The risk of numerous chronic diseases such diabetes,atherosclerosis and cancer is associated with nutritionalparameters and might, therefore, be reduced by an effectivedietary intervention [1]. More recently, when genomeresearch met with nutritional science, it became apparentthat the effects of certain gene variants on metabolicparameters and, consequently, also on disease risk, ismodified by nutritional parameters. Thus, the concept wasdeveloped that genotyping for critical variants couldprovide a personalized advice for individuals with a highdisease risk, thereby maximizing the efficacy of nutritionalrecommendations [2–4]. Commercial exploitation of theconcept has started already: Genotyping for a series ofapproximately 20 variant alleles that are associated withelevated disease risk and/or with a heterogeneous responseto a nutrient is offered together with nutritional advice.However, the value of genotyping to individualize nutri-tional recommendations has been questioned. Recently,these tests have provocatively been labelled ‘genetichoroscopes’ [5].This special issue of the Journal of Molecular Medicineis devoted to the relation between genotype and thebiological response to nutrients and intends to highlightsome current aspects as well as future perspectives of theconcept of a personalized nutrition. The contributions, twooriginal papers and two reviews, focus on metabolicdiseases such as obesity, diabetes and dyslipoproteinaemia.In these areas, well-defined endpoints and risk factors suchas body mass index, blood glucose, or LDL cholesterolfacilitate the study of genotype–nutrition interactions. Withregard to the variable nutrition, a common theme of thecontributions in this special issue is the dietary fat content.Proof of the concept that the genetic basis maydetermine the biological response to nutrients has initiallybeen derived from mouse models. In inbred mouse strains,the sensitivity of serum cholesterol to a high-fat diet isstrain-specific [6]. Moreover, in obese mouse strains,chromosomal regions have been identified that confersusceptibility for diabetes dependent on the dietary fat [7].These findings—if applicable to the human situation—suggested that it might be possible to identify individualswho would specifically benefit from a fat-reduced diet.Previously published date from human cohort studies haveindicated that the response of serum cholesterol to dietaryfat may depend on variants of genes such as ApoE4 [8],ApoA5 [9] or the hepatic lipase [10]. In the Framinghamcohort, dietary fat intake modifies the effect of a polymor-phism (−514C/T) in the promoter of the hepatic lipase geneon serum HDL-cholesterol: At low fat intake ( 30%), HDLlevels were significantly lower [10]. The study concludedthat TT carriers have an impaired adaptation to dietary fatthat could result in a higher cardiovascular risk.In this special issue of the Journal on MolecularMedicine, Corella et al. present additional data from theFramingham study suggesting that dietary fat significantlymodifies the association between the −1131T/C alleles ofapolipoprotein A5 and body weight. Recently, the samegroup has shown that in carriers of the −1131C allele ofapolipoprotein A5, high intake of n-6 PUFAwas associatedwith increased fasting triglycerides [11]. In the presentstudy, homozygous carriers of the T allele exhibited higherbody weights with increasing fat consumption, whereas
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