CDN Nutritional Genomics & Precision 2 — Questions and Answers
Question 1: Which single nucleotide polymorphism (SNP) in the MTHFR gene is most commonly associated with reduced folate metabolism?
- C677T (Correct answer)
- A1298C
- G80A
- T1317C
Correct answer: C677T
The MTHFR C677T polymorphism reduces enzyme activity by up to 70% in homozygotes, impairing folate conversion to its active form.
Question 2: Nutrigenomics differs from nutrigenetics primarily in that nutrigenomics focuses on:
- How genetic variation affects individual nutrient response
- How nutrients alter gene expression patterns (Correct answer)
- Identifying SNPs linked to chronic disease
- Measuring genetic predisposition to obesity
Correct answer: How nutrients alter gene expression patterns
Nutrigenomics studies how dietary components influence gene expression, while nutrigenetics examines how genetic variation shapes individual responses to nutrients.
Question 3: A patient with the APOE ε4 allele would most benefit from which dietary intervention based on genetic evidence?
- Increased omega-6 fatty acid intake
- Reduced saturated fat intake (Correct answer)
- High-dose beta-carotene supplementation
- Increased dietary cholesterol
Correct answer: Reduced saturated fat intake
APOE ε4 carriers show greater LDL cholesterol elevations in response to saturated fat compared to APOE ε3 carriers.
Question 4: Which term describes the study of heritable changes in gene expression that do not involve alterations to the DNA sequence?
- Proteomics
- Metabolomics
- Epigenomics (Correct answer)
- Transcriptomics
Correct answer: Epigenomics
Epigenomics examines modifications such as DNA methylation and histone acetylation that regulate gene expression without changing nucleotide sequences.
Question 5: The FTO gene rs9939609 variant is most strongly associated with increased risk of:
- Lactose intolerance
- Celiac disease
- Obesity and elevated BMI (Correct answer)
- Iron-deficiency anemia
Correct answer: Obesity and elevated BMI
The FTO rs9939609 A allele is one of the most replicated genetic variants associated with higher BMI and obesity susceptibility.
Question 6: DNA methylation of gene promoter regions most commonly results in:
- Increased transcription factor binding
- Gene silencing (Correct answer)
- Histone hyperacetylation
- mRNA stabilization
Correct answer: Gene silencing
Methylation of CpG islands in promoter regions physically blocks transcription factor access, leading to gene silencing.
Question 7: Which dietary component is best known for inducing histone acetylation and activating anti-inflammatory genes?
- Saturated fatty acids
- Refined carbohydrates
- Butyrate from fermentable fiber (Correct answer)
- Trans fatty acids
Correct answer: Butyrate from fermentable fiber
Butyrate, a short-chain fatty acid produced from fermentable fiber fermentation, inhibits histone deacetylases (HDACs), promoting histone acetylation and gene activation.
Which single nucleotide polymorphism (SNP) in the MTHFR gene is most commonly associated with reduced folate metabolism?