Proposal summaries
B2303 - Parental separation and later life cardiometabolic health a cross cohort comparison - 16/10/2014
Background:
There is a growing recognition that adverse experiences such as abuse, neglect and domestic violence in early life may have implications for cardiometabolic health later in life. But whilst a substantial body of evidence has examined the long term consequences of parental divorce on mental health, the potential implications for physical health including cardiometabolic health have received far less attention. Limited evidence suggests that children who experience parent divorce are at increased risk of obesity, poor self-rated health, asthma, cancer[1], and more recently, CVD mortality[2] and stroke[3]. Early life socio economic position is probably a main confounder of the association of interest. Cross cohort comparisons (here between ALSPAC, Pelotas and APCAPS) allow us to examine an association of interest in different settings, with differing confounding structures (e.g. in high and low income countries). The assumption is that if an association is consistent in both settings, it is less likely to be driven by residual confounding[4]. In addition, the role of age at parental divorce and the degree of conflict in the household prior to the parental separation as potential effect modifiers of the association between parental divorce and cardiometabolic health will be explored. Finally, a range of social, behavioural, and biosychosocial factors are likely to mediate associations between parent divorce and cardiometabolic health in later life. These will be identified and examined here.
Aims: Using detailed data from the Avon Longitudinal Study of Parents and Children (ALSPAC), the 1993 Pelotas birth cohort from Brazil and the APCAPS cohort from India, we will examine the association of parental divorce with adiposity (BMI, DXA-determined total body fat mass) and cardiovascular risk factors (blood pressure, lipids, glucose and insulin) measured at 15-18 years.
B2302 - Childhood Sexual Behaviour and Adolescent Sexual Orientation - 16/10/2014
To explore the relation between childhood sexual behaviour and adolescent sexual behaviour, and possible mechanism underlying this relationship (e.g., the roles of childhood gender-typed behaviour, childhood victimisation, childhood and adolescent intimate friendships, and pubertal development).
Middle childhood--conventionally defined as between 6 to 11 years of age--provides rich contexts in which sexual orientation might develop. It nurtures intimate same-sex friendships [1], and coincides with adrenarche--a potential biological catalyst for the emergence of sexual attraction [2]. Sexual behaviour (e.g., masturbation) in middle childhood may be related to adolescent sexual orientation in at least 2 ways: The pleasure resulting from genital stimulation during adrenarche may involve same-sex friends in intimate interactions, which may lead to adolescent same-sex sexual attraction and activities.
Also, childhood gender atypicality may be involved in the link between childhood sexual behaviour and adolesent sexual orientation: for example, gender atypicality in middle childhood may increase victimization, which could be associated with increased childhood sexual behaviour, perhaps to offset negative emotions [3]; in addition, childhood gender atypicality is directly linked to same-sex sexual orientation [4].
B2301 - Genome-wide study of genetic variants associated with recognition of negative non-verbal emotions - 25/09/2014
Aims:
To identify individual genetic variants (specifically single nucleotide polymorphisms, SNPs) that are associated with the ability to identify non-happy emotions in the DANVA facial emotion recognition test, controlling for performance on the equivalent test of happy face recognition. Secondarily, to attempt to stratify this analysis by the type of non-happy emotion (angry, fearful, and sad). Thirdly, to test whether variants associated with sensitivity to non-happy emotion in faces are enriched for association with response to cognitive behavioural therapy for anxiety disorders in a separate cohort. Finally, to explore whether the ability to identify non-happy emotion can be predicted by the genetic risk for psychiatric disorders.
B2299 - Investigation of cell mixture adjustments in analysis of DNA methylation in cord blood and childrens blood - 25/09/2014
Aims: To compare performance of existing methods for cell mixture adjustments in analysis of DNA methylation in cord blood and children's blood
Hypothesis: When the reference samples do not match with study samples, reference free methods are more robust than reference based methods.
Variables:
Total cholesterol
HDL-cholesterol
LCL-cholesterol
Triglycerides
Methylations measured on Illumina 450k methylation array (under ARIES project) as well as covariates including Age, Sex, BMI, Smoking, SEP measures
B2297 - Prenatal alcohol exposure and cordblood DNA methylation - identifying latent structure in high dimensional data - 18/09/2014
To employ techniques for identifying latent structure in genome-wide DNA methylation data, characterised by high dimensionality, in order to increase statistical power to detect effects due to prenatal alcohol exposure (both maternal and paternal).
Objectives:
1. To identify latent structures in genome-wide cord-blood DNA methylation
2. To correlate these with maternal and paternal alcohol use before and during pregnancy (in search for both maternal-intrauterine and paternal-line effects)
3. To investigate to what extent confounding could explain these associations
4. To investigate the persistence of the latent structures into childhood and adolescence
5. To investigate whether the relationship between exposures and latent structure persist in later childhood and adolescence
Hypothesis
DNA methylation is thought to be one possible mediator of the feto-toxic effects of alcohol use in pregnancy, given the remarkable correspondence between the most alcohol-sensitive gestational periods and the occurrence of major epigenetic events (including erasure of methylation marks around gastrulation). This is further supported by various animal experiments. Further evidence also points at the role of paternal alcohol use around conception on offspring DNA methylation marks, in particular affecting (paternally) imprinted genes.
B2296 - Does Mhc-linked mate choice affect child health - 11/09/2014
The main aim of this study is to test the hypothesis that females gain genetic benefits for their offspring through mate choice. Whilst it is known from work on non-human animals that mate choice can result in improved growth and survival of offspring (e.g. Petrie 1994) the possibility that human mate choice can affect subsequent fitness-related traits of children has not been investigated. We aim to specifically test this possibility using data collected for the ALSPAC study.
If females are gaining genetic benefits for their offspring from mate choice we can predict that disruption of the mate choice process will result in a lack of genetic benefits and thus poorer offspring growth and health. It is known that from the laboratory that use of the contraceptive pill at the time of mate choice can result in the alteration of female mate preferences such that females are more likely to prefer individuals that are more Mhc similar to themselves (Roberts et al 2008; Alvergne & Lummaa 2010). Mhc similarity between biological parents can lower the degree of heterozygosity at the Mhc in children such that they are less able to combat disease. We would like to test whether such mate choice disruption has any real world consequences. We aim to do this by:-
1) comparing health of children for a sample of women who chose their biological fathers whilst taking the pill with that of a sample of women who intitiated oral contraceptive use after meeting the biological fathers of their children.
2) comparing the degree of MhC similarity between mothers and fathers in a group of women who met their partners whilst using oral contraceptives with another group of women who started using oral contraception after making their mate choice.
3) comparing the degree of heterozygosity at the Mhc in the children of mothers who chose their partners whilst on the pill with those from mothers who did not.
B2295 - Identification of epigenetic and genetic associations with leukocyte telomere length - 11/09/2014
Aims:
The overall goal of our planned project is to identify and characterise DNA methylation changes associated with telomere shortening, a biomarker for healthy ageing, and interrogate the potential causal role of these epigenetic variants in disease risk. Within this, the specific Aims for the proposal to work with samples and data from the ARIES collection of ALSPAC participants are as follows:
i) To carry out a pilot investigation of a subset of ARIES DNA samples, to assess the suitability of the MM-qPCR method for measuring mean relative leukocyte telomere length (LTL) in this cohort.
ii) To identify novel epigenetic variants (DNA methylation of CpG sites) associated with LTL.
iii) To identify genetic variants that influence methylation levels at CpG sites associated with LTL
B2294 - Parent-of-origin specific genome- and epigenome-wide analyses on fetal growth and postnatal outcome - 11/09/2014
Identifying genetic and epigenetic markers for fetal growth variation is important for both perinatal and adult health. Imprinted genes, which show parent-of-origin, specific, monoallelic expression, play key roles in fetal growth. There have been several genome-wide association studies to link genetic variants with birth weight, although none of them assumed parent-of-origin inheritance pattern, mainly because it requires large family cohorts to impute parental origin of the variants. As a recent collaborative project with the ALSPAC, we have shown that the maternal inheritance of a single copy number variant (repeat sequence 1: RS1) in the promoter of imprinted PHLDA2 gene to be significantly associated with increased birth weight and head circumference1. We hypothesise that there will be more genetic variants associated with fetal growth to be identified if parental origin of the allele is taken into account. Therefore, we would like to carry out a genome-wide search for genetic variants in assocition with fetal growth considering parental origin effects. Importantly, monoallelic expression of imprinted genes is controlled by differential DNA methylation established during gametogenesis. We propose to carry out a study using existing genomic, epigenomic, expression and phenotypic data at the ALSPAC to find genes important in fetal growth using a parent-of-origin model.
B2293 - Cardiometabolic consequences of genetic inhibition of interleukin-1/ - 11/09/2014
As part of the UK10K consortium (B916 and amendments), ALSPAC undertook association studies which included core inflammatory phenotypes (in this case CRP & IL6). In accordance with the replication amendment for these analyses (performed internally and on ALSPAC imputed GWSA data), results were shared with UK10K analysts for the followup of de novo signals. In the absence of novel research findings, it is proposed that these results (aggregated with 9 other study estimates and in this case only based on two SNPs (rs6743376 and rs1542176 ) which followup IL1 work from the Cambridge led initiative on IL1a/b) are shared with an ongoingand phenotypically linked data set.
ALSPAC is one of the only data sets available with GWAS imputed data of this nature and which has fed into UK10K analyses already formulated which can swiftly feed into this research effort on IL1. As such we are requesting that these two loci and their meta-analysis results (of which ALSPAC GWAS replication results (i.e. that applied for here) only play a small part) are fed into the existing meta-analysis.
B2292 - Mediation analysis in life courseepidemiology methodological innovation and application to studies of obesity and card - 10/09/2014
Aim:Life course epidemiology is the study of how exposures during gestation, childhood, adolescence and adulthood influence later health and wellbeing. Analysis of data from across the life course enables us to examine the dynamic ways in which variables of interest change and interact across a person's life span, determinants of these changes, and how the pattern of change relates to later health. A key focus within life course studies is analysis of mediation, i.e. the chain of intermediate processes that links an exposure to an outcome. Well-executed mediation studies are a crucial next step for the field of life course epidemiology. They represent an opportunity to increase understanding of pathways and mechanisms by studying the causal chains that explain exposure-outcome associations. Mediation analysis can therefore provide aetiological insight and identify potential intervention targets. In recent years, the epidemiological literature has given much more consideration to some of the statistical issues in mediation analysis than was the case previously; epidemiologists are now much more likely to give careful thought to mediator-outcome confounding and the potential resultant collider bias, and methods are now available that allow for exposure-mediator interactions or for situations where a confounder of the mediation-outcome association is caused by the exposure. Counterfactual theory has been used to show that the 'total' effect of an exposure on an outcome can be decomposed into the 'natural' direct and indirect effects, and methods for identifying these effects have been developed. However, several challenges remain. In this proposal, I will address 2 key issues in mediation analysis: 1) mediation analysis with repeated measures data, and 2) causal mediation analysis using Mendelian Randomization (MR), and will apply appropriate methods to address the following 2 questions of public health importance in the field of adiposity and cardiometabolic health:i) Whether the trajectory of growth and development affects cardiometabolic health independently of final attained adiposity.
B2291 - Modelling strategies in epidemiology - colinearity and bias - 05/09/2014
Profs Pearce & Greenland have been working on a paper concerned with modelling strategies in epidmiology. This includes exploring issues of whether or not to adjust for covariables that are strongly correlated with the main exposure. They would like to include real life examples in this paper and have therefore asked colleagues if they could provide any. Debbie Lawlor provided an example of a published paper where the strong correlation between dietary sodium and potassium intake was an issue in exploring the relationship of infant sodium intake with subsequent offspring blood pressure. We would like to include reference to this in our modelling paper, including some additional analyses that were not in the original paper. DA Lawlor has agreed to complete these analyses for us, and she and ALSPAC will be acknowledged. We do not, therefore, require any data to be provided to us.
B2290 - Identifying genetic variants influencing maternal health morning sickness and breastfeeding - 28/08/2014
Aims
The general aim of the project is to contribute to the characterization of the genetic risk factors for NVP and BF through genome wide association meta-analyses, in order identify genetic variants influencing these traits and to develop predictive models of which women are more prone to develop NVP and to breastfeed. The results of these studies will help inform the design and translation of more individualized reproductive health interventions.
B2289 - Vitamin D genetics and the risk of schizophrenia - 28/08/2014
We have recently replicated an association between low neonatal 25 hydroxyvitamin D (25OHD) and risk of schizophrenia (n = 2600, Danish case control sample). While exploring gene-environment interplay, we identified a gene-environment correlation (rGE) linking high scores on a schizophrenia-based Polygene Risk Score (PRS-Sz) with low neonatal 25 hydroxyvitamin D3 (25OHD3). This associated was present in the control sample (thus the association was not driven by the putative link between vitamin D and schizophrenia). We speculate that the PRS-Sz contains variants that are associated with 25OHD3 concentration - for example, several of the strongest GWAS hits for schizophrenia involve calcium channels, which could influence vitamin D half-life. Thus, we hypothesize that the PRS-Sz may contain (nested) sub-PRS that are related to vitamin D concentration.
B2288 - Beyond health care Improving social economic and health outcomes for young people with anxiety - 28/08/2014
The aims of the analyses of ALSPAC data are:-
(1) To determine the incidence of anxiety (clinical levels and any anxiety symptoms) in this cohort
(2) To determine the incidence of anxiety (clinical levels and any anxiety symptoms) in this cohort
(3) To determine the course of anxiety symptoms over time
(4) To estimate and quantify the impact of early-onset anxiety on current and later social, health and economic outcomes, adjusting for confounders.
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B2287 - Identification and evaluation of obesity subtypes in youth - 28/08/2014
AIMS & HYPOTHESES
Aim 1: To use latent class analysis to empirically derive obesity subtypes
Hypothesis 1: Distinct subtypes of obesity exist that can be characterized by a combination of behavioral, physiologic, environmental, genetic and other familial factors.
Aim 2: To examine whether the following groups are distinct obesity phenotypes: onset of obesity before 5 years of age; obesity onset before age 18 and at least one obese parent; obesity with loss of control eating; obesity with emotional eating
Hypothesis 1: There will be overlap between the empirically derived subtypes in aim 1 and the proposed subgroups in aim 2.
Hypothesis 2: Risk factors (birthweight, maternal weight status, high sugar-sweetened soda or fast food intake, low physical activity, depressive symptoms, internalizing and externalizing symptoms, experiencing trauma, early puberty, screen time) for and cognitive (low inhibition, high impulsivity) and biological correlates (high systolic blood pressure, low leptin, low HDL levels, poor sense of smell) of obesity may vary by subtype.
Aim 3: To examine the patterns of association between the obesity subtypes derived in aim 1 and the obesity SNPs identified or confirmed in previous large genetic epidemiology consortia7,9
Hypothesis 3: FTO and MC4R will be more strongly associated with subtypes focused on unhealthy eating behaviors (i.e., loss of control eating and emotional eating).
As secondary aims we will explore whether the empirically derived classifications vary by developmental stage (childhood vs. adolescence) or gender. In other secondary aims we will investigate if fMRI results among girls show differences in selective attention and working memory across the obesity phenotypes identified.
B2286 - Replication of genetic findings for VPS4A and THRB genes in ALSPAC sample - 28/08/2014
In the IMAGEN sample of 2000 adolescent sample from the European cohort, we have detected a strong association between SNP rs16958736 (of VPS4A gene) and the activation of striatum (i.e. caudate, putamen and nucleus accumbens) in 'large win' vs 'no win' contrast of Monetary Incentive Delay (MID) task with P=1.30E-7. A following haplotype analysis then found that the same haplotype that was associated with the activation of striatum was also in association with the hyperactivity (ADHD) assessment from SDQ questionnaire. Meanwhile, in Drosophila, we found that both over-expression and knock-out of VPS4A could alter the frequency of locomotion activity of flies. By searching in the literatures, we then found that VPS4A encodes an ATPase which is involved in trafficking of G protein coupled receptors (GPCRs), including dopamine and noradrenaline. We therefore hypothesize that VPS4A may influence synaptic plasticity through regulating signalling at the dopaminergic and noradrenergic synapse.
In another paper, we have detected the SNP rs2067499 from THRB (Thyroid Hormone Receptor B) in strong association with ACC (anterior cingular cortex) and INS (insula) with P=1.19E-7, the same SNP was then found with significant association with ADHD assessment from SDQ with P=0.014. We propose that a mild resistance to TH (Thyroid Hormone) is associated with increased ACC-INS connectivity and results in ADHD-symptoms by enhancing sensitivity to external and internal stimuli.
B2285 - The Influence of Childhood Motor Ability on Adolescent Physical Activity and Bone Strength - 14/08/2014
Aims:
The overall aim of this project is to investigate the longitudinal relationships between early motor milestones, motor skills in childhood and physical activity and bone strength in adolescence
B2284 - Early Life Influences on Irreversible Obstructive Airway Disease in Adolescence - 14/08/2014
Aims and Hypotheses
The project therefore plans to investigate whether low birth weight, and rapid early growth (0-2 years), in addition to asthma, early transient wheeze and maternal smoking, are associated with the development of specific obstructive pulmonary function abnormalities in adolescence.
We have hypothesised that there is an association with low birth weight/IUGR and the development of reduced pulmonary function; that there is also an association between rapid growth during 0-2 years and reduced pulmonary function; and that asthma may mediate this. In addition, the project plans to look at whether low birth weight explains the association between maternal smoking and reduced function.
B2282 - Early life/adolescent influences on STI outcomes - 07/08/2014
Aim/Objectives:
The major aim of the present study would be to examine how early life (i.e. parenting practices and genetic parental proxies as well as psychopathology problems during childhood) and early adolescent variables (i.e. adolescent risky sexual and substance use behaviours as well as adolescent psychopathology problems) jointly influence later ("distal") disease outcome such as Chlamydia infection during middle and late adolescence (i.e. 17-22 years old) or/and teenage pregancies. We would test hypotheses about the mechanisms by which contextual factors or developmental processes affect developmental change and ultimately chlamydia infection at the age-range of 17-22 years old and teenage pregnancies. We will be considering methods that not only consider the longitudinal nature of the data, but also maintain the distinction between intra-and inter-individual change. Careful consideration would be given to aspects such as measurement error, the theory of change for the variables in the model, the critical role of time in interpreting results, and the variety of possible indirect effects that will be a part of each considered model. Different approaches of causal mediation modelling would be considered while a range of sensitivity analyses would be performed in order to estimate and evaluate the assumptions for causal interpretation. Although ALSPAC contains a wealth of data at different ages that enables assessment of these pathways, it also introduces a number of additional methodological challenges such as missing data problems or low power for some socio-economic or/and geographically variable exposures. For instance, children from lower socioeconomic groups were more likely to drop out of ALSPAC over time and for those who remained in the study a very low prevalence of C. trachomatis are currently found.
B2281 - Bullying and cardiovascular and respiratory diseases - 07/08/2014
AIMS
The epidemic of non-communicable diseases is challenging the health care system, has advanced into the focus of major medical journals and public health authorities worldwide, and The World Health Organization (WHO) has recently claimed to raise the priority accorded to non-communicable diseases. For example, it is cardiovascular diseases that are one of the leading non-communicable disease causes of premature morbidity and mortality worldwide and that will even remain among the three leading causes of burden of disease according to projections of mortality and burden of disease to 2030.
Likewise, respiratory diseases represent a major challenge for public health, as they have a huge economic impact and are highly prevalent both in developed and developing countries; it has been estimated that by 2025, an additional 100 million people will be suffering from asthma. Therefore, to improve urgently needed preventive approaches, the study of risk factors, including early-life influences, using prospective cohort studies has been identified as a grand challenge in chronic non-communicable diseases.
It has long been known that psychological factors have the potential to cause, influence, or exacerbate physical disease processes via their impact on biological function Among such psychological factors, the concept of school bullying has received growing attention as health risk factor in recent years. School bullying has been associated with an increased risk of psychological symptoms and psychopathologies, medication use, suicide and self-harm 17 18, and psychosomatic and physical complaints. Moreover, first evidence indicates that school bullying is associated with alterations in stress reactivity, and workplace-bullying victims may also have a higher risk of cardiovascular diseases.
However, the role of school bullying within the aetiology of chronic physical diseases has hardly been addressed to date. The World Health Organization has claimed to promote the understanding of the morbidity and mortality associated with bullying in order to give this psychosocial hazard a stronger level of worldwide public health attention and to improve action towards it. Therefore, in line with current strategic research goals targeting amongst others etiological factors of widespread diseases, the aim of the proposed study is to improve our understanding of the role of school bullying especially with regard to non-communicable physical diseases in childhood and adolescence, using well-established indicators of (i.e. peripheral biomarkers and data from clinical examinations) and questionnaire/interview information on physical diseases, with a special focus on cardiovascular and respiratory health. The major advantage of using data from the ALSPAC study is the opportunity to use longitudinal data based on a large sample of adolescents, including well-established biomarkers of and clinical information on cardiovascular and respiratory health, together with self-reports and external reports on physical health.