medical condition in itself. However, it is recognized as a significant occupational phenomenon with profound implications for physical and mental health. 

The World Health Organization (WHO) defines burnout as a syndrome resulting from chronic workplace stress that has not been successfully managed. While not listed as a medical condition in the International Classification of Diseases (ICD), burnout is acknowledged as a legitimate concern impacting individual well-being and organizational performance.

Research indicates that burnout is associated with a range of adverse health outcomes, including increased risk of cardiovascular disease, depression, anxiety, and decreased immune functioning. 

A systematic review published in the Journal of Occupational Health Psychology found consistent evidence linking burnout to various physical and psychological health problems. Additionally, burnout can have detrimental effects on work performance, leading to decreased productivity, absenteeism, and turnover.

Although burnout itself is not a diagnosable medical condition, its consequences can have profound implications for individuals and organizations. Recognizing the signs of burnout and implementing interventions to address workplace stressors is essential for preventing its negative impact on health and well-being. 

Moreover, acknowledging burnout as a legitimate occupational hazard underscores the importance of promoting healthier work environments and supporting employees’ mental and emotional resilience.

What are the Symptoms of Job Burnout?

Job burnout manifests through a variety of physical, emotional, and behavioral symptoms, which can significantly impair an individual’s well-being and performance in the workplace. Here are some common symptoms of job burnout supported by scientific research:

  • Chronic Fatigue: Persistent feelings of exhaustion that go beyond typical tiredness and may not be alleviated by rest or relaxation. This fatigue can impact both physical and mental energy levels, leading to decreased motivation and productivity.
  • Cynicism and Detachment: A negative and cynical attitude towards work, colleagues, and tasks. Individuals experiencing burnout may become emotionally distant, disengaged, or indifferent to their responsibilities and the goals of their organization.
  • Reduced Efficacy: Feelings of inefficacy and decreased confidence in one’s abilities to perform tasks effectively. Burnout can erode self-esteem and undermine a person’s sense of accomplishment, leading to self-doubt and diminished job satisfaction.
  • Physical Symptoms: Burnout can manifest in various physical symptoms, including headaches, muscle tension, gastrointestinal issues, and sleep disturbances. These physical manifestations are often linked to chronic stress and can exacerbate feelings of exhaustion and discomfort.
  • Increased Irritability: Heightened irritability, impatience, or frustration in response to minor inconveniences or challenges. Individuals experiencing burnout may have a shorter fuse and struggle to regulate their emotions, leading to conflicts with colleagues and decreased interpersonal effectiveness.
  • Withdrawal from Responsibilities: Avoidance of work-related tasks or responsibilities, procrastination, or absenteeism. Burnout can lead individuals to disengage from their work duties as a coping mechanism to avoid further stress or feelings of overwhelm.
  • Impaired Concentration and Memory: Difficulty focusing, maintaining attention, or retaining information. Burnout can impair cognitive functioning, leading to decreased performance and effectiveness in completing tasks.

Recognizing these symptoms is crucial for early intervention and prevention of burnout. Employers and individuals alike should prioritize strategies to manage stress, promote work-life balance, and foster a supportive work environment to mitigate the risk of burnout and promote overall well-being.

Can You Recover from Job Burnout Without Quitting Your Work?

Yes, it is possible to recover from job burnout without quitting your work. Research suggests that implementing targeted interventions and making changes to both individual behaviors and organizational practices can facilitate burnout recovery. 

Studies have found that interventions such as cognitive-behavioral therapy, mindfulness-based stress reduction, and relaxation techniques can effectively reduce burnout symptoms and improve well-being among individuals experiencing job-related exhaustion.

Additionally, organizational initiatives aimed at promoting work-life balance, providing social support, and addressing job demands can play a crucial role in burnout recovery. Creating a supportive work environment, fostering open communication, and offering resources for stress management can help individuals regain a sense of control and fulfillment in their roles.

It’s important to note that burnout recovery is a gradual process that requires commitment and effort from both the individual and the organization. By implementing evidence-based strategies and making systemic changes to address the root causes of burnout, individuals can often experience significant improvement in their well-being and job satisfaction without resorting to quitting their work.

Ways to Lessen Job-Related Exhaustion

Addressing job-related exhaustion or burnout requires a multifaceted approach that encompasses both individual strategies and organizational initiatives. Here are several evidence-based ways to lessen job-related exhaustion:

Set Boundaries

Establish clear boundaries between work and personal life to prevent work-related stress from encroaching on your downtime. Research suggests that maintaining a healthy work-life balance is essential for mitigating burnout and promoting overall well-being.

Practice Self-Care

Prioritize self-care activities such as exercise, adequate sleep, healthy eating, and relaxation techniques. Engaging in regular physical activity has been shown to reduce stress levels and improve mood, while sufficient sleep is crucial for cognitive functioning and emotional regulation.

Seek Social Support

Cultivate supportive relationships both inside and outside of the workplace. Research indicates that social support can buffer against the negative effects of job stress and enhance resilience. Connecting with colleagues, friends, or a support network can provide emotional validation and practical assistance in coping with work-related challenges.

Manage Workload

Take proactive steps to manage your workload effectively. This may involve prioritizing tasks, setting realistic goals, delegating responsibilities when possible, and communicating with supervisors about workload concerns. Studies have found that perceived control over one’s workload is associated with lower levels of burnout.

Practice Mindfulness

Incorporate mindfulness practices into your daily routine to cultivate present-moment awareness and reduce stress. Mindfulness-based interventions, such as mindfulness meditation and yoga, have been shown to decrease burnout symptoms and improve psychological well-being.

Develop Coping Skills

Enhance your coping skills to better manage job-related stressors. Cognitive-behavioral techniques, such as cognitive restructuring and problem-solving strategies, can help individuals reframe negative thoughts and approach challenges more effectively. Building resilience through adaptive coping mechanisms can mitigate the impact of stressors on mental health.

Take Regular Breaks

Schedule regular breaks throughout the workday to rest and recharge. Research suggests that brief periods of relaxation or leisure activities during work hours can replenish cognitive resources and prevent mental fatigue. Incorporating micro-breaks or engaging in activities that promote relaxation, such as deep breathing exercises or listening to music, can help alleviate job-related exhaustion.

Seek Professional Help

If job-related exhaustion persists despite self-help strategies, consider seeking support from a mental health professional. Therapy or counseling can provide a safe space to explore underlying stressors, develop coping skills, and gain perspective on work-related challenges.

Advocate for Organizational Change

Advocate for organizational policies and practices that promote employee well-being and mitigate job-related stressors. Encourage open communication, flexible work arrangements, and initiatives to address work-life balance. Research shows that supportive organizational climates are associated with lower levels of burnout and higher job satisfaction among employees.

Engage in Meaningful Work

Find ways to connect with the intrinsic meaning and purpose of your work. Research suggests that experiencing a sense of fulfillment and engagement in one’s job can buffer against burnout. Identifying meaningful goals, aligning values with work tasks, and seeking opportunities for professional growth and development can enhance job satisfaction and reduce exhaustion.

Lessening job-related exhaustion requires a holistic approach that integrates individual self-care strategies with organizational support and systemic changes. By prioritizing well-being, managing workload effectively, fostering social connections, and advocating for organizational change, individuals can mitigate burnout and thrive in their professional lives.

LifeDNA’s Job-Related Exhaustion Trait Report

Unlock the secrets of your genetic blueprint with LifeDNA’s Job-Related Exhaustion Trait Report. Our scientifically-backed Wellness Report offers comprehensive insights into your unique genetic profile, empowering you to optimize your well-being and thrive in every aspect of life.

Discover how your genetic predispositions influence your susceptibility to job-related exhaustion and gain valuable strategies for preventing burnout. Understanding the genetic factors contributing to exhaustion can help you make informed lifestyle choices and implement targeted interventions to manage stress more effectively.

But that’s not all—explore our range of trait reports under the Wellness Report, including the Proinsulin to Insulin Conversion Trait Report, Excessive Sweating Trait Report, and Appendicitis Trait Report. With nearly 200 trait reports available across seven main categories, LifeDNA offers unparalleled depth and breadth in genetic insights.

Whether you’re focused on nutrition, fitness, sleep, skin health, or cognitive function, LifeDNA has you covered. Our reports provide actionable recommendations tailored to your genetic makeup, guiding you on your wellness journey with precision and confidence.

Start your wellness journey today with LifeDNA. Choose from our range of affordable plans and unlock the secrets of your DNA to live your healthiest, happiest life. Your genetic potential awaits—embrace it with LifeDNA.

Summary

  • Job-related exhaustion, often known as burnout, is a widespread issue affecting both personal well-being and workplace productivity.
  • Exhaustion stems from prolonged stress or exertion, leading to feelings of fatigue, disengagement, and reduced efficacy.
  • Recent research suggests a genetic predisposition to job-related exhaustion, shedding light on the interplay between genetics and occupational stress.
  • A significant genetic signal linked to job-related exhaustion was identified near the gene encoding the melatonin receptor 1A (MTNR1A).
  • Individuals with a specific genetic variant, rs12506228-A, tended to have reduced expression levels of MTNR1A in brain tissue, affecting melatonin signaling and circadian rhythms.
  • Environmental factors such as workload, job demands, autonomy, social support, organizational culture, and work environment also contribute to job-related exhaustion.
  • While burnout is not classified as a medical condition, it can lead to adverse health outcomes and severely impair work performance.
  • Symptoms of burnout include chronic fatigue, cynicism, reduced efficacy, physical symptoms, increased irritability, withdrawal from responsibilities, and impaired concentration.
  • Recovery from burnout is possible through interventions such as self-care, seeking social support, managing workload, practicing mindfulness, developing coping skills, taking regular breaks, seeking professional help, advocating for organizational change, and engaging in meaningful work.
  • Lessening job-related exhaustion requires a holistic approach that integrates individual and organizational strategies to promote well-being and prevent burnout.

References

  1. https://www.webmd.com/a-to-z-guides/signs-exhaustion
  2. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642#:~:text=Job%20burnout%20is%20a%20type,as%20depression%2C%20are%20behind%20burnout.
  3. https://www.sciencedirect.com/science/article/pii/S2772501421000014
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3319901/
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7822247/
  6. https://academic.oup.com/sleep/article/40/1/zsw011/2980926?login=false
  7. https://growthsignals.co/how-a-lack-of-autonomy-contributes-to-employee-burnout/
  8. https://growthsignals.co/how-a-lack-of-autonomy-contributes-to-employee-burnout/
  9. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
  10. https://psycnet.apa.org/manuscript/2019-60059-001.pdf
  11. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642
  12. https://www.everydayhealth.com/burnout/what-to-do-about-burnout-if-quitting-is-not-an-option/
  13. https://www.mindtools.com/apt37nj/avoiding-burnout
  14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776732/

Customer Reviews

Christopher Devlin
Christopher Devlin
LifeDNA Customer
Read More
I am so impressed with this service. I have even discussed these recommendations with my health care providers and they are all impressed too! I can’t compare it with other services as I have only tried this but I recommend. Also I think I pulled my genetics in from ancestry too which was super convenient.
Lei'a
Lei'a
LifeDNA Customer
Read More
Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
Shiraz Dole
Shiraz Dole
LifeDNA Customer
Read More
It is crazy how I felt that I had a strong understanding of my bodies needs, but after having my DNA analyzed by the LifeDNA team, I realized that there was so much I still did not know.
Doc Sheila Lim
Doc Sheila Lim
LifeDNA Customer
Read More
I got some pretty useful insight that helped me with my diet.
Previous
Next

*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.

Onset Of Male Facial Hair: Unravelling The Genetics

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Table of Contents

Onset Of Male Facial Hair: Unravelling The Genetics

Date of Content: March 15, 2024
Written by: Avanthika Nityanand
Reviewed by: Maarit Tiirikainen, PhD

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Puberty in males marks a significant physical and hormonal change period, typically between ages 9 and 14. The pituitary gland triggers the release of hormones such as testosterone and dihydrotestosterone (DHT), which are paramount in male development. 

Testosterone is responsible for the deepening of the voice, increase in muscle mass, and growth of body and facial hair. DHT, a derivative of testosterone, plays a crucial role in developing male characteristics, including facial hair growth. The sensitivity of hair follicles to these hormones varies among individuals, influencing the pattern and onset of facial hair growth.

Onset of male facial hair

Average Onset of Male Facial Hair

The emergence of facial hair generally begins at the corners of the upper lip, gradually spreading to cover the entire lip, cheeks, chin, and neck. The average onset of visible facial hair growth in males occurs around 15 to 18 years of age and is closely related to the broader timeline of puberty. 

However, it’s essential to recognize the vast variability among individuals influenced by genetic, environmental, and health-related factors. Some males may notice the first signs of facial hair as early as 11 or 12. Others may not experience significant growth until their late teens or early twenties.

Why Do Males Have Facial Hair?

The presence of facial hair in males is a trait that has evolved over millennia, with several theories suggesting its purposes. One popular theory posits that facial hair evolved through sexual selection, serving as a display of genetic fitness and maturity, potentially signaling to potential mates. 

Additionally, facial hair may have provided physical advantages, such as protection from UV radiation, cushioning blows to the face, or even aiding in thermal regulation. The role of facial hair in social signaling and hierarchy within groups has also been explored, suggesting its importance in non-verbal communication and establishing social status.

Genes and SNPs Influencing Onset of Male Facial Hair

HERC2

The HERC2 gene is located on chromosome 15 and is essential for several cellular functions. It codes for a protein that helps in tagging old or faulty proteins for breakdown and recycling, assists in transmitting important signals within cells, and may also help organize DNA in the nucleus. Essentially, this gene acts like a cellular manager, ensuring that the cell’s internal processes run smoothly and efficiently, which is crucial for maintaining overall cell health and function. A specific genetic variation in this gene (rs7402990) was found to be associated with the onset of facial hair in males. 

SOX2

The SOX2 gene plays a critical role in the development and maintenance of stem cells, ensuring they have the potential to transform into different types of cells required throughout the body. Located on chromosome 3, SOX2 is particularly important in developing the brain, eyes, and nervous system. It is a member of the SOX (SRY-related HMG-box) family of transcription factors, which are pivotal in regulating gene expression, cellular differentiation, and embryonic development. Alterations such as SNP rs1345417) and changes in the expression of the SOX2 gene can lead to developmental delays such as delayed male facial hair onset.

OCA2

The OCA2 gene, primarily known for its role in determining eye color, also influences pigmentation in other areas, including hair. Located on chromosome 15, this gene helps regulate the production of melanin, the pigment responsible for the color of skin, eyes, and hair. Variations in this gene (e.g., rs1129038) might not only lead to differences in beard color, but can also impact the age at which boys start to grow facial hair, contributing to the diversity seen in facial hair onset and characteristics among different individuals.

Due to the polygenic nature of this trait,   the LifeDNA Wellness report covers close to 100 genetic markers related to “Onset of Male Facial Hair, of which 15 top ones are featured.

Non-Genetic Factors Influencing Onset of Male Facial Hair

Aside from genetics, several non-genetic factors can influence the onset and characteristics of male facial hair. 

Nutritional status plays a role, with deficiencies in vitamins and minerals potentially delaying or reducing facial hair growth. Hormonal imbalances, such as thyroid disorders or conditions affecting testosterone levels, can also impact hair development. 

Lifestyle factors, including stress, sleep quality, and physical activity, have been shown to influence hormonal levels and, subsequently, hair growth patterns. Environmental factors, like exposure to endocrine-disrupting chemicals, can interfere with normal hormonal functions, affecting facial hair growth.

Implications of Male Facial Hair

The onset of healthy facial hair in males is an important milestone for several reasons, both from a biological and psychosocial perspective:

  • Sign of Puberty and Maturity: The development of facial hair is one of the visible signs of puberty in males, indicating the body’s maturation and the increase in androgen levels, particularly testosterone. This hormonal change triggers facial hair growth, signaling reproductive maturity and transition from youth to adulthood.
  • Genetic Health Indicators: Healthy facial hair growth can be a sign of good genetic health, as it indicates the body is producing and responding appropriately to hormones. Disorders affecting hormone levels can lead to sparse or delayed facial hair growth, which might indicate underlying health issues.
  • Psychological and Social Impact: For many men, facial hair is closely tied to identity, confidence, and self-perception. It can play a significant role in how a man perceives himself and is perceived by others. The ability to grow facial hair can affect social interactions, attractiveness, and even professional opportunities in cultures where facial hair is seen positively.
  • Cultural and Social Significance: In many cultures, facial hair is associated with virility, wisdom, and masculinity. It can also be a rite of passage, marking the transition into manhood. The style and maintenance of facial hair might also serve as a form of self-expression and a way to align with some social or cultural groups.
  • Health Indications: Beyond its hormonal underpinnings, the condition of facial hair can also reflect overall physical health. Nutritional deficiencies, stress, and certain medical conditions can affect hair quality and growth. Thus, healthy facial hair growth can be an external reflection of good health.

While the importance of facial hair varies among individuals and cultures, its onset in males is a complex interplay of genetics, health, and social factors. 

It’s crucial to recognize that the ability or choice to grow facial hair does not define masculinity or health definitively; it’s one of many attributes contributing to the diverse expressions of identity and physical development.

You may also like: How Genes Influence Onset of Male Voice Breaking

About the LifeDNA Wellness Report

The Wellness Report from LifeDNA takes a holistic approach to well-being. It covers various aspects like stress response and the potential for substance abuse. Using your genetic data, the report offers comprehensive lifestyle advice, including mindfulness techniques and other wellness strategies tailored to your genetic makeup. The aim is to optimize your overall quality of life through actionable, genetically-informed insights.

The LifeDNA Wellness report covers more than 80 genetic markers related to “Onset of Male Facial Hair.” Get yours here.

References

  1. https://www.webmd.com/teens/facial-hair-faq
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501953/
  3. https://doi.org/10.1038/s41467-020-14451-5
  4. https://www.genecards.org/cgi-bin/carddisp.pl?gene=KDM4C
  5. https://medlineplus.gov/genetics/gene/alx4/
  6. https://www.medicalnewstoday.com/articles/how-to-grow-beard-faster

Customer Reviews

Christopher Devlin
Christopher Devlin
LifeDNA Customer
Read More
I am so impressed with this service. I have even discussed these recommendations with my health care providers and they are all impressed too! I can’t compare it with other services as I have only tried this but I recommend. Also I think I pulled my genetics in from ancestry too which was super convenient.
Lei'a
Lei'a
LifeDNA Customer
Read More
Great source of information I was looking for a platform to make use of my existing raw data from Ancestry. I’m glad I found LifeDNA. I originally took a DNA test to learn about my roots and it’s great to know that my DNA could also play a big role in my health, diet, and even my skin. Overall, all the reports are incredible.
Shiraz Dole
Shiraz Dole
LifeDNA Customer
Read More
It is crazy how I felt that I had a strong understanding of my bodies needs, but after having my DNA analyzed by the LifeDNA team, I realized that there was so much I still did not know.
Doc Sheila Lim
Doc Sheila Lim
LifeDNA Customer
Read More
I got some pretty useful insight that helped me with my diet.
Previous
Next

*Understanding your genetics can offer valuable insights into your well-being, but it is not deterministic. Your traits can be influenced by the complex interplay involving nature, lifestyle, family history, and others.

Our reports and suggestions do not diagnose or treat any health conditions or provide any medical advice. Consult with a healthcare professional before making any major lifestyle changes or if you have any other concerns about your results.