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56

Post-Doctoral Fellowships

Metabolomics and Adductomics Analysis of Dried Blood Spots (DBS) from the

Northern California Childhood Leukemia Study (NCCLS)

Since 2001 researchers have mainly examined the human genome (G) to discover causes of disease

despite evidence that G explains only 10-15% of the chronic-disease risks. Therefore, it is probable

that most of these risks arise from the exposome (E, representing all exposures) and from G×E

interactions. Since both endogenous and exogenous exposures express themselves chemically,

blood specimens can be used for conducting exposome-wide association studies (EWAS) in order

to identify causal environmental exposures. An EWAS begins by comparing profiles of thousands

of small molecules (metabolomics) and/or large molecules (proteomics) in serum or plasma from

diseased and healthy subjects. Omic features that differ between populations are then identified

and used as targeted biomarkers in follow-up studies to confirm causality, to identify exposure

sources, and to investigate mechanisms of action.

Leukemia makes up approximately 35% of all childhood cancers (ages 0-14), yet, its etiology

is mostly unknown. Established risk factors (e.g. genetic conditions, ionizing radiation, and

chemotherapeutic agents) account for only 10% of the causes, while suspected risk factors include

chemical exposure, tobacco smoke, viral infection, dietary exposures, and non-ionizing radiation

exposure of either the child and/or parent.

Using the EWAS approach, a subset of dried blood spots (DBS) from the Northern California

Childhood Leukemia study (1,000 cases and controls) will be analyzed using mass-spectrometry-

based metabolomics and adductomics (a variant of proteomics that focuses on adducts of reactions

between human serum albumin and reactive electrophiles) to identify and quantify discriminating

features between cases and controls. Using elements of exposure biology, the molecular linkages

between exposure and disease risk will be explored. As the DBS were obtained prior to the onset

of disease during routine heal prick after birth, this matrix offers a unique snapshot of prenatal

exposure.

Fellow

Lauren Petrick

University of California,

Berkeley, USA

Supervisor

Stephen Rappaport

2014-