Herein lies the importance for human geneticists of the work of Kaati, Bygren and Edvinsson from Umea University, Sweden. Building on their interest in early nutritional influences on cardiovascular mortality, they have exploited records of annual harvests from an isolated community in northern Sweden that go back as far as 1799 to explore the effects of food availability across three generations.
Earlier work2 by the team on a cohort born in 1905 showed a remarkable effect of food availability during the slow growth period (SGP) just before puberty of the paternal grandfather on the longevity of the probands. Scarcity of food in grandfather's SGP was associated with a significantly extended survival of his grandchildren for many years, whilst food abundance was associated with a greatly shortened life span of the grandchildren. There are only four possible explanations; chromosomal transmission of nutritionally-induced epigenetic modifications, intense genetic selection through differential survival /fertility, a statistical quirk or hidden bias producing a false association, or some mechanism of inheritance yet to be discovered. In the present study1 Kaati and colleagues have enlarged the sample with two new cohorts born in 1890 and 1920 in order to have the power to look specifically at cardiovascular and diabetes related deaths. The latter outcome was chosen because imprinted genes have been implicated in diabetes risk.
The first thing to say is that the shorter survival of probands when the paternal grandfather had been exposed to plenty of food during his SGP was replicated in the newly studied 1890 cohort, although this association could not be demonstrated in the 1920 cohort. Overall they show that cardiovascular mortality was reduced with poor availability of food in the father's SGP, but also with good availability in the mother's SGP. This reciprocal effect of parental nutrition is intriguing in itself, but the most striking result comes with diabetes. If the paternal grandfather was exposed to a surfeit of food during his SGP, then the proband had a fourfold excess mortality related to diabetes (OR 4.1, 95% c.i.1.33-12.93, P=0.01) when age at death and the effects of possible over eating among parents and grandparents during their respective SGP were taken into account. Interestingly a father's exposure to a surfeit of food during his SGP tended to protect the proband from diabetes (OR 0.13, 95% c.i. 0.02-1.07, P=0.06), hinting at some 'see-saw' effect down the generations. The more unexpected the result, the more important it is to replicate the findings on other cohorts. This should be possible in northern Sweden thanks, in part, to the regional harvest records that were demanded by His Majesty the King in times gone by.
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Food for thought
It seems that the Swedish studies have uncovered a nutrition-linked sperm-mediated transgenerational effect. Whilst one striking result relates to the grandfather's food availability, epigenetic transmission from just father to child would be sufficient to set up a cascade of metabolic responses down the generations. Independent replication is needed, but these observations should trigger entirely new lines of enquiry and at a time when we are getting an experimental handle on imprint re-programming.