How Genetic Differences Affect Human Health

Two workers are splashed with pesticide. One suffers headaches and nausea; the other suffers no symptoms. Both are exposed equally to the same toxic substance, yet have very different responses. Why do they react differently? One of the answers may be in their genes. Variations, or differences, in genetic make-up can affect how people react to toxic substances and pollutants in the environment. Scientists at the Center for Ecogenetics and Environmental Health (CEEH) at the University of Washington study how genetic variations, when combined with exposures to environmental chemicals, affect human health. This discipline is called ecogenetics.

Preventing Health Problems
The CEEH's basic research eventually may lead to diagnostic tests and prevention measures for a variety of health problems, including liver cancer, pesticide-induced illness, and Parkinson's disease. Much of this research focuses on human enzymes. Enzymes break large molecules into smaller, simpler forms that our cells can use or discard. Most enzymes handle essential day-to-day tasks, such as converting sugar and oxygen to energy. However, some enzymes, named biotransformation enzymes, specialize in protecting our bodies from chemicals in the environment. Biotransformation enzymes are of special interest to researchers. Each of us is born with a slightly different set of biotransformation enzymes, so the way we react to chemicals in the environment varies, resulting in different reactions to the same toxic substances.

The CEEH assists a diverse group of scientists to work together to achieve broader insights in environmental/genetic research. CEEH investigators work in six core research areas:

Gastrointestinal and Renal Toxicology
CEEH scientists study enzymes that biotransform chemicals foreign to the human body, such as prescription drugs and environmental pollutants. These foreign chemicals may be human-made substances, like pesticides, or natural toxic products, such as poisons produced by plants and molds. Basic research into biotransformation may help medical researchers find better ways to adjust medicine dosages to the needs of individual patients. Biotransformation research may also lead to the development of diagnostic tests for sensitivities to drugs and environmental pollutants. Much of the body's biotransformation work takes place in the digestive system and kidneys, hence the name of this group, Gastrointestinal, for the stomach and intestines, and Renal, for kidney.

Carcinogenesis
Carcinogens are substances that cause cancer. The term carcinogenesis describes the ways carcinogens trigger and encourage cancerous, or uncontrolled, growth in cells. CEEH researchers study carcinogens found in the environment, workplaces, and our diets, and genetic variations in the ways our bodies protect themselves against carcinogens.

Reproductive and Developmental Toxicology
Physicians can determine the cause of only about half of the approximately 250,000 birth defects reported in the U.S. each year. Even less is known about the reasons for infertility, which affects about two million American couples. CEEH researchers study a variety of chemicals linked to infertility and birth defects, including lead, methylmercury, and solvents such as toluene. Newborns are often susceptible to very small doses of toxic substances, in part because they may not produce some crucial biotransformation enzymes until weeks after birth. CEEH researchers are determining when babies begin to make enzymes that can detoxify ethanol and other substances known to cause birth defects.

Neurotoxicology
Neurotoxicants are toxic substances that can damage the brain and nervous system. Known and suspected neurotoxicants include heavy metals (such as lead), pesticides, solvents, and high doses of certain recreational and medical drugs. CEEH researchers study the ways that cells defend themselves against neurotoxicants, how such defense systems vary from person to person, and how these genetic differences may affect susceptibility to nervous system disorders such as Parkinson's disease, Alzheimer's disease, and amyotrophic lateral sclerosis (known as ALS or Lou Gehrig's disease).

Cardiovascular and Respiratory Toxicology
Certain genetic variations may make some people with asthma more likely to develop breathing difficulties if exposed to air pollutants such as ozone (the main component of smog), sulfur dioxide, or particulate matter (tiny particles, such as soot from wood smoke, that can be inhaled deep into the lungs). In addition to studying the relationship between air pollution and genetic susceptibility to asthma, researchers are also investigating links between air pollution and the risk of cardiac diseases, such as atherosclerosis (hardening of the arteries) and hypertension (high blood pressure). Researchers also analyze air pollution in the workplace, especially the effects of easily inhaled solvents like toluene.


Ethical, Legal, and Social Issues

Research on susceptibility genes has tremendous potential to prevent disease. However, as genetic information becomes more widely available, it's important to consider how such information could be used, and who will have access to it. The investigators in the Ethical, Legal, and Social Issues Core include experts in law, ethics, public policy who study the ethical, legal, and social implications of genetic research including genetic testing, and databases of genetic information.

Community Outreach and Education
The Community Outreach and Education Program (COEP) works to make CEEH research meaningful and useful to the community. The program focuses on translating research findings for use by teachers, regulators, health practitioners, and the general public in the Pacific Northwest. COEP staff provide programs for K-12 teachers, consult with community groups, and coordinate research collaborations involving the University of Washington and community groups.

Center for Ecogenetics and Environmental Health
4225 Roosevelt Way NE #100, Seattle, WA 98105-6099
Phone (206) 543-4383, FAX (206) 685-4696
http://depts.washington.edu/ceeh/

Funded by NIEHS grant no. P30 ES07033.