Proposal summaries

These are research proposals that have been approved by the ALSPAC exec. The titles include a B number which identifies the proposal and the date on which the proposals received ALSPAC exec approval.

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B2082 - Hypertensive disorders of pregnancy and long term paternal cardiometabolic health - 19/09/2013

B number: 
B2082
Principal applicant name: 
Dr Abigail Fraser (University of Bristol, UK)
Co-applicants: 
Prof Yoav Ben-Shlomo (University of Bristol, UK), Prof Debbie A Lawlor (University of Bristol, UK), Prof George Davey Smith (University of Bristol, UK)
Title of project: 
Hypertensive disorders of pregnancy and long term paternal cardiometabolic health.
Proposal summary: 

Both pre-eclampsia and intrauterine growth restriction are associated with abnormal placentation. For successful placentation, tolerance against partner alloantigens is necessary(1). Several, but not all(2), epidemiological studies suggest that an increased risk of pre-eclampsia and of small-for gestational-age (SGA), may be transmitted through the father.

Large registry based studies from Norway and the USA have shown that men born to a pre-eclamptic pregnancy had a higher risk of fathering a pre-eclamptic pregnancy themselves, compared to men unexposed to maternal pre-eclampsia(3-4). Using data from the Norwegian registers, Lie et al. have shown that the increase in risk of a second pre-eclamptic pregnancy was somewhat greater when both pregnancies were fathered by the same individual, though an increased risk of a second pre-eclamptic pregnancy following a first pre-eclamptic pregnancy was observed regardless of the father's identity(5). Furthermore, the risk of pre-eclampsia in any pregnancy was 1.8-fold higher (95%CI: 1.2, 2.6) when the father had previously fathered a pre-eclamptic pregnancy in another woman(5). Similar results were reported in a study in California, that also reported that an increase in the risk of pre-eclampsia was associated with a change in partner amongst women without pre-eclampsia in a first pregnancy(6). In contrast, a similar analysis using data from the Swedish national registers found no important paternal influence on the risk of pre-eclampsia(2). A more recent study using the Norwegian registers found that partner change was associated with a reduced risk of preterm pre-eclampsia and SGA recurrence, and with an increased risk of SGA in a second pregnancy among women who did not deliver a SGA baby in their first pregnancy. However the risk of term pre-eclampsia was not affected by partner change(1).

Using data from the Norwegian registers once more, Irgens et al, found that fathering a first pregnancy complicated by pre-eclampsia pregnancy was not associated with an increased risk of paternal death from cardiovascular causes (term preeclampsia vs term non-preeclampsia HR=1.01, 95%CI: 0.81 & preterm preeclampsia HR=1.07 & 1.03; 95%CI: 0.55, 1.92). In contrast, women with pre-eclampsia had increased CVD mortality (HR=1.65; 1.01, 2.70 and HR=8.12; 95%CI: 4.31, 15.33 for term and pre-term pre-eclampsia versus term non pre-eclamptic women respectively). Authors concluded that whilst paternal genes in the fetus may increase the risk of pre-eclampsia in a particular pregnancy, such genes are probably not related to CVD risk(7). Similarly, Mylestad et al. found no association between fathering a pregnancy complicated by a hypertensive disorder of pregnancy (HDP) and a range of CVD risk factors measured some 18 years post pregnancy using data from the Norwegian HUNT study(8). The findings of these two studies are in sharp contrast with a consistent body of evidence suggesting that women with a history of pre-eclampsia and gestational hypertension (the hypertensive disorders of pregnancy, HDP) are at increased risk of CVD later in life(9).

To the best of our knowledge the study by Irgens et al. is the only one to have examined the association of fathering a pre-eclamptic pregnancy with future CVD risk in men. Our aim is to assess whether men who fathered a pregnancy complicated by HDP, prematurity or SGA have more adverse cardiometabolic health 18 years post-pregnancy compared to men who fathered a normotensive, term non-SGA pregnancy.

Exposures: HDP (normotensive, gestational hypertension, preeclmpsia), preterm delivery and SGA in the ALPSAC index pregnancy;

Potential confounders and mediators: Maternal & paternal age at pregnancy, maternal & paternal prepregnancy BMI, maternal & paternal smoking in pregnancy, parity, household occupational social class, alcohol consumption, physical activity, pregnancy diabetes, birthweight, gestational age.

Outcomes: Paternal adiposity, blood pressure, lipids, glucose, insulin, inflammatory markers, pulse wave velocity.

References

1. Wikstrom AK, Gunnarsdottir J, Cnattingius S. The paternal role in pre-eclampsia and giving birth to a small for gestational age infant; a population-based cohort study. BMJ Open 2012;2(4).

2. Cnattingius S, Reilly M, Pawitan Y, Lichtenstein P. Maternal and fetal genetic factors account for most of familial aggregation of preeclampsia: a population-based Swedish cohort study. Am J Med Genet A 2004;130A(4):365-71.

3. Skjaerven R, Vatten LJ, Wilcox AJ, Ronning T, Irgens LM, Lie RT. Recurrence of pre-eclampsia across generations: exploring fetal and maternal genetic components in a population based cohort. BMJ 2005;331(7521):877.

4. Esplin MS, Fausett MB, Fraser A, Kerber R, Mineau G, Carrillo J, et al. Paternal and maternal components of the predisposition to preeclampsia. N Engl J Med 2001;344(12):867-72.

5. Lie RT, Rasmussen S, Brunborg H, Gjessing HK, Lie-Nielsen E, Irgens LM. Fetal and maternal contributions to risk of pre-eclampsia: population based study. BMJ 1998;316(7141):1343-7.

6. Li DK, Wi S. Changing paternity and the risk of preeclampsia/eclampsia in the subsequent pregnancy. Am J Epidemiol 2000;151(1):57-62.

7. Irgens HU, Reisaeter L, Irgens LM, Lie RT. Long term mortality of mothers and fathers after pre-eclampsia: population based cohort study. BMJ 2001;323(7323):1213-7.

8. Mykelstad K, Vatten LJ, Salvesen KA et al. Hypertensive disorders of pregnancy and paternal cardiovascular risk: a population based study. Ann Epidemiol. 2011; 21:407-12.

9. Rich-Edwards JW FA, Lawlor DA, Catov JM. Pregnancy characteristics and women's future cardiovascular health: an underused opportunity to improve women's health? Epidemiologic Reviews In Press.

Date proposal received: 
Wednesday, 11 September, 2013
Date proposal approved: 
Thursday, 19 September, 2013
Keywords: 
Pre-eclampsia, Pregnancy
Primary keyword: 
Cardiovascular

B2081 - Alcohol harms in the family - 19/09/2013

B number: 
B2081
Principal applicant name: 
Dr Petra Meier (University of Sheffield, UK)
Co-applicants: 
Prof Matt Hickman (University of Bristol, UK), Prof Amanda Sacker (University College London, UK), Prof Dave Leon (London School of Hygiene and Tropical Medicine, UK), Prof Alan Brennan (University of Sheffield, UK), Dr Michael Donmall (University of Manchester, UK)
Title of project: 
Alcohol harms in the family.
Proposal summary: 

Aims relating to ALSPAC

This project aims to identify the mechanisms by which different levels, patterns and durations of alcohol consumption by one family member impact the health, well-being and life opportunities of other family members.

Hypotheses

Core hypotheses (children):

1. Having a heavy drinking parent in the household will have a negative effect on child outcomes at present and future waves.

2. Negative effects will be more pronounced when (a) the mother rather than father is a heavy drinker and (b) where both parents rather than only one parent are heavy drinkers.

3. Amongst children with a drinking parent, negative effects will be more pronounced where (a) other risk factors are in place, (b) the drinking has an effect on parenting behaviours and (c) the drinking negatively affects the relationships in the household.

4. Negative effects will be less pronounced where heavy drinking is not present at all waves either due to cessation or the drinker leaving the household.

5. Negative effects will be less pronounced where children have protective or resilience factors in place.

Core hypotheses (partners)

1. Having a heavy drinking partner (HDP) will have a negative effect on the other partner's (OP) well-being.

2. Having a HDP will reduce the OP's relationship satisfaction and increase the likelihood of relationship breakdown.

3. Negative effects for the OP will be more pronounced where (a) the OP drinks significantly less/less often than the HDP (b), the OP experiences other concurrent risk factors and (c) the HDP's heavy drinking persists across multiple waves.

4. Negative effects on the OP will be less pronounced where protective or resilience factors are in place.

Exposure:

Drinking measures

High level of consumption

High score on dependence screeners

Perceived drink problems

Outcome measures:

Child development:

- Cognitive

- Behavioural

- Social

- Psychological/emotional

- Parent/child relationship

Child health:

- Developmental milestones

- Health problems

- Accidents

Adult (mother and partner) well-being:

- Mental health

- General health

- Quality of life

Mother and partner relationships:

- Relationship satisfaction

- Relationship breakdown

- Domestic abuse

Moderators/mediators

Parenting behaviours, style, resources and self-efficacy

Family organisation (e.g. regular mealtimes)

Social support

Parental mental health*

Household composition (e.g. no. of children)

Marital status*

Socioeconomic status

Demographic characteristics (e.g. age, gender, ethnicity)

Financial measures (e.g. income, debt)

Housing situation and characteristics (e.g. social housing, safe environment, neighbourhood deprivation)

Residential area characteristics (e.g. area-level deprivation)

*Indicates risk, resilience or protective factors which are also outcome measures in their own right.

Date proposal received: 
Wednesday, 11 September, 2013
Date proposal approved: 
Thursday, 19 September, 2013
Keywords: 
Social Science
Primary keyword: 
Alcohol

B2079 - Deductions about human traits and health from ABCC11 genotype - 12/09/2013

B number: 
B2079
Principal applicant name: 
Prof Ian Day (University of Bristol, UK)
Co-applicants: 
Santiago Rodriguez (University of Bristol, UK), Prof John Macleod (University of Bristol, UK), Dr Amanda J Hall (University of Bristol, UK), Dr Mahmood Bhutta (University of Oxford, UK)
Title of project: 
Deductions about human traits and health from ABCC11 genotype.
Proposal summary: 

BACKGROUND

The ABCC11 gene encodes the multidrug resistance protein 8 (MRP8) (Kruh et al., 2007). This protein is involved in transport of many small molecules in normal physiology, in a variety of cellular and biological contexts. There is strong evidence suggesting that genetic variation at ABCC11 has pleiotropic effects. In particular, a functional non-synonymous SNP (rs17822931), also known as 538G-A or G180R, determines human earwax type (Yoshiura et al., 2006) and axillary osmidrosis (Nakano et al., 2009;Martin et al., 2010) and is associated with apocrine colostrum secretion from the mammary gland (Miura et al., 2007). It has also been related to breast cancer risk, although this is more controversial [(Toyoda and Ishikawa, 2010) and references therein].

rs17822931 genotype AA determines dry earwax type, while the presence of at least one G allele (GA or GG) determines wet earwax type. There are marked differences in rs17822931 allele frequencies across ethnic groups (Yoshiura et al., 2006;Toyoda et al., 2009;Toyoda and Ishikawa, 2010). There is a higher frequency of the A allele in East Asians and therefore higher prevalence of dry earwax type. In contrast, the wet earwax type is more prevalent in European and African populations due to higher frequencies of the G allele.

There is a close histological and functional relationship between ceruminous and apocrine sweat glands. This relationship is believed to explain the connection between earwax and axillary odor (Martin et al., 2010). AA homozygous individuals for rs17822931 display little of the characteristic axillary odorants (Preti and Leyden, 2010;Martin et al., 2010). In contrast, a study of Japanese individuals showed that essentially all individuals with axillary osmidrosis were GG or AG for rs17822931 (Nakano et al., 2009). This indicates that the G allele is necessary and sufficient to cause axillary odor, whereas AA genotype effectively marks non-odorous individuals.

In a recent study (Rodriguez et al., 2013) we have shown for the first time that there is a strongly significant (P=3.7x10^-20) differential usage of deodorant according to rs17822931 genotype. This represents the first evidence of a behavioural effect associated with rs17822931, that is directly relevant to the pharmacogenetics of body odour (Brown, 2013).

Two remarkable findings in relation to the behaviour of axillary deodorant use were that nearly 80% of European genetically non-odorous still use deodorant, whereas one in 20 individuals genetically odorous did not use it. This opens the possibility of a more complex scenario to explain the genetic basis of this human behaviour. To explore this possibility, an analysis of association at the whole genome level would therefore be required. However, a genome-wide analysis of genetic factors associated with deodorant usage has not been performed to date.

In addition, the potential role of ABCC11 genetic variation on other traits has not been studied yet. An interesting field is audition. One of the causes of hearing loss, pain and dizziness is cerumen impactation (McCarter et al., 2007). Ear wax impacts on audition and therefore, the involvement of rs17822931 on ear wax determination makes ABCC11 a good candidate for audition variation among individuals. A more controversial role of earwax is its potential involvement on earache. A common idea among GPs is that earwax does not cause earache and that one of effects of ear infection is the melting of earwax. However, in a pilot study in ALSPAC (approved by the executive, B586) we have found a significant association between earache at age 6-30 months and rs17822931. Muc more detailed analyses are required to understand this novel association and with the great depth of phenotypes involved, this needs an RA for at least a few months, it is not "an afternoon's work.". Similarly, the known role of rs17822931 in apocrine glands opens the possibility that ABCC11 could exert another pleiotropic effect, also acting on breast size. An interplay between breast size, breastfeeding and body odour should also be analysed.

HYPOTHESIS

That the functional SNP rs17822931 in ABCC11 has pleiotropic effects on earache and hearing, additional to its known effects on earwax, deodorant use and colostrum secretion.

AIMS

1.- To perform a phenome scan of all earache and hearing related phenotypes in ALSPAC in relation to rs17822931

2.- To conduct Genome-wide Association Studies on all reported and candidate pleiotropic effects associated with rs17822931, with special reference to deodorant use, earache and hearing.

3.- To access to record linkage data in order to gain more information from GP records to be added to the existing variables already available in ALSPAC

REFERENCES

Brown S. The Pharmacogenetics of Body Odor: As Easy as ABCC? J Invest Dermatol 2013; 133: 1709-1711.

Kruh GD, Guo Y, Hopper-Borge E, Belinsky MG, Chen ZS. ABCC10, ABCC11, and ABCC12. Pflugers Arch 2007; 453: 675-684.

McCarter DF, Courtney AU, Pollart SM. Cerumen impaction. Am Fam Physician 2007; 75: 1523-1528.

Martin A, Saathoff M, Kuhn F, Max H, Terstegen L, Natsch A. A functional ABCC11 allele is essential in the biochemical formation of human axillary odor. J Invest Dermatol 2010; 130: 529-540.

Miura K, Yoshiura K, Miura S et al. A strong association between human earwax-type and apocrine colostrum secretion from the mammary gland. Hum Genet 2007; 121: 631-633.

Nakano M, Miwa N, Hirano A, Yoshiura K, Niikawa N. A strong association of axillary osmidrosis with the wet earwax type determined by genotyping of the ABCC11 gene. BMC Genet 2009; 10: 42.

Preti G, Leyden JJ. Genetic influences on human body odor: from genes to the axillae. J Invest Dermatol 2010; 130: 344-346.

Rodriguez S, Steer CD, Farrow A, Golding J, Day IN. Dependence of Deodorant Usage on ABCC11 Genotype: Scope for Personalized Genetics in Personal Hygiene. J Invest Dermatol 2013; 133: 1760-1767.

Toyoda Y, Ishikawa T. Pharmacogenomics of human ABC transporter ABCC11 (MRP8): potential risk of breast cancer and chemotherapy failure. Anticancer Agents Med Chem 2010; 10: 617-624.

Toyoda Y, Sakurai A, Mitani Y et al. Earwax, osmidrosis, and breast cancer: why does one SNP (538Ggreater than A) in the human ABC transporter ABCC11 gene determine earwax type?FASEB J 2009; 23: 2001-2013.

Yoshiura K, Kinoshita A, Ishida T et al.A SNP in the ABCC11 gene is the determinant of human earwax type. Nat Genet 2006; 38: 324-330.

Date proposal received: 
Wednesday, 11 September, 2013
Date proposal approved: 
Thursday, 12 September, 2013
Keywords: 
Breast Feeding, Hearing
Primary keyword: 
Genetics

B2078 - Risk and resilience to educational underachievement associations between education language and social disadvantage - 12/09/2013

B number: 
B2078
Principal applicant name: 
Dr Sarah Spencer (University of Sheffield, UK)
Co-applicants: 
Title of project: 
Risk and resilience to educational underachievement: associations between education, language and social disadvantage.
Proposal summary: 

Aims:

i. Examine language and communication skills as risk and resilience factors in relation to populations at high-risk of educational underachievement.

ii. Determine the extent to which language skills play a role in educational outcomes at GCSE, once school characteristics and socioeconomic factors have been accounted for.

Hypotheses:

1) Language ability in early childhood will be a significant factor in explaining variation in educational outcomes, once school characteristics and socioeconomic factors have been accounted for.

2) Young people with language difficulties will be less likely to have positive educational outcomes upon leaving school.

Variables:

Exposure variable: Language ability (a composite measure based on WOLD comprehension and expression scores, Children's Communication Checklist scores).

Outcome variable: Educational outcomes at school-leaving age (GCSE or equivalent).

Confounding variable: school characteristics (school census data, for example: number of children eligible for free school meals), socioeconomic background (composite based on home ownership, overcrowding score, and maternal education), child characteristics (e.g. ethnicity, first language).

Method:

Secondary analysis of the ALSPAC data will examine the complex associations between language and educational attainment in order to understand which young people are at risk of educational underachievement in secondary school.

The research team will consist of Dr Sarah Spencer (applicant for the ESRC Future Research Leaders research funding) and Dr Yvonne Wren (academic mentor and advisor on the project). The project will form part of a wider research programme examining the associations between language and learning in secondary schools in areas of social deprivation (working with two school partners).

The ALSPAC data will be discussed with both the project policy steering group and a group of young people (participants in Stage 2) to further develop specific research questions and following analysis. This will ensure that findings are relevant for key policy questions and educational practice. The policy steering group will include representatives from: partner schools (senior management), the third sector (Mary Hartshorne, Head of Quality and Outcomes for ICAN, the children's communication charity), The Communications Trust (Wendy Lee, Professional Director), the think-tank Centre for Labour and Social Studies (CLASS), and the Royal College of Speech and Language Therapists (Mark Hope, RCSLT).

The project will employ a post-doctoral research associate (statistician) to work closely with the research team.

Analysis will include:

- filtering variables where distribution is such that they have no potential in the modelling process;

- grouping of risk and resilience factors based on existing research theory;

- grouping children into those who have and do not have profiles of assessments which indicate the presence of language difficulties;

- calculation of whether the presence of language difficulties decreases the likelihood of achieving five or more GCSE grades at A*-C grade or equivalent (a measure of good educational outcomes);

- running a series of univariable regression analyses to test the strength of associations between exposure and confounding variables with the outcome variable (school attainment);

- multivariable regression modelling to derive a final set of variables independently associated with educational attainment at the end of compulsory schooling.

This project will use the recently analysed language scores taken when children were aged 8 years. These include the built files from the Wechsler Objective Language Dimensions (WOLD). Sarah Spencer was involved in the process of analysing and scoring the WOLD samples, along with colleagues at the University of Sheffield and Dr Yvonne Wren.

Outcomes: Users of the research findings will be provided with a richer understanding of the role of language in educational attainment and how this interacts with socioeconomic factors. Target journal: British Educational Research Journal.

Date proposal received: 
Friday, 6 September, 2013
Date proposal approved: 
Thursday, 12 September, 2013
Keywords: 
Social Position, Speech & Language
Primary keyword: 
Education

B2077 - Association between paternally inherited GNAS SNP alleles and birth weight - 12/09/2013

B number: 
B2077
Principal applicant name: 
Dr Harald Jueppner (Massachusetts General Hospital, USA)
Co-applicants: 
Dr Rachel Freathy (University of Exeter, UK)
Title of project: 
Association between paternally inherited GNAS SNP alleles and birth weight.
Proposal summary: 

Aim: Determine whether variations in the paternally expressed GNAS splice variant XL-alpha S affect normal fetal growth?

Background: The term pseudohypoparathyroidism (PHP) refers to several rare, yet related human disorders. PHP type Ia (PHP-Ia) is characterized by an abnormal regulation of calcium and phosphate homeostasis because of resistance toward parathyroid hormone (PTH) in the proximal renal tubules; affected patients furthermore have developmental abnormalities referred to as Albright Hereditary Osteodystrophy (AHO) and often resistance towards other hormones such as TSH and GHRH that mediate their actions through Gs-alpha-coupled receptors. PHP type Ib (PHP-Ib) is characterized by hypocalcemia and hyperphosphatemia due PTH-resistance, typically without evidence for AHO. PHP-Ia and PHP-Ib are both imprinting disorder that are caused by maternal mutations within or up-stream of the GNAS locus on chromosome 20q13.3. This complex locus encodes the stimulatory G protein (Gs-alpha; GNAS exons 1-13) as well as several splice variants thereof, including XL-alpha S (GNAS exons 2-13, plus an XL-specific first exon), the extra-large form of Gs-alpha that is expressed only from the paternal, non-methylated GNAS allele.

Hypothesis: Are variations in XL-alpha S associated with normal fetal growth?

Very recently, we discovered through a collaboration with colleagues in France that paternal GNAS mutations are associated with intrauterine growth retardation (IUGR) (Richard et al., JCEM, 2013). Interestingly, mutations in GNAS exon 1, i.e. the exon specific for Gs-alpha, do not seem to lead to severe IUGR. This suggests that XL-alpha S, which uses the XL-specific first exon, contributes primarily to growth retardation. Conversely, biallelic XL-alpha S expression, as observed in patients with patUPD20q, is associated with enhanced fetal and probably also post-natal growth.

Our observations, which are surprising, led us to conclude that normal XL-alpha S expression from the paternal GNAS allele is essential for the prevention of IUGR and that XL-alpha S expression from both parental alleles results in much enhanced growth rates.

To investigate these findings in rare human disorders further and to determine whether the paternal GNAS haplotype is associated with fetal growth, we now propose to re-analyze some of the recently published GWAS data (Horikoshi et al 2013), namely the data from ALSPAC mother-child pairs.

The investigative plan would be as follows:

1) Define the region of interest at the GNAS locus on chromosome 20q13.3 and select SNPs from the maternal and fetal GWAS data within this region.

2) Deduce the paternally inherited allele, where possible, across the GNAS locus for each of these SNPs.

2) Use these deduced paternal allele data to determine whether inheritance of paternal (but not maternal) alleles is associated with impaired growth.

If this provides further evidence for a role of XL-alpha S in fetal development, we would then seek replication of the associations in further studies, e.g. in the EGG Consortium. If the association holds up, we could search in IUGR patients for paternal mutations in exon XL or its regulatory regions, i.e. in the exon specific for XL-alpha S; the identification of such XL-specific mutations would obviously be very exciting, as not much is known about the role of XL in normal human biology. In fact, our recent birth weight data for patients with either paternally or maternally inherited GNAS mutations have provided the first hints regarding its role in humans.

Date proposal received: 
Thursday, 5 September, 2013
Date proposal approved: 
Thursday, 12 September, 2013
Keywords: 
Birth Outcomes
Primary keyword: 
GWAS

B2074 - The effect of marital relationships on cardiovascular outcomes in men - 10/09/2013

B number: 
B2074
Principal applicant name: 
Dr Ian Bennett-Britton (University of Bristol, UK)
Co-applicants: 
Prof Yoav Ben-Shlomo (University of Bristol, UK), Dr Alison Teyhan (University of Bristol, UK), Prof George Davey Smith (University of Bristol, UK)
Title of project: 
The effect of marital relationships on cardiovascular outcomes in men.
Proposal summary: 

Aims:

To understand the role of marital relationship quality in the development of cardiovascular risk factors

Hypothesis:

Poor quality marital relationships are associated with worsening cardiovascular risk factors.

Date proposal received: 
Friday, 30 August, 2013
Date proposal approved: 
Tuesday, 10 September, 2013
Keywords: 
Psychology
Primary keyword: 
Cardiovascular

B2060 - Genetic study of smoking and nicotine dependence - 05/09/2013

B number: 
B2060
Principal applicant name: 
Dr Xiangning Chen (Virginia Commonwealth University, USA)
Co-applicants: 
Miss Michelle Taylor (University of Bristol, UK), Dr Nic Timpson (University of Bristol, UK), Mrs Jen Ware (University of Bristol, UK)
Title of project: 
Genetic study of smoking and nicotine dependence.
Proposal summary: 

Specific Aims:

The aims of this study are two-fold: 1. Identification of genes involved in nicotine dependence as measured by the FTND questionnaire; and 2 identification of genes involved in nicotine withdrawal as measured by the time to first cigarette (TFC), ascertained by the question "how soon do you smoke your first cigarette after you wake up in the morning".

Hypotheses:

If a trait is heritable, such as nicotine dependence, there must be gene(s) that influence the expression of the trait. Our hypothesis is, therefore, that since tobacco smoking and nicotine dependence have been demonstrated to be heritable, these traits must be influnced by some genes. Under this condition, if we collect a sufficient sample size, we should be able to detect some of those genes contributing to the traits by association analyses. To avoid selection bias, we plan to test all genes across the human genome.

Study Design:

We plan to use linear regression to analyze the association between genotypes and phenotypes. In the analyses, genotypes are treated as independent variables and pheotypes as dependent variables. Confounding variables, such as sex, age and population substructure will be used to exclude their effects. To maximize the coverage of the genome, genotype imputation will be performed to include all variants observed in the 1000 genomes project. The results from the ALSPAC sample will be combined with the results from other samples by meta-analysis.

Date proposal received: 
Friday, 2 August, 2013
Date proposal approved: 
Thursday, 5 September, 2013
Keywords: 
Genetics
Primary keyword: 
Smoking

B2076 - Identifying genetic variants influencing common ENT infections - 05/09/2013

B number: 
B2076
Principal applicant name: 
Dr Sarah Medland (QIMR Berghofer Medical Research Institute, Queensland, ROW)
Co-applicants: 
Dr Dave Evans (University of Bristol, UK), Ms Robyn Choi (QIMR Berghofer Medical Research Institute, Queensland, ROW)
Title of project: 
Identifying genetic variants influencing common ENT infections.
Proposal summary: 

Background: Recurrent ear, nose and throat (ENT) infections and their sequelae (recurrent and chronic illness, high risk for language delay, learning and behavioural problems) are common and costly paediatric health issues caused by complex interactions among pathogenic, genetic and environmental factors. The middle ear, nose and throat may be conceptualized as a unified organ, which are susceptible viral and bacterial infection from similar pathogens. Genetic epidemiological studies (both in the BLATS sample and in Norwegian twin study) have found significant genetic correlations between susceptibility to ENT infection indicating the presence of shared genetic risk factors influencing these illnesses.

Aims: The proposed project aims to identify genetic variants influencing common ENT illnesses. We have previously conducted genome wide association (GWAS) analyses of common ENT infections within the Brisbane Longitudinal Adolescent Twin Study (BLATS) and are seeking to replicate and extend these findings through collaboration with the ALSPAC study.

Exposure Variables: NA

Outcome Variables: As minor ENT infections are very common among children we will analyse surgical interventions performed to mediate these infections to focuss on more severe and reccurent illness. As such ENT illness will be identifed using parental reprts of tonsillectomy, adenoidectomy and myringotomy (the insertion of grommets) derived from the child focused questionnaires at 103 months (8years KS questions A6 b, c and e) and 140 months (11years KW questions A3 b, c and e).

Confounding variables: There are well established sex differences in susceptibility to some ENT illnesses as such sex will be included as a covariate in all analyses.

Analyses: Univariate GWAS analyses of tonsillectomy, adenoidectomy and myringotomy will be conducted by David Evans while he is in Bristol in October 2013. The summary statistics from the analyses of the ALSPAC data will be shared with Sarah Medland and Robyn Choi to allow genome-wide meta-analysis of the BLATS and ALSPAC results.

No raw data or samples will be transfered or shared between ALSPAC and BLATS.

Date proposal received: 
Wednesday, 4 September, 2013
Date proposal approved: 
Thursday, 5 September, 2013
Keywords: 
ENT
Primary keyword: 
GWAS

B2075 - Genome-wide association study of red blood cell membrane phospholipids during pregnancy - 05/09/2013

B number: 
B2075
Principal applicant name: 
Ms Hannah Sallis (University of Bristol, UK)
Co-applicants: 
Dr Dave Evans (University of Bristol, UK), Mr Colin Steer (University of Bristol, UK)
Title of project: 
Genome-wide association study of red blood cell membrane phospholipids during pregnancy.
Proposal summary: 

Aim:

To detect genetic variants reliably associated with red blood cell membrane fatty acids (FAs).

Hypothesis:

We hypothesise that variants across the genome will be associated with FA levels during pregnancy.

Variables:

The exposure variable will be imputed maternal genotype, while antenatal FA levels will be the outcome.

Data on 40 different FAs were extracted from antenatal blood samples taken from ALSPAC mothers, these included saturated, omega-3, omega-6 and omega-9 FAs. Genome-wide association analyses will be performed on each of the FAs available in ALSPAC, using a univariable linear regression model, regressing FA level on maternal genotype.

Previous studies have found associations with omega-3 and omega-6 Fas and both the FADS gene cluster on Chromosome 11 and the ELOVL2 gene on Chromosome 6 (1, 2). We propose to investigate whether these findings are consistent among pregnant women, and whether any further associations are found with other FA families.

1. Lemaitre RN, Tanaka T, Tang W, Manichaikul A, Foy M, Kabagambe EK, et al. Genetic loci associated with plasma phospholipid n-3 fatty acids: a meta-analysis of genome-wide association studies from the CHARGE Consortium. PLoS genetics. 2011;7(7):e1002193. Epub 2011/08/11.

2. Tanaka T, Shen J, Abecasis GR, Kisialiou A, Ordovas JM, Guralnik JM, et al. Genome-wide association study of plasma polyunsaturated fatty acids in the InCHIANTI Study. PLoS genetics. 2009;5(1):e1000338. Epub 2009/01/17.

Date proposal received: 
Friday, 30 August, 2013
Date proposal approved: 
Thursday, 5 September, 2013
Keywords: 
GWAS
Primary keyword: 
Metabolic

B2071 - Evaluation of prenatal and perinatal risk factors for obsessive compulsive disorder in the ALSPAC pre-birth cohort - 29/08/2013

B number: 
B2071
Principal applicant name: 
Dr Carol Mathews (University of California, USA)
Co-applicants: 
Dr Jeremiah Scharf (Massachusetts General Hospital, USA), Prof Yoav Ben-Shlomo (University of Bristol, UK)
Title of project: 
Evaluation of prenatal and perinatal risk factors for obsessive compulsive disorder in the ALSPAC pre-birth cohort.
Proposal summary: 

Although obsessive compulsive disorder (OCD) is clearly known to have a strong genetic component, twin and family studies have consistently demonstrated a significant role for additional, non-genetic factors in the pathogenesis of the disease(Pauls, 2008). Despite this, only four studies have examined the potential contributions of various non-genetic factors in the development of OCD. In these studies, excessive maternal weight gain, hyperemesis of pregnancy, medication use during pregnancy, nuchal cord, hypoxia at birth, unspecified problems during pregnancy or in the perinatal period, and assisted delivery (forceps or Caesarean section) were associated in at least one study with increased risk of OCD(Geller et al., 2008, Grisham et al., 2011, Sampaio et al., 2009, Vasconcelos et al., 2007). In contrast, tobacco or illicit drug use during pregnancy, primiparity, low birthweight, hypertension or pre-eclampsia, and preterm birth were not found to be OCD risk factors. However, these studies had multiple limitations; all but one were retrospective, and the one prospective cohort study only examined a few variables. Therefore, there is a great need to examine a variety of candidate non-genetic OCD risk factors in a prospectively collected, population-based sample.

We have previously examined the relationship between pre- and perinatal risk factors for Tourette Syndrome (TS), a neurodevelopmental disorder that is etiologically and clinically related to OCD, in the ALSPAC cohort (Mathews, in press). We found that inadequate maternal weight gain during pregnancy, parity, and maternal alcohol and cannabis use were all associated with increased risk for TS or chronic tics (CT). Other pre/perinatal exposures that had previously been reported, most notably maternal prenatal smoking and low birth weight, were not associated with TS or CT in the ALSPAC cohort.

We propose to utilize the ALSPAC cohort to study non-genetic risk factors for OCD in a prospective manner, using the same approach used to study TS/CT, through the following specific aims:

Aim 1: Examine the association between previously reported prenatal and perinatal OCD risk factors and those previously found to be identified with TS/CT and the presence of OCD using a nested, case-control design within the longitudinal, prospective, population-based ALSPAC sample.

The ALSPAC study includes an assessment of obsessive compulsive symptoms and associated distress and impairment as a part of the Development and Well Being Assessment (DAWBA) parent interview. This self-report questionnaire was completed by ALSPAC mothers as part of the age 7, 10, and 14 questionnaires. We propose to use a definition of OCD that we have previously used in our work on examining perinatal risk factors for tic disorders; this definition corresponds to a DSM-IV-TR lifetime diagnosis of OCD. The presence of recurrent obsessions or compulsions (defined as a response of "sometimes" or "often" to one or more of the seven available questions about contamination, cleaning, checking, repeating, touching, arranging, or counting symptoms) at any of the three timepoints, is required for a diagnosis, along with sufficient severity and/or impairment to meet DSM-IV-TR criteria. This is defined as symptoms that were severe enough to take up at least an hour a day ("waste a lot of time",) cause significant distress ("upset a great deal"), or cause interference/impairment ("quite a lot" or "a great deal" answered to any of the five questions about interference (with family, friends, school, or hobbies). As is consistent with the DSM-IV-TR criteria, recognition that the symptoms are excessive is not required in children.

Exposures of interest will include prenatal and perinatal factors reported to be associated with either OCD or OCD symptom severity in at least one previous study, as well as those examined in our study of tic disorders, including birth weight, maternal weight gain, Apgar scores, paternal age, hyperemesis of pregnancy, increased maternal stress during pregnancy, maternal smoking, alcohol, illicit drug, and caffeine use, as well as obstetrical complications (such as forceps delivery and neonatal hypoxia).All children who do not meet OCD criteria (or subclinical OCD criteria, as defined by OCD symptoms with minimal impairment or distress), and do not have autism or intellectual disability will be included as controls.Both univariate analysis and multivariate analysis using logistic regression will be performed.We hypothesize that maternal smoking, paternal age and perhaps other environmental variables will be associated with the development of TS/CT in this population.

Aim 2: In the subgroup of ALSPAC subjects with OCD, examine the non-genetic risk factors identified in Aim 1 for association with co-occurring anxiety disorders, ADHD, and symptom severity.

In addition to the OCD assessments, ALSPAC subjects have been screened for DSM-IV diagnoses of other anxiety disorders (separation anxiety, social anxiety, and generalized anxiety), and ADHD at three different time points thus far (ages 7, 10 and 14). In this aim, we will evaluate each subject with OCD for the presence of additional co-occurring anxiety disorders and/or ADHD. We will then perform both univariate and multivariate analyses to test for an association between the presence of co-occurring disorders and the same previously reported prenatal and perinatal risk factors. We hypothesize that at least one of these variables will prove to be associated with OCD-associated comorbidities.

Table 1. Data requested for proposed ALSPAC study.

Concept

Specific Measure

Person

Source

Time Point(s)

Prenatal Risk Factors

Medications, smoking, alcohol, recreational drug use, family history, maternal/paternal age

Mother

Questionnaire

8 weeks gestation to 8 weeks post-partum

Prenatal Risk Factors

Hyperemesis

Mother

Questionnaire

8 weeks gestation to 8 weeks post-partum

Maternal stress

Life Events

Mother

Questionnaire

18 week gestation & 8 weeks post-partum

Perinatal events

Birthweight, Apgar scores, obstetrical complications

Mother

Obstetrical and neonatal record

Birth to 4 weeks

OCD

Checklist/screen for DSM-IV OCD criteria

Child-based

Questionnaire

Ages 7, 10, 14

ADHD

Checklist/screen for DSM-IV ADHD criteria

Child-based

Questionnaire

Ages 7, 10, 14

Anxiety disorders

Checklist/screen for separation anxiety, generalized anxiety, and social anxiety

Child-based

Questionnaire

Ages 7,10, 14

REFERENCES:

Geller, D. A., Wieland, N., Carey, K., Vivas, F., Petty, C. R., Johnson, J., Reichert, E., Pauls, D. & Biederman, J. (2008). Perinatal factors affecting expression of obsessive compulsive disorder in children and adolescents. J Child Adolesc Psychopharmacol 18, 373-9.

Grisham, J. R., Fullana, M. A., Mataix-Cols, D., Moffitt, T. E., Caspi, A. & Poulton, R. (2011). Risk factors prospectively associated with adult obsessive-compulsive symptom dimensions and obsessive-compulsive disorder. Psychol Med, 1-12.

Mathews, C. A., Scharf, J. M., Miller, L.L., Macdonald-Wallis, C., Lawlor, D.A., Ben-Shlomo, Y. (in press). Association between pre- and perinatal exposures and Tourette syndrome or chronic tic disorders in the ALSPAC cohort. Br J Psychiatry.

Pauls, D. L. (2008). The genetics of obsessive compulsive disorder: a review of the evidence. Am J Med Genet C Semin Med Genet 148C, 133-9.

Sampaio, A. S., Miguel, E. C., Borcato, S., Batistuzzo, M., Fossaluza, V., Geller, D. A. & Hounie, A. G. (2009). Perinatal risk factors and obsessive-compulsive spectrum disorders in patients with rheumatic fever. Gen Hosp Psychiatry 31, 288-91.

Vasconcelos, M. S., Sampaio, A. S., Hounie, A. G., Akkerman, F., Curi, M., Lopes, A. C. & Miguel, E. C. (2007). Prenatal, perinatal, and postnatal risk factors in obsessive-compulsive disorder. Biol Psychiatry 61, 301-7.

Date proposal received: 
Thursday, 22 August, 2013
Date proposal approved: 
Thursday, 29 August, 2013
Keywords: 
Pregnancy
Primary keyword: 
Mental Health

B2051 - Identifying common genetic variants and putative genes associated with facial traits - 29/08/2013

B number: 
B2051
Principal applicant name: 
Dr Vinet Coetzee (University of Pretoria, South Africa)
Co-applicants: 
Dr Dave Evans (University of Bristol, UK), Dr Lavinia Paternoster (University of Bristol, UK), Mr John P Kemp (University of Bristol, UK), Prof David I Perrett (University of St Andrew's, UK), Dr Bernard Tiddeman (Aberystwyth University, UK)
Title of project: 
Identifying common genetic variants and putative genes associated with facial traits.
Proposal summary: 

Dysmorphic facial features play a prominent role in the diagnosis of a variety of classical neurodevelopmental disorders. For example, Down syndrome1, Prader-Willi syndrome2 and Foetal Alcohol Syndrome3 are all associated with characteristic facial features that are used as part of the diagnostic criteria. In recent years, the development of 3D geometric morphometrics (the statistical analysis of face shape) allowed researchers to identify more subtle facial dysmorphologies4. Hennessy et al5 found subtle differences in the 3D facial shape of schizophrenia patients compared to controls, such as a lengthened lower mid-facial height in schizophrenia patients. Hennessy et al6 also found that bipolar patients exhibited several facial dysmorphologies relative to controls and schizophrenia patients. The development of the face and the brain is closely connected7. Facial dysmorphologies therefore provide insight into the developmental origins of neurodevelopmental disorders, since the developmental biology of facial features is better understood than that of the brain5.

Craniofacial morphology is highly heritable8-11. Yet, fairly little is known about the genetic variants that influence normal craniofacial development in the general population. 3D geometric morphometric techniques can be used to identify these genetic variants, which could provide a valuable resource for future studies on craniofacial development and a variety of genetically determined neurodevelopmental disorders. For example, Paternoster et al12 found a significant association between a variant of the PAX3 gene and nasion position (the point in the skull where the nasal and frontal bones unite) in the Avon Longitudinal Study of Parents and their Children (ALSPAC) data set. Mutations in the PAX3 gene has previously been associated with Waardenburg syndrome13.

Evolutionary approaches to the study of facial traits provide three general facial traits that could be useful in the identification of genetic variants associated with craniofacial development: symmetry, averageness and sexual dimorphism. Symmetry indicates an individual's ability to resist environmental and genetic stresses during development14-16. It follows that fluctuating asymmetry (a deviation from bilateral symmetry in normally bilaterally symmetrical traits) is associated with a variety of genetic disorders and some indicators of poor health during development16-20. For example, Hammond et al19 found significantly higher facial asymmetry in young boys with autism spectrum disorders, compared to age/sex/ethnicity matched controls.

Facial averageness is defined as the proximity of a face to the sex-specific average face for that population21. In other words, how closely the face resembles the majority of same sex faces in the population. Symons22 hypothesised that average features could be functionally optimal as a result of the stabilising effect of natural selection. Theoretically, averageness might also denote genetic heterozygosity23. Few studies have investigated the relationship between facial averageness, genetic disorders and more general health. Nevertheless, genetic diseases are often associated with multiple facial dysmorphologies1,2,5,6, which do make these faces fairly distinctive compared to the population mean. Rhodes et al24 also found a weak positive association between facial averageness and general health scores.

Sexual dimorphism is defined as the phenotypic difference between males and females of the same species. In other words, how masculine or feminine a person is. Male and female faces diverge at puberty due to the action of sex hormones16,25. The age of onset, rate and extent to which faces become sexually dimorphic differ between individuals and are partly determined by genes26. Masculinity in male faces is generally assumed to serve as an indicator of immunocompetence21,27,28, although recent work has called the relationship into question28-30. Femininity in female faces does not seem to be associated with immunocompetence31,32, but is significantly associated with late follicular oestrogen levels33. Abnormal sexual dimorphism is also a characteristic of certain genetic diseases, such as Klinefelter syndrome34.

The primary aim of this study is to identify common genetic variants, and ultimately putative genes, that are associated with facial symmetry, averageness and sexual dimorphism using Genome-Wide Association (GWA) methodologies. We specifically chose the ALSPAC dataset because it is, to our knowledge, the largest dataset with both facial images and GWA data. To accomplish this aim, the 3D facial images will be manually delineated by defining 38 feature points in the software program MorphAnalyser (developed by Dr Tiddeman, Aberystwyth University, UK); this method is identical to the method used in Coetzee et al35. The delineated 3D images will then be used to calculate indexes for symmetry, averageness and sexual dimorphism in MorphAnalyser. The ALSPAC team have cleaned and imputed a GWA study dataset consisting of 8365 individuals with genotype calls for ~2.5 million common variants spread across the genome. We will use this resource to conduct a 2 stage (discovery and replication) genome-wide association study. Initially the discovery phase will include analysing ~ 5000 individuals that have both genotypic data and facial images. Power analysis (PowerGwas/QT version 1.0)36 indicate a sample size of 5000 is adequate to provide 80% statistical power to detect single nucleotide polymorphisms (SNPs) that explain as little as 0.8% of the variance in facial traits. The association between each of the ~2.5 million SNPs (exposure variables) and facial symmetry, averageness and sexual dimorphism (outcome variables) will be independently tested in the ALSPAC cohort using linear additive regression. SNP associations that exceed the standard significance threshold for genome-wide significance (p less than 5 x 10 -8)37, will be identified and replicated independently in additional cohorts, making up the second replication phase for the GWA study.

To determine which genes (and pathways) are most likely associated with these facial traits we will conduct a range of post-hoc analyses including (a) assigning SNPs to genes, (b) epistasis modelling and (c) pathway analyses. Briefly, multiple genes are ascribed to each SNP and these genes are then prioritised using epistasis modelling and pathway analysis38, allowing us to further identify which biological processes regulate these facial traits. In addition, we will calculate heritability estimates for each of the three facial traits; do a GCTA analysis to estimate how much of the phenotypic variance in the facial traits are explained by common SNPs; test the relationship between admixture and the facial traits (especially averageness); test the relationship between genome-wide heterozygosity and the facial traits (especially symmetry and averageness) using the ~2000 ALSPAC individuals who have whole genome sequencing data; and test the association between previously imputed classical HLA alleles and these facial traits separately for males and females. All GWA analyses will be conducted at the University of Bristol.

The second aim is to determine the association between health measures (exposure variables) and facial symmetry, averageness and sexual dimorphism (outcome variables). The health measures will be divided into prenatal risk factors (e.g. parental age, presence of gestational diabetes) and childhood health measures (e.g. body mass index, blood pressure and self-reported health). All three facial traits are generally assumed to indicate good health27, but studies testing these assumptions have suffered from various methodological drawbacks, including small sample sizes (~N=40-200). The size and quality of the ALSPAC data set, especially the wide range of physiological measurements, provides us with the ideal opportunity to test the association between health indices and these three facial traits in male and female faces respectively.

The third aim is to determine whether SNPs associated with these facial traits are also associated with traits proposed to indicate overall condition, specifically increased height and body mass index (BMI; within the healthy BMI range). To do so we will test the relationship between allelic scores of SNPs for the three facial traits, height and BMI.

To accomplish these aims we kindly request access to the following data in the ALSPAC dataset

Concept

Specific measure

Person

Source

Time point

Prenatal risk

Maternal age

Mother

Q

8-42 wks gestation

Prenatal risk

Paternal age

Mother

Q

12 wks gestation

Prenatal risk

Height & weight

Mother

C

1st trimester

Prenatal risk

Gestational diabetes

Mother

C

1st-3rd trimester

Prenatal risk

Blood pressure

Mother

C

1st-3rd trimester

Prenatal risk

Smoking

Mother

Q

18 wks gestation

Prenatal risk

Alcohol use

Mother

Q

18 wks gestation

Prenatal risk

General health

Mother

Q

32 wks gestation

Childhood health

Hospital admittance

Child

Q

4 wks-69 mths

Childhood health

General health

Child

Q

6-91 mths

Childhood health

Specific health problems (e.g. coughing)

Child

Q

4 wks-91 mths

Childhood health

Height & weight

Child

C

4 mths-17 yrs

Childhood health

Fat and lean mass from DXA scan

Child

C

9-17 yrs

Childhood health

Lung function

Child

C

61 mths-17 yrs

Childhood health

Grip strength

Child

C

11 yrs

Childhood health

Blood pressure & pulse rate

Child

C

37 mths-17 yrs

Childhood health

Blood pressure after exercise

Child

C

9-17 yrs

Confounding

Pubertal development

Child

Q

175 mths (or PUB7)

Images

Facial scans

Child

C

15 yrs

Genetic

Genome wide association data

Child

C

-

questionnaire=Q; clinic=C; weeks=wks; months=mths; years=yrs

References

1. Farkas LG, Katic MJ, Forrest CR, et al (2001) J Craniofac Surg, 12, 373-379.

2. Holm VA, Cassidy SB, Butler MG, et al (1993) Pediatrics, 91, 398-402.

3. Fang S, McLaughlin J, Fang J, et al (2008) Orthod Craniofac Res, 11, 162-171.

4. Hammond P. (2007) Arch Dis Child, 92, 1120-1126.

5. Hennessy RJ, Lane A, Kinsella A, et al (2004) Schizophr Res, 67, 261-268.

6. Hennessy RJ, Baldwin PA, Browne DJ, et al (2010) Schizophr Res, 122, 63-71.

7. Diewert V, Lozanoff S & Choy V. (1993) J Cran Genet Dev Bio, 13, 193.

8. Kohn L. (1991) Annu Rev Anthropol, 20, 261-278.

9. Hunter WS, Balbach DR & Lamphiear DE. (1970) Am J Orthod, 58, 128-134.

10. Nakata M, Yu P-I, Davis B, et al (1973) Am J Orthod, 63, 471-480.

11. Johannsdottir B, Thorarinsson F, Thordarson A, et al (2005) Am J Orthod Dentofac, 127, 200-207.

12. Paternoster L, Zhurov AI, Toma AM, et al (2012) Am J Hum Genet, 90, 478-485.

13. Tassabehji M, Read AP, Newton VE, et al (1993) Nat Genet, 3, 26-30.

14. Mather K. (1953) Heredity, 7, 297-336.

15. Van Valen L. (1962) Evolution, 16, 125-142.

16. Thornhill R & Moller AP. (1997) Biol Rev, 72, 497-548.

17. Sforza C, Dellavia C, Tartaglia GM, et al (2005) Int J Oral Max Surg, 34, 480-486.

18. Markow TA & Wandler K. (1986) Psychiat Res, 19, 323-328.

19. Hammond P, Forster-Gibson C, Chudley AE, et al (2008) Mol Psychiatr 13, 614-623.

20. Livshits G & Kobyliansky E. (1991) Hum Biol, 63, 441-446.

21. Rhodes G. (2006) Annu Rev Psychol, 57, 199-226.

22. Symons D. (1979) The evolution of human sexuality, Oxford University Press.

23. Thornhill R & Gangestad SW. (1993) Hum Nat, 4, 237-269.

24. Rhodes G, Zebrowitz LA, Clark A, et al (2001) Evol Hum Behav, 22, 31-46.

25. Farkas LG & Munro, IR (1988) Anthropometric Proportions in Medicine, Thomas, p29-56.

26. Mustanski BS, Viken RJ, Kaprio J, et al (2004) Dev Psychol, 40, 1188-1198.

27. Thornhill R & Gangestad SW. (1999) Trends Cogn Sci, 3, 452-460.

28. Scott IML, Clark AP, Boothroyd LG, et al (2012) Behav Ecol, 24, 579-589.

29. Rantala MJ, Coetzee V, Moore FR, et al (2013) P Roy Soc Lond B Bio, 280, 1471-2954.

30. Lie HC, Rhodes G & Simmons LW (2008) Evolution, 62, 2473-2486.

31. Rhodes G, Chan J, Zebrowitz LA, et al (2003) P Roy Soc Lond B Bio, 270, S93-S95.

32. Thornhill R & Gangestad SW. (2006) Evol Hum Behav, 27, 131-144.

33. Law Smith MJ, Perrett DI, Jones BC, et al (2006) P Roy Soc Lond B Bio, 273, 135-140.

34. Kamischke A, Baumgardt A, Horst J, et al (2003) J Androl, 24, 41-48.

35. Coetzee V, Re DE, Perrett DI, et al (2011) Body Image, 8, 190-193.

36. Feng S, Wang S, Chen C-C, et al (2011) BMC Genet, 12, 12.

37. Corvin A, Craddock N & Sullivan PF. (2010) Psychol Med, 40, 1063-1077.

38. Cantor RM, Lange K & Sinsheimer JS. (2010) Am J Hum Genet, 86, 6-22.

Date proposal received: 
Monday, 22 July, 2013
Date proposal approved: 
Thursday, 29 August, 2013
Keywords: 
Genetics
Primary keyword: 
Face Shape

B2069 - Androgens in maternal serum during gestation and child androgen levels in autism spectrum conditions and autistic traits - 29/08/2013

B number: 
B2069
Principal applicant name: 
Prof Simon Baron-Cohen (University of Cambridge, UK)
Co-applicants: 
Dr Bonnie Auyeung (University of Cambridge, UK), Ms Alexa Pohl (University of Cambridge, UK)
Title of project: 
Androgens in maternal serum during gestation and child androgen levels in autism spectrum conditions and autistic traits.
Proposal summary: 

Aims: 1) To test if maternal free and total testosterone are elevated during pregnancy in autism spectrum conditions (ASC), and are correlated to number of autistic traits. 2) To test if maternal androgen levels mediate the reported relationship between gestational complications (i.e. hypertensive and hyperglycemic disorders of pregnancy) and autism risk. 3) To test if children with ASCs have elevated levels of androgens, and if number of autistic traits are correlated with elevated levels of androgens during childhood and adolescence.

Date proposal received: 
Monday, 19 August, 2013
Date proposal approved: 
Thursday, 29 August, 2013
Keywords: 
Endocrine, Pregnancy
Primary keyword: 
Autism

B2073 - Determining novel causal risk factors for CVD An original genome-wide Mendelian Randomisation approach - 29/08/2013

B number: 
B2073
Principal applicant name: 
Dr Marie-Jo Brion (University of Bristol, UK)
Co-applicants: 
Prof George Davey Smith (University of Bristol, UK), Prof Joel Hirschhorn (Broad Institute, USA), Prof Peter Visscher (University of Queensland, Australia, ROW)
Title of project: 
Determining novel causal risk factors for CVD. An original genome-wide Mendelian Randomisation approach.
Proposal summary: 

Background:

There are now many powerful GWAS based on large sets of meta-analysed data from multiple studies and the number of GWAS in literature is rapidly increasing. These studies provide robust effect estimates for the associations of single nucleotide polymorphisms (SNPs) across the genome with phenotypes of interest. For example, associations for all SNPs across the genome in relation to anthropometric phenotypes are available from the GIANT (Genetic Investigation of ANthropometric Traits) consortium involving meta-analysed data on up to 250,000 individuals (1-3). The GIANT GWAS observed many loci predicting variation in BMI (32 loci) and fat distribution (29 loci) at genome-wide significance level.

However, many loci will exist beyond those established using the stringent genome-wide cut-off level that are in reality reliably related to the phenotype of interest. Data from the GIANT height GWAS (N=183,727 individuals) identified 180 loci associated with height at genome-wide significance levels, explaining 10% of the phenotypic variation in height. However, the authors further estimated, based on recently developed methods (4), that there were in fact 697 loci (95% CI: 483-1040) with effects greater or equal to those identified from the GWAS which would explain a total of 15.7% of the phenotypic variation in height. Preliminary data from the GIANT consortium supports the conclusion that many of the associations that were observed but did not reach genome-wide significance are in fact real associations (J. Hirschhorn, Personal Communication).

Furthermore, when all SNPs across the genome are fitted simultaneously and the variance explained by all the SNPs together is estimated, 45% of the phenotypic variance in height can be explained (5).Together with the fact that for SNPs explaining 0.01% variation there is 99% power to get the direction of the association correct in a sample size of 129,000 individuals, this suggests that robust GWAS with large sample sizes can reliably inform the development of genome-wide polygenic instruments.

The inclusion of a potentially vast number of 'risk-alleles' across the genome would therefore explain significantly more phenotypic variation than instruments based on individual genetic variants or several established genetic variants together. As such, genome-wide polygenic scores provide a platform from which to develop a novel application of the Mendelian Randomization approach using genome-wide instruments that would incorporate a much larger proportion of genetic information than has otherwise been explored previously, resulting in considerably greater power for detecting causal effects for novel phenotypes of interest.

Aims:

The aims of this project are to develop and apply an original genome-wide Mendelian Randomization approach in order to: i) identify of novel causal risk factors for adult CVD, and ii) examine their impact on childhood and adolescent CVD-related traits

Hypotheses:

We hypothesise that the application of genome-wide allele scores for indexing traits known to be related to CVD-related phenotypes, such as adiposity, lipids and inflammation, will accurately index CVD risk and that these scores can subsequently be extended to explore more novel predictors such as iron status, fatty acid profile and uric acid.

Exposure variables:

genome-wide SNP data and phenotypic data for established CVD-related phenotypes (BMI, lipids, inflammatory markers) and novel predictors in CVD (iron status makers, fatty acids, uric acid)

Outcome variables:

Blood pressure, flow-mediated dilation, intima-media thickness

Confounders:

Maternal eduation, paternal education, family income, parental occupational class, child IQ, maternal smoking

References:

1. Speliotes EK, Willer CJ, Berndt SI, et al. Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index. Nat Genet 2010; 42(11): 937-48

2. Lango Allen H, Estrada K, Lettre G, et al. Hundreds of variants clustered in genomic loci and biological pathways affect human height. Nature 2010; 467(7317): 832-8

3.Heid IM, Jackson AU, Randall JC, et al. Meta-analysis identifies 13 new loci associated with waist-hip ratio and reveals sexual dimorphism in the genetic basis of fat distribution. Nat Genet 2010; 42(11): 949-60

4. Park JH, Wacholder S, Gail MH, et al. Estimation of effect size distribution from genome-wide association studies and implications for future discoveries. Nat Genet 2010; 42(7): 570-5

5.Yang J, Benyamin B, McEvoy BP, et al. Common SNPs explain a large proportion of the heritability for human height. Nat Genet 2010; 42(7): 565-9

Date proposal received: 
Tuesday, 27 August, 2013
Date proposal approved: 
Thursday, 29 August, 2013
Keywords: 
Cardiovascular
Primary keyword: 
Mendelian Randomisation

B2072 - Association between perinatal risk factors and child cognitive and emotional development - 29/08/2013

B number: 
B2072
Principal applicant name: 
Dr Rebecca Pearson (University of Bristol, UK)
Co-applicants: 
Prof Alan Stein (University of Oxford, UK), Dr Elizabeth Murray (University of Oxford, UK), Dr Jonathan Evans (University of Bristol, UK), Dr Daphne Kounali (University of Bristol, UK), Dr Dheeraj Rai (University of Bristol, UK)
Title of project: 
Association between perinatal risk factors and child cognitive and emotional development.
Proposal summary: 

Aims:

There is growing evidence that perinatal maternal depression is associated with impairments in child cognitive development. However, there is very little empiracal evidence of the long term impact. There is only one small UK study which has investigated the association between postnatal depression and academic achievement at the end of school. Data from large prospective studies is therefore needed. Furthermore, the developmental trajectory of cognitive impairment is unclear and can only be tested in longitudinal studies with repeated assesment of cognition across domains

Date proposal received: 
Friday, 23 August, 2013
Date proposal approved: 
Thursday, 29 August, 2013
Keywords: 
Mental Health, Pregnancy
Primary keyword: 
Cognitive Function

B2066 - Antenatal interpersonal sensitivity depression and subsequent mother-infant relationship quality - 23/08/2013

B number: 
B2066
Principal applicant name: 
Dr Karen Raine (University of Sydney, Australia)
Co-applicants: 
Prof Karen Thorpe (Queensland University of Technology, ROW), Prof Philip Boyce (University of Sydney, Australia), Prof Nicole Letourneau (University of Calgary, ROW)
Title of project: 
Antenatal interpersonal sensitivity, depression and subsequent mother-infant relationship quality.
Proposal summary: 

The aim of this study is to examine the precision of perinatal depression screening, including interpersonal sensitivity, for identifying mother-infant relationship and maternal mental health problems that continue into or emerge in the second year of life.

The study will answer the research question: how much of the variance in mother-infant relational quality is explained by interpersonal sensitivity (IPSM) and perinatal depression secreening (EPDS) scores measured during pregnancy?

Date proposal received: 
Sunday, 11 August, 2013
Date proposal approved: 
Friday, 23 August, 2013
Keywords: 
Depression, Parenting, Growth Outcomes
Primary keyword: 
Mothers

B2068 - Investigating the effects of disclosure control - 15/08/2013

B number: 
B2068
Principal applicant name: 
Miss Amy Davies (University of Bristol, UK)
Co-applicants: 
Mr Andy Boyd (University of Bristol, UK), Dr Kate Northstone (University of Bristol, UK)
Title of project: 
Investigating the effects of disclosure control.
Proposal summary: 

Aims: To develop an anonymisation policy for ALSPAC to be implemented for use of any release which may include linked NHS data. The policy needs to be submitted with the application of the Information Goverance Toolkit which needs to be in place to continue receiving and gaining further section 251 support. Further to this policy, we aim to explore anonymisation techniques determining the most secure level of anonymisation with the least effect upon the quality of the data for research. Using previous research on datasets which have been anoymised to different levels and using different techniques.

The anonymisation policy, for the IG Toolkit, will need to include the minimum level of anonymisation needed for release files of linked NHS data, k-anonymisation on quasi-identifiers.

Hyptheses: To determine the most secure method of anonymisation with the least impact on the quality of the data for research.

The hypotheses will be explored using a previous research question published by Kate Northstone. The research used to test the impact is as follows:

Maternal fish intake and child dietary patterns and associations with educational outcome at 16 years of age.

Outcomes: Child achieved 5 or more GCSE's at grade C or above, including maths and english.

Primary exposures:

1) Fish intake during pregnancy (none, 1-340g and greater than 340g)

2) Omega-3 intake (none, any actual intake split into tertiles)

3) Child Dietary patterns derived from PCA at 3,4,7,9 and 13 years of age

Confounders:

Gender

Maternal age

Maternal education

Housing

Maternal life events

Birthweight

Gestation

Maternal Smoking

Parity

Maternal and paternal occupation

IMD

Geography.

Date proposal received: 
Wednesday, 14 August, 2013
Date proposal approved: 
Thursday, 15 August, 2013
Keywords: 
Data mining, Data Linkage
Primary keyword: 
Data Linkage

B2067 - Utilising multiple independent combinations of genetic variants to evaluate potential pleiotropy - 15/08/2013

B number: 
B2067
Principal applicant name: 
Dr Tom M Palmer (University of Warwick, UK)
Co-applicants: 
Prof George Davey Smith (University of Bristol, UK), Dr Ian White (MRC Biostatistics Unit, University of Cambridge, UK)
Title of project: 
Utilising multiple independent combinations of genetic variants to evaluate potential pleiotropy.
Proposal summary: 

We aim to develop a method to investigate potential pleiotropy in causal estimates derived using the Mendelian randomization approach. The ALSPAC data will be used as an illustrative example.

Exposure: height, Outcome: FVC lung function (unadjusted for height), instrumental variables: 20 genotypes listed below.

Date proposal received: 
Monday, 12 August, 2013
Date proposal approved: 
Thursday, 15 August, 2013
Keywords: 
Mendelian Randomisation
Primary keyword: 
Genetics

B2065 - Maternal obesity associated metabolic conditions and neurodevelopmental and psychiatric disorders in children - 15/08/2013

B number: 
B2065
Principal applicant name: 
Dr Michael Flavin (Queen's University, Canada, ROW)
Co-applicants: 
Dr Gregory Davies (Queen's University, Canada, ROW), Mr Andrew Day (Queen's University, Canada, ROW), Dr Renee Fitzpatrick (Queen's University, Canada, ROW)
Title of project: 
Maternal obesity, associated metabolic conditions, and neurodevelopmental and psychiatric disorders in children.
Proposal summary: 

AIMS

Our goal is to contribute to an emerging body of literature regarding the association between maternal obesity in pregnancy and neurodevelopmental and psychiatric disorders in children. To achieve this goal, our primary objective is to test theoretical models of the relationship between pre-pregnancy body mass index and other clinical manifestations of maternal insulin resistance (hypertension, diabetes) and three outcomes in children: autism; attention deficit hyperactivity disorder (ADHD); and schizophrenia.

HYPOTHESIS

We hypothesize that a high pre-pregnancy body mass index will be associated with an increased risk of adverse neurodevelopmental and psychiatric outcomes among children.

VARIABLES

Exposures (maternal): Pre-pregnancy body mass index, weight gain during pregnancy, hypertensive disorders of pregnancy, diabetes

Outcomes (children): Autism, ADHD, symptoms of schizophrenia

Covariates: Various factors will be considered as potential confounders or mediators of the hypothesized associations. These include cigarette smoking, substance use, alcohol consumption, infection, and depression and anxiety during pregnancy; postpartum depression and anxiety; maternal and paternal history of mental health conditions; socioeconomic status; race/ethnicity; maternal age at delivery; parity; prior pregnancy loss; child's sex; multiple birth; preterm birth; Caesarean section (planned/emergency); birth weight greater than 4000g; birth weight greater than 4500g; and intellectual disability in the child.

Date proposal received: 
Friday, 9 August, 2013
Date proposal approved: 
Thursday, 15 August, 2013
Keywords: 
Development, Mental Health, Metabolic, Obesity
Primary keyword: 
Pregnancy

B2064 - Genome-wide and candidate gene association studies of visual and cognitive phenotypes and their inter-relationships - 15/08/2013

B number: 
B2064
Principal applicant name: 
Dr Denize Atan (University of Bristol, UK)
Co-applicants: 
Miss Cathy E M Williams (University of Bristol, UK), Santiago Rodriguez (University of Bristol, UK)
Title of project: 
Genome-wide and candidate gene association studies of visual and cognitive phenotypes and their inter-relationships.
Proposal summary: 

Aims:

1. To determine whether visual and cognitive phenotypes cluster together within a normal population cohort of children.

2. To determine the underlying genetic associations of visual and cognitive phenotypes on a genome-wide basis in a normal population cohort.

3. To extrapolate datasets from animal models of associated visual and cognitive disorders, e.g. genes expressed in interneuron populations both in the retina and CNS, and investigate these candidate genes (within the datasets obtained as above) for associations with visual and cognitive phenotypes in a normal population cohort (this mouse data is already available from my lab).

Hypotheses:

Eye development in different organisms produces dramatically different structures, like the compound eye of insects and the camera-like eye of vertebrates. Nevertheless, the molecular mechanisms underlying eye specification are highly conserved (1), and the study of eye development in animal models has proven to be highly informative of the regulatory events that control human eye formation. For example, Pax6 was identified as a 'master' regulator, at the top of the hierarchical network of transcription factors (TFs) involved in eye development, since loss-of-function mutations of the eyeless gene (the Pax6 Drosophila homologue) lead to an eyeless phenotype (2) and over-expression can direct the formation of histologically normal ectopic eyes in flies (2) and in some vertebrates. Furthermore, recent work has established that the evolutionary conservation of the visual system extends beyond eye specification (by genes like Pax6) to include the visual system circuitry that connects the eye to the brain (1). Pax6 mutations in mice cause the small eye phenotype, and human PAX6 mutations lead to eye malformations including aniridia and other anomalies, while homozygotes demonstrate malformations of the central nervous system (CNS)(3). More recent work has shown that heterozygote PAX6 mutations are also associated with previously unrecognised and subtle structural brain abnormalities and cognitive deficits in humans (4). Furthermore, distant regulatory enhancer sequences influence transcription of Pax6 in mice, and consequently lead to eye abnormalities without any associated mutations of the Pax6 gene itself (5). While Pax6 is the most well-studied gene influencing eye development, several others are known to regulate interneuron development in the retina and CNS in an increasing number of animal models. Based on these data, we would predict that children carrying genetic polymorphisms and/or mutations in genomic regions encompassing so-called retinal and CNS "interneuron genes" would manifest deficits in vision and/or cognition.

Date proposal received: 
Friday, 9 August, 2013
Date proposal approved: 
Thursday, 15 August, 2013
Keywords: 
Cognitive Function, Vision
Primary keyword: 
GWAS

B2063 - Assessing linkage error and bias between ALSPAC and HES - 15/08/2013

B number: 
B2063
Principal applicant name: 
Mr Andy Boyd (University of Bristol, UK)
Co-applicants: 
Prof Harvey Goldstein (University of Bristol, UK), Prof John Macleod (University of Bristol, UK)
Title of project: 
Assessing linkage error and bias between ALSPAC and HES.
Proposal summary: 

Longitudinal studies are making increased use of routine health and administrative data as a means of informing missing data techniques and sustainable data collection. These advantages are dependent on the accurate interpretation of the linkage. Links between an individual and their routine records are established by comparing personal identifiers common to both datasets. The potential to do this accurately is impacted by the choice and application of the linkage algorithms and the quality and discriminatory potential of the available identifiers. Recent work by Goldstein, Harron and Wade (2012) demonstrated new methods to enhance the efficiency of the linkage process using multiple imputation (MI) techniques. Once linked, the onus is on the study team to provide the provenance of the data; describing the linkage methodology and assessing the quality of the linkage at an individual level.

Through the Project to Enhance ALSPAC through Record Linkage (PEARL) we are linking the study index children to their secondary health care records, held within the Hospital Episodes Statistics (HES) dataset. The accuracy of this linkage is of concern as the personal identifiers held in early HES data (pre 1997) will in some cases lack the discriminatory power to identify a single individual. The NHS Data Linkage Service linked a pilot sample of 3,198 study participants to their 1991-2012 HES records. The linkage algorithm varied depending on the ability of the identifiers to establish a 'true match'.

AIM: To provide evidence of the quality of the linkage between ALSPAC and HES, particularly in terms of population coverage. Ultimately to use the evidence (if the hypothesis is true) to seek HES permissions to alter the linkage methodology, specifically to use the prior informed imputation techniques proposed by Goldstein. To use ALSPAC data obtained through different channels (data abstraction) as a 'gold standard' to 'validate' the imputed output through replicating a known ALPSAC finding (this will be subject to a new research proposal with standard data access conditions).

HYPOTHESIS: That the linkage variables used by HES to conduct the match are insufficient to identify all possible ALSPAC records.

EXPOSURE VARIABLES: The administrative linkage data supplied to the NHS, residential address history (specifically if they lived within England & Wales or not), self-reported hospital admissions (including cause and date and length of stay).

OUTCOME VARIABLES: Linkage status, delivery location and date, birth weight, gestational age.

CONFOUNDING VARIABLES: These relate to the accuracy of the linkage variables: enrolment details (i.e. for new cases we won't have postcode at delivery) and indicators of address quality (participation status at delivery, home movement,house tenure, known birth outcome).

Date proposal received: 
Thursday, 8 August, 2013
Date proposal approved: 
Thursday, 15 August, 2013
Keywords: 
Data Linkage
Primary keyword: 
Methods

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