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                                              A Quick Genetics Tutorial

                              Within every human cell is an individual’s blueprint for life —
                             their DNA. DNA contains the master information that is needed
                                           to construct and maintain the human body.

   DNA is long. About six feet long, to be exact, if you took the DNA contained within one cell and stretched it end to end.
   There are several different ways that these long strands of DNA can be divided into smaller pieces.


                                         1. Chromosomes
                                              The largest unit of DNA is a chromosome. There are 23 pairs of chromosomes
                                              inside of our cells: one set from each parent. These 23 pairs contain all of our
                                              genetic information.


                                         2. Genes
                                              The next unit down is a gene, which is simply a sequence of DNA that
                                              corresponds to a particular inheritable trait. There is a gene for hair color, for
                                              example, and a gene for height. We get one gene from each parent for each
                                              inheritable trait. These are called alleles.


                                              The main job of each gene is to encode — or tell the body how to build —
                                              different proteins. While that may seem like a small job, proteins serve many
                                              critical functions in the body. Enzymes, for example, are proteins.


                                         3. Nucleotides
                                              The smallest unit is a nucleotide, which is the “building block” of DNA.
                                              Nucleotides are tiny: less than one millionth of a millimeter!



   Small Changes in DNA that Impact Our Physiology


                                         On a strictly DNA basis, humans are surprisingly alike. Despite our apparent differences,
                                         the DNA between any two people is 99.1% identical. That 0.9% variation in DNA,
                                         however, is hugely important, accounting for all of our genetic differences.


                                         Small variations in DNA are called polymorphisms. Blood type is a common human
                                         polymorphism. Depending on the order in which the nucleotides in your DNA line up,
                                         you could have blood type A, B, A/B, or O. Some polymorphisms are so small, they
                                         affect the order of just one pair of nucleotides. These are called single nucleotide
                                         polymorphisms or SNPs (pronounced “snips”).




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                                      A Quick Genetics Tutorial

                                                                There are about 10 million SNPs in the human genome.
                                                                Most of these SNPs occur in the DNA between genes and
                                                                account for non-consequential differences.
                                                                However, some SNPs occur in the DNA within genes.
                                                                These SNPs can have a dramatic impact on human health.
                                                                They can predict how you will react to certain drugs. They
                                                                can determine how susceptible you will
                                                                be to environmental toxins. And they can cause you
                                                                to produce faulty proteins that have a negative impact
                                                                on the functioning of the body, and may lead to
                                                                diminished health and wellness.



Our Genes are not Our Destiny

Without a doubt, SNPs can have a strong influence on our health and well-being.
However, our genes are not our destiny.


With the mapping of the human genome completed in 2003, scientists now have the ability
to identify small variations in the genetic code that can lead to diminished health and wellness.


By identifying which of these variations (vulnerabilities) you have, it is possible for the first time
to customize a targeted nutritional supplement regimen for your specific genotype.




“Each of us has a unique chemical
makeup that induces various responses
to foods, drugs and the environment.                                               SNP
The reason we are different is that                                             VArIATIONS
our genes are different.”

“For optimal function we each have
unique nutritional needs and specific
environmental requirements.”

Biochemical Individuality: Roger J. Williams, Ph.D.




                                                                             HEALTH & WEALTH MANUAL “Nourishing Human Potential”   13
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                              Why Testing Our Genes Is So Important

                        “Science is organized knowledge. Wisdom is organized life.”
                                     Immanuel Kant, German philosopher (1724 - 1804)

   Aging is the Challenge – Nourishing Your Cells is the Solution

   Before we tell you more about the genetic test we need to give you some information as to why it is so important to
   know what’s going on inside our bodies.


                                   The moment we are born we begin the aging process. We have the weapon to fight
                                   disease and aging with something called superoxide dismutase. We get half of it from our
                                   mother and half from our father. It’s our natural antioxidant that fights and
                                   neutralizes free-radicals.


                                   In our population, 60% of us have only one functional superoxided dismutase gene and
                                   20% have no functional gene. That is why introducing antioxidant formulas into our daily
                                   regimens are vitally important.


                                   Antioxidants could be considered a sort of life insurance policy against aging and
                                   its visible effects. It’s a weapon in our arsenal to fight those pesky free radicals that
                                   rob us of a longer life expectancy. Antioxidants are our protectors and lower our risk of
                                   developing many diseases and illnesses.


                                   Again, free radicals are basically little marauders bouncing through our cells causing
                                   damage everywhere they go. You might wonder why and how they are formed in the first
                                   place. In our bodies we have a process called oxidation. It creates free radicals and it goes
                                   on every day through our normal metabolic processes and through exposure to
                                   our environment and the damage it can cause.


                                   This may sound very scary and perhaps that’s a good thing. It’s time to arm yourself with
                                   the information you’ll need to improve the health and wellness of yourself and your family.


                                   Everything we do, from each breath we take, the food we eat and even the sun causes
                                   oxidation within our bodies and with it free radical formation.


   Let’s compare our bodies to an automobile. Say you buy a beautiful, brand new car and with no thought to the
   consequences you leave it outside with the hood, trunk and doors open. Imagine you allow it to sit outside like that
   through every kind of weather imaginable. Eventually the car would begin to rust and one day it would be too late to
   repair. You’d be looking at a rusted heap of metal.


   Our bodies are like that that car in many ways. We too are a machine that needs to be well-cared for. If we allow free
   radicals to run rampant through our bodies and do nothing about it we will have deterioration of our bones, joints and
   connective tissue; our organs will wear out and our immune system will break down and become unable to fight off
   disease and all the visible effects of the aging process. You could say we can “rust” just like an automobile.

   14   HEALTH & WEALTH MANUAL “Nourishing Human Potential”
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                        Why Testing Our Genes Is So Important
Every day two processes are going on in our bodies. On one hand our cells are being
damaged. On the other hand we’re repairing our cells. If there is no balance
between the two processes going on we’re in trouble. Unfortunately in most cases
we have more damage than we can repair.


The more the cumulative damage piles up we get to the point of critical mass and
cell damage occurs. This can cause the cells to spin out of control and we get a
disease like cancer.


Every day we lose more and more cells. As we lose those cells that produce
collagen, elastin and more skin we then begin to see our skin wrinkle, sag and
become thin. Now we have a much harder task to bring our bodies back from the
ravages of time and the damage we’ve allowed to happen.


                                  In a perfect world our repair system would remain healthy or could increase its ability
                                  to repair our cells on its own. Unfortunately that isn’t the case.


                                  Human beings have a love/hate relationship with oxygen. As we evolved we needed
                                  oxygen to increase our energy supply. As our cells became more complex through our
                                  movement and intelligence, our body required more energy. Through the Krebs cycle,
                                  oxygen became a way of producing this much-needed energy.


                                  As we breathe in oxygen it combines with the sugar in our cells and tiny energy
                                  pellets are produced in the cell’s mitochondria. (Mitochondria are the cells’ power
                                  sources) The more energy pellets we have (They are called ATP molecules) the
                                  younger, healthier and longer we live. Producing lots of ATP is wonderful. It let’s us live
                                  energetic lives. The downside is that every action has a reaction.


We can now give you nourishing solutions. By using the right nutritional building blocks in their proper amounts to
neutralize free radicals we can minimize daily damage to our cells.


Our repair system is now better able to prepare for the days when we are flooded with free radical damage. By boosting
and enhancing our repair system, more damage can be fixed. Now we can keep up and have a reserve for those
unforeseen ‘free radical bursts,’ like viral and bacterial infections.


You may not like to hear this, but inside you right now are cancer cells, virus, bacteria and other nasty invaders just
waiting to attack. When our blood cells detect a threat by these hostile little devils they release free radicals. It makes
sense because we want to destroy these bad cells and demolish their DNA. So not all free radicals are bad.



Life as we know it really is a balancing act.




                                                                             HEALTH & WEALTH MANUAL “Nourishing Human Potential”   15
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                                       Understanding Your LifeMap™
                                       Healthy Aging DNA Assessment
   Genes serve as the building block in our bodies and every gene is present in the body in two copies:
   one from Mom and one from Dad.


   Genewize Life Science utilizes a simple color-coded system on your Healthy Aging DNA Assessment that is easy to
   follow. GrEEN simply means you have no disadvantaged Gene-SNPs in this nutritional health area. (Geneticists call
   this homozygous negative). YELLOW means you have one disadvantaged Gene-SNP from one of your parents, in this
   nutritional health area (Geneticists call this heterozygous negative). rED simply means you have two disadvantaged
   SNPs in this nutritional health area. (Geneticists call this homozygous positive).


   Most important! No matter what mix of colors you have on your assessment, it simply means you now have the
   information you need to have a nutritional supplement regimen customized to your personal needs. For the RED
   and YELLOW coded areas, GeneWize will add specific SNPboost™ nutrients to your formula to help keep your
   body functioning optimally.


   GrEEN = Only Basic support nutrients added to your formula for this specific healthy aging area

   YELLOW = Additional support nutrients added to your formula for this specific healthy aging area

   rED = Maximum support nutrients added to your formula for this specific healthy aging area




                                              Sample assessment for illustration purposes.

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Understanding Your                                             Healthy Aging DNA Assessment


The LifeMap Healthy Aging Assessment measures SNPs. What are SNPs and why are they important?
SNPs are small variations in DNA, called single nucleotide polymorphisms (pronounced “snips”), that account for
all human genetic differences, including how efficient the body performs key biological processes. There are about
10 million SNPs in the human genome. Some of these SNPs account for nonconsequential differences. But, some
SNPs result in the production of faulty proteins that have a negative impact on the functioning of the body.

The GeneLink Scientific and Medical Advisory Board has developed the GeneWize LifeMap™ Healthy Aging DNA
Assessment which specifically evaluates a total of 12 key SNPs that regulate critical functions an measure risks for
diminished health and wellness. These include:

SNP 1: VDr (Vitamin D receptor)
The strength of our bones is influenced by the VDR gene. In fact, among healthy people, this one gene accounts for
75% of the entire genetic influence on bone density.1 People with SNPs in the VDR gene tend to have lower bone min-
eral density than those without these variations. 2,3,4 SNPs in this gene may also influence young adult growth5,
parathyroid hormone production6, normal cell division6, and blood sugar regulation.7

SNP 2: EPHX (Microsomal Epoxide Hydrolase)
Epoxides are toxic, highly reactive foreign chemicals present in cigarette smoke, car exhaust, charcoal-grilled meat,
smoke from burning wood, pesticides, and alcohol. The body’s way of dealing with epoxides is through the enzyme
microsomal EPHX, which detoxifies these foreign compounds. Due to a SNP in the EPHX gene, people with lowered
EPHX activity will have difficulty detoxifying harmful substances and thus be particularly vulnerable to their effects.8

SNP 3: NQO1 (Coenzyme Q10 reductase)
Free radicals are considered by many scientists to be the primary cause of aging. The coenzyme Q10 reductase (NQO1)
enzyme converts coenzyme Q10 (ubiquinone) to its reduced form, ubiquinol, which scavenges free radicals in the
mitochondria and lipid membranes.9 Some individuals have a SNP in the NQO1 gene that slows the reduction of
ubiquinone to ubiquinol, resulting in very low blood levels of this key antioxidant. Consequently, people with this
SNP are at high risk of free radical attack.10 Because NQO1 is also involved in the detoxification of compounds foreign
to the body, a SNP in the NQO1 gene may cause aberrant cellular changes.

SNP 4: SOD2 (Manganese Superoxide Dismutase)
The SOD2 enzyme is also involved in scavenging free radicals. However, SOD2 is focused on one particularly toxic type
of free radical: superoxide. 11 Since the superoxide radical is produced in abundance in all cells, it is the starting point
for the free radical chain of production. SOD2 has the distinction of being the only enzyme in the mitochondria that
can neutralize superoxide. 12 Individuals with a SNP in this gene therefore have a weak first line of defense against free
radicals.

SNP 5: GPX1 (Glutathione Peroxidase 1)
The GPX1 antioxidant enzyme specifically scavenges hydrogen peroxide, a reactive oxygen species. GPX1 is a
selenoprotein, meaning it incorporates selenium into its protein structure. 13 Therefore, how much GPX1 a person
produces is dependent on their selenium level.13 A SNP in the GPX1 gene can reduce a person’s ability to utilize
selenium. 14. 15 That means higher-than-normal selenium intake is needed to afford protection to hydrogen
peroxide-sensitive tissues, particularly lung and breast tissues.14, 16, 17




                                                                            HEALTH & WEALTH MANUAL “Nourishing Human Potential”   17
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   Understanding Your                                             Healthy Aging DNA Assessment


   SNP 6: MMP1 (Matrix Metalloproteinase)
   Collagen is the main component of cartilage, ligaments, tendons, and bone. It is constantly synthesized and broken
   down in an on-going cycle. MMP1, also known as collagenase, is an enzyme that degrades collagen. People with a SNP
   in the MMP1 gene produce collagenase at an increased rate, which means their bodies may break down collagen faster
   than they can rebuild it.18, 19 These individuals will likely benefit from added support for collagen-rich structures such
   as the bones and joints.


   SNP 7: MTrr (Methionine Synthase reductase)
   Homocysteine is a metabolite of the amino acid methionine. Research has shown it is important to control
   homocysteine levels in order to preserve cardiovascular health.20, 21, 22 One of the body’s methods for keeping
   homocysteine levels in check is the MTRR enzyme, which transforms homocysteine back to either methionine or
   cysteine. When an individual has a SNP in the MTRR gene, their ability to clear homocysteine from the blood may
   be hindered. However, only certain population groups appear to be negatively affected by this SNP.23, 24, 25


   SNP 8: TNF (Tumor Necrosis Factor)
   Inflammation is a response of the immune system to a perceived attack. While it is a helpful response in the short-
   term, if inflammation continues on-going, it can negatively affect the cells, tissues, and ultimately, the organs. TNF- is
   a cytokine (a chemical messenger of the immune system) that plays a role in inflammatory processes. Individuals with
   a SNP on the TNF-_ gene may have an over-reactive inflammation mechanism, which can negatively affect the joints,26
   brain,27 lungs,28 and heart. 29


   SNP 9: MTHFr (Methylene Tetrahydrofolate reductase)
   Like the MTRR enzyme, the MTHFR enzyme is responsible for reducing blood levels of homocysteine. People with
   a SNP in the MTHFR gene manufacture defective enzymes that can’t clear homocysteine from the blood efficiently.
   Research has shown there is a direct association between a SNP in the MRHFR gene and elevated levels of
   homocysteine,30 particularly in those with low levels of folate.31

   SNP 10: PON1 (Paraxonase 1)
   While it used to be thought that high cholesterol posed a health issue in and of itself, it is now believed that cholesterol
   only becomes a problem once the cholesterol carrier, low-density lipoprotein (LDL), becomes oxidized (attacked by free
   radicals). The PON1 enzyme attaches itself to high-density lipoprotein (HDL), which protects both HDL and LDL from
   oxidation. 32 Due to common SNPs in the PON1 gene, blood levels of PON1 can vary by a factor of 10 to 40-fold among
   different individuals. 33, 34 Those with low levels of PON1 have higher levels of oxidized LDL, which can lead to
   diminished cardiovascular health. 35, 36

   SNP 11: CYP11B2 (Aldosterone Synthase)
   Maintaining blood pressure within the normal range is essential to a healthy heart. The CYP11B2 gene encodes
   an enzyme called aldosterone synthase, which plays a role in regulating blood pressure. A SNP in the CYP11B2
   gene can decrease the ability of blood vessels to relax and constrict in response to changing demands for blood
   flow. (For example, extra blood flow is needed during exercise.) That inability of the vessels to respond properly
   can set the stage for cardiovascular issues down the road.38




   18   HEALTH & WEALTH MANUAL “Nourishing Human Potential”
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    Understanding Your                                              Healthy Aging DNA Assessment


SNP 12: APOB (Apolipoprotein B)
Cholesterol is carried through the bloodstream on various lipoproteins: low-density lipoprotein (LDL), high-density
lipoprotein (HDL), and very low-density lipoprotein (VLDL). Apolipoproteins make up the protein part of lipoproteins.
One of the more researched apolipoproteins is apolipoprotein B (ApoB); it constitutes the protein component of LDL,
the “bad” kind of cholesterol carrier. In fact, without ApoB, LDL cannot form. Because people with SNPs on the ApoB
gene have higher ApoB levels, they experience moderate increases in total cholesterol, LDL cholesterol, and triglycer-
ides,39, 40, 41, 42 as well as impaired glucose tolerance43 and increased blood lipid response after meals.44




references
1
 Morrison NA et al. Prediction of bone density from vitamin D receptor alleles. Nature. 1994;367(6460):284-7.
2
 Thakkinstan A et al. Haplotype analysis of VDR gene polymorphisms: a meta-analysis. Osteoporos Int. 2004;15(9):729-34.
3
 Thakkinstan A et al. Meta-analysis of molecular association studies: vitamin D receptor gene polymorphisms and BMD as a case
study. J Bone Miner Res. 2004;19(3):419-28.
4
 Valdivielso JM, Fernandez E. Vitamin D receptor polymorphisms and diseases. Clin Chim Acta. 2006 Sep;371(1-2):1-12.
5
 D’Alesio A et al. Two single-nucleotide polymorphisms in the human vitamin D receptor promoter change protein-DNA complex
formation and are associated with height and vitamin D status in adolescent girls. Hum Mol Genet. 2005;14(22):3539-48.
6
 Marco MP et al. Influence of vitamin D receptor gene polymorphisms on mortality risk in hemodialysis patients. Am J Kidney Dis.
2001;38(5):965-74.
7
 Dawson-Hughes B et al. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or
older. N Engl J Med. 1997;337(10):670-6.
8
 Morisseau C and BD Hammock. Epoxide hydrolases: mechanisms, inhibitor designs, and biological roles. Annu Rev Pharmacol
Toxicol. 2005;45:311-33
9
 Hosoe K et al. Study on safety and bioavailability of ubiquinol (Kaneka QH) after single and 4-week multiple oral administration to
healthy volunteers. Regul Toxicol Pharmacol. 2007;47(1):19-28.
10
  Ross D et al. NAD(P)H:quinone oxidoreductase 1 (NQO1): chemoprotection, bioactivation, gene regulation and genetic polymor-
phisms. Chem Biol Interact. 2000 Dec 1;129(1-2):77-97.
11
  Robinson BH. The role of manganese superoxide dismutase in health and disease. J Inherit Metab Dis 1998;21:598–603.
12
  Bandy B and AJ Davison. Mitochondrial mutations may increase oxidative stress: implications for carcinogenesis and aging? Free
Radic Biol Med 1990;8:523–39.
13
  Rayman MP. Selenium in cancer prevention: a review of the evidence and mechanism of action. Proc Nutr Soc 2005
Nov;64(4):527-42.
14
  Hu YJ and AM Diamond. Role of glutathione peroxidase 1 in breast cancer: loss of heterozygosity and allelic differences in the re-
sponse to selenium. Cancer Res 2003;63(12):3347-51.
15
  Hu Y et al. Allelic loss of the gene for the GPX1 selenium-containing protein is a common event in cancer. J Nutr 2005;135(12
Suppl):3021S-3024S.
16
  Ratnasinghe D et al. Glutathione peroxidase codon 198 polymorphism variant increases lung cancer risk. Cancer Res 2000 Nov
15;60(22):6381-3.
17
  Moscow J. A., Schmidt L., Ingram D. T., Gnarra J., Johnson B., Cowan K. H. Loss of heterozygosity of the human cytosolic glutathione
peroxidase I gene in lung cancer. Carcinogenesis (Lond.), 15: 2769-2773, 1994.
18
  Cunnane G et al. Early joint erosions and serum levels of matrix metalloproteinase 1, matrix metalloproteinase 3, and tissue inhibi-
tor of metalloproteinases 1 in rheumatoid arthritis. Arthritis Rheum 2001;44:2263–2274.
19
  Dörr S et al. Association of a specific haplotype across the genes MMP1 and MMP3 with radiographic joint destruction in rheuma-
toid arthritis. Arthritis Res Ther 2004;6(3):R199-207.
20
  Refsum H et al. Homocysteine and Cardiovascular Disease. Ann Rev Med 1998;49:31-62.




                                                                                 HEALTH & WEALTH MANUAL “Nourishing Human Potential”   19
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    Understanding Your                                                 Healthy Aging DNA Assessment


   references (continued)

   21
     Eikelboom J et al. Homocyst(e)ine and Cardiovascular Disease: A Critical Review of the Epidemiological Evidence. Ann Intern Med
   1999;131:363-375.
   22
     Hankey G et al. Homocysteine and Vascular Disease. Lancet 1999;354 (9176): 407-413.
   23
     Gaughan DJ et al. The methionine synthase reductase (MTRR) A66G polymorphism is a novel genetic determinant of plasma ho-
   mocysteine concentrations. Atherosclerosis. 2001;157(2):451-6.
   24
     Guéant-Rodriguez RM et al. Association of MTRRA66G polymorphism (but not of MTHFR C677T and A1298C, MTRA2756G, TCN
   C776G) with homocysteine and coronary artery disease in the French population. Thromb Haemost. 2005;94(3):510-5.
   25
     Barbosa PR et al. Association between decreased vitamin levels and MTHFR, MTR and MTRR gene polymorphisms as determinants
   for elevated total homocysteine concentrations in pregnant women. Eur J Clin Nutr. 2007, in press.
   26
     Lee et al. Tumor necrosis factor-alpha promoter -308 A/G polymorphism and rheumatoid arthritis susceptibility: a metaanalysis.
   J Rheumatol. 2007;34(1):43-9.
   27
     Alvarez V et al. Association between the TNFalpha-308 A/G polymorphism and the onset-age of Alzheimer disease. Am J Med
   Genet. 2002;114(5):574-7.
   28
     Witte JS et al. Relation between tumour necrosis factor polymorphism TNFalpha-308 and risk of asthma. Eur J Hum Genet.
   2002;10(1):82-5.
   29
     Elahi MM et al. A variant of position -308 of the Tumour necrosis factor alpha gene promoter and the risk of coronary heart disease.
   Heart Lung Circ. 2007 Jun 18; [Epub ahead of print]
   30
     Frosst P et al. A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase.
   Nat Genet 1995; 10:111–113.
   31
     Jacques PF et al. Relation between folate status, a common mutation in methylenetetrahydrofolate reductase, and plasma homo-
   cysteine concentrations. Circulation 1996;93: 7–9.
   32
     Aviram M et al. Paraoxonase inhibits high-density lipoprotein oxidation and preserves its functions: a possible peroxidative role for
   paraoxonase. J Clin Invest. 1998;101:1581-1590.
   33
     Garin et al. Paraoxonase polymorphism Met-Leu54 is associated with modified serum concentrations of the enzyme. A possible
   link between the paraoxonase gene and increased risk of cardiovascular disease in diabetes. J Clin Invest. 1997;99(1):62-6.
   34
     Humbert R et al. The molecular basis of the human serum paraoxonase activity polymorphism. Nat Genet. 1993;3:73-76.
   35
     Robertson KS et al. Human paraoxonase gene cluster polymorphisms as predictors of coronary heart disease risk in the prospective
   Northwick Park Heart Study II. Biochim Biophys Acta 2003;1639(3):203-12.
   36
     Voetsch B et al. The Combined Effect of Paraoxonase Promoter and Coding Region Polymorphisms on the Risk of Arterial Ischemic
   Stroke Among Young Adults. Arch Neurol. 2004;61(3):351-356.
   37
     Ylitalo et al. Baroreflex sensitivity and variants of the renin-angiotensin system genes. J Am Coll Cardiol. 2000;35(1):194-200.
   38
     Hautanen A et al. Joint Effects of an Aldosterone Synthase (CYP11B2) Gene Polymorphism and Classic Risk Factors on Risk of Myo-
   cardial Infarction. Circulation 1999;100:2213.
   39
     Benn M et al. Polymorphism in APOB Associated with Increased Low-Density Lipoprotein Levels in Both Genders in the General
   Population. J Clin Endocrinol Met 2005;90(10):5797-5803.
   40
     Talmud PJ et al. Apolipoprotein B gene variants are involved in the determination of serum cholesterol levels: a study in normo-
   and hyperlipidaemic individuals. Atherosclerosis 1987;67:81–89.
   41
     Law A et al. Common DNA polymorphism within coding sequence of apolipoprotein B gene associated with altered lipid levels.
   Lancet 1986;1:1301–1303.
   42
     Hegele RA et al. Apolipoprotein B-gene DNA polymorphisms associated with myocardial infarction. N Engl J Med
   1986;315:1509–1515.
   43
     Bentzen J et al. Further studies of the influence of apolipoprotein B alleles on glucose and lipid metabolism. Hum Biol
   2003;75(5):687-703.
   44
     Moreno-Luna R et al. Two independent apolipoprotein A5 haplotypes modulate postprandial lipoprotein metabolism in a healthy
   Caucasian population. J Clin Endocrinol Metab 2007;92(6):2280-5.




   20   HEALTH & WEALTH MANUAL “Nourishing Human Potential”

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The Science & The Product

  • 1. COMPANY SCieNCe ANd BUSiNeSS ANd PeOPle PROdUCT BUildiNg A Quick Genetics Tutorial Within every human cell is an individual’s blueprint for life — their DNA. DNA contains the master information that is needed to construct and maintain the human body. DNA is long. About six feet long, to be exact, if you took the DNA contained within one cell and stretched it end to end. There are several different ways that these long strands of DNA can be divided into smaller pieces. 1. Chromosomes The largest unit of DNA is a chromosome. There are 23 pairs of chromosomes inside of our cells: one set from each parent. These 23 pairs contain all of our genetic information. 2. Genes The next unit down is a gene, which is simply a sequence of DNA that corresponds to a particular inheritable trait. There is a gene for hair color, for example, and a gene for height. We get one gene from each parent for each inheritable trait. These are called alleles. The main job of each gene is to encode — or tell the body how to build — different proteins. While that may seem like a small job, proteins serve many critical functions in the body. Enzymes, for example, are proteins. 3. Nucleotides The smallest unit is a nucleotide, which is the “building block” of DNA. Nucleotides are tiny: less than one millionth of a millimeter! Small Changes in DNA that Impact Our Physiology On a strictly DNA basis, humans are surprisingly alike. Despite our apparent differences, the DNA between any two people is 99.1% identical. That 0.9% variation in DNA, however, is hugely important, accounting for all of our genetic differences. Small variations in DNA are called polymorphisms. Blood type is a common human polymorphism. Depending on the order in which the nucleotides in your DNA line up, you could have blood type A, B, A/B, or O. Some polymorphisms are so small, they affect the order of just one pair of nucleotides. These are called single nucleotide polymorphisms or SNPs (pronounced “snips”). 12 HEALTH & WEALTH MANUAL “Nourishing Human Potential”
  • 2. BUSiNeSS SCieNCe ANd COMPANY BUildiNg PROdUCT ANd PeOPle A Quick Genetics Tutorial There are about 10 million SNPs in the human genome. Most of these SNPs occur in the DNA between genes and account for non-consequential differences. However, some SNPs occur in the DNA within genes. These SNPs can have a dramatic impact on human health. They can predict how you will react to certain drugs. They can determine how susceptible you will be to environmental toxins. And they can cause you to produce faulty proteins that have a negative impact on the functioning of the body, and may lead to diminished health and wellness. Our Genes are not Our Destiny Without a doubt, SNPs can have a strong influence on our health and well-being. However, our genes are not our destiny. With the mapping of the human genome completed in 2003, scientists now have the ability to identify small variations in the genetic code that can lead to diminished health and wellness. By identifying which of these variations (vulnerabilities) you have, it is possible for the first time to customize a targeted nutritional supplement regimen for your specific genotype. “Each of us has a unique chemical makeup that induces various responses to foods, drugs and the environment. SNP The reason we are different is that VArIATIONS our genes are different.” “For optimal function we each have unique nutritional needs and specific environmental requirements.” Biochemical Individuality: Roger J. Williams, Ph.D. HEALTH & WEALTH MANUAL “Nourishing Human Potential” 13
  • 3. COMPANY SCieNCe ANd BUSiNeSS ANd PeOPle PROdUCT BUildiNg Why Testing Our Genes Is So Important “Science is organized knowledge. Wisdom is organized life.” Immanuel Kant, German philosopher (1724 - 1804) Aging is the Challenge – Nourishing Your Cells is the Solution Before we tell you more about the genetic test we need to give you some information as to why it is so important to know what’s going on inside our bodies. The moment we are born we begin the aging process. We have the weapon to fight disease and aging with something called superoxide dismutase. We get half of it from our mother and half from our father. It’s our natural antioxidant that fights and neutralizes free-radicals. In our population, 60% of us have only one functional superoxided dismutase gene and 20% have no functional gene. That is why introducing antioxidant formulas into our daily regimens are vitally important. Antioxidants could be considered a sort of life insurance policy against aging and its visible effects. It’s a weapon in our arsenal to fight those pesky free radicals that rob us of a longer life expectancy. Antioxidants are our protectors and lower our risk of developing many diseases and illnesses. Again, free radicals are basically little marauders bouncing through our cells causing damage everywhere they go. You might wonder why and how they are formed in the first place. In our bodies we have a process called oxidation. It creates free radicals and it goes on every day through our normal metabolic processes and through exposure to our environment and the damage it can cause. This may sound very scary and perhaps that’s a good thing. It’s time to arm yourself with the information you’ll need to improve the health and wellness of yourself and your family. Everything we do, from each breath we take, the food we eat and even the sun causes oxidation within our bodies and with it free radical formation. Let’s compare our bodies to an automobile. Say you buy a beautiful, brand new car and with no thought to the consequences you leave it outside with the hood, trunk and doors open. Imagine you allow it to sit outside like that through every kind of weather imaginable. Eventually the car would begin to rust and one day it would be too late to repair. You’d be looking at a rusted heap of metal. Our bodies are like that that car in many ways. We too are a machine that needs to be well-cared for. If we allow free radicals to run rampant through our bodies and do nothing about it we will have deterioration of our bones, joints and connective tissue; our organs will wear out and our immune system will break down and become unable to fight off disease and all the visible effects of the aging process. You could say we can “rust” just like an automobile. 14 HEALTH & WEALTH MANUAL “Nourishing Human Potential”
  • 4. BUSiNeSS SCieNCe ANd COMPANY BUildiNg PROdUCT ANd PeOPle Why Testing Our Genes Is So Important Every day two processes are going on in our bodies. On one hand our cells are being damaged. On the other hand we’re repairing our cells. If there is no balance between the two processes going on we’re in trouble. Unfortunately in most cases we have more damage than we can repair. The more the cumulative damage piles up we get to the point of critical mass and cell damage occurs. This can cause the cells to spin out of control and we get a disease like cancer. Every day we lose more and more cells. As we lose those cells that produce collagen, elastin and more skin we then begin to see our skin wrinkle, sag and become thin. Now we have a much harder task to bring our bodies back from the ravages of time and the damage we’ve allowed to happen. In a perfect world our repair system would remain healthy or could increase its ability to repair our cells on its own. Unfortunately that isn’t the case. Human beings have a love/hate relationship with oxygen. As we evolved we needed oxygen to increase our energy supply. As our cells became more complex through our movement and intelligence, our body required more energy. Through the Krebs cycle, oxygen became a way of producing this much-needed energy. As we breathe in oxygen it combines with the sugar in our cells and tiny energy pellets are produced in the cell’s mitochondria. (Mitochondria are the cells’ power sources) The more energy pellets we have (They are called ATP molecules) the younger, healthier and longer we live. Producing lots of ATP is wonderful. It let’s us live energetic lives. The downside is that every action has a reaction. We can now give you nourishing solutions. By using the right nutritional building blocks in their proper amounts to neutralize free radicals we can minimize daily damage to our cells. Our repair system is now better able to prepare for the days when we are flooded with free radical damage. By boosting and enhancing our repair system, more damage can be fixed. Now we can keep up and have a reserve for those unforeseen ‘free radical bursts,’ like viral and bacterial infections. You may not like to hear this, but inside you right now are cancer cells, virus, bacteria and other nasty invaders just waiting to attack. When our blood cells detect a threat by these hostile little devils they release free radicals. It makes sense because we want to destroy these bad cells and demolish their DNA. So not all free radicals are bad. Life as we know it really is a balancing act. HEALTH & WEALTH MANUAL “Nourishing Human Potential” 15
  • 5. COMPANY SCieNCe ANd BUSiNeSS ANd PeOPle PROdUCT BUildiNg Understanding Your LifeMap™ Healthy Aging DNA Assessment Genes serve as the building block in our bodies and every gene is present in the body in two copies: one from Mom and one from Dad. Genewize Life Science utilizes a simple color-coded system on your Healthy Aging DNA Assessment that is easy to follow. GrEEN simply means you have no disadvantaged Gene-SNPs in this nutritional health area. (Geneticists call this homozygous negative). YELLOW means you have one disadvantaged Gene-SNP from one of your parents, in this nutritional health area (Geneticists call this heterozygous negative). rED simply means you have two disadvantaged SNPs in this nutritional health area. (Geneticists call this homozygous positive). Most important! No matter what mix of colors you have on your assessment, it simply means you now have the information you need to have a nutritional supplement regimen customized to your personal needs. For the RED and YELLOW coded areas, GeneWize will add specific SNPboost™ nutrients to your formula to help keep your body functioning optimally. GrEEN = Only Basic support nutrients added to your formula for this specific healthy aging area YELLOW = Additional support nutrients added to your formula for this specific healthy aging area rED = Maximum support nutrients added to your formula for this specific healthy aging area Sample assessment for illustration purposes. 16 HEALTH & WEALTH MANUAL “Nourishing Human Potential”
  • 6. BUSiNeSS SCieNCe ANd COMPANY BUildiNg PROdUCT ANd PeOPle Understanding Your Healthy Aging DNA Assessment The LifeMap Healthy Aging Assessment measures SNPs. What are SNPs and why are they important? SNPs are small variations in DNA, called single nucleotide polymorphisms (pronounced “snips”), that account for all human genetic differences, including how efficient the body performs key biological processes. There are about 10 million SNPs in the human genome. Some of these SNPs account for nonconsequential differences. But, some SNPs result in the production of faulty proteins that have a negative impact on the functioning of the body. The GeneLink Scientific and Medical Advisory Board has developed the GeneWize LifeMap™ Healthy Aging DNA Assessment which specifically evaluates a total of 12 key SNPs that regulate critical functions an measure risks for diminished health and wellness. These include: SNP 1: VDr (Vitamin D receptor) The strength of our bones is influenced by the VDR gene. In fact, among healthy people, this one gene accounts for 75% of the entire genetic influence on bone density.1 People with SNPs in the VDR gene tend to have lower bone min- eral density than those without these variations. 2,3,4 SNPs in this gene may also influence young adult growth5, parathyroid hormone production6, normal cell division6, and blood sugar regulation.7 SNP 2: EPHX (Microsomal Epoxide Hydrolase) Epoxides are toxic, highly reactive foreign chemicals present in cigarette smoke, car exhaust, charcoal-grilled meat, smoke from burning wood, pesticides, and alcohol. The body’s way of dealing with epoxides is through the enzyme microsomal EPHX, which detoxifies these foreign compounds. Due to a SNP in the EPHX gene, people with lowered EPHX activity will have difficulty detoxifying harmful substances and thus be particularly vulnerable to their effects.8 SNP 3: NQO1 (Coenzyme Q10 reductase) Free radicals are considered by many scientists to be the primary cause of aging. The coenzyme Q10 reductase (NQO1) enzyme converts coenzyme Q10 (ubiquinone) to its reduced form, ubiquinol, which scavenges free radicals in the mitochondria and lipid membranes.9 Some individuals have a SNP in the NQO1 gene that slows the reduction of ubiquinone to ubiquinol, resulting in very low blood levels of this key antioxidant. Consequently, people with this SNP are at high risk of free radical attack.10 Because NQO1 is also involved in the detoxification of compounds foreign to the body, a SNP in the NQO1 gene may cause aberrant cellular changes. SNP 4: SOD2 (Manganese Superoxide Dismutase) The SOD2 enzyme is also involved in scavenging free radicals. However, SOD2 is focused on one particularly toxic type of free radical: superoxide. 11 Since the superoxide radical is produced in abundance in all cells, it is the starting point for the free radical chain of production. SOD2 has the distinction of being the only enzyme in the mitochondria that can neutralize superoxide. 12 Individuals with a SNP in this gene therefore have a weak first line of defense against free radicals. SNP 5: GPX1 (Glutathione Peroxidase 1) The GPX1 antioxidant enzyme specifically scavenges hydrogen peroxide, a reactive oxygen species. GPX1 is a selenoprotein, meaning it incorporates selenium into its protein structure. 13 Therefore, how much GPX1 a person produces is dependent on their selenium level.13 A SNP in the GPX1 gene can reduce a person’s ability to utilize selenium. 14. 15 That means higher-than-normal selenium intake is needed to afford protection to hydrogen peroxide-sensitive tissues, particularly lung and breast tissues.14, 16, 17 HEALTH & WEALTH MANUAL “Nourishing Human Potential” 17
  • 7. COMPANY SCieNCe ANd BUSiNeSS ANd PeOPle PROdUCT BUildiNg Understanding Your Healthy Aging DNA Assessment SNP 6: MMP1 (Matrix Metalloproteinase) Collagen is the main component of cartilage, ligaments, tendons, and bone. It is constantly synthesized and broken down in an on-going cycle. MMP1, also known as collagenase, is an enzyme that degrades collagen. People with a SNP in the MMP1 gene produce collagenase at an increased rate, which means their bodies may break down collagen faster than they can rebuild it.18, 19 These individuals will likely benefit from added support for collagen-rich structures such as the bones and joints. SNP 7: MTrr (Methionine Synthase reductase) Homocysteine is a metabolite of the amino acid methionine. Research has shown it is important to control homocysteine levels in order to preserve cardiovascular health.20, 21, 22 One of the body’s methods for keeping homocysteine levels in check is the MTRR enzyme, which transforms homocysteine back to either methionine or cysteine. When an individual has a SNP in the MTRR gene, their ability to clear homocysteine from the blood may be hindered. However, only certain population groups appear to be negatively affected by this SNP.23, 24, 25 SNP 8: TNF (Tumor Necrosis Factor) Inflammation is a response of the immune system to a perceived attack. While it is a helpful response in the short- term, if inflammation continues on-going, it can negatively affect the cells, tissues, and ultimately, the organs. TNF- is a cytokine (a chemical messenger of the immune system) that plays a role in inflammatory processes. Individuals with a SNP on the TNF-_ gene may have an over-reactive inflammation mechanism, which can negatively affect the joints,26 brain,27 lungs,28 and heart. 29 SNP 9: MTHFr (Methylene Tetrahydrofolate reductase) Like the MTRR enzyme, the MTHFR enzyme is responsible for reducing blood levels of homocysteine. People with a SNP in the MTHFR gene manufacture defective enzymes that can’t clear homocysteine from the blood efficiently. Research has shown there is a direct association between a SNP in the MRHFR gene and elevated levels of homocysteine,30 particularly in those with low levels of folate.31 SNP 10: PON1 (Paraxonase 1) While it used to be thought that high cholesterol posed a health issue in and of itself, it is now believed that cholesterol only becomes a problem once the cholesterol carrier, low-density lipoprotein (LDL), becomes oxidized (attacked by free radicals). The PON1 enzyme attaches itself to high-density lipoprotein (HDL), which protects both HDL and LDL from oxidation. 32 Due to common SNPs in the PON1 gene, blood levels of PON1 can vary by a factor of 10 to 40-fold among different individuals. 33, 34 Those with low levels of PON1 have higher levels of oxidized LDL, which can lead to diminished cardiovascular health. 35, 36 SNP 11: CYP11B2 (Aldosterone Synthase) Maintaining blood pressure within the normal range is essential to a healthy heart. The CYP11B2 gene encodes an enzyme called aldosterone synthase, which plays a role in regulating blood pressure. A SNP in the CYP11B2 gene can decrease the ability of blood vessels to relax and constrict in response to changing demands for blood flow. (For example, extra blood flow is needed during exercise.) That inability of the vessels to respond properly can set the stage for cardiovascular issues down the road.38 18 HEALTH & WEALTH MANUAL “Nourishing Human Potential”
  • 8. BUSiNeSS SCieNCe ANd COMPANY BUildiNg PROdUCT ANd PeOPle Understanding Your Healthy Aging DNA Assessment SNP 12: APOB (Apolipoprotein B) Cholesterol is carried through the bloodstream on various lipoproteins: low-density lipoprotein (LDL), high-density lipoprotein (HDL), and very low-density lipoprotein (VLDL). Apolipoproteins make up the protein part of lipoproteins. One of the more researched apolipoproteins is apolipoprotein B (ApoB); it constitutes the protein component of LDL, the “bad” kind of cholesterol carrier. In fact, without ApoB, LDL cannot form. Because people with SNPs on the ApoB gene have higher ApoB levels, they experience moderate increases in total cholesterol, LDL cholesterol, and triglycer- ides,39, 40, 41, 42 as well as impaired glucose tolerance43 and increased blood lipid response after meals.44 references 1 Morrison NA et al. Prediction of bone density from vitamin D receptor alleles. Nature. 1994;367(6460):284-7. 2 Thakkinstan A et al. Haplotype analysis of VDR gene polymorphisms: a meta-analysis. Osteoporos Int. 2004;15(9):729-34. 3 Thakkinstan A et al. Meta-analysis of molecular association studies: vitamin D receptor gene polymorphisms and BMD as a case study. J Bone Miner Res. 2004;19(3):419-28. 4 Valdivielso JM, Fernandez E. Vitamin D receptor polymorphisms and diseases. Clin Chim Acta. 2006 Sep;371(1-2):1-12. 5 D’Alesio A et al. Two single-nucleotide polymorphisms in the human vitamin D receptor promoter change protein-DNA complex formation and are associated with height and vitamin D status in adolescent girls. Hum Mol Genet. 2005;14(22):3539-48. 6 Marco MP et al. Influence of vitamin D receptor gene polymorphisms on mortality risk in hemodialysis patients. Am J Kidney Dis. 2001;38(5):965-74. 7 Dawson-Hughes B et al. Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. N Engl J Med. 1997;337(10):670-6. 8 Morisseau C and BD Hammock. Epoxide hydrolases: mechanisms, inhibitor designs, and biological roles. Annu Rev Pharmacol Toxicol. 2005;45:311-33 9 Hosoe K et al. Study on safety and bioavailability of ubiquinol (Kaneka QH) after single and 4-week multiple oral administration to healthy volunteers. Regul Toxicol Pharmacol. 2007;47(1):19-28. 10 Ross D et al. NAD(P)H:quinone oxidoreductase 1 (NQO1): chemoprotection, bioactivation, gene regulation and genetic polymor- phisms. Chem Biol Interact. 2000 Dec 1;129(1-2):77-97. 11 Robinson BH. The role of manganese superoxide dismutase in health and disease. J Inherit Metab Dis 1998;21:598–603. 12 Bandy B and AJ Davison. Mitochondrial mutations may increase oxidative stress: implications for carcinogenesis and aging? Free Radic Biol Med 1990;8:523–39. 13 Rayman MP. Selenium in cancer prevention: a review of the evidence and mechanism of action. Proc Nutr Soc 2005 Nov;64(4):527-42. 14 Hu YJ and AM Diamond. Role of glutathione peroxidase 1 in breast cancer: loss of heterozygosity and allelic differences in the re- sponse to selenium. Cancer Res 2003;63(12):3347-51. 15 Hu Y et al. Allelic loss of the gene for the GPX1 selenium-containing protein is a common event in cancer. J Nutr 2005;135(12 Suppl):3021S-3024S. 16 Ratnasinghe D et al. Glutathione peroxidase codon 198 polymorphism variant increases lung cancer risk. Cancer Res 2000 Nov 15;60(22):6381-3. 17 Moscow J. A., Schmidt L., Ingram D. T., Gnarra J., Johnson B., Cowan K. H. Loss of heterozygosity of the human cytosolic glutathione peroxidase I gene in lung cancer. Carcinogenesis (Lond.), 15: 2769-2773, 1994. 18 Cunnane G et al. Early joint erosions and serum levels of matrix metalloproteinase 1, matrix metalloproteinase 3, and tissue inhibi- tor of metalloproteinases 1 in rheumatoid arthritis. Arthritis Rheum 2001;44:2263–2274. 19 Dörr S et al. Association of a specific haplotype across the genes MMP1 and MMP3 with radiographic joint destruction in rheuma- toid arthritis. Arthritis Res Ther 2004;6(3):R199-207. 20 Refsum H et al. Homocysteine and Cardiovascular Disease. Ann Rev Med 1998;49:31-62. HEALTH & WEALTH MANUAL “Nourishing Human Potential” 19
  • 9. COMPANY SCieNCe ANd BUSiNeSS ANd PeOPle PROdUCT BUildiNg Understanding Your Healthy Aging DNA Assessment references (continued) 21 Eikelboom J et al. Homocyst(e)ine and Cardiovascular Disease: A Critical Review of the Epidemiological Evidence. Ann Intern Med 1999;131:363-375. 22 Hankey G et al. Homocysteine and Vascular Disease. Lancet 1999;354 (9176): 407-413. 23 Gaughan DJ et al. The methionine synthase reductase (MTRR) A66G polymorphism is a novel genetic determinant of plasma ho- mocysteine concentrations. Atherosclerosis. 2001;157(2):451-6. 24 Guéant-Rodriguez RM et al. Association of MTRRA66G polymorphism (but not of MTHFR C677T and A1298C, MTRA2756G, TCN C776G) with homocysteine and coronary artery disease in the French population. Thromb Haemost. 2005;94(3):510-5. 25 Barbosa PR et al. Association between decreased vitamin levels and MTHFR, MTR and MTRR gene polymorphisms as determinants for elevated total homocysteine concentrations in pregnant women. Eur J Clin Nutr. 2007, in press. 26 Lee et al. Tumor necrosis factor-alpha promoter -308 A/G polymorphism and rheumatoid arthritis susceptibility: a metaanalysis. J Rheumatol. 2007;34(1):43-9. 27 Alvarez V et al. Association between the TNFalpha-308 A/G polymorphism and the onset-age of Alzheimer disease. Am J Med Genet. 2002;114(5):574-7. 28 Witte JS et al. Relation between tumour necrosis factor polymorphism TNFalpha-308 and risk of asthma. Eur J Hum Genet. 2002;10(1):82-5. 29 Elahi MM et al. A variant of position -308 of the Tumour necrosis factor alpha gene promoter and the risk of coronary heart disease. Heart Lung Circ. 2007 Jun 18; [Epub ahead of print] 30 Frosst P et al. A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat Genet 1995; 10:111–113. 31 Jacques PF et al. Relation between folate status, a common mutation in methylenetetrahydrofolate reductase, and plasma homo- cysteine concentrations. Circulation 1996;93: 7–9. 32 Aviram M et al. Paraoxonase inhibits high-density lipoprotein oxidation and preserves its functions: a possible peroxidative role for paraoxonase. J Clin Invest. 1998;101:1581-1590. 33 Garin et al. Paraoxonase polymorphism Met-Leu54 is associated with modified serum concentrations of the enzyme. A possible link between the paraoxonase gene and increased risk of cardiovascular disease in diabetes. J Clin Invest. 1997;99(1):62-6. 34 Humbert R et al. The molecular basis of the human serum paraoxonase activity polymorphism. Nat Genet. 1993;3:73-76. 35 Robertson KS et al. Human paraoxonase gene cluster polymorphisms as predictors of coronary heart disease risk in the prospective Northwick Park Heart Study II. Biochim Biophys Acta 2003;1639(3):203-12. 36 Voetsch B et al. The Combined Effect of Paraoxonase Promoter and Coding Region Polymorphisms on the Risk of Arterial Ischemic Stroke Among Young Adults. Arch Neurol. 2004;61(3):351-356. 37 Ylitalo et al. Baroreflex sensitivity and variants of the renin-angiotensin system genes. J Am Coll Cardiol. 2000;35(1):194-200. 38 Hautanen A et al. Joint Effects of an Aldosterone Synthase (CYP11B2) Gene Polymorphism and Classic Risk Factors on Risk of Myo- cardial Infarction. Circulation 1999;100:2213. 39 Benn M et al. Polymorphism in APOB Associated with Increased Low-Density Lipoprotein Levels in Both Genders in the General Population. J Clin Endocrinol Met 2005;90(10):5797-5803. 40 Talmud PJ et al. Apolipoprotein B gene variants are involved in the determination of serum cholesterol levels: a study in normo- and hyperlipidaemic individuals. Atherosclerosis 1987;67:81–89. 41 Law A et al. Common DNA polymorphism within coding sequence of apolipoprotein B gene associated with altered lipid levels. Lancet 1986;1:1301–1303. 42 Hegele RA et al. Apolipoprotein B-gene DNA polymorphisms associated with myocardial infarction. N Engl J Med 1986;315:1509–1515. 43 Bentzen J et al. Further studies of the influence of apolipoprotein B alleles on glucose and lipid metabolism. Hum Biol 2003;75(5):687-703. 44 Moreno-Luna R et al. Two independent apolipoprotein A5 haplotypes modulate postprandial lipoprotein metabolism in a healthy Caucasian population. J Clin Endocrinol Metab 2007;92(6):2280-5. 20 HEALTH & WEALTH MANUAL “Nourishing Human Potential”