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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B1203 - Genome-Wide Association Study of BMI Trajectories Across Childhood - 14/07/2011

B number: 
B1203
Principal applicant name: 
Dr Nicole Warrington (University of Western Australia, Australia)
Co-applicants: 
Dr Laurent Briollais (Mount Sinai Hospital, ROW), Prof Craig Pennell (University of Western Australia, Australia), Prof Stephen Lye (University of Toronto, Canada), Prof Debbie A Lawlor (University of Bristol, UK), Dr Laura Howe (University of Bristol, UK), Prof Kate Tilling (University of Bristol, UK)
Title of project: 
Genome-Wide Association Study of BMI Trajectories Across Childhood
Proposal summary: 

The primary aim of this study was to investigate the association between genetic variants and childhood growth trajectories across the Early Growth Genetics (EGG) consortium. BMI trajectories in childhood tend to be difficult to model due to the complexities of growth. To conduct analysis on a genome-wide scale, the analysis of each SNP must be computationally efficient. Additional methods for analysing these data are currently being investigated including the Super Imposition by Translation and Rotation (SITAR) method, an extension to the LME based on a multivariate t distribution to account for the increasing heteroscedasity and a semi-parametric mixed model. Variables of interest: * BMI at all available time points between 1 and 16 years of age * Age and Sex for adjustment and stratification in analytic models * Singleton/Multiple birth status and ethnicity for exclusion of related individuals and non-Caucasians from analysis * 6 previously published adult BMI associated polymorphisms to assess the ability to detect genetic associations using the different modelling frameworks.

Analyses: (Inclusions/Exclusions: Include only singletons, Caucasian ethnicity only, BMI measured at 2 or more time points between 1 and 16 years.) Stage One: Analysis steps: 1. Run analysis of chosen longitudinal methods in all three cohorts 2. Include each BMI associated SNPs individually to the models in all three cohorts. 3. Compare methods focusing particularly on model fit, computational time, generalizability and ability to detect genetic associations. Choose most appropriate method for further analysis. 4. send chosen analyst from each cohort the code to conduct GWAS analysis using longitudinal method or the summary statistics derived from longitudinal method for analysis as a quantitative trait against the GWAS. 5. Compare the top genes from the meta-analysis of the GWAS results from the three cohorts to those detected in the "GWAS on infant and early childhood growth parameters until age 7 years" study to ensure we are investigating two separate phenotypes. Stage Two: Once the feasibility of pursuing this proposal and the proposal named above as independent investigations has been determined using these three cohorts, we will extend this analytic plan to other cohorts willing to participate and with relevant data in EGG. Stage Three: The most strongly statistically significant genetic loci will be followed-up with more intensive analyses using other phenotypes indicating obesity (e.g. waist circumference and waist-to-hip ratio) and other methods developed during previous work modelling BMI trajectories in EGG cohorts

Date proposal received: 
Thursday, 7 July, 2011
Date proposal approved: 
Thursday, 14 July, 2011
Keywords: 
GWAS, Obesity
Primary keyword: 

B1200 - The Inheritance of Political and Social Beliefs - 14/07/2011

B number: 
B1200
Principal applicant name: 
Dr James Rockey (University of Leicester, UK)
Co-applicants: 
Prof Paul Gregg (University of Bristol, UK)
Title of project: 
The Inheritance of Political and Social Beliefs.
Proposal summary: 

It is proposed to collect data on individuals' political views and social attitudes such as altruism, or trust and broad measures of personality characteristics. It is hoped that this will allow a first glimpse at how our early environment and genetics, combine with current circumstances to determine our beliefs. We propose asking questions similar to those below. Ideally, all questions would be asked of both parents and their children. The collation of data on social attitudes would also be extremely worthwhile in itself. Using forms of question that have been widely used in other surveys will facilitate comparability with other surveys/studies. 1. Measures of Political Ideology a. Left-Right Scale question similar to used in Eurobarometer/WVS/BSA ) b. Libertarian-Authoritarian Scale - BSA 2. Political Behaviour Questions, E.G: a. Did you vote in the last general/European/local election? If so who did you vote for? b. Do you feel that one party tends to represent your views at the national/European/local level? If so which? c. Do you belong to a political party, trade union, environmental organisation, etc.? d. Have you engaged in any of the following types of political action? Boycotts/ Petitions/Rallies/etc. .3. More fundamental questions about political beliefs - belief in the power of government (Can government be an effective force for good, is government necessary, taxation is justifiable, progressive taxation is justified.) 4. Trust. Generally speaking, would you say that most people can be trusted or that you need to be very careful in dealing with people? Thinking just about people you know, would you say that most of them can be trusted...5. Other Social Attitudes (Altruism, Inequality-Aversion, etc.) , Religosity6. Big 5 personality traits - 44 or 10.

Date proposal received: 
Thursday, 7 July, 2011
Date proposal approved: 
Thursday, 14 July, 2011
Keywords: 
Social Science
Primary keyword: 

B1188 - Genome-wide association study on infant and early childhood growth parameters - 07/07/2011

B number: 
B1188
Principal applicant name: 
Prof Marjo-Riitta Jarvelin (Imperial College London, UK)
Co-applicants: 
Shikta Das (Not used 0, Not used 0), Prof Mark McCarthy (Not used 0, Not used 0), Sylvain Sebert (Not used 0, Not used 0)
Title of project: 
Genome-wide association study on infant and early childhood growth parameters
Proposal summary: 

The growth trajectory early in infancy and during childhood has been found pivotal in the early determination of adulthood metabolic health. In fact, early divergences from the normal growth curve at critical windows during infancy and later childhood are frequently associated with a higher incidence of obesity and impaired metabolic health in adulthood (Dietz WH, AJCN 1994). GWA studies have revealed several genetic variants associated with adult anthropometric measures such as weight and BMI. The main objective of this study to investigate whether phenotypes such as peak weight velocities (PWV) and timing of Adiposity Rebound(AR) derived from longitudinal data are associated with early adiposity (Sovio et al, PLoS Genet 2011). Since the effects of common variants on these traits are small or moderate, we propose a GWAS meta-analysis approach in the EGG cohorts that have both GWA data and frequent enough height and weight measurements available in infancy and/or middle childhood. The specific age window that will be considered: (1) infancy 0-2 years and (2) early childhood from 1.5-7 years. The phenotypes which are calculated are: peak weight velocity (PWV) in infancy, BMI and Age at Adiposity Peak (AP) and Adiposity rebound (AR). In ALSPAC, we propose calculation of PWV and BMI AP as it has data available on infant weight at birth, 6 weeks, 9 months and 18 months. The initial primary GWAS on 4 cohorts has been conducted within EGG and we have identified 8 SNPs reaching GWAS significance which are taken forward to replication stage within other available cohorts.

Date proposal received: 
Thursday, 23 June, 2011
Date proposal approved: 
Thursday, 7 July, 2011
Keywords: 
Growth, GWAS, Genetics
Primary keyword: 

B1205 - The role of maternal antenatal diet and early childhood diet in the aetiology of ADHD DCD and Dyslexia - 07/07/2011

B number: 
B1205
Principal applicant name: 
Dr Raghu Lingam (University of Bristol, UK)
Co-applicants: 
Dr Pauline Emmett (University of Bristol, UK), Prof Jean Golding (University of Bristol, UK)
Title of project: 
The role of maternal antenatal diet and early childhood diet in the aetiology of ADHD, DCD and Dyslexia.
Proposal summary: 

Investigate the role of antenatal dietary factors and blood levels of fatty acids in relation to the development of ADHD, DCD and dyslexia using data from ALSPAC. In addition we will investigate the role of these dietary factors on the continuous developmental traits of inattention and hyperactivity, motor coordination and reading skills. Measures of diet and fatty acids from ALSPAC used in this analysis will be: 1.Dietary data collected by food frequency questionnaire at 32 weeks pregnancy. 2. Maternal prenatal red blood cell fatty acids. 3. Duration of breast feeding assessed by maternally completed questionnaire at 6 months. 4. Child blood fatty acid levels available at birth (cord blood) and at 7 years. The final analysis will assess the role of fatty acids in the aetiology of children with complex overlapping difficulties in attention, poor motor coordination, poor reading skills, speech and language and social communication difficulties. The study will involve A.) a comprehensive literature review of all previous research looking at the role of fatty acids in the aetiology of ADHD, DCD and dyslexia B) Multivariate linear regression models will be used to analyse each of the dietary factors for the traits of attention, motor coordination and reading skills. C) Further analyses using multivariate logistic models will assess the role of these dietary factors in regard to (a) the extreme tail (10th centile) of each distribution, and (b) the diagnoses of ADHD, DCD and dyslexia.

Date proposal received: 
Thursday, 7 July, 2011
Date proposal approved: 
Thursday, 7 July, 2011
Keywords: 
ADHD, Development, Nutrition
Primary keyword: 

B1195 - Genetic association study on Fractional exhaled Nictric Oxide FeNO - 30/06/2011

B number: 
B1195
Principal applicant name: 
Prof John Henderson (University of Bristol, UK)
Co-applicants: 
Dr Liesbeth Liesbeth Duijts (Erasmus University Medical Center, Rottterdam, the Netherlands, Europe)
Title of project: 
Genetic association study on Fractional exhaled Nictric Oxide (FeNO)
Proposal summary: 

Not available

Date proposal received: 
Thursday, 30 June, 2011
Date proposal approved: 
Thursday, 30 June, 2011
Keywords: 
Allergies, Genetics, Respiratory, Atopy
Primary keyword: 

B1194 - Neighbourhood characteristics and respiratory and atopy outcomes in children - 30/06/2011

B number: 
B1194
Principal applicant name: 
Dr Bruna Galobardes (Not used 0, Not used 0)
Co-applicants: 
Beatrice Caicedo Velasquez (Not used 0, Not used 0), Ana Diez Roux (Not used 0, Not used 0), Prof Kelvyn Jones (Not used 0, Not used 0), Prof John Henderson (Not used 0, Not used 0)
Title of project: 
Neighbourhood characteristics and respiratory and atopy outcomes in children
Proposal summary: 

Not available

Date proposal received: 
Thursday, 30 June, 2011
Date proposal approved: 
Thursday, 30 June, 2011
Keywords: 
Allergies, Respiratory, Social Science, Stress, Social Conditions, Atopy
Primary keyword: 

B1172 - Y chromosome and mitochondrial DNA haplogroups to inform genetic epidemiological analyses - 25/06/2011

B number: 
B1172
Principal applicant name: 
Santiago Rodriguez (Univeristy of Bristol, UK)
Co-applicants: 
Nick Timpson (University of Bristol, UK), John Kemp (Not used 0, Not used 0), David Evans (Not used 0, Not used 0)
Title of project: 
Y chromosome and mitochondrial DNA haplogroups to inform genetic epidemiological analyses
Proposal summary: 

ALSPAC is an ideal cohort to conduct this study because all the required variables are already available. These include the genotypes for Y chromosome and mitochondrial DNA, available from 23 and me for all 10,000 children. ALSPAC includes also genome-wide information that has been used for various studies already published by members of our team. These studies represent perfect controls in order to compare our novel approach with conventional approaches.

Date proposal received: 
Saturday, 25 June, 2011
Date proposal approved: 
Saturday, 25 June, 2011
Keywords: 
Genetics
Primary keyword: 

B1193 - Understanding the lifestyle molecular and genetic pathways that link womens reproductive function to healthy ageing - 23/06/2011

B number: 
B1193
Principal applicant name: 
Prof Debbie A Lawlor (Not used 0, Not used 0)
Co-applicants: 
Prof Naveed Sattar (University of Glasgow, UK), Prof Kate Tilling (Not used 0, Not used 0), Dr Caroline Relton (Not used 0, Not used 0), Dr Jon Tobias (Not used 0, Not used 0), (University of Glasgow, UK), George Davey-Smith (University of Bristol, UK)
Title of project: 
Understanding the lifestyle, molecular and genetic pathways that link women?s reproductive function to healthy ageing
Proposal summary: 

Aims and objectives of the programme

Broad aims of programme

The aims of the programme are to (i) understand the mechanisms that underlie the associations of women's reproductive characteristics (age at menarche, menstrual patterns, follicular activity, fertility, pregnancy and age of menopause and menopausal changes) with later risk for chronic complex diseases and their risk factors (obesity, hypertension, dyslipidaemia, hyperglyaceamia, insulin resistance, type 2 diabetes, coronary heart disease, stroke, osteoporosis, depression, breast density and breast cancer); (ii) to understand the role of women's reproductive health in healthy ageing and (iii) to determine the mechanisms for the intergenerational transmission of patterns of women's reproductive, cardiovascular, metabolic, skeletal and mental health.

The programme will bring together existing funded work of the PI and co-applicants that is concerned with pregnancy related changes and future cardiovascular, metabolic and bone health in offspring and mothers (project grants from US NIH, MRC, Wellcome Trust & BHF). In the first phase we will focus primarily on consolidating the work from these different projects (objective 1 of the first 5 years) in order to obtain a comprehensive picture of how pregnancy related changes affect a wide range of future health related outcomes in mother and offspring. In addition in the first 5 years we will obtain detailed repeatedly assessed phenotypic data (hormonal, vascular, metabolic, bone and DNA methylation changes) on a cohort of women (the mothers) as they go through the menopausal transition (from age 47-52 years). These new data will be used to address objectives 2-7 below and will provide the evidence based for understanding how oestrogen deficiency and menopausal changes influence ageing in general and specifically vascular, metabolic and muscular-skeletal ageing. With subsequent renewal of the programme , after the first 5 years, we would focus on the daughter's menstrual pattern, follicular activity and emerging fertility, as well as linking data on the mother's breast density from routine mammography and mental health outcomes to the main dataset.

Specific objectives of the first 5 years

We will:

1. Determine the extent to which pregnancy related weight gain, vascular and metabolic changes are related to the mother's and her offspring's future reproductive, vascular, metabolic and muscular-skeletal health.

2. Determine the pattern of changes in glucose, insulin, lipids, blood pressure, total and truncal fat and bone mineral density as women go through the menopausal transition and distinguish whether there is a specific menopausal effect over and above age related changes in these phenotypes.

3. Determine the hormonal, genetic, molecular and lifestyle pathways that underlie variation in age at menopause and variation in changes in vascular, metabolic and bone phenotypes over the menopausal transition.

4. Determine the association of different patterns of change in glucose, insulin, lipids, blood pressure and total and truncal fat over the menopausal transition with variation in postmenopausal carotid intima media thickness.

5. Establish the role of DNA methylation in determining the timing and magnitude of menopausal changes.

6. Determine the pattern of global and gene-specific (e.g. ESR1) DNA methylation patterns as women go through the menopausal transition.

7. Determine the consequences of menopause- related DNA methylation changes with respect to subsequent changes in vascular, metabolic and muscular-skeletal health.

Data requirements and new data collection

Objective 1 above will use existing data or data currently being collected (e.g. mums clinic and 17+ clinic fasting blood samples and assays) and brings together agreed work of the PIs in ALSPAC as funded by existing grants (NIH; MRC; BHF).

The remaining objectives will be addressed by collection of new data from a subgroup (~3000) of the ALSPAC mothers who fulfil the following criteria:

Age 47-49 years at start of new clinics (September 2010)

No previous history of hysterectomy or bilateral oophorectomy

Not known to have undergone natural menopause

Mothers fulfilling these criteria will be invited to attend annual clinics over a 4 year period (4 clinics in total) at which the following will be completed:

1. Completion of menstrual cycle & hormonal use questionnaire

2. Taking of a fasting blood sample

3. Measurement of weight, height, waist circumference and blood pressure

4. DXA scan - total & hip

The grant will request funds to complete the following on the blood samples:

1. Repeat assessment (at each clinic) of sex hormones, glucose, insulin and lipids

2. Global and gene specific DNA methylation patterns

Date proposal received: 
Thursday, 23 June, 2011
Date proposal approved: 
Thursday, 23 June, 2011
Keywords: 
Biological Samples, Genetics
Primary keyword: 

B1192 - Effects of maternal vitamin D status in pregnancy on DNA methylation patterns at birth association with phenotypes - 23/06/2011

B number: 
B1192
Principal applicant name: 
Dr Caroline Relton (Not used 0, Not used 0)
Co-applicants: 
Eva Morales (Not used 0, Not used 0), Prof Debbie A Lawlor (Not used 0, Not used 0)
Title of project: 
Effects of maternal vitamin D status in pregnancy on DNA methylation patterns at birth: association with phenotypes
Proposal summary: 

Objectives

To assess DNA methylation changes in cord blood in relation to maternal vitamin D status during pregnancy.

To investigate if changes in DNA methylation at birth predict phenotypes in childhood. Selected phenotypes could include: cognition/ADHD symptoms, asthma-related phenotypes and obesity.

If sample size adequate we could perform a mendelian randomization approach using maternal polymorphism associated with vitamin D levels.

Date proposal received: 
Thursday, 23 June, 2011
Date proposal approved: 
Thursday, 23 June, 2011
Keywords: 
Parenting, Epigenetics , Vitamin D
Primary keyword: 

B1190 - Epigenetic mechanisms stress exposure and eating disorders - 23/06/2011

B number: 
B1190
Principal applicant name: 
Dr Caroline Relton (Not used 0, Not used 0)
Co-applicants: 
Dr Caroline Relton-DO-NOT-USE (University of Bristol, UK), Dr Karen Mitchell (University of Newcastle, ROW), Dr Andy Ness (University of Bristol, UK), Alison Field (Not used 0, Not used 0), nadia Micali (Not used 0, Not used 0)
Title of project: 
Epigenetic mechanisms, stress exposure and eating disorders.
Proposal summary: 

AIMS

1. To estimate a twin model investigating the extent to which the covariance of PTSD and disordered eating is due to genetic and environmental influences.

a. It is hypothesized that additive genetic and unique environmental factors will significantly influence the variance of PTSD and disordered eating as well as their covariance.

2. To estimate a network model of genetic and psychosocial variables associated with PTSD and disordered eating among a sample of women.

a. It is hypothesized that many genetic and psychosocial variables will overlap with both PTSD and disordered eating.

3. To investigate whether maternal prenatal stress exposure is associated with offspring epigenetic changes and disordered eating.

a. It is hypothesized that maternal stress will be directly and indirectly associated with offspring disordered eating.

4. To investigate whether associations identified in Aim #3 apply to the etiology of substance use and depressive symptomatology as well as disordered eating.

a. It is hypothesized that both similarities and differences in DNA methylation patterns will be observed in the relations between maternal prenatal stress exposure and offspring disordered eating, substance use, and depressive symptomatology.

An overview of the study design to meet aims 3 and 4 can be found in the attached powerpoint file.

Date proposal received: 
Thursday, 23 June, 2011
Date proposal approved: 
Thursday, 23 June, 2011
Keywords: 
Social Science, Stress, Social Conditions, Eating Disorder, Epigenetics
Primary keyword: 

B1189 - Investigating associations between TSH-associated SNPs and birth outcomes/later academic IQ outcomes - 23/06/2011

B number: 
B1189
Principal applicant name: 
Dr Rachel Freathy (MRC CAiTE and Peninsula Medical School, Exeter, UK)
Co-applicants: 
Prof Tim Frayling (Not used 0, Not used 0), Dr Scott Nelson (Not used 0, Not used 0), George Davey-Smith (Univeristy of Bristol, UK), Prof Debbie A Lawlor (Not used 0, Not used 0)
Title of project: 
Investigating associations between TSH-associated SNPs and birth outcomes/later academic IQ outcomes
Proposal summary: 

Background

Maternal subclinical hypothyroidism in pregnancy is associated with impaired neuropsychological development of the child (1) and a number of other adverse outcomes for both mother and offspring (2, 3). The Endocrine Society's Clinical Practice Guidelines (4) recommend treatment with T4 for women found to have subclinical hypothyroidism, defined by a serum TSH concentration above the upper limit of the trimester-specific and assay-specific reference range, with a normal free T4 (FT4). This treatment has not been proven to improve neurological development of the child. However, the potential benefits are considered to outweigh the potential risks.

Using data on healthy pregnant women from the Exeter Family Study (EFSOCH), we recently showed that the PDE8B rs4704397 polymorphism, known to strongly associate with TSH levels in the general population, is associated with subclinical hypothyroidism in pregnancy(5). More recently, the international thyroid consortium has used meta-analysis of genome-wide association studies to identify a total of 10 genetic loci that are robustly associated with TSH levels, 9 of which are not associated with other phenotypes. Only 3 of these loci have been published. The manuscript of the latest meta-analysis is in preparation. Pre-publication analysis of these 9 SNPs in the EFSOCH pregnant women shows that the SNPs together explain 4.4% of the variation in maternal TSH levels at 28 weeks of gestation. Each additional unit of an allele score composed of the 9 SNPs was associated with a 0.1SD higher TSH level in pregnancy (P=8e-12; Figure 1; Table 1). The result was essentially unchanged when excluding women who tested +ve for TPO antibodies or when adjusting for child's genotype at the 9 loci.

Table 1: Association between allele score composed of 9 TSH-altering SNPs and maternal TSH levels in pregnancy (unpublished EFSOCH data).

Model*

N

Beta (per TSH-raising allele), SD units

SE

P-value

Allele count

813

0.121

0.018

4E-11

Allele score**

858

0.104

0.015

8E-12

Allele score TPO-Ab negative women only

794

0.113

0.015

1E-13

Allele score adjusted child genotypes

561

0.104

0.023

8E-06

*Linear regression with outcome =TSH level in pregnancy (inverse-normal transformation), with age and age-squared as covariables, excluding women on TF medication and non-Eur.

**Allele_score=Weighted_score*N_available_SNPs/Sum_weights_of_available_SNPs, where Weighted_score=W1*SNP1+W2*SNP2+W3*SNP3...etc. Weighted by effect size in EFSOCH study. Included women with up to 2/9 SNPs missing.

MAIN RESEARCH QUESTION:

Are SNPs which explain 4.4% of the variance in TSH levels in pregnancy associated with offspring birth weight and gestational age?

Aim and hypothesis

We propose to use this allele score and available phenotypes in ALSPAC to test the hypothesis that exposure to higher TSH levels in utero is associated with offspring birth weight and length of gestation. Rare, monogenic nonautoimmune hypothyroidism is associated with preterm birth and low birth weight (6).

To maximise statistical power, we will meta-analyse the ALSPAC data with data from the EFSOCH and HAPO studies. Using the measured TSH levels in the EFSOCH study, we will use the triangulation method to approximate a Mendelian randomisation analysis.

Date proposal received: 
Thursday, 23 June, 2011
Date proposal approved: 
Thursday, 23 June, 2011
Keywords: 
Genetics
Primary keyword: 

B1186 - Genome-wide copy number variation association studies of blood pressure and lung function - 16/06/2011

B number: 
B1186
Principal applicant name: 
Dr Louise Wain (University of Leicester, UK)
Co-applicants: 
Prof Martin Tobin (Not used 0, Not used 0), Nick Timpson (University of Bristol, UK), Dr Dave Evans (Not used 0, Not used 0), Dr Dave Evans (Not used 0, Not used 0), Prof John Henderson (Not used 0, Not used 0)
Title of project: 
Genome-wide copy number variation association studies of blood pressure and lung function
Proposal summary: 

Background

The extent of copy number variation across the genome is still the subject of much debate although genome-wide maps of common copy number variation have now begun to emerge. Methods for detection and characterisation of both common and rare copy number variants are still far from perfect with no one approach to mining the genome optimal to detect all sizes of CNV. Consequently, there is still much to be learned about the extent and impact of this form of variation on human health and disease. Early studies of the role of common copy number variation in disease, including the Wellcome Trust Case Control Consortium (WTCCC) CNV project with which we were involved, suggest that much of this variation may already be well tagged by SNPs on the most recent genotyping platforms. However, rare and low frequency copy number variants, which are not expected to be tagged by common SNPs, have been shown to play a role in diseases such as autism and schizophrenia and the contribution of copy number variants to quantitative traits such as blood pressure and lung function is still largely unexplored. Algorithms have been developed that aim to utilise the raw allelic intensities from contiguous SNPs in SNP genotyping arrays to detect and quantify copy number variation. Although these detection approaches have raised substantial challenges, the most recent genome-wide SNP data allow improved detection of copy number through the inclusion of many more probes. Building upon recent experience and growing expertise in CNV analyses (1,2,3,4) and on data from other studies (listed in the following paragraph) which have approved collaborative CNV analyses we will undertake, we propose collaborative CNV studies of blood pressure & lung function together with ALSPAC investigators. These studies will help to gain the maximum benefit from newly available genome-wide association study data in ALSPAC, and will build upon the SNP association analyses that ALSPAC investigators plan to undertake.

Identifying the genetic determinants of lung function and blood pressure may lead to the identification of potentially modifiable intermediate phenotypes which can be targets for public health interventions. Analyses of CNV association with blood pressure and lung function will be undertaken to further the understanding of the genetic architecture of these traits. SNP association studies have demonstrated that very large sample sizes are necessary to detect variants with small effect sizes. The inclusion of 9000 ALSPAC individuals will substantially boost the power of our planned study (which currently includes data from adults in the Busselton Health Study (n ~1500, with 3600 expected in 2011) and the British 1958 Birth Cohort (n ~8000), children from the Raine study (n ~1500) and children & young adults from the Cardiovascular Risk in Young Finns Study (n ~2450)).

In a subset of individuals, robust findings from these analyses may be validated (either by experimental assay or by direct genotyping of tag SNPs if available), and followed up with breakpoint sequencing to fine-map the precise genomic location of the CNV. If it would appear appropriate and scientifically beneficial to include any ALSPAC participants at this stage, then this will be subject to a separate application.

Approaches

Louise Wain will work closely with Dave Evans or Nicholas Timpson in order to undertake the analyses as discussed below. In the first instance, the analyses would need to be run by Louise Wain, but the project aims also to develop this capacity at the University of Bristol. The analysis could be undertaken on the high performance cluster at the University of Bristol if, for example, Louise Wain were offered visitor status (or using a similar new £2m facility in Leicester, as you prefer). An alternative would be the provision of secured log in access to Bristol servers remotely. What ever the preferred mechanism, we would propose that Louise visits Bristol for regular meetings with a named ALSPAC investigator. This will be supplemented by project progress reports shared and discussed as required with all named co-applicants from both the University of Bristol and the University of Leicester.

Analysis of CNV using using SNP chip data requires the use of the raw X and Y intensities and/or derivatives of these (log R ratio and B allele frequency). Due to the inherent noisiness of this data, a key stage in the process of generating CNV genotype calls will be quality control (QC) and definition of a suitable filtering strategy (2).

Quality control (QC) will be applied to each dataset to exclude outlying samples on the basis of the SNP genotype data (e.g. those with substantial missing genotype data, or showing ancestral differences in principal components analysis (PCA)) or intensity data (large standard deviations of genome-wide intensity measures and subsets of samples that might have been processed differently identifiable as likely batch effects by PCA). There are several algorithms available for detecting and measuring copy number variation in SNP genotyping data (e.g. QuantiSNP and PennCNV which are based on Hidden Markov Models) using the raw allelic intensities or derivations thereof. Raw CNV calls will be subject to further rigorous QC with filtering thresholds defined by simulation and sensitivity analyses undertaken to evaluate the consequences of the filtering strategy chosen on the downstream association testing.

CNVs will be tested for association with blood pressure variables, SBP and DBP, and lung function variables, FEV1 and FEV1/FVC, using linear regression. In addition, previously published CNV maps will be used to define boundaries of common CNVs and these CNVs will be tested for association using methods such as CNVtools. Validation will be undertaken in selected subsamples from these studies.

Additional benefit

The CNV methods, or calls used, could be applied to the study of a wide range of additonal phenotypes in ALSPAC and the experience of these kinds of analyses will benefit analysts involved in ALSPAC.

Genotype data required

This project requires the intensity data for each SNP and non-polymorphic probe on the array (log R ratio and B allele frequency, and raw X and Y intensities if possible).

References:

1. L. V. Wain, J. A. Armour, M. D. Tobin, Lancet 374, 340 (Jul 25, 2009).

2. L. V. Wain et al., PLoS One 4, e8175 (2009).

3. N. Craddock et al., Nature 464, 713 (Apr 1, 2010).

4. H. M. Blauw et al., Hum Mol Genet 2010, 10 (Aug 10, 2010).

Date proposal received: 
Thursday, 16 June, 2011
Date proposal approved: 
Thursday, 16 June, 2011
Keywords: 
Allergies, Genetics, Respiratory, Atopy
Primary keyword: 

B1185 - ALSPAC Ethics and Law Committee the first 16 years of ethical protection for an epidemiological birth cohort - 16/06/2011

B number: 
B1185
Principal applicant name: 
Kate Birmingham (University of Bristol, UK)
Co-applicants: 
Michael Furmstone (University of Bristol, UK), Prof Jean Golding (Not used 0, Not used 0)
Title of project: 
ALSPAC Ethics and Law Committee: the first 16 years of ethical protection for an epidemiological birth cohort.
Proposal summary: 

I have been systematically working through the early ALSPAC Ethics and Law Committee documents for the ALSPAC Archive which is to be housed in the University of Bristol Library Special collections (alongside the Brunel collection and Penguin books). I am now thoroughly familiar with this material and would value time to write up the extent of the committee's early work. I propose to write a brief monograph which will systematically describe and classify the work of the committee during its first 16 years when the study participants reached an important legal milestone, summarising the ethical issues, discussion and outcomes and putting the committee's work into the legal and ethical context of the time. After appropriate review, I would hope to submit this to the Leverhulme Trust who have provided funding for work on the ALSPAC Ethics archive.

The Committee is considered by many as innovative, not only as it was the first ethical committee set up to provide legal and ethical advice for such a longitudinal study but also as ALSPAC was designed from the outset to utilise genetic data. In contrast to clinical genetics, the ethical issues generated in the context of such a population study had hardly been addressed previously.

The Committee has influenced other longitudinal epidemiological studies since its inception, e.g. UKBiobank, which modelled its Ethics and Governance Council on the ALSPAC Committee, the National Children's Study in the USA to which I attended an early ethics advisory workshop and the Swiss Etiological Study of Adjustment and Mental Health (which failed spectacularly).

My specific goals would be:

* To document the extent of the work of the committee through systematic analysis of the minutes of the meetings and accompanying documents. This will include research that the committee initiated; the three year Wellcome funded qualitative study designed to elicit the 8 year old participants' attitude to the use of their data in genetic research (Ethical Protection in Epidemiological Genetic Research: Participants' Perspectives).

* To select topics of particular importance that the committee discussed on many occasions, not only as the children grew up but also as legal and ethical practices changed (e.g. consent, disclosure of results, genetic analyses, record linkage, open access to data). Trace the development of these discussions and the recommendations made.

* To outline the committee's influence beyond that of the cohort e.g. advice to the UK House of Lords Select Committee, the Human Genetics Commission, the Nuffield Trust and European Society of Human Genetics.

I have the opportunity to spend two months next year (September 2012 - October 2012) at the Brocher Foundation (http://www.brocher.ch), a Swiss non-profit making foundation that provides facilities for visiting junior and senior researchers to write books, articles, essays, or PhD theses on the ethical, legal and social implications of medical research.I was encouraged to apply for a 2 month visiting researcher position but thought I had absolutely no chance of being accepted as most of the current visiting researchers are relatively senior academics.I am now somewhat embarrassed at putting the proposal to the Executive committee without previous discussion and apologise for this.I do feel it would be an excellent opportunity and anticipate with careful planning, my workload can be organised so as not to disrupt the ethical process within ALSPAC.I would of course make up the hours in whatever seems the most useful way; perhaps working full time instead of half time before and/or after the proposed absence.I hope the Executive feel able to support me in this development opportunity in my other role within the School by allowing the necessary flexibility of my working hours.

Date proposal received: 
Thursday, 16 June, 2011
Date proposal approved: 
Thursday, 16 June, 2011
Keywords: 
Primary keyword: 

B1184 - Life course inequalities in asthma estimating its burden and understanding its aetiology - 16/06/2011

B number: 
B1184
Principal applicant name: 
Dr Bruna Galobardes (Not used 0, Not used 0)
Co-applicants: 
Dr Dave Evans (Not used 0, Not used 0), Prof John Henderson (Not used 0, Not used 0)
Title of project: 
Life course inequalities in asthma: estimating its burden and understanding its aetiology
Proposal summary: 

The complete project (submitted for a Wellcome Trut Intermediate Clinical Fellowship) includes an international collaboration with other birth and adult cohorts. This outline refers to the analysis that will be carried out with Alspac data.

AIMS

The purpose of this research is to describe the magnitude of inequalities in asthma phenotypes throughout the life course, identify the mechanisms that underlie them and thus provide means of reducing the burden of disease, both overall and in terms of contributing to avoidable health inequalities, due to this condition. The specific aims are:

1) Describe the socioeconomic inequalities in wheezing, asthma phenotypes, atopic makers, lung function and bronchial responsiveness in childhood and/or adolescence in Alspac.

2) Describe the life course socioeconomic inequalities in asthma phenotypes across generations: parents and offspring.

3) To determine the major causes of different socioeconomic patterns in asthma phenotypes identified in objectives 1 and 2.

4) Invetigate the role of health selection in asthma inequalities: determine whether asthma phenotypes influence socioeconomic position in children (schooling)

5) Investigate the role of health services role in asthma inequalities in children.

Date proposal received: 
Thursday, 16 June, 2011
Date proposal approved: 
Thursday, 16 June, 2011
Keywords: 
Allergies, Respiratory, Atopy
Primary keyword: 

B1183 - Genetic studies of hip structure in ALSPAC mothers and children - 16/06/2011

B number: 
B1183
Principal applicant name: 
Dr Jon Tobias (Not used 0, Not used 0)
Co-applicants: 
Dr Dave Evans (Not used 0, Not used 0), Prof Debbie A Lawlor (Not used 0, Not used 0), John Kemp (Not used 0, Not used 0), Heli Viljakainen (Not used 0, Not used 0)
Title of project: 
Genetic studies of hip structure in ALSPAC mothers and children
Proposal summary: 

Background

Several previous studies have examined the genetic basis of osteoporosis, by analysing associations between bone mineral density (BMD) as measured by DXA and genetic markers, including GWA studies in which several markers have been identified that appear to replicate across a range of cohorts 1. These studies have generally focussed on lumbar spine and hip BMD, which sites are the most widely used in terms of clinical tests for osteoporosis. Moreover, hip BMD is related to future risk of hip fracture, arguably the most important consequence of osteoporosis.

Hip structural analysis has been developed as a means of extracting information from hip DXA scans related to overall geometry and strength, and may provide further information beyond BMD with respect to future risk of fracture. Moreover, genetic factors which influence hip geometry may be different to those that affect BMD. Having previously used this approach to evaluate the influence of puberty on hip structure in ALSPAC children 2, we are now keen to apply it to identify possible genetic determinants thereof. Given that hip structural data will be available in both ALSPAC mothers and children, we will have an opportunity to compare and contrast genetic influences at the time hip development is approaching completion, with those in older adults, when hip structure is starting to be affected by age-related deterioration.

Aims

We aim to perform GWA studies (with replication) intended to identify genetic influences on hip structure in (i) adolescents approaching skeletal maturity (ALSPAC YP age 17) and (ii) older adults (ALSPAC mothers).

Date proposal received: 
Thursday, 16 June, 2011
Date proposal approved: 
Thursday, 16 June, 2011
Keywords: 
Bones, Genetics
Primary keyword: 

B1178 - Following up findings from a genome-wide association study of attention-deficit hyperactivity disorder and associated conduct - 09/06/2011

B number: 
B1178
Principal applicant name: 
Dr Evangelia Stergiakouli (University of Cardiff, UK)
Co-applicants: 
Dr Martin Hamshere (Not used 0, Not used 0), Prof Peter Holmans (Not used 0, Not used 0), Dr Joanna Martin (Not used 0, Not used 0), Dr Kate Langley (Not used 0, Not used 0), Dr Nigel Williams (Not used 0, Not used 0)
Title of project: 
Following up findings from a genome-wide association study of attention-deficit hyperactivity disorder and associated conduct
Proposal summary: 

Project outline:

A genome-wide association study of ADHD using antisocial behaviour as an index of heterogeneity

Introduction

ADHD is a highly heritable disorder that is of unknown pathogenesis (Stergiakouli & Thapar, 2010; Faraone et al, 2005). ADHD shows clinical as well as aetiological heterogeneity and the presence of antisocial behaviour (ASB) in children with ADHD is known to be an important marker of heterogeneity. It indexes greater clinical severity, poorer outcome, persistent problems in adulthood, stronger association with neurocognitive deficits and higher familial and genetic loading. Previous candidate gene studies have also suggested that the presence of ASB indexes heterogeneity (Langley et al, 2010).

In our ADHD programme grant we set out to identify ADHD susceptibility genes and also test for the effects of comorbid conduct disorder symptoms.

We have recently completed the genome-wide association study in a well-characterised sample of 727 children with DSM-IV/III-R diagnosed ADHD and 5,081 controls. We have tested for association between 1) SNPs and ADHD, 2) SNPs and Conduct disorder in children with ADHD.

Date proposal received: 
Thursday, 9 June, 2011
Date proposal approved: 
Thursday, 9 June, 2011
Keywords: 
ADHD, Antisocial Behaviour
Primary keyword: 

B1177 - Collection of Objective Nicotine Exposure Biomarker Data in the Avon Longitudinal Study of Parents and Children - 09/06/2011

B number: 
B1177
Principal applicant name: 
Prof Marcus Munafo (Not used 0, Not used 0)
Co-applicants: 
Prof Ian Day (Not used 0, Not used 0), George Davey-Smith (Univeristy of Bristol, UK)
Title of project: 
Collection of Objective Nicotine Exposure Biomarker Data in the Avon Longitudinal Study of Parents and Children
Proposal summary: 

Project outline:

The primary objective of the proposed research is the collection of biological samples for future cotinine analysis in ALSPAC. We have collected smoking behaviour on the offspring at regular intervals from age 8/9, and we are now planning the collection of further data at age 20/21.

We propose to begin data collection in October 2011. Postal urine collection kits for cotinine analysis will be sent to the ~5,000 individuals on whom we have smoking status data for at least one previous assessment point at either age 15/16 or 17/18.

We anticipate a period of ~6 months to send out and receive collection kits. We will then seek follow-on funding from the Cancer Research UK Population and Behavioural Sciences Committee to support cotinine analyses.

Cancer Research UK Tobacco Advisory Group have agreed to fund the collection of postal samples for subsequent analyses, and invited us to apply for follow-on funding once the response rate has been established.

These data will be a resource for subsequent analyses. As a first step, we will use these data, together with similar data collected at age 15/16 and 17/18 to characterise smoking initiation trajectories with greater precision than is possible using self-reported smoking behaviour data.

These derived variables will also be incorporated into the ALSPAC data set for future secondary analyses.

Date proposal received: 
Thursday, 9 June, 2011
Date proposal approved: 
Thursday, 9 June, 2011
Keywords: 
Biological Samples
Primary keyword: 

B1176 - The impact of breast feeding on BMI growth trajectories among FTO gene carriers - 09/06/2011

B number: 
B1176
Principal applicant name: 
Dr Laurent Briollais (Samuel Lunenfeld Research Institute - Mount Sinai Hospital - Toronto, Canada)
Co-applicants: 
Dr Craig Pennell (Not used 0, Not used 0), Dr Steve Lye (Not used 0, Not used 0), Dr Taranah Abarin (Not used 0, Not used 0)
Title of project: 
The impact of breast feeding on BMI growth trajectories among FTO gene carriers
Proposal summary: 

The impact of breast feeding on BMI growth trajectories among FTO gene carriers

Date proposal received: 
Thursday, 9 June, 2011
Date proposal approved: 
Thursday, 9 June, 2011
Keywords: 
Genetics, Obstetrics, Pregnancy
Primary keyword: 

B1181 - Selection bias and health inequalities research - 09/06/2011

B number: 
B1181
Principal applicant name: 
Dr Laura Howe (Not used 0, Not used 0)
Co-applicants: 
Prof Debbie A Lawlor (Not used 0, Not used 0), Dr Bruna Galobardes (University of Bristol, UK), Prof Kate Tilling (Not used 0, Not used 0)
Title of project: 
Selection bias and health inequalities research
Proposal summary: 

Do non-participation and drop-out from cohort studies bias estimates of socioeconomic inequalities in health?

Individuals of lower socioeconomic position (SEP) may be less likely to consent to participation at the start of a cohort study and more likely to drop out over time.1,2 It has also been shown in several cohorts that participants tend to be healthier than non-participants.1,2

Scandinavian studies exploiting record linkage have shown that despite cohorts being a relatively wealthy and healthy sample of the population, exposure-outcome associations are not biased by this selection, at least for certain well established relationships.2 Within ALSPAC, there is evidence that the prediction equations for measures of disruptive behaviour do not differ between i) individuals who were eligible to participate but did not consent to the study, ii) those who consented but dropped-out before the age of 8 years, and iii) those who continued to participate at 8 years3, again suggesting that selection bias may not affect estimates of exposure-outcome associations. It is not known, however, whether this is true when estimating socioeconomic inequalities in health. Since continued participation in the cohort is likely to be associated with both high SEP and better health, this may lead to estimates of health inequalities at later ages being underestimates.

Aim 1: To investigate whether nonparticipation and drop-out from cohort studies leads to underestimates of socioeconomic inequalities in health

We will make use of a set of outcomes for which data is available for (almost) the full cohort:

1. Perinatal factors: birth length, birth weight, gestational age at delivery, breastfeeding

2. Maternal factors: maternal obesity, maternal smoking during pregnancy

3. Child factors from routine data: Educational attainment at key stages 2 and 3

First, we will examine the association between these outcomes and participationat various stages of the cohort (e.g. attendance at the Focus@9 clinic and the Teen Focus 3 clinic) to explore whether those who participate at each stage have favourable levels of each outcome compared with those who do not participate. For educational attainment, we will also be able to explore whether those who consented to participate at the start of the study have different educational attainment compared to eligible children identified from the National Pupil Database who have never participated.

Next, we will calculate the socioeconomic inequality in each of these outcomes in the full ALSPAC cohort, using maternal education as the measure of SEP. We will then restrict our analysis firstly to those who attended the Focus@9 clinic, and second to those who attended the Teen Focus 3 clinic. For each of these restricted samples, we will again calculate an estimate of the association between maternal education and each outcome. We will be testing the hypothesis that our estimates of socioeconomic inequalities will attenuate towards the null as the sample gets more and more selected.

We will formally test whether the association between maternal education and each outcome differs between those who do and do not participate at each stage, using tests for interaction. We will then carry out sensitivity analysis to assess how different the associations would have to be between participants and non-participants for our analyses to lead to very different conclusions.

Aim 2: To identify whether problems caused by selection bias for the estimation of health inequalities are aggravated by using a categorical SEP indicator

The indicator of SEP most frequently used in epidemiological studies is maternal education. Within ALSPAC, we tend to use a four category variable - less than O-Level, O-Level, A-Level, and Degree or higher. This four category variable is unlikely to be capturing all of the very broad concept of SEP; it is possible that within each category of maternal education, those who drop out are actually of lower SEP. If so, this would result in the observed socioeconomic inequalities being an underestimate.

Our first step towards exploring this issue will be to examine whether, within each of the four categories of maternal education, there is an association between drop-out from the cohort and other measures of SEP (income, household social class, etc).

Subsequently, we will construct a multi-dimension measure of SEP using several variables (income, household social class, car ownership, index of multiple deprivation, reported financial difficulties, maternal age and parity, etc) using factor analysis. This SEP construct should be able to more finely differentiate between participants than maternal education alone can. We will then repeat the analysis outlined above for Aim 1, using this latent construct of SEP as the exposure instead of maternal education. That is, we will examine whether we still see an attenuation of estimates of inequality in the (almost) fully observed outcomes as the sample gets more and more restricted when using this latent construct of SEP.

Date proposal received: 
Thursday, 9 June, 2011
Date proposal approved: 
Thursday, 9 June, 2011
Keywords: 
Primary keyword: 

B1180 - Multiple Risk Behaviours in Adolescence - 09/06/2011

B number: 
B1180
Principal applicant name: 
Rona Campbell (University of Bristol, UK)
Co-applicants: 
Prof Matt Hickman (Not used 0, Not used 0), Dr Ruth Kipping (Not used 0, Not used 0), Dr Jon Heron (Not used 0, Not used 0)
Title of project: 
Multiple Risk Behaviours in Adolescence
Proposal summary: 

We are requesting access to the age data on these variables at age 15-16 in order to undertake initial descriptive analyses of the all of the behaviours separately, followed by more complex analyses exploring the extent to which and ways in which these behaviours cluster using multiple regression, adjustment for missing data using multiple imputation techniques, and use of various latent variable techniques. The work is being undertaken as part of the DECIPHer programme of work on multiple risk behaviours in adolescence.

The work is directed by a multi disciplinary group of researchers, led by Prof Rona Campbell and Prof Matt Hickman, with involvement from Dr Ruth Kipping, Dr Jon Heron and Dr Kate Tilling. Dr Georgie MacArthur (Clinical Lecturer/public health trainee) will undertake the initial descriptive analysis and we are in the process of employing a Research Assistant to work full-time on this analysis. We would hope that both Georgie MacArthur and the RA would have direct access to the data and would be supported by Jon Heron and hence there would be no need to incur the time (and therefore costs) of a data buddy to facilitate the use of the data.

Following the initial analysis of data at ages 15-16, we will submit a separate application to the ALSPAC Executive for antecedent characteristics or exposures earlier in life; risk behaviours at other ages during adolescence; and outcomes such as education, morbidity and mortality.

Date proposal received: 
Thursday, 9 June, 2011
Date proposal approved: 
Thursday, 9 June, 2011
Keywords: 
Behavioural Problems, Physical Activity, Physical Fitness
Primary keyword: 

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