A Polynesian-specific missense CETP variant alters the lipid profile

Identifying population-specific genetic variants associated with disease and disease-predisposing traits is important to provide insights into the genetic determinants of health and disease between populations, as well as furthering genomic justice. Various common pan-population polymorphisms at CETP associate with serum lipid profiles and cardiovascular disease. Here, sequencing of CETP identified a missense variant rs1597000001 (p.Pro177Leu) specific to Māori and Pacific people that associates with higher HDL-C and lower LDL-C levels. Each copy of the minor allele associated with higher HDL-C by 0.236 mmol/L and lower LDL-C by 0.133 mmol/L. The rs1597000001 effect on HDL-C is comparable with CETP Mendelian loss-of-function mutations that result in CETP deficiency, consistent with our data, which shows that rs1597000001 lowers CETP activity by 27.9%. This study highlights the potential of population-specific genetic analyses for improving equity in genomics and health outcomes for population groups underrepresented in genomic studies.

A stop-gain variant in BTNL9 is associated with atherogenic lipid profiles

Current understanding of lipid genetics has come mainly from studies in European-ancestry populations; limited effort has focused on Polynesian populations, whose unique population history and high prevalence of dyslipidemia may provide insight into the biological foundations of variation in lipid levels. Here, we performed an association study to fine map a suggestive association on 5q35 with high-density lipoprotein cholesterol (HDL-C) seen in Micronesian and Polynesian populations. Fine-mapping analyses in a cohort of 2,851 Samoan adults highlighted an association between a stop-gain variant (rs200884524; c.652C>T, p.R218∗; posterior probability = 0.9987) in BTNL9 and both lower HDL-C and greater triglycerides (TGs). Meta-analysis across this and several other cohorts of Polynesian ancestry from Samoa, American Samoa, and Aotearoa New Zealand confirmed the presence of this association (βHDL-C = -1.60 mg/dL, p HDL-C = 7.63 × 10-10; βTG = 12.00 mg/dL, p TG = 3.82 × 10-7). While this variant appears to be Polynesian specific, there is also evidence of association from other multiancestry analyses in this region. This work provides evidence of a previously unexplored contributor to the genetic architecture of lipid levels and underscores the importance of genetic analyses in understudied populations.

Detecting drug-induced prolongation of the QRS complex: new insights for cardiac safety assessment

BACKGROUND

Drugs slowing the conduction of the cardiac action potential and prolonging QRS complex duration by blocking the sodium current (I(Na)) may carry pro-arrhythmic risks. Due to the frequency-dependent block of I(Na), this study assesses whether activity-related spontaneous increases in heart rate (HR) occurring during standard dog telemetry studies can be used to optimise the detection of class I antiarrhythmic-induced QRS prolongation.

METHODS

Telemetered dogs were orally dosed with quinidine (class Ia), mexiletine (class Ib) or flecainide (class Ic). QRS duration was determined standardly (5 beats averaged at rest) but also prior to and at the plateau of each acute increase in HR (3 beats averaged at steady state), and averaged over 1h period from 1h pre-dose to 5h post-dose.

RESULTS

Compared to time-matched vehicle, at rest, only quinidine and flecainide induced increases in QRS duration (E(max) 13% and 20% respectively, P<0.01-0.001) whereas mexiletine had no effect. Importantly, the increase in QRS duration was enhanced at peak HR with an additional effect of +0.7 ± 0.5 ms (quinidine, NS), +1.8 ± 0.8 ms (mexiletine, P<0.05) and +2.8 ± 0.8 ms (flecainide, P<0.01) (calculated as QRS at basal HR-QRS at high HR).

CONCLUSION

Electrocardiogram recordings during elevated HR, not considered during routine analysis optimised for detecting QT prolongation, can be used to sensitise the detection of QRS prolongation. This could prove useful when borderline QRS effects are detected. Analysing during acute increases in HR could also be useful for detecting drug-induced effects on other aspects of cardiac function.

Orientation selectivity and the spatial distribution of enhancement and suppression in receptive fields of cat striate cortex cells

The relationship between orientation selectivity and spatial receptive field organization was analyzed. Receptive field maps were made with a dual stimulus technique where an optimally oriented activation slit was presented in the most responsive region to produce activity against which the effect of a test spot in various positions was determined. Both simple and complex cells had receptive fields which were subdivided into adjacent elongated and antagonistic subregions. When the two stimuli were presented in phase (both ON or OFF simultaneously) the fields had a central enhancement region with a strong suppression flank on one or both sides. Optimal slit orientation was related to the location of the suppression flank relative to the location of the central enhancement region, and the degree of orientation selectivity to the shape of the subregions and the distance between them. Estimated orientation tuning curves calculated from the receptive field maps gave satisfactory first approximations to experimental curves. The relative contribution of enhancement and suppression to orientation selectivity was studied by presenting a test slit in different orientations in phase with an optimally oriented activation slit. The orientation selectivity was produced almost exclusively by the flank suppression indicating that orientation selectivity is produced by inhibitory input. The flank suppression lacked any specific orientation selectivity, and it occurred only when both the central region and the flanks were activated in phase. Orientation selectivity in both simple and complex cells is explained by a receptive field organization where the cells have input from partially overlapping excitatory and inhibitory fields which have their centers slightly displaced from each other.

Responses of single units in the monkey superior colliculus to moving stimuli

1. Single unit responses of pan-directional cells to moving and stationary flashing stimuli were studied in the superficial layers of the superior colliculus in paralysed, anaesthetized rhesus monkeys. The aim of this study was to see how far cell responses to moving stimuli fit in with what would be expected from their responses to stationary flashing stimuli. 2. Both the leading and the trailing edge of a moving stimulus evoke a transient response. If the diameter of moving light spots is increased the strength of the leading edge response increases, reaches a maximum and decreases to a constant value which is similar to the behaviour of the on response when the diameter of flashing spots is increased. The strength of the trailing edge response increases and reaches the same strength as that of the leading edge response. If the width of a long moving slit is increased, the strength of the leading edge response is the same at all slit widths, while the strength of the trailing edge response shows a course similar to that of the trailing edge response if the spot diameter is increased. If the length of a wide moving slit is increased both the leading and the trailing edge responses decrease. These results indicate that the strength of both leading and trailing edge responses is dependent on the degree the inhibitory surround is activated. 3. The leading and the trailing edge of a stimulus evoke their responses at the same position in the receptive field independent of the direction of movement. 4. Increasing the velocity of a moving stimulus shows that in general the leading edge response is present up to higher velocities than the trailing edge response independent of the sign of contrast. The burst duration to moving stimuli decreases with increasing stimulus velocity and appears to be determined by the time a moving edge is present in the receptive field centre. When this time becomes shorter than 10--20 ms, the burst duration for moving stimuli is constant and about the same as for flashing stimuli. This indicates that, although spatial receptive field properties can vary considerably, temporal receptive field properties show a strong similarity among different units. 5. The response latencies to light and dark moving edges are the same, which in turn are about equal to the response latencies to stationary flashing stimuli. 6. Stimulation experiments show that the general response characteristics to moving stimuli can be predicted by using a set of receptive field parameters derived from responses to stationary flashing stimuli. The most important variable of moving stimuli appears to be the period of time a moving contour is present within the receptive field centre, besides the degree of activation of the inhibitory surround.

Responses of single units in the monkey superior colliculus to stationary flashing stimuli

1. Responses of pan-directional cells in the superficial layers of the superior colliculus in paralysed anaesthetized rhesus monkeys to stationary flashing stimuli have been studied. 2. The receptive field centre response is always of the transient excitatory on-off type, while the surround response is transient inhibitory both at light-on and at light-off. The receptive field centres are circular or slightly elliptical. The average size of the receptive field centres is much larger than that of retinal ganglion cells. All units except those in the far temporal periphery receive binocular input. In each unit the on and off responses have the same latency times. With increasing stimulus area, the latency time at light-on and at light-off first decreases and then remains constant. In most units the number of spikes in the burst at light-on and at light-off first increases, reaches a maximum and then decreases with increasing stimulus area. This decrease demonstrates the presence of an inhibitory surround. 3. A model of spatial and temporal properties of centre and surround mechanisms is tested. Addition of excitatory centre input and inhibitory surround input, which have different spatial and temporal properties, determines the output of the neurone. The centre mechanism gets excitatory input from retinal ganglion cells and shows saturation. The inhibitory surround mechanism is made by an inhibitory interneurone. It could not be decided whether the excitatory input for this interneurone comes from retinal axon collaterals (forward inhibition) or from axon collaterals of "principal" cells in the superior colliculus (backward inhibition).