PMID- 29540272 OWN - NLM STAT- MEDLINE DCOM- 20190501 LR - 20190501 IS - 1879-0739 (Electronic) IS - 0271-5317 (Linking) VI - 50 DP - 2018 Feb TI - Association of low dietary folate intake with lower CAMKK2 gene methylation, adiposity, and insulin resistance in obese subjects. PG - 53-62 LID - S0271-5317(17)30437-2 [pii] LID - 10.1016/j.nutres.2017.11.007 [doi] AB - Folate deficiency has been putatively implicated in the onset of diverse metabolic abnormalities, including insulin resistance, by altering epigenetic processes on key regulatory genes. The calcium/calmodulin-dependent protein kinase kinase 2 (CAMKK2) is involved in the regulation of critical metabolic processes such as adiposity and glucose homeostasis. This study hypothesized associations between low folate intakes and lower methylation levels of the CAMKK2 gene, with the presence of metabolic alterations in subjects with obesity. A cross-sectional ancillary study was conducted in obese subjects (n=47) from the RESMENA study (Spain). Fat mass was measured by dual-energy x-ray absorptiometry. Dietary intake and metabolic profile were assessed by validated methods. DNA methylation and gene expression in peripheral white blood cells were analyzed by microarray approaches. A total of 51 cytosine-phosphate-guanine sites were associated with folate intake (false discovery rate values < 0.0001), including one located in the 5' untranslated region of the CAMKK2 gene (Illumina ID, cg16942632), which was selected and separately analyzed. Subjects with total folate intake lower than 300mug/d showed more fat mass (especially trunk fat), as well as statistically higher levels of glucose, insulin, homeostatic model assessment-insulin resistance (HOMA-IR) index, cortisol, and plasminogen activator inhibitor-1 than those consuming at least or more than 300mug/d. Of note, folate deficiency was related to lower CAMKK2 methylation. Interestingly, CAMKK2 methylation negatively correlated with the HOMA-IR index. Furthermore, CAMKK2 expression directly correlated with HOMA-IR values. In summary, this study suggests associations between low folate intakes, lower CAMKK2 gene methylation, and insulin resistance in obese individuals. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Ramos-Lopez, Omar AU - Ramos-Lopez O AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain. FAU - Samblas, Mirian AU - Samblas M AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain. FAU - Milagro, Fermin I AU - Milagro FI AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain; Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn), ISCIII, Madrid, Spain. FAU - Zulet, M Angeles AU - Zulet MA AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain; Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn), ISCIII, Madrid, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain. FAU - Mansego, Maria L AU - Mansego ML AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain. FAU - Riezu-Boj, Jose I AU - Riezu-Boj JI AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain. FAU - Martinez, J Alfredo AU - Martinez JA AD - Department of Nutrition, Food Science and Physiology, and Center for Nutrition Research, University of Navarra, Pamplona, Spain; Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn), ISCIII, Madrid, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain; Madrid Institute of Advanced Studies (IMDEA Food), Madrid, Spain. Electronic address: jalfmtz@unav.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171205 PL - United States TA - Nutr Res JT - Nutrition research (New York, N.Y.) JID - 8303331 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 935E97BOY8 (Folic Acid) RN - EC 2.7.11.17 (CAMKK2 protein, human) RN - EC 2.7.11.17 (Calcium-Calmodulin-Dependent Protein Kinase Kinase) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adipose Tissue/metabolism MH - Adiposity MH - Adult MH - Blood Glucose/metabolism MH - Body Composition MH - Calcium-Calmodulin-Dependent Protein Kinase Kinase/*metabolism MH - Cross-Sectional Studies MH - *DNA Methylation MH - *Diet MH - Feeding Behavior MH - Female MH - Folic Acid/*administration & dosage MH - Folic Acid Deficiency/*complications/metabolism MH - Humans MH - Hydrocortisone/blood MH - Insulin/blood MH - *Insulin Resistance MH - Male MH - Middle Aged MH - Nutritional Status MH - Obesity/*complications/metabolism MH - Plasminogen Activator Inhibitor 1/blood OTO - NOTNLM OT - Adiposity OT - CAMKK2 OT - Folate OT - Insulin resistance OT - Obesity EDAT- 2018/03/16 06:00 MHDA- 2019/05/02 06:00 CRDT- 2018/03/16 06:00 PHST- 2017/05/16 00:00 [received] PHST- 2017/08/22 00:00 [revised] PHST- 2017/11/30 00:00 [accepted] PHST- 2018/03/16 06:00 [entrez] PHST- 2018/03/16 06:00 [pubmed] PHST- 2019/05/02 06:00 [medline] AID - S0271-5317(17)30437-2 [pii] AID - 10.1016/j.nutres.2017.11.007 [doi] PST - ppublish SO - Nutr Res. 2018 Feb;50:53-62. doi: 10.1016/j.nutres.2017.11.007. Epub 2017 Dec 5.