Podcast
Questions and Answers
What is nutrigenomics primarily concerned with?
What is nutrigenomics primarily concerned with?
Which nutrient is NOT important for the methylation process?
Which nutrient is NOT important for the methylation process?
Which phase of liver detoxification primarily uses cytochrome P450 enzymes?
Which phase of liver detoxification primarily uses cytochrome P450 enzymes?
What is the main function of glutathione in detoxification?
What is the main function of glutathione in detoxification?
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What is the role of SNPs in genetics?
What is the role of SNPs in genetics?
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Which of the following is a strategy for effective detoxification in clinical practice?
Which of the following is a strategy for effective detoxification in clinical practice?
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How does sulfur-rich food support detoxification?
How does sulfur-rich food support detoxification?
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Which of the following disruptors is associated with methylation?
Which of the following disruptors is associated with methylation?
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What is the effect of the CBS C699T SNP on ammonia levels in the body?
What is the effect of the CBS C699T SNP on ammonia levels in the body?
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Which of the following is NOT a way to support detoxification in a clinical setting?
Which of the following is NOT a way to support detoxification in a clinical setting?
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Which enzyme is NOT involved in the detoxification process?
Which enzyme is NOT involved in the detoxification process?
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What is the primary function of the CYP1A1 gene?
What is the primary function of the CYP1A1 gene?
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Which of the following symptoms is commonly associated with sluggish liver detoxification?
Which of the following symptoms is commonly associated with sluggish liver detoxification?
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What is the primary function of the CYP1A1 gene?
What is the primary function of the CYP1A1 gene?
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Which SNP variant is associated with reduced CYP1A1 activity?
Which SNP variant is associated with reduced CYP1A1 activity?
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What is the effect of the rs762551 SNP in the CYP1A2 gene?
What is the effect of the rs762551 SNP in the CYP1A2 gene?
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Which Phase II reaction is primarily responsible for detoxifying estrogens?
Which Phase II reaction is primarily responsible for detoxifying estrogens?
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What is the main role of GST (Glutathione S-transferase)?
What is the main role of GST (Glutathione S-transferase)?
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What dietary recommendation is suggested for those with the GSTM1 null variant?
What dietary recommendation is suggested for those with the GSTM1 null variant?
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Which function does the SULT (Sulfotransferases) family serve?
Which function does the SULT (Sulfotransferases) family serve?
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Which of the following is a recommendation for those with UGT1A1 variants?
Which of the following is a recommendation for those with UGT1A1 variants?
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What is the consequence of increased CYP2E1 activity?
What is the consequence of increased CYP2E1 activity?
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Which type of foods is recommended to support SULT activity?
Which type of foods is recommended to support SULT activity?
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What is the primary function of Phase I detoxification?
What is the primary function of Phase I detoxification?
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Which enzyme is NOT involved in estrogen detoxification?
Which enzyme is NOT involved in estrogen detoxification?
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What role does calcium D-glucarate play in detoxification?
What role does calcium D-glucarate play in detoxification?
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SNPs in which gene can lead to estrogen dominance and increased cancer risk?
SNPs in which gene can lead to estrogen dominance and increased cancer risk?
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Which pathway is primarily responsible for detoxifying steroid hormones?
Which pathway is primarily responsible for detoxifying steroid hormones?
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What is the main outcome of Phase II detoxification?
What is the main outcome of Phase II detoxification?
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Which nutrient can enhance the detox capacity of GST enzymes?
Which nutrient can enhance the detox capacity of GST enzymes?
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Which of the following statements about Phase III detoxification is true?
Which of the following statements about Phase III detoxification is true?
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What does the GSTM1-null variant imply for detox capacity?
What does the GSTM1-null variant imply for detox capacity?
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Which enzyme is primarily associated with glucuronidation?
Which enzyme is primarily associated with glucuronidation?
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What is the primary function of the CYP450 enzymes in Phase I detoxification?
What is the primary function of the CYP450 enzymes in Phase I detoxification?
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Which support strategy is recommended to facilitate detoxification during Phase I?
Which support strategy is recommended to facilitate detoxification during Phase I?
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What does the CBS gene primarily regulate in the transsulfuration pathway?
What does the CBS gene primarily regulate in the transsulfuration pathway?
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How does the MTHFR C677T SNP affect methylation?
How does the MTHFR C677T SNP affect methylation?
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Which nutrient is essential for the function of cytochrome P450 in Phase I detoxification?
Which nutrient is essential for the function of cytochrome P450 in Phase I detoxification?
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What is the consequence of having a slow metabolizer (CC genotype) for CYP1A2?
What is the consequence of having a slow metabolizer (CC genotype) for CYP1A2?
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What is one of the primary roles of COMT in estrogen detoxification?
What is one of the primary roles of COMT in estrogen detoxification?
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Which strategy is recommended to support liver detoxification?
Which strategy is recommended to support liver detoxification?
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What happens if there is a poor transition from Phase I to Phase II detoxification?
What happens if there is a poor transition from Phase I to Phase II detoxification?
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What is the role of sulfur-rich foods in Phase II detoxification?
What is the role of sulfur-rich foods in Phase II detoxification?
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Study Notes
Nutrigenomics
- Studies how nutrition impacts gene function and disease prevention
- Genes are made of DNA, coding for proteins
- Phenotype is the observable characteristic from gene expression and environmental influences
- SNPs (Single Nucleotide Polymorphisms) are single nucleotide variations in DNA that affect gene function.
Methylation
- Process of adding a methyl group (CH₃) to molecules important for gene regulation, DNA synthesis, and immune function
- Important nutrients for methylation: Folate, B12, B6, choline, betaine, and zinc
- Disrupted by insufficient folate and B vitamins and toxin exposure
- Examples of disruptors: heavy metals and BPA
Liver Detoxification Phases
- Phase I involves cytochrome P450 enzymes converting fat-soluble toxins into water-soluble but often reactive intermediates
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Phase II involves detoxification pathways that add water-soluble groups to reactive intermediates:
- Glucuronidation detoxifies oestrogens and NSAIDs
- Sulphation detoxifies steroid hormones and food additives
- Glutathione Conjugation removes heavy metals like mercury
- Phase III involves excreting the detoxified products via bile and kidneys
SNPs (Single Nucleotide Polymorphisms)
- Variations in DNA that can affect enzyme activity and protein function
- MTHFR C677T SNP impacts folate metabolism and can lead to higher homocysteine levels
- CYP1A1 SNP affects oestrogen metabolism and detoxification of harmful chemicals
Detoxification in Clinical Practice
- Minimize toxin load by reducing exposure to toxins
- Support liver and elimination pathways with fibre, hydration, and antioxidant-rich foods
- Use herbs like milk thistle to protect the liver
- Common toxins: BPA, pesticides, heavy metals (mercury, lead), and phthalates.
Nutrients for Detoxification
- Crucial nutrients:
- Glutathione: Master antioxidant needed for Phase II detoxification
- Cysteine: Rate-limiting amino acid for glutathione production, found in legumes, seeds, and eggs.
- Sulphur-rich Foods: Cruciferous vegetables like broccoli support sulphation
- B Vitamins: Essential for supporting both Phase I and II detoxification
Phase I Detoxification (CYP450)
- Transforms fat-soluble toxins into more reactive, water-soluble intermediates
- Key Genes and SNPs:
- CYP1A1 (rs1799814) Detoxifies estrogens and PAHs, reduced activity increases estrogen dominance and cancer risk
- CYP1A2 (rs762551) Detoxifies caffeine and estrogens, CC genotype results in slow caffeine metabolism, increasing caffeine sensitivity and liver stress
- CYP2E1 Detoxifies alcohol and small molecules, increased activity leads to higher production of harmful intermediates from alcohol, which can damage the liver
Phase II Detoxification (Conjugation)
- Adds water-soluble groups to reactive toxins from Phase I
- Key Pathways:
- Glucuronidation Uses UGT enzymes to detoxify estrogen and NSAIDs
- Sulphation Uses SULT enzymes to detoxify steroid hormones and neurotransmitters
- Glutathione Conjugation Uses GST enzymes to detoxify heavy metals and carcinogens
Phase II Detoxification - Key Genes & SNPs
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GST (Glutathione S-transferase):
- Catalyzes the conjugation of glutathione to toxins, especially heavy metals
- GSTM1 'null' variant results in the absence of GSTM1 leading to reduced ability to detoxify carcinogens and oxidative stress
- Support with cruciferous vegetables, milk thistle, and selenium:
-
SULT (Sulfotransferases)
- Adds sulfate to toxins like estrogen and neurotransmitters
- Variants can affect estrogen detoxification, increasing the risk of hormone-related cancers
- Increase sulfur-containing foods like garlic, onions, and cruciferous vegetables:
-
UGT (UDP-glucuronosyltransferases)
- Catalyzes glucuronidation, a major pathway for detoxifying estrogens, NSAIDs, and bilirubin
- Variants in UGT1A1 can reduce glucuronidation, leading to poor clearance of toxins
- Increase citrus, apples, and turmeric
- Use calcium D-glucarate to inhibit beta-glucuronidase (produced by dysbiotic gut bacteria) which can deconjugate estrogens and cause reabsorption
Summary: Liver Detoxification
- Phase I (CYP450 enzymes) transforms fat-soluble toxins into more reactive intermediates
- Phase II (conjugation) neutralizes and detoxifies these intermediates using pathways like glucuronidation, sulfation, and glutathione conjugation.
- Phase III ensures the elimination of these detoxified substances via bile or urine
Estrogen Detoxification
- CYP1A1, CYP1B1, COMT, UGT, and SULT enzymes play crucial roles in processing and safely eliminating estrogens from the body
- SNPs in these genes can impact hormone balance and detox efficiency
Detoxification Overview
-
Phases:
- Phase I: transformation via CYP450 enzymes
- Phase II: conjugation neutralizing toxins
- Phase III: excretion removing toxins via bile/kidneys
- Main function is to convert fat-soluble toxins into water-soluble forms for excretion
Methylation Continued
- Addition of a methyl group (CH₃) to a molecule is critical for gene regulation, detoxification, and energy production
- Key co-factors: Folate, B12, B6, choline, betaine, and zinc
- Common SNP: MTHFR gene (C677T) Reduces conversion of folate to its active form, affecting methylation
Transsulphuration
- Conerts homocysteine into cysteine, therefore supporting glutathione production
- Key Gene: CBS gene (Cystathionine β-synthase) regulates this process
- SNP: CBS C699T: Increases conversion to cysteine, leading to potential ammonia buildup
- Support: Increase zinc, choline, and activated charcoal
Detoxification - Phase I Continued
- Transforms fat-soluble toxins into reactive intermediates using CYP450 enzymes
- Key Genes:
- CYP1A1 Detoxifies estrogens and PAHs, SNPs can increase estrogen dominance and cancer risk
- CYP1A2 Detoxifies caffeine, slow metabolizers (CC genotype) should avoid caffeine
- Support: Avoid smoking, reduce alcohol, and increase B vitamins
Detoxification - Phase II Continued
- Conjugates reactive intermediates with water-soluble groups for excretion
- Pathways:
- Glucuronidation: Detoxifies estrogens, requires glucuronic acid
- Sulphation: Detoxifies hormones and toxins, needs sulphur-rich foods like garlic and onions
- Glutathione Conjugation: Requires glutathione to neutralize heavy metals and oxidative stress
Estrogen Detoxification Continued
- Key Genes:
- CYP1A1: Converts estrogens to less harmful forms (2-OH)
- CYP1B1: Converts estrogens to more harmful forms (4-OH), increasing cancer risk
- COMT: Methylates estrogens, deactivating them for excretion
- Support: Increase cruciferous vegetables, fiber, and avoid BPA, caffeine, and alcohol
Liver Detoxification Support Continued
-
Phase I to Phase II Transition:
- Ensure progression from Phase I to II is smooth to prevent accumulation of reactive intermediates
- B Vitamins: Essential for cytochrome P450 function in Phase I
- Antioxidants: Protect against free radicals generated in Phase I
Testing and Recommendations
- Genetic Testing: Useful for identifying SNPs affecting detoxification pathways.
-
Tests for Poor Methylation:
- Homocysteine levels:
CBS Gene and Transsulphuration
- The CBS gene encodes for an enzyme that converts homocysteine into cystathionine in the transsulphuration pathway
- The CBS C699T SNP increases activity, leading to a buildup of ammonia
Detoxification
- The process by which the body transforms and eliminates toxins, converting fat-soluble toxins into water-soluble compounds for excretion
Supporting Detoxification
- Minimize toxin exposure (e.g., reduce environmental pollutants)
- Support liver detox pathways (with foods like cruciferous vegetables)
- Optimize elimination (e.g., through proper hydration and fiber intake)
BPA Toxicity
- Sources: Plastic packaging, canned foods
- Conditions: Type 2 diabetes, hormone disruption
Symptoms of Sluggish Liver
- Fatigue
- Poor appetite
- Intolerance to fatty foods
- Yellowing of eyes
- Dark circles under eyes
- Waking between 1–3 am
Antioxidant Enzymes
- Superoxide dismutase (SOD)
- Catalase
- Glutathione peroxidase
- Glutathione reductase
Phase I Detoxification Continued
- Involves cytochrome P450 enzymes (CYP450) transforming fat-soluble toxins into reactive intermediates, preparing them for further detoxification in Phase II
CYP1A1 Gene
- The CYP1A1 gene detoxifies estrogens and harmful environmental toxins like PAHs
- The SNP reduces its activity, increasing cancer risk
Phase II Detoxification Continued
- Glucuronidation
- Sulphation
- Glutathione conjugation
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Description
This quiz explores the concepts of nutrigenomics and the role of methylation in gene regulation and detoxification processes. It covers how nutrition influences gene function, the impact of SNPs, and the liver detoxification phases. Test your understanding of these critical interactions between genes and nutrition.