Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28122
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Using molecular classification to predict gains in maximal aerobic capacity following endurance exercise training in humans
Author(s): Timmons, James A
Knudsen, Steen
Rankinen, Tuomo
Koch, Lauren G
Sarzynski, Mark A
Jensen, Thomas
Keller, Pernille
Scheele, Camilla
Vollaard, Niels
Nielsen, Søren
Akerström, Thorbjörn
MacDougald, Ormond A
Jansson, Eva
Greenhaff, Paul L
Tarnopolsky, Mark A
Contact Email: n.vollaard@stir.ac.uk
Keywords: endurance training
genotype
personalized medicine
Issue Date: 30-Jun-2010
Citation: Timmons JA, Knudsen S, Rankinen T, Koch LG, Sarzynski MA, Jensen T, Keller P, Scheele C, Vollaard N, Nielsen S, Akerström T, MacDougald OA, Jansson E, Greenhaff PL & Tarnopolsky MA (2010) Using molecular classification to predict gains in maximal aerobic capacity following endurance exercise training in humans. Journal of Applied Physiology, 108 (6), pp. 1487-1496. https://doi.org/10.1152/japplphysiol.01295.2009.
Abstract: A low maximal oxygen consumption (Vo2max is a strong risk factor for premature mortality. Supervised endurance exercise training increases Vo2max with a very wide range of effectiveness in humans. Discovering the DNA variants that contribute to this heterogeneity typically requires substantial sample sizes. In the present study, we first use RNA expression, profiling to produce a molecular classifier that predicts Vo2max training response. We then, hypothesized that the classifier genes would harbor DNA variants that contributed to the heterogeneous Vo2max response. Two independent preintervention RNA expression data sets were generated (n = 41 gene chips) from subjects that underwent supervised endurance training: one identified and the second blindly validated an RNA. expression signature that predicted change in Vo2max ("predictor" genes). The HERITAGE Family Study (n = 473) was used for genotyping. We discovered a 29-RNA signature that predicted V̇o2max training response on a continuous scale; these genes contained ∼6 new single-nucleotide polymorphisms associated with gains in Vo2max in the HERITAGE Family Study. Three of four novel candidate genes from the HERITAGE Family Study were confirmed as RNA predictor genes (i.e., "reciprocal" RNA validation of a quantitative trait locus genotype), enhancing the performance of the 29-RNA-based predictor. Notably, RNA abundance for the predictor genes was unchanged by exercise training, supporting the idea that expression was preset by genetic variation. Regression analysis yielded a model where 11 single-nucleotide polymorphisms explained 23% of the variance in gains in Vo2max, corresponding to ∼50% of the estimated genetic variance for Vo2max. In conclusion, combining RNA profiling with single-gene DNA marker association analysis yields a strongly validated molecular predictor with meaningful explanatory power. Vo2max responses to endurance training can be predicted by measuring a ∼30-gene RNA expression signature in muscle prior to training. The general approach taken could accelerate the discovery of genetic biomarkers, sufficiently discrete for diagnostic purposes, for a range of physiological and pharmacological phenotypes in humans. 
DOI Link: 10.1152/japplphysiol.01295.2009
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Notes: Additional Co-Authors: Luc J C van Loon, Bente K Pedersen, Carl Johan Sundberg, Claes Wahlestedt, Steven L Britton, and Claude Bouchard

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