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MEBO - UBIOME study 2018



MEBO Gut Microbiome Study
"Microbial Basis of Systemic Malodor and PATM Conditions (PATM)"
Funded by uBiome Research Grant

"Microbial Basis of Systemic Malodor and PATM Conditions (PATM)"

Dynamics of the Gut Microbiota in
Idiopathic Malodor Production

Started May 2018 - Ongoing

Current people sent kits : 100/100
3 kits per person


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TMAU Petition world
TMAU UK end total:262
TMAU UK ends 23/01/20
TMAU Petition USA end total 204
USA : Moveon open
TMAU (Dominican)
Metabolomic Profiling Study

Start : Aug 2016
Stage 1 : 27 Canadian volunteers to test
Latest click here (26 oct) :
17 samples returned

Note : Stage 1 is Canada only.
Return cut-off date : passed
Analysis can take 6/8 weeks
Analysis start in/before Nov
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Denver TMAU Test Lab survey click here
click to Read more/less

USA survey for anyone who wants to improve Denver TMAU test

begun : Dec22
end : no ending for now

A trainee genetic counselor is working at the Denver TMAU test lab. Probably as part of her training. As a project she wishes feedback on any aspect of the Denver TMAU test and process. You can fill in the survey and/or email her (email address is in survey). It's meant for USA people, but perhaps others can give their view too (as we have so few opportunities).

quote from her rareconnect post

"Hello all! I wanted to make you aware of a research study being conducted to better understand the experience and needs of individuals with trimethylaminuria with a goal of being able to create improved patient and healthcare provider education materials. Any participation is completely voluntary and all responses remain confidential. Feel free to use the contact information within the link with any questions or share the survey with others with TMAU."

see this post for more details

Monday, September 19, 2011

FMO3 coding sequence

This page contains the amino acid sequence to make up an FMO3 protein. The coding sequence for FMO3 is 532 amino acids long, and are ti read them here you group the letters into blocks of 3 (eg GGA). The sequence shown is the 'wild type' sequence, which presumably would be the sequence for a 'perfect' FMO3 protein (until proven otherwise by new research). ?This sequence would be repeated in the other parent making a 'perfect' wild-type protein.

FMO3 coding sequence

so on one allelle, the coding for the first 2 codons would be :
1. ATG (methionine)
2. GGG (glycine)

On both allelles (one from each parent) it would look like :



The coding sequence for FMO3 is on 8 of the 9 exons (the first exon does not seem to play a role)

The genetic structure can be thought of as :
the coding exons (with the information needed to make the protein. The important bit !)
Any other exons (not coding)
Introns (which seem to be 'junk DNA')
Any other parts that play a role in making the DNA function, such as the promoter region

Unfortunately, although introns seem to be 'junk DNA', it seems that if there are mutants in the introns they could stop the proper building of an FMO3 protein. This may be why some people seem to have sub-normal TMAU urine results but this is not confirmed by the DNA test, because the DNA test only looks at coding exons.

Dr Richard Kirk kindly gave us this quote in an earlier post :

A :Thank you for your email.
Our FMO3 DNA test is done by sequencing all the parts of the FMO3 gene that code for the FMO3 protein/enzyme ('exons' in genetics terms). This means that we do pick up neutral polymorphisms and variants, as well as pathogenic mutations. In particular, we can and do detect the p.[Glu138Lys;Glu308Gly] variant haplotype that is mentioned in the 2007 paper, and others. If we find this variant haplotype on one or both copies of the gene, we include it in our reports.
There are certainly individuals that appear to have primary TMAU on the urine test, but nothing on our DNA test.
Although our test will pick up all the mutations that have been described in this gene, we cannot exclude rare mutation mechanisms such as mutations deep within introns (the non-coding DNA between the exons) or mutations affecting the controlling mechanisms for the gene. There is also a theoretical possibility that other related proteins/enzymes could be affected. Unfortunately, investigating these possibilities would be research, and beyond the current scope of a diagnostic service like ours.
I hope this information is of help.

...The one addition I would make is that we also cannot exclude a non-genetic cause for a 'primary' result on the urine test. Further biochemical and microbiological follow-up can sometimes help to give a full picture. Unfortunately in some of these cases our current laboratory testing cannot come up with a final answer.

Richard Kirk MSc FRCPath
Lead Clinical Scientist - Inborn Errors of Metabolism Section
Sheffield Diagnostic Genetics Service

Sheffield Children's NHS Foundation Trust
Western Bank

FMO3 question in blog

MEBO Research plans to put more in-depth information on how to read FMO3 DNA on our website. For now, we have an example of how one 'wild-type' allelle for building an FMO3 protein would look like.
FMO3 532 coding sequence on MEBO Research website


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