Individually tailored screening of susceptibility to sarcopenia using p53 codon 72 polymorphism, phenotypes, and conventional risk factors

Dis Markers. 2014:2014:743634. doi: 10.1155/2014/743634. Epub 2014 Oct 13.

Abstract

Background and aim: p53 activity plays a role in muscle homeostasis and skeletal muscle differentiation; all pathways that lead to sarcopenia are related to p53 activities. We investigate the allelic frequency of the TP53 codon 72 in exon 4 polymorphism in the Italian female population and the association with appendicular skeletal muscle mass index in normal weight (NW), normal weight obese (NWO), and preobese-obese (Preob-Ob) subjects.

Methods: We evaluated anthropometry, body composition, and p53 polymorphism in 140 women distinguished in NW, NWO, and Preob-Ob.

Results: *Arg/*Arg genotype increases sarcopenia risk up to 20% (*Arg/*Arg genotype OR = 1.20; 95% CI = 0.48-2.9; *proallele carriers OR = 0.83; 95% CI = 0.83-2.06). The risk of being sarcopenic for *Arg/*Arg genotype in NWO and Preob-Ob is 31% higher than NW carriers of *proallele (RR = 0,31, 95% CI = 0,15-0,66, P = 0,0079). We developed a model able to predict sarcopenia risk based on age, body fat, and p53 polymorphism.

Conclusion: Our study evidences that genotyping TP53 polymorphism could be a useful new genetic approach, in association with body composition evaluations, to assess sarcopenia risk.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Body Weight*
  • Codon
  • Female
  • Humans
  • Middle Aged
  • Models, Genetic
  • Obesity / complications
  • Phenotype*
  • Polymorphism, Single Nucleotide*
  • Risk Factors
  • Sarcopenia / complications
  • Sarcopenia / epidemiology
  • Sarcopenia / genetics*
  • Tumor Suppressor Protein p53 / genetics*

Substances

  • Codon
  • Tumor Suppressor Protein p53