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The contribution of population studies in healthy elders: genomic database, understanding aging and brain laterality

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Author(s):
Michel Satya Naslavsky
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Biociências (IBIOC/SB)
Defense date:
Examining board members:
Mayana Zatz; Maria Rita dos Santos e Passos Bueno; José Marcelo Farfel; Maria Lucia Lebrao; Monize Lazar Magalhães
Advisor: Mayana Zatz
Abstract

Due to the progressive reduction of genome sequencing costs, population studies become feasible. Interpretation of subsequent data and integration with clinical information, however, impose a growing challenge. The knowledge about genetic variability and its interaction with complex phenotypes could be expanded with large scale admixed population studies, particularly in those samples that live in socially, culturally and historically heterogeneous communities, so far globally underrepresented in the genomics field. This thesis presents a collection of collaborative studies that were based on a population-representative sample of elderly from the city of São Paulo (SABE sample, approximately 1400 subjects) and a cognitively healthy octogenarians sample (80+ group, approximately 130 subjects). Comprehensive questionnaires and functional tests were obtained, along with DNA from all subjects and exome sequences from about 600 of them. This database allowed the assembly of control groups to several association studies with causal and susceptibility variants to rare disorders such as limb-girdle muscular dystrophy, endocrine system tumors and Noonan syndrome, among others, and, in addition, composed as a local population reference the analyses\' protocols in the molecular diagnosis service of the Human Genome and Stem-cell Research Center at the University of São Paulo. As this is an elderly sample, it was possible not only to build an efficient control group to compare with patients affected by rare or early onset disorders, but to promote projects on brain aging through recruitment of about 580 subjects to magnetic resonance imaging (MRI). Studies with markers of dementia, such as APOE gene polymorphisms (involved in Alzheimer\'s disease), suggested that the Brazilian population might present different risks compared to other countries, probably due to its unique population structure from the genetic ancestry standpoint and socioeconomic composition. As a final project, MRI and genomics studies were performed to investigate the phenotype of brain laterality, which comprises handedness and language dominance and it is variable among humans, with involvement with neuropsychiatric disorders such as dyslexia and schizophrenia. It was possible to detect an association between variants of FOXP2 gene, which is involved in neurodevelopmental processes of language, and asymmetry endophenotypes of white matter tracts that form the speech production circuitry. This effort opens several pathways to develop new projects due to the scale of sociodemographic, clinical, functional and genomic data (AU)

FAPESP's process: 11/17428-8 - Genetic components behind handedness and brain laterality in healthy elderly
Grantee:Michel Satya Naslavsky
Support Opportunities: Scholarships in Brazil - Doctorate (Direct)