Paraoxonase polymorphisms, haplotypes, and enzyme activity in Latino mothers and newborns.

Recent studies have demonstrated widespread pesticide exposures in pregnant women and in children. Plasma paraoxonase 1 (PON1) plays an important role in detoxification of various organophosphates. The goals of this study were to examine in the Center for Health Assessment of Mothers and Children of Salinas (CHAMACOS) birth cohort of Latina mothers and their newborns living in the Salinas Valley, California, the frequencies of five PON1 polymorphisms in the coding region ([192.sub.QR] and [55.sub.LM]) and the promoter region (-[162.sub.AG], -[909.sub.CG], and -[108.sub.CT]) and to determine their associations with PON1 plasma levels [phenylacetate arylesterase (AREase)] and enzyme activities of paraoxonase (POase) and chlorpyrifos oxonase (CPOase). Additionally, we report results of PON1 linkage analysis and estimate the predictive value of haplotypes for PON1 plasma levels. We found that PON[1.sub.-909], PON[1.sub.-108], and PON[1.sub.192] had an equal frequency (0.5) of both alleles, whereas PON[1.sub.-162] and PON[1.sub.55] had lower variant allele frequencies (0.2). Nearly complete linkage disequilibrium was observed among coding and promoter polymorphisms (p < 0.001), except PON[1.sub.192] and PON[1.sub.-162] (p > 0.4). Children's PON1 plasma levels (AREase ranged from 4.3 to 110.7 U/mL) were 4-fold lower than their mothers' (19.8 to 281.4 U/mL). POase and CPOase activities were approximately 3-fold lower in newborns than in mothers. The genetic contribution to PON1 enzyme variability was higher in newborns ([R.sup.2] = 25.1% by genotype and 26.3% by haplotype) than in mothers ([R.sup.2] = 8.1 and 8.8%, respectively). However, haplotypes and genotypes were comparable in predicting PON1 plasma levels in mothers and newborns. Most of the newborn children and some pregnant women in this Latino cohort may have elevated susceptibility to organophosphate toxicity because of their PON[1.sub.192] genotype and low PON1 plasma levels. Key words: chlorpyrifos, cord blood, haplotypes, Latino cohort, linkage disequilibrium, organophosphate, paraoxonase 1 (PON1) genotype, paraoxonase activity, pesticides, PON1 polymorphisms, pregnancy. Environ Health Perspect 114:985-991 (2006). doi:10.1289/ehp.8540 available via http://dx.doi.org/ [Online 27 February 2006]

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Organophosphate (OP) pesticide exposure remains widespread in the United States (Barr et al. 2004; Bradman et al. 2005; Hill et al. 1995; Loewenherz et al. 1997; Simcox et al. 1999). Pregnant women, fetuses, and children in both urban (Berkowitz et al. 2003; Whyatt et al. 2003) and rural agricultural populations (Eskenazi et al. 2004; Fenske et al. 2002) are directly exposed to pesticides, and in some cases these exposures may exceed health-based reference doses (Bradman et al. 2005; Castorina et al. 2003). OP pesticide metabolites have also been detected in meconium (Whyatt and Barr 2001) and amniotic fluid (Bradman et al. 2003). OP exposure at high doses has profound effects, primarily on the central nervous system (Eskenazi et al. 1999), and there is growing information in animals and humans suggesting that low-level chronic exposure may affect neurodevelopment (Eskenazi et al. 1999; Young et al. 2005).

The unique physiologic and behavioral characteristics of children may increase their exposures to environmental contaminants compared with adults (National Research Council 1993). Young children eat, drink, and breathe more per unit of body weight than do adults, and they also explore their environment orally, engaging in extensive hand-to-mouth behavior (National Research Council 1993). In addition, young children may be more susceptible to the adverse effects of OP exposure than are adults, because of their lower ability to metabolize and detoxify OP pesticides (Padilla et al. 2000; Sheets 2000).

The human paraoxonase 1 (PON1) enzyme (43 kDa, composed of 354 amino acids) is a polymorphic, high-density lipoprotein-associated esterase that metabolizes many different substrates, including OP compounds (Davies et al. 1996; Geldmacher-von Mallinckrodt and Diepgen 1988), drugs, and oxidized lipids (Draganov et al. 2005; Watson et al. 1995). Studies of the PON1 enzyme, which detoxifies activated oxon forms of several OP pesticides, including diazinon, chlorpyrifos, and parathion, indicate that PON1 levels in newborns are on average 3- to 4-fold lower than those of adults (Augustinsson and Barr 1963; Chen et al. 2003; Cole et al. 2003; Ecobichon and Stephens 1973; Mueller et al. 1983). Newborns reach a plateau near adult PON1 levels between 6 and 24 months of age, suggesting that newborn children and infants will be more susceptible to OP compounds (Cole et al. 2003).

The PON1 gene has been mapped to chromosome 7q21.3-22.1 (Humbert et al. 1993; Primo-Parmo et al. 1996) and contains nine exons. Recent studies suggest that some individuals may have specific PON1 genotypes that are associated with low levels of plasma PON1 (Brophy et al. 2001b; Deakin et al. 2003; Suehiro et al. 2000). The hydrolytic catalytic efficiency of some PON1 substrates is dependent on the single nucleotide polymorphism (SNP) Q192R (Li et al. 2000). However, adults with the same PON[1.sub.192] genotype can have at least a 13-fold difference in PON1 activities (Davies et al. 1996; Furlong et al. 2002). The C-108T polymorphism, in a Sp1 binding site of the promoter region, has a major effect on the expression of the PON1 gene. The C-108 allele expresses on average twice as much PON1 as does the T-108 allele (Brophy et al. 2001b; James et al. 2000). Other polymorphisms in the promoter region (A-162G, and C-909G) may have less significant effects on PON1 expression and are in strong disequilibrium with C-108T (Costa et al. 2002; James et al. 2000). The PON[1.sub.M55] allele has been associated with low PON1 enzyme levels; however, most of this effect is related to its strong disequilibrium with the T-108 allele. Recently, additional promoter polymorphisms have been identified (SeattleSNPs 2005); however, their influence on PON1 levels has yet to be determined (Jarvik GP, personal communication). Limited information on PON1 haplotypes (Chen et al. 2005; Koda et al. 2004; Wetmur et al. 2005) suggests that haplotypes provide no significant improvement in predicting PON1 levels over a combination of PON1 polymorphisms (Chen et al. 2005).

The gene frequencies for specific alleles of PON1 genes vary by ethnicity, implying differential susceptibility to pesticides among different ethnic groups (Allebrandt et al. 2002; Brophy et al. 2002). In a study of mothers and newborns from New York, a noticeable difference in haplotype frequency was observed among three ethnic groups (Chen et al. 2005).

In the present study, we examined the frequencies and haplotypes of five PON1 polymorphisms in coding regions ([192.sub.QR] and [55.sub.LM]) and promoter regions (-[162.sub.AG], -[909.sub.CG], and -[108.sub.CT]) and their associations with PON1 plasma levels and enzyme activities in pregnant Latina women and their newborns living in the Salinas Valley, California, an agricultural community (Eskenazi et al. 2003) where approximately 500,000 pounds of OP pesticides are used annually (California Environmental Protection Agency 2002). Additionally, we report results of PON1 linkage analysis for five PON1 polymorphisms and estimate the predictive value of haplotypes, compared with PON1 genotypes, for PON1 plasma levels. The present study follows our recent publications demonstrating that the Salinas Valley population has a relatively high level of exposure to OP compounds (Bradman et al. 2005) and that OP exposure as assessed by maternal dialkyl phosphate metabolite levels was associated with shorter gestational age (Eskenazi et al. 2004) and increased frequency of abnormal reflexes in neonates (Young et al. 2005).

Materials and Methods

Subjects and recruitment. Pregnant women (n = 130) and their newborns (n = 130) were randomly selected from the CHAMACOS (Center for the Health Assessment of Mothers and Children of Salinas) cohort, a longitudinal birth cohort study of the effects of pesticides and other environmental exposures on the health of pregnant women and their children living in the Salinas Valley, California. Women were eligible for enrollment in the CHAMACOS study if they were [greater than or equal to] 18 years of age, < 20 weeks' gestation at enrollment, English- or Spanish-speaking, Medi-Cal eligible, and planning to deliver at the Natividad Medical Center (Bradman et al. 2005; Eskenazi et al. 2003, 2004; Young et al. 2005). All women in the subcohort described here were representative of the CHAMACOS cohort; they were Latina by ethnicity, including 85% born in Mexico and the remainder in the United States. Most of the participants never smoked (> 92%), had relatively high pesticide exposures based on diethyl phosphate urinary metabolites (median, 20 nmol/L; range, 7-560 nmol/L), and worked in agriculture during pregnancy (39%). Fathers were more likely to smoke (11%) and work in agriculture (72%) than were mothers. Study protocols were approved by the University of California, Berkeley, and the University of Washington human-subject review committees in compliance with all applicable requirements. Written informed consent was provided by all subjects.

Biologic samples collection and processing. We collected blood from mothers at the time of their glucose tolerance test (26.1 [+ or -] 2.3 weeks) and in the hospital shortly before or after delivery. Blood samples were also collected from the umbilical cords by delivery room staff once the baby was safely delivered. Heparinized whole blood was centrifuged, divided into plasma, buffy coats, and red blood cells, and then stored at -80[degrees]C. BD Vacutainers (Becton Dickinson, Franklin Lakes, NJ) without anticoagulant were used to collect serum and clot. Processed plasma samples were stored at -80[degrees]C before being shipped on dry ice to the University of Washington, Seattle, for analysis of enzyme activity.

DNA was isolated from blood clots. Blood clots thawed in a 37[degrees]C water bath were first mechanically disrupted using ClotSpin tubes (Gentra Systems Inc., Minneapolis, MN). The Qiagen protocol (Qiagen Inc., Santa Clarita, CA) was slightly modified by prolonging the initial lysis and protease digestion step to overnight incubation. DNA concentration was measured using PicoGreen (Molecular Probes Inc., Eugene, OR), adjusted to 10 ng/[micro]L, plated in 96-well plates, and stored at -80[degrees]C. Samples were transferred to 384-well plates for analysis of multiple SNPs, using robotic equipment to avoid manual pipetting errors and for time efficiency.

PON1 genotyping. Genotyping was conducted by the University of California, Berkeley, and Children's Hospital Research Institute Genotyping Core. Taqman real-time polymerase chain reaction method was used for genotyping of the -[162.sub.AG], [55.sub.LM], and [192.sub.QR] polymorphisms. Briefly, primers for these SNPs were custom designed by Applied Biosystems Inc. (Foster City, CA). Amplifluor allele-specific primers were used for genotyping of -[909.sub.CG] and -[108.sub.CT]. Genotype calling was performed either manually using a spreadsheet (Chemicon AssayAuditor, for real-time data) or by automatic allele calling in SDS 2.1 (Applied Biosystems, for end-point data).

Quality assurance procedures included assessment of randomly distributed blank samples in each plate, duplicates of randomly selected samples with independently isolated DNA from the same subjects, and internal controls. Repeated analysis in several runs showed a high degree (96.5%) of concordance, and the most robust call was selected in the case of discordance (3.5%). Furthermore, the assays were repeated for all low-confidence samples until a reliable call was obtained, using a combination of the TaqMan and Amplifluor methods for a subset of samples. Additional analysis was performed independently at the University of Washington for 10% of the DNA samples for the [192.sub.QR] polymorphism by standard polymerase chain reaction method (details given by Richter et al. 2004) with approximately 95% concordance; all discrepancies were resolved by repeated runs. Quality control software was used to check data for Mendelian errors, and if those were noted, the whole run was repeated.

Enzyme assays. Plasma was frozen at -80[degrees]C until analysis. We measured three PON1 enzyme activities in plasma from mothers and children, using paraoxonase (POase), chlorpyrifos oxonase (CPOase), and phenylacetate arylesterase (AREase) according to published protocols (Jarvik et al. 2003; Richter and Furlong 1999; Richter et al. 2004). We used PON1 plasma levels (AREase assay) to analyze the genetic effect because, unlike POase and CPOase levels, they are not affected by differential catalytic efficiency primarily controlled by the PON[1.sub.192] SNP and have been shown to correspond with PON1 levels determined by immunologic methods (Blatter-Garin et al. 1994; Furlong et al. 1993). Together, these three assays provide comprehensive information about PON1 enzyme activities regarding different substrates. Assessment of PON1 activities in mothers was first conducted for 25 pregnant women at two different time points, at 26 weeks and at delivery. PON1 activities were not statistically different between the two time points for all three PON1 enzyme assays (r = 0.77-1.0, p < 0.0001). Therefore, we performed analyses of AREase, POase, and CPOase in the remainder of 105 Latina mothers at one time point only--at 26 weeks' gestation. Children in the study were of both sexes, and girls represented 54%. No sex differences in PON1 enzyme levels or genotypes were observed, as is consistent with the available PON1 literature (Costa et al. 2002).

Statistical analysis. Standard analyses for all genotype data included analysis for Hardy-Weinberg equilibrium, pairwise linkage disequilibrium (LD), and haplotype assignment using algorithms implemented in the publicly available Haploview software (Battett et al. 2005), including PYPOP (Lancaster et al. 2003), tagSNPs (Stram et al. 2003), and PHASE (Stephens et al. 2001, 2003). The LD statistic D' was calculated for each pair of five PON1 SNPs, and [R.sup.2] values were used to describe the haplotype structure of the PON1 gene in our Latino cohort. PYPOP, tagSNPs, and PHASE software methods showed similar results. We used PHASE to generate the data reported in this article, because it has been shown to reduce error rates in haplotype reconstruction compared with the expectation maximization algorithm (Stephens and Donelly 2003).

Subjects were grouped according to their imputed diplotypes (Chen et al. 2005). When more than one diplotype was possible for an individual, only the most likely imputed haplotypes were used in this analysis. The distributions and descriptive statistics were established separately for each of the three PON1 enzyme assays in mothers and in their newborns for each of the five SNPs. The distributions of enzyme activities were approximately normal. Linear regression and backward regression models were used to determine whether the additional information for all five polymorphisms altered the effect of genotype on enzyme activity. Coefficients of determination (total [R.sup.2]) were calculated for the proportion of variability in PON1 plasma levels explained by the five SNP genotypes (used as ordinal variables) and by imputed haplotypes. Each haplotype with > 5% frequency was coded as a variable in the linear regression model, where the values 0, 1, or 2 denoted the presence of zero, one, or two copies of the haplotype for a subject. Haplotypes with < 5% frequency were pooled into one group for this analysis. All analyses were conducted in STATA software (version 8.0; StataCorp., College Station, TX) and SAS software (version 9.1; SAS Institute Inc., Cary, NC).

Results

PON1 polymorphisms. PON1 gene frequencies were established for two coding polymorphisms (PON[1.sub.192] and PON[1.sub.55]) and three promoter region polymorphisms (PON[1.sub.-909], PON[1.sub.-162], PON[1.sub.-108]) (Table 1). As expected, the five polymorphisms had similar allelic frequencies in 130 pregnant Latina women of Mexican descent and their newborns. All genotypes were consistent with Hardy-Weinberg equilibrium (data not shown). The SNPs at position PON[1.sub.-162] of the promoter region and PON[1.sub.55] in the coding region had lower variant allele frequencies (-162A, 55M) than did the major allele, whereas the other three polymorphisms (PON[1.sub.-909], PON[1.sub.-108], and PON[1.sub.192]) had approximately equal presence of both alleles in this population. Specifically, the frequencies of PON[1.sub.192] alleles were Q = 0.46, R = 0.54 in mothers, and Q = 0.51, R = 0.49 in children, with overall population prevalence Q ~ R ~ 0.5. Frequencies for the major alleles of promoter polymorphisms PON[1.sub.G-909], PON[1.sub.G-162], and PON[1.sub.C-108] were, respectively, 0.52, 0.78, and 0.51 in mothers and 0.56, 0.81, and 0.55 in children, and the frequency of a major allele of the coding PON[1.sub.L55] polymorphism equaled 0.82 in both age groups.

Results of linkage analysis between five PON1 polymorphisms were also similar for Latina mothers and their newborns (Table 2). We observed nearly complete LD among the three promoter polymorphisms (D' = 0.8-1; p < 0.001). Strong LD (D' = 0.87 and 0.94 in mothers and children, respectively; p < 0.001) was found between the two coding polymorphisms (PON[1.sub.192] and PON[1.sub.55]). There was a more complex relationship between coding and promoter region polymorphisms: although PON[1.sub.55] had high LD with all three promoter polymorphisms (D' = 0.74-1), only two (PON[1.sub.-108] and PON[1.sub.-909]) of the three promoter SNPs were linked to PON[1.sub.192] (D' = 0.22 and 0.19 in mothers, and D' = 0.27 and 0.34 in children, respectively). These LDs were all modest but statistically significant. However, no linkage was demonstrated between SNPs at positions PON[1.sub.192] and PON[1.sub.-162] (D' = 0.0 in mothers and 0.18 and children; p > 0.4).

Haplotype analysis. Haplotype analysis revealed a total of 32 different combinations of alleles (Table 3). However, their frequencies were noticeably different and fall into three distinct groups: a) a main group contributing approximately 93% of all haplotypes for this cohort, which is composed of seven haplotypes with individual frequencies ranging from 7 to 24%; b) a second group with individual frequencies ranging from 0.1 to 1.9%, which contributes 5.5-7.8% of all haplotypes in mothers and children; and c) a group of 17 rare haplotypes contributing a total of approximately 1% of haplotype variability.

PON1 enzyme activities. AREase levels allow for a comparison of PON1 levels across genotypes because the catalytic efficiency of hydrolysis of phenylacetate is not affected by the PON[1.sub.192] polymorphism (Tables 4, 5). The AREase activity in mothers ranged from 19.8 to 281.4 U/mL and in newborns, from 4.3 to 110.7 U/mL. The mean AREase values for mothers were similar across three PON[1.sub.192] genotypes (Q/Q = 151.9 U/mL; Q/R = 144.3 U/L; R/R = 152.2 U/L; p = 0.64). In cord samples, the Q192R polymorphism slightly influenced AREase levels with PON[1.sub.R192] individuals having the highest average levels (Q/Q = 30.8 U/mL; Q/R = 35.8 U/mL; R/R = 42.9 U/mL), although the difference between genotypes was not statistically significant (p = 0.13).

AREase levels varied noticeably across C-108T genotypes in mothers (C/C = 163.6 U/mL; C/T = 147.1 U/mL; T/T = 134.8 U/mL; p = 0.04) with a larger gradient in newborns (C/C = 48.7 U/mL; C/T = 34.0 U/mL; T/T = 27.3 U/mL; p = 0.0003). AREase levels also differed by the L55M polymorphism in cord blood (p < 0.0001) but not in maternal blood (p = 0.44), with M/M homozygotes having the lowest levels in children (17.6 U/mL) and in mothers (135.6 U/mL). AREase levels were significantly higher in subjects with the G-909 and A-162 alleles in both mothers and children (p = 0.0003-0.03).

Mean POase and CPOase activities in mothers were significantly higher (1024.2 and 9358.3 U/L, respectively) than in newborns (315.1 and 2663.4 U/L, respectively) (Tables 4, 5). Both POase and CPOase activity levels demonstrated a strong association with the PON[1.sub.192] genotype. The lowest mean average POase activity was seen in [192.sub.QQ] children (81.2 U/L) and the highest in [192.sub.RR] mothers (1927.9 U/L), resulting in a 24-fold difference among these two genotype/age groups. Furthermore, the lowest overall POase level (10.3 U/L) was observed in the [192.sub.QQ] newborn child, and the highest in [192.sub.RR] adult (3014.2 U/L), bringing the overall difference among individuals from the same population to 300-fold. For CPOase, respective differences in enzyme activity between the lowest and highest levels in this cohort reached 70-fold. Both POase and CPOase activities also varied significantly by the other four PON1 polymorphisms, with the lowest values for -[909.sub.GG], -[162.sub.GG], -[108.sub.TT], and [55.sub.MM] homozygote groups (p < 0.001 in children; p < 0.03 in mothers).

Overall, PON1 activity levels in maternal blood were significantly higher than in cord blood for all enzyme assays and all genotypes (p < 0.001). Specifically, maternal POase, CPOase, and AREase levels were 3.3-fold, 3.6-fold, and 4.0-fold higher, respectively, than those in newborn. As expected, AREase, CPOase, and POase levels correlated well within PON[1.sub.192] genotypes. In mothers, the correlations between AREase and CPOase levels ranged between 0.62 and 0.74 in QQ, QR, and RR groups, and in newborns, these correlations were even stronger, 0.90-0.92 (all p-values < 0.0001 for both mothers and newborns). The correlations between AREase and POase, and between POase and CPOase were the highest in RR newborns (both 0.93) and mothers (0.7 and 0.95, respectively), and somewhat lower for other maternal and newborn PON[1.sub.192] genotype groups (all p-values less than 0.001). AREase activity was not compared with either CPOase or POase across genotypes because of the differential effects of the PON[1.sub.192] polymorphism on CPOase or POase activities. For example, the PON[1.sub.Q192] alloform hydrolyzes paraoxon with a catalytic efficiency nine times lower than PON[1.sub.R192] (Li et al. 2000).

Phenotypic effects of PON1 genotype and haplotype. We constructed linear regression models to determine the proportion of the variance of AREase explained by the five PON1 polymorphisms and the imputed haplotypes. The five PON1 genotype polymorphisms explained 8.1 and 23.1% of the variance of AREase in mothers and newborns, respectively. The coefficient of variation ([R.sup.2]) was similar for both promoter polymorphisms PON[1.sub.-909] and PON[1.sub.-162] in mothers (~5%) and children (~14%) after adjusting for PON[1.sub.-108]. PON1 haplotypes did not significantly improve the amount of variance explained (total [R.sup.2] = 8.8% for mothers, 26.3% for newborns). The genetic contribution to AREase levels was significantly higher in newborns than in their mothers (p < 0.01). Because POase and CPOase characterize PON1 catalytic efficiency and are primarily controlled by PON[1.sub.192] polymorphism, a comparison of haplotype and genotype effects by these two assays was not relevant.

Discussion

To our knowledge, this is the first study to report three PON1 enzyme activity levels in a large cohort of newborns and mothers from an agricultural cohort with relatively high levels of OP exposure. Two main PON1 factors are likely to contribute to the risk of adverse health effects of OP exposure: the level of enzyme (as measured by AREase assay) and the ability of this enzyme to detoxify OP metabolites (as measured in this study by CPOase assay, and primarily affected by PON[1.sub.192]). Thus, newborn children in this cohort, based on their lower PON1 plasma levels and detoxifying activities, are likely to be significantly more susceptible to OP exposure than are their mothers. Similar to results of a study from Mexico (Rojas-Garcia et al. 2005), we found large interindividual variability in PON1 plasma levels in both mothers and children, with a 14-fold difference in AREase among mothers, a 25-fold difference in newborns, and an overall range of 65-fold in this cohort. Additionally, we observed a range of 70-fold for CPOase and 300-fold for POase. However, it is important to emphasize that POase variability does not reflect differential sensitivity to paraoxon exposure based on recent animal data (Li et al. 2000). On the other hand, PON1 levels and PON[1.sub.192] polymorphism are very important in determining sensitivity to chlorpyrifos and chlorpyrifos oxon exposure (Cole et al. 2005; Furlong et al. 2006). Further, AREase variability primarily defines sensitivity to diazoxon exposure (Furlong et al. 2006; Li et al. 2000). Moreover, given the wide range in enzyme levels, some of the mothers are predicted to have an elevated susceptibility because they have levels as low as most of the newborns.

In nine children followed longitudinally, PON1 reached plateaus comparable with mean adult levels between 6 and 24 months of age (Cole et al. 2003). Our finding that CHAMACOS mothers had approximately 4-fold higher AREase levels than did their newborns confirms previous observations of lower PON1 activities in small groups of neonates compared with adults (Augustinsson and Barr 1963; Ecobichon and Stephens 1973; Mueller et al. 1983). Our finding is also consistent with a recent report where neonates had 2.6- to 4.6-fold lower PON1 levels compared with mothers in three ethnic groups residing in New York (Chen et al. 2003). However, no previous study has reported either POase or CPOase variability in such a large cohort of newborns.

In Latino newborns of the CHAMACOS cohort, all three PON1 promoter polymorphisms as well as PON[1.sub.55] were significantly associated with AREase levels in children, and a greater proportion of the variance in AREase enzyme levels was explained by genetic polymorphisms in newborns than in mothers. The association of these polymorphisms and AREase levels is in agreement with another study of PON1 levels in newborns (Chen et al. 2005). There was a nearly complete LD among the three promoter region polymorphisms, as also observed in other studies (Brophy et al. 2001a; Chen et al. 2005; James et al. 2000; Rojas-Garcia et al. 2005). However, PON[1.sub.192] was not in LD with promoter SNP PON[1.sub.-162] and was in weak LD with the PON[1.sub.-108] and PON[1.sub.-909]. The lack of strong LD between PON[1.sub.192] and promoter polymorphisms is also in agreement with data from the Hispanic population in New York City (Chen et al. 2005). We found stronger LD between the two coding-region SNPs, PON[1.sub.192] and PON[1.sub.55], in both mothers and children (D' = 0.88 and 0.94, respectively) of the CHAMACOS cohort compared with Hispanics in New York City (Chen et al. 2005). The differences in linkage pattern may be attributed to variation among ethnic groups (Koda et al. 2004).

It has been reported that the association of the M55 allele with low PON1 levels is primarily attributable to LD with the inefficient T-108 allele (Brophy et al. 2001b). PON[1.sub.M55] has also been reported to be somewhat less stable than PON[1.sub.L55], additionally affecting protein levels in plasma (James et al. 2000). This may explain why in CHAMACOS mothers, who have about a 4-fold higher AREase levels than the newborns, the effect of PON[1.sub.55] was not statistically significant.

Our analysis of five PON1 SNPs in a Latino population of Mexican descent living in California suggests that these SNPs may be located on separate haplotype blocks because we found nearly complete LD among the coding SNPs but not between PON[1.sub.192] and PON[1.sub.-162] The presence of several haplotypes blocks in the PON1 gene has been previously reported for other ethnic groups (International HapMap Consortium 2003; Koda et al. 2004). This underscores the importance of further analysis of PON1 genetic variability. The gene frequencies for specific alleles of PON1 genes vary by ethnicity, implying different population susceptibility to pesticides (Costa et al. 2002). The frequency of PON[1.sub.192] alleles in our Latina cohort of Mexican descent (Q = 0.5) was similar to those observed in Caribbean Hispanic mothers and neonates in New York City (both Q = 0.5) (Chen et al. 2003). PON[1.sub.-162] frequencies were also comparable in these two populations (~ 0.8). However, the frequencies for the PON[1.sub.-108], PON[1.sub.-909], and PON[1.sub.55] were noticeably different between Latinos from California and New York. The PON[1.sub.192] frequency in Hispanics from Washington State (Q = 0.6) was slightly higher than in New York and California (Brophy et al. 2002). In previous studies, the allele frequencies for PON[1.sub.192] polymorphism in Caucasians was Q = 0.7, whereas for African Americans and other groups of African descent, the PON[1.sub.192] frequencies are reversed, Q = 0.3 (Brophy et al. 2002).

Allebrandt et al. (2002) have compared a combination of the PON[1.sub.192] and PON[1.sub.55] allele frequencies across various ethnic groups. Using this approach, Mexican Latinos of the CHAMACOS cohort appear to be equally differentiated from Caucasians, Asians, and African Americans, which is consistent with their Native American background, whereas Caribbean Hispanics from New York (Chen et al. 2003) are closer to Africans and Caucasians (data not shown). This difference across ethnic groups corroborates genetic and historical information about these populations (Cavalli-Sforza et al. 1993).

An effect of both PON1 genotype and haplotypes on PON1 phenotype as measured by AREase was stronger in CHAMACOS newborns. This is in agreement with another study (Chen et al. 2005; Wetmur et al. 2005) that evaluated the relationship of five PON1 SNPs with enzyme activity in mothers and their newborns. It is also clear that polymorphisms characterized to date in the PON1 gene account for only a portion of the variability in PON1 levels observed among individuals. Additional research needs to be carried out to identify other factors (e.g., trans-acting factors, other PON1 polymorphisms including intronic and exonic splice enhancing sequences) that influence PON1 expression.

Individuals with low PON1 activity are hypothesized to be at higher risk for any adverse health effects of OP exposure. In the only study to date to directly examine this hypothesis, Berkowitz et al. (2004) reported that in residents of east Harlem (the same cohort described by Chen et al. 2003), low PON1 plasma levels were associated with smaller neonatal head circumference. Further, although prenatal levels of the urinary metabolite of chlorpyrifos--3,5,6-trichloro-2-pyridinol (TCP)--were not associated with any measure of fetal growth or length of gestation by itself, higher levels of TCP were associated with smaller head circumference in children whose mothers had low expression of PON1.

We previously reported in the CHAMACOS cohort that OP exposure as measured by urinary dialkyl phosphate metabolite levels of the mother during pregnancy was associated with shorter gestational duration (Eskenazi et al. 2004) and poorer neonatal reflexes (Young et al. 2005). A recent publication links PON[1.sub.RR] and [PON2.sub.CC] genotypes in infants with increased risk of preterm delivery in China (Chen et al. 2004). In future analyses, we aim to expand the analyses of PON1 to the entire CHAMACOS cohort and to determine whether PON1 levels modify the previously observed relationship between OP exposure and gestational duration and neonatal development.

REFERENCES

Allebrandt KV, Souza RL, Chautard-Freire-Maia EA. 2002. Variability of the paraoxonase gene (PON1) in Euro- and Afro-Brazilians. Toxicol Appl Pharmacol 180:151-156.

Augustinsson K, Barr M. 1963. Age variation in plasma arylesterase activity in children. Clin Chim Acta 8:568-573.

Barr D, Bravo R, Weerasekera G, Caltabiano L, Whitehead R. 2004. Concentrations of dialkyl phosphate metabolites of organophosphorus pesticides in the U.S. population. Environ Health Perspect 112:186-200.

Barrett JC, Fry B, Maller J, Daly MJ. 2005. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21: 263-265.

Berkowitz GS, Obel J, Deych E, Lapinski R, Godbold J, Liu Z, et al. 2003. Exposure to indoor pesticides during pregnancy in a multiethnic, urban cohort. Environ Health Perspect 111:79-84.

Berkowitz GS, Wetmur JG, Birman-Deych E, Obel J, Lapinski RH, Godbold JH, et al. 2004. In utero pesticide exposure, maternal paraoxonase activity, and head circumference. Environ Health Perspect 112:388-391.

Blatter-Garin M-C, Abbot C, Messmer S, Mackness MI, Durrington P, Pometta D, et al. 1994. Quantification of human serum paraoxonase by enzyme-linked immunoassay: population differences in protein concentrations. Biochem J 304:549-554.

Bradman A, Barr DB, Claus Henn BG, Drumheller T, Curry C, Eskenazi B. 2003. Measurement of pesticides and other toxicants in amniotic fluid as a potential biomarker of prenatal exposure: a validation study. Environ Health Perspect 111:1782-1789.

Bradman A, Eskenazi B, Barr DB, Bravo R, Castorina R, Chevrier J, et al. 2005. Organophosphate urinary metabolite levels during pregnancy and after delivery in women living in an agricultural community. Environ Health Perspect 113:1802-1807.

Brophy VH, Hastings MD, Clendenning JB, Richter RJ, Jarvik GP, Furlong CE. 2001a. Polymorphisms in the human paraoxonase (PON1) promoter. Pharmacogenetics 11:77-84.

Brophy VH, Jampsa RL, Clendenning JB, McKinstry LA, Jarvik GP, Furlong CE. 2001b. Effects of 5' regulatory region polymorphisms on paraoxonase (PON1) expression. Am J Hum Genet 68:1428-1436.

Brophy VH, Jarvik GP, Furlong C. 2002. PON1 polymorphisms. In: Paraoxonase (PON1) in Health and Disease: Basic and Clinical Aspects (Costa LG, Furlong C, eds). Boston, MA:Kluwer Academic Press, 53-77.

California Environmental Protection Agency. 2002. Pesticide Use Reporting 2001 Summary Data. Sacramento:California Environmental Protection Agency, Department of Pesticide Regulation. Available: http://www.cdpr.ca.gov/docs/pur/pur01rep/01_pur.htm [accessed 1 December 2005].

Castorina R, Bradman A, McKone TE, Marr D, Harnly M, Eskenazi B. 2003. Cumulative organophosphate pesticide exposure and risk assessment among pregnant women living in an agricultural community: a case study from the CHAMACOS cohort. Environ Health Perspect 111:1642-1648.

Cavalli-Sforza L, Menozzi P, Piazza A. 1994. History and Geography of Human Genes. Princeton, NJ:Princeton University Press.

Chen D, Hu Y, Chen C, Yang F, Fang Z, Wang L, et al. 2004. Polymorphisms of the paraoxonase gene and risk of preterm delivery. Epidemiology 15:466-470.

Chen J, Chan W, Wallenstein S, Berkowitz G, Wetmur JG. 2005. Haplotype-phenotype relationships of paraoxonase-1. Cancer Epidemiol Biomarkers Prev 14:731-734.

Chen J, Kumar M, Chan W, Berkowitz G, Wetmur JG. 2003. Increased influence of genetic variation on PON1 activity in neonates. Environ Health Perspect 111:1403-1409.

Cole T, Jampsa RL, Walter BJ, Arndt TL, Richter RJ, Shih DM, et al. 2003. Expression of human paraoxonase (PON1) during development. Pharmacogenetics 13:357-364.

Cole T, Walter B, Shih D, Tward A, Lusis AJ, Timchalk C, et al. 2005. Toxicity of chlorpyrifos oxon in a transgenic mouse model of the human paraoxonase (PON1) Q192R polymorphism. Pharmacogenet Genom 15:589-598.

Costa LG, Li WF, Richter RJ, Shih DM, Lusis AJ, Furlong CE. 2002. PON1 and organophosphate toxicity. In: Paraoxonase (PON1) in Health and Disease: Basic and Clinical Aspects (Costa LG, Furlong CE, eds). Boston, MA:Kluwer Academic Press, 165-184.

Davies HG, Richter RJ, Keifer M, Broomfield CA, Sowalla J, Furlong CE. 1996. The effect of the human serum paraoxonase polymorphism is reversed with diazoxon, soman and sarin. Nat Genet 14:334-336.

Deakin S, Leviev I, Brulhart-Meynet M-C, James RW. 2003. Paraoxonase-1 promoter haplotypes and serum paraoxonase: a predominant role for polymorphic position -107, implicating the Sp1 transcription factor. Biochem J 372:643-649.

Draganov DI, Teiber JF, Speelman A, Osawa Y, Sunahara R, La Du BN. 2005. Human paraoxonases (PON1, PON2, and PON3) are lactonases with overlapping and distinct substrate specificities. J Lipid Res 46:1239-1247.

Ecobichon DJ, Stephens DS. 1973. Perinatal development of human blood esterases. Clin Pharmacol Ther 14:41-47.

Eskenazi B, Bradman A, Castorina R. 1999. Exposures of children to organophosphate pesticides and their potential adverse health effects. Environ Health Perspect 107(suppl 3):409-419.

Eskenazi B, Bradman A, Gladstone EA, Jaramillo S, Birch K, Holland NT. 2003. CHAMACOS, a longitudinal birth cohort study: lessons from the fields. J Childrens Health 1:3-27.

Eskenazi B, Harley K, Bradman A, Weltzien E, Jewell NP, Barr DB, et al. 2004. Association of in utero organophosphate pesticide exposure and fetal growth and length of gestation in an agricultural population. Environ Health Perspect 112:1116-1124.

Fenske RA, Lu C, Barr D, Needham L. 2002. Children's exposure to chlorpyrifos and parathion in an agricultural community in central Washington State. Environ Health Perspect 110:549-553.

Furlong C, Holland N, Richter R, Bradman A, Ho A, Eskenazi B. 2006. PON1 status of farmworker mothers and children as a predictor of organophosphate sensitivity. Pharmacogenet Genom 16:183-190.

Furlong C, Li W-F, Shih DM, Lusis AJ, Richter RJ, Costa L. 2002. Genetic factors in susceptibility: serum PON1 variation between individuals and species. Hum Ecol Risk Assess 8:31-43.

Furlong CE, Costa LG, Hassett C, Richter RJ, Adler DA, Disteche CM, et al. 1993. Human and rabbit paraoxonases: purification, cloning, sequencing, mapping and role of polymorphism in organophosphate detoxification. Chem Biol Interact 87:35-48.

Geldmacher-von Mallinckrodt M, Diepgen TL. 1988. The human serum paraoxonase--polymorphism and specificity. Toxicol Environ Chem 18:179-196.

Hill RH Jr, Head SL, Baker S, Gregg M, Shealy DB, Bailey SL, et al. 1995. Pesticide residues in urine of adults living in the United States: reference range concentrations. Environ Res 71:99-108.

Humbert R, Adler DA, Disteche CM, Hassett C, Omiecinski CJ, Furlong CE. 1993. The molecular basis of the human serum paraoxonase activity polymorphism. Nat Genet 3:73-76.

International HapMap Consortium. 2003. The International HapMap Project. Nature 426:789-796.

James RW, Leviev I, Ruiz J, Passa P, Froguel P, Garin MC. 2000. Promoter polymorphism T(-107)C of the paraoxonase PON1 gene is a risk factor for coronary heart disease in type 2 diabetic patients. Diabetes 49:1390-1393.

Jarvik GP, Jampsa R, Richter RJ, Carlson CS, Rieder MJ, Nickerson DA, et al. 2003. Novel paraoxonase (PON1) nonsense and missense mutations predicted by functional genomic assay of PON1 status. Pharmacogenetics 13:291-295.

Koda Y, Tachida H, Soejima M, Takenaka O, Kimura H. 2004. Population differences in DNA sequence variation and linkage disequilibrium at the PON1 gene. Ann Hum Genet 68:110-119.

Lancaster A, Nelson MP, Single RM, Meyer D, Thomson G. 2003. PyPop: a software framework for population genomics: analyzing large-scale multi-locus genotype data. In: Pacific Symposium on Biocomputing 8 (Altman RB, Dunker AK, Hunter L, Jung TA, Klein TE, eds). Singapore:World Scientific, 514-525.

Li WF, Costa LG, Richter RJ, Hagen T, Shih DM, Tward A, et al. 2000. Catalytic efficiency determines the in-vivo efficacy of PON1 for detoxifying organophosphorus compounds. Pharmacogenetics 10:767-779.

Loewenherz C, Fenske RA, Simcox NJ, Bellamy G, Kalman D. 1997. Biological monitoring of organophosphorus pesticide exposure among children of agricultural workers in central Washington State. Environ Health Perspect 105:1344-1353.

Mueller RF, Hornung S, Furlong CE, Anderson J, Giblett ER, Motulsky AG. 1983. Plasma paraoxonase polymorphism: a new enzyme assay, population, family, biochemical, and linkage studies. Am J Hum Genet 35:393-408.

National Research Council. 1993. Pesticides in the Diets of Infants and Children. Washington, DC:National Academy of Sciences.

Padilla S, Buzzard J, Moser VC. 2000. Comparison of the role of esterases in the differential age-related sensitivity to chlorpyrifos and methamidophos. Neurotoxicology 21:49-56.

Primo-Parmo SL, Sorenson RC, Teiber J, La Du BN. 1996. The human serum paraoxonase/arylesterase gene (PON1) is one member of a multigene family. Genomics 33:498-507.

Richter R, Jampsa R, Jarvik GP, Costa LG, Furlong C. 2004. Determination of paraoxonase 1 (PON1) status and genotypes at specific polymorphic sites. Curr Protocols Toxicol 4:12-19.

Richter RJ, Furlong CE. 1999. Determination of paraoxonase (PON1) status requires more than genotyping. Pharmacogenetics 9:745-753.

Rojas-Garcia AE, Solis-Heredia MJ, Pina-Guzman B, Vega L, Lopez-Carrillo L, Quintanilla-Vega B. 2005. Genetic polymorphisms and activity of PON1 in a Mexican population. Toxicol Appl Pharmacol 205(3):282-289.

SeattleSNPs. 2005. NHLBI Program for Genomic Applications. Seattle, WA:SeattleSNPs. Available: http://pga.gs.washington.edu [accessed 1 July 2005].

Sheets L. 2000. A consideration of age-dependent differences in susceptibility to organophosphorus and pyrethroid insecticides. Neurotoxicology 21:57-63.

Simcox NJ, Camp J, Kalman D, Stebbins A, Bellamy G, Lee IC, et al. 1999. Farmworker exposure to organophosphorus pesticide residues during apple thinning in central Washington state. Am Ind Hyg Assoc J 60:752-761.

Stephens M, Donnelly P. 2003. A comparison of Bayesian methods for haplotype reconstruction from population genotype data. Am J Hum Genet 73:1162-1169.

Stephens M, Smith NJ, Donnelly P. 2001. A new statistical method for haplotype reconstruction from population data. Am J Hum Genet 68(4):978-989.

Stram DO, Haiman CA, Hirschhorn JN, Altshuler D, Kolonel LN, Henderson BE, Pike MC. 2003. Choosing haplotype-tagging SNPS based on unphased genotype data using a preliminary sample of unrelated subjects with an example from the Multiethnic Cohort Study. Hum Hered 55:27-36.

Suehiro T, Nakamura T, Inoue M, Shiinoki T, Ikeda Y, Kumon Y, et al. 2000. A polymorphism upstream from the human paraoxonase (PON1) gene and its association with PON1 expression. Atherosclerosis 150:295-298.

Watson AD, Berliner JA, Hama SY, La Du BN, Faull KF, Fogelman AM, et al. 1995. Protective effect of high density lipoprotein associated paraoxonase. Inhibition of the biological activity of minimally oxidized low density lipoprotein. J Clin Invest 96:2882-2891.

Wetmur JG, Kumar M, Zhang L, Palomeque C, Wallenstein S, Chen J. 2005. Molecular haplotyping by linking emulsion PCR: analysis of paraoxonase 1 haplotypes and phenotypes. Nucleic Acids Res 33:2615-2619.

Whyatt RM, Barr DB. 2001. Measurement of organophosphate metabolites in postpartum meconium as a potential biomarker of prenatal exposure: a validation study. Environ Health Perspect 103:417-420.

Whyatt RM, Barr DB, Camann DE, Kinney PL, Barr JR, Andrews HF, et al. 2003. Contemporary-use pesticides in personal air samples during pregnancy and blood samples at delivery among urban minority mothers and newborns. Environ Health Perspect 111:749-756.

Young JG, Eskenazi B, Gladstone EA, Bradman A, Pedersen L, Johnson C, et al. 2005. Association between in utero organophosphate pesticide exposure and abnormal reflexes in neonates. Neurotoxicology 26:199-209.

Nina Holland, (1) Clement Furlong, (2) Maria Bastaki, (1) Rebecca Richter, (2) Asa Bradman, (1) Karen Huen, (1) Kenneth Beckman, (3) and Brenda Eskenazi (1)

(1) Center for Children's Environmental Health, School of Public Health, University of California, Berkeley, California, USA; (2) Departments of Genome Sciences and Medicine, Division of Medical Genetics, University of Washington, Seattle, Washington, USA; (3) Children's Hospital Research Institute, Oakland, California, USA

Address correspondence to N. Holland, 759 University Hall, School of Public Health, University of California, Berkeley, CA 94720-7360 USA. Telephone: [phone]. Fax: [phone]. E-mail: [e-mail]

We gratefully acknowledge Center for Health Assessment of Mothers and Children of Salinas (CHAMACOS) staff, students, community partners, and especially the CHAMACOS participants and their families, without whom this study would not be possible. L. Barcellos's assistance with haplotype analysis and K. Kogut's and E. Weltzien's help with statistical analysis are sincerely appreciated.

This research was supported by National Institute of Environmental Health Sciences (NIEHS) grants P30 ESO1896, 2 P01 ES09605-06, 2 PO1 ES09601, and R01ES09883, National Institutes of Health (NIH) grant P60 MD00222, and by grants R82670901-5, RD-83170901, and R826886 from the U.S. Environmental Protection Agency (EPA).

This article's contents are solely the responsibility of the authors and do not necessarily represent official views of the NIEHS, NIH, or the U.S. EPA.

The authors declare they have no competing financial interests.

Received 26 July 2005; accepted 2 February 2006.

Table 1. PON1 allelic frequencies in Latino mothers and their newborns.

                       Mother     Children   Total
Position in PON1  SNP  (n = 130)  (n = 130)  (n = 260)

-909              C    0.48       0.44       0.46
                  G    0.52       0.56       0.54
-162              A    0.21       0.19       0.20
                  G    0.79       0.81       0.80
-108              C    0.51       0.55       0.53
                  T    0.49       0.45       0.47
  55              L    0.82       0.82       0.82
                  M    0.18       0.18       0.18
 192              Q    0.46       0.51       0.48
                  R    0.54       0.49       0.52

Table 2. Tests of PON1 LD in Latino mothers and children.

Position              192                          55
in PON1   D'      [chi square]  p-Value  D'    [chi square]  p-Value

Mothers
  -108      0.22   6.0            0.01   0.74  17.9          < 0.001
  -909      0.19   4.7            0.03   0.75  19.5          < 0.001
  -162    < 0.01   0.0            0.94   1.00   7.1            0.01
    55      0.88  29.7          < 0.001
   192
Children
  -108      0.27   6.9            0.007  0.60  12.9          < 0.001
  -909      0.34   9.9            0.002  0.72  19.1          < 0.001
  -162      0.18   0.7            0.41   0.63   2.7            0.11
    55      0.94  35.7          < 0.001
   192

Position            -162                         -909
in PON1   D'    [chi square]  p-Value  D'    [chi square]  p-Value

Mothers
  -108    0.81  35.1          < 0.001  0.90  182.0         < 0.001
  -909    1.00  57.9          < 0.001
  -162
    55
   192
Children
  -108    0.70  18.4          < 0.001  0.95  174.8         < 0.001
  -909    1.00  38.7          < 0.001
  -162
    55
   192

Table 3. Haplotypes (%) of five PON1 polymorphisms in 130 Latino mothers
and their newborns.

Haplotype         Mothers  Children

A:T:G:C:T (a)     17.3     16.3
G:T:G:C:T         16.6     24.3
G:T:G:G:C         16.4     17.4
A:A:G:C:T         12.3     11.8
A:T:G:G:C         10.4      8.0
G:T:A:G:C          9.1      8.8
A:T:A:G:C          9.0      6.7
  Group 1, total  91.1     93.3
A:A:G:G:C          1.9      1.9
G:T:G:C:C          1.8      0.9
G:T:A:G:T          1.0      0.5
G:A:G:G:C          1.0      0.1
A:T:A:G:T          0.9      0.9
A:A:A:G:C          0.7      1.2
A:T:G:G:T          0.5     --
  Group 2, total   7.8      5.5
Other              1.1      1.2

(a) Polymorphisms in five loci of PON1 gene are listed in the following
order: 192(A/G), 55(A/T), -162(A/G), -909(C/G), -108(C/T).

Table 4. PON1 polymorphism frequencies and enzyme activities in Latina
mothers (n = 130).

                      AREase (U/mL)        p-     POase (U/L)
Genotype     Percent  Mean (range)         Value  Mean (range)

-909         100.0
  CC          25.4    131.7 (54.5-233.7)           773.9 (150.5-2538.8)
  GC          46.1    149.6 (19.8-242.8)   0.03    981.8 (66.1-2866.0)
  GG          28.5    160.7 (78.9-281.4)          1324.1 (217.4-3014.2)
-162         100.0
  AA           5.4    172.8 (78.9-281.4)          1570.1 (397.3-2373.1)
  AG          31.5    160.8 (82.9-261.9)   0.02   1102.4 (217.4-3014.2)
  GG          63.1    139.8 (19.8-239.3)           939.4 (66.1-2866.0)
-108         100.0
  CC          27.3    163.6 (78.9-281.4)          1388.7 (217.4-3014.2)
  CT          46.9    147.1 (19.8-242.8)   0.04    982.8 (66.1-2866.0)
  TT          25.8    134.8 (54.5-233.7)           768.3 (150.5-2538.8)
  55         100.0
  LL          66.9    151.7 (54.5-281.4)          1181.4 (150.5-3014.2)
  LM          29.2    141.6 (19.8-242.8)   0.44    770.1 (66.1-1638.6)
  MM           3.9    135.6 (102.0-185.5)          250.3 (212.0-339.7)
 192         100.0
  QQ          30.0    151.9 (19.8-237.5)           340.7 (66.1-571.1)
  QR          46.9    144.3 (72.9-261.9)   0.64   1064.0 (565.4-2058.8)
  RR          23.1    152.2 (78.9-281.4)          1927.9 (1114.9-3014.2)
All                   149.2 (19.8-281.4)          1024.2 (66.1-3014.2)
  genotypes

             POase (U/L)  CPOase (U/L)
Genotype     p-Value      Mean (range)              p-Value

-909
  CC                       8104.5 (3975.8-15389.2)
  GC           0.001       9522.0 (1661.7-17098.0)  0.001
  GG                      10492.6 (4535.9-16732.4)
-162
  AA                      10766.3 (6465.7-15723.8)
  AG           0.03       10162.8 (4535.9-17098.0)  0.03
  GG                       8958.8 (1661.7-16203.2)
-108
  CC                      10762.1 (4535.9-16732.4)
  CT           0.0003      9342.1 (1661.7-17098.0)  0.001
  TT                       8283.2 (3975.8-15389.2)
  55
  LL                       9982.5 (3975.8-17098.0)
  LM           0.0001      8541.7 (1661.7-13798.5)  0.002
  MM                       6684.0 (5391.1-9653.5)
 192
  QQ                       8848.4 (1661.7-15389.2)
  QR         < 0.0001      9346.5 (4992.0-17098.0)  0.03
  RR                      10577.1 (6465.7-16203.2)
All                        9358.3 (1661.7-17098.0)
  genotypes

Table 5. PON1 polymorphism frequencies and enzyme activities in Latino
newborns (n = 130).

                      AREase (U/mL)               POase (U/L)
Genotype     Percent  Mean (range)      p-Value   Mean (range)

-909         100.0
  CC          14.0    24.2 (6.3-110.7)            222.8 (10.3-802.6)
  GC          60.4    34.1 (4.3-108.8)    0.0001  272.6 (34.2-1235.8)
  GG          25.6    48.9 (8.2-104.2)            431.4 (66.1-1352.0)
-162         100.0
  AA           3.1    57.7 (43.2-90.8)            707.4 (314.6-1352.0)
  AG          31.8    42.6 (8.2-104.2)    0.006   317.4 (49.0-812.4)
  GG          65.1    32.3 (6.3-110.7)            281.2 (10.3-1235.8)
-108         100.0
  CC          27.6    48.7 (8.2-104.2)            426.3 (66.1-1352.0)
  CT          54.3    34.0 (5.9-108.8)    0.0003  283.8 (49.0-1235.8)
  TT          18.1    27.3 (6.3-110.7)            214.9 (10.3-802.6)
  55         100.0
  LL          67.2    42.9 (5.9-110.7)            364.9 (60.4-1352.0)
  LM          28.9    23.5 (4.3-50.4)   < 0.0001  195.0 (34.2-454.9)
  MM           3.9    17.6 (6.3-54.2)              92.0 (10.3-286.1)
 192         100.0
  QQ          20.0    30.8 (6.3-108.8)             81.2 (10.3-178.6)
  QR          55.1    35.8 (4.3-110.7)    0.13    292.3 (34.2-802.6)
  RR          23.9    42.9 (5.9-104.2)            543.3 (165.3-1352.0)
All                   36.2 (4.3-110.7)            315.1 (10.3-1352.0)
  genotypes

             POase (U/L)  CPOase (U/L)
Genotype     p-Value      Mean (range)            p-Value

-909
  CC                      1993.9 (245.7-7664.0)
  GC           0.0004     2452.3 (485.2-7004.4)     0.0002
  GG                      3395.5 (1231.3-7669.4)
-162
  AA                      4977.3 (2715.3-7669.4)
  AG           0.0004     2819.8 (714.7-4851.5)     0.0002
  GG                      2412.8 (245.7-7664.0)
-108
  CC                      3359.5 (1231.3-7669.4)
  CT           0.0003     2479.4 (988.4-7004.4)     0.0003
  TT                      2102.8 (245.7-7664.0)
  55
  LL                      3008.4 (714.7-7669.4)
  LM         < 0.0001     1902.0 (485.2-4108.1)   < 0.0001
  MM                      1171.0 (245.7-2123.2)
 192
  QQ                      2074.3 (245.7-4778.5)
  QR         < 0.0001     2587.8 (485.2-7664.0)     0.006
  RR                      3214.6 (988.4-7669.4)
All                       2663.4 (245.7-7669.4)
  genotypes