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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">BR</journal-id>
<journal-title-group>
<journal-title>Biomedical Reports</journal-title></journal-title-group>
<issn pub-type="ppub">2049-9434</issn>
<issn pub-type="epub">2049-9442</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/br.2014.266</article-id>
<article-id pub-id-type="publisher-id">br-02-04-0574</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Changes in human sirtuin 6 gene promoter methylation during aging</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SAHIN</surname><given-names>KANIYE</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>YILMAZ</surname><given-names>SIBEL</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>GOZUKIRMIZI</surname><given-names>NERMIN</given-names></name><xref ref-type="corresp" rid="c1-br-02-04-0574"/></contrib>
<aff id="af1-br-02-04-0574">Department of Molecular Biology and Genetics, Faculty of Science, Istanbul University, 34118 Vezneciler, Istanbul, Turkey</aff></contrib-group>
<author-notes>
<corresp id="c1-br-02-04-0574">Correspondence to: Professor Nermin Gozukirmizi, Department of Molecular Biology and Genetics, Faculty of Science, Istanbul University, 2 Sehzadebasi, Vezneciler-Istanbul 34118, Turkey, E-mail: <email>nermin@istanbul.edu.tr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>03</month>
<year>2014</year></pub-date>
<volume>2</volume>
<issue>4</issue>
<fpage>574</fpage>
<lpage>578</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>02</month>
<year>2014</year></date>
<date date-type="accepted">
<day>26</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year></permissions>
<abstract>
<p>Aging is a natural process during which changes at the cellular level increase death risk by developing susceptibility to a variety of diseases. Sirtuins have been shown to regulate lifespan in various organisms by deacetylating a number of important transcription factors. Of the 7 identified mammalian sirtuins (SIRT1-7), SIRT6 depletion is associated with severe symptoms of premature aging. In this study, we investigated the association between human longevity and <italic>SIRT6</italic> promoter methylation. Genomic DNA from blood samples of 55 individuals (34 females and 21 males) was examined to detect methylation levels by quantitative polymerase chain reaction analysis following bisulfite treatment. While the results indicated 43.21&#x00025; methylation in the 9&#x02013;19 age group, this ratio was found to be increased up to 65.63&#x00025; in the 20&#x02013;79 age group and decreased to 52.15&#x00025; in the 80&#x02013;95 age group. Our results demonstrated that the <italic>SIRT6</italic> gene is more active between 9&#x02013;19 and 80&#x02013;95 years compared to 20&#x02013;79 years.</p></abstract>
<kwd-group>
<kwd>sirtuin 6</kwd>
<kwd>methylation</kwd>
<kwd>longevity</kwd>
<kwd>bisulfite</kwd>
<kwd>quantitative polymerase chain reaction</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Sirtuins have attracted significant interest in aging studies over the last decade. Sirtuins have been shown to regulate important biological pathways in bacteria, archaea and eukaryotes by possessing NAD<sup>&#x0002B;</sup>-dependent histone deacetylase, mono-ribosyltransferase and tumor suppressor activity and by regulating gene expression or DNA repair (<xref rid="b1-br-02-04-0574" ref-type="bibr">1</xref>&#x02013;<xref rid="b4-br-02-04-0574" ref-type="bibr">4</xref>). Of the 7 human sirtuins identified, the human <italic>SIRT6</italic> gene is located on the minus strand of chromosome 19p13.3 and is available in a single copy encoding a 355-amino acid protein (39.1 kDa) (<xref rid="b5-br-02-04-0574" ref-type="bibr">5</xref>). The SIRT6 protein localizes in the nucleus (<xref rid="b6-br-02-04-0574" ref-type="bibr">6</xref>) and is required for DNA repair and maintenance of genomic stability in mammalian cells, integrating stress signaling to activate the DNA repair machinery in response to oxidative stress (<xref rid="b7-br-02-04-0574" ref-type="bibr">7</xref>,<xref rid="b8-br-02-04-0574" ref-type="bibr">8</xref>). Knockdown of <italic>SIRT6</italic> in human cells renders them prone to chemically induced double-strand breaks (<xref rid="b2-br-02-04-0574" ref-type="bibr">2</xref>,<xref rid="b9-br-02-04-0574" ref-type="bibr">9</xref>). SIRT6 deficiency in mice has been shown to lead to the development of an acute degenerative aging-like phenotype (<xref rid="b10-br-02-04-0574" ref-type="bibr">10</xref>). Although studies on <italic>SIRT6</italic> knockout mice reported a strong correlation between premature aging and the absence of the SIRT6 protein (<xref rid="b10-br-02-04-0574" ref-type="bibr">10</xref>), the reports on the overexpression of sirtuin homologues on various model organisms have been controversial, from no effect (<xref rid="b11-br-02-04-0574" ref-type="bibr">11</xref>) to expansion of lifespan only in male mice (<xref rid="b12-br-02-04-0574" ref-type="bibr">12</xref>). Analyses at the mRNA and protein level revealed SIRT6 expression in the majority of mouse and human tissues, with particularly high protein levels in the thymus, skeletal muscle and brain (<xref rid="b13-br-02-04-0574" ref-type="bibr">13</xref>,<xref rid="b14-br-02-04-0574" ref-type="bibr">14</xref>). However, there is no sufficient data on <italic>SIRT6</italic> promoter methylation levels and their correlation with human longevity. To address this issue, we investigated the <italic>SIRT6</italic> promoter methylation levels in 55 individuals of a wide age range by bisulfite-quantitative polymerase chain reaction (qPCR). The aim of this study was to elucidate the correlation between the percentage of <italic>SIRT6</italic> promoter methylation and age and investigate whether it exhibits any association with longevity.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Subjects and sample collection</title>
<p>This study included 55 individuals (34 females and 21 males), aged 9&#x02013;95 years, divided into 8 age groups with 10-year intervals, with the exception of the 1st (<xref rid="b9-br-02-04-0574" ref-type="bibr">9</xref>&#x02013;<xref rid="b19-br-02-04-0574" ref-type="bibr">19</xref>) and the 8th groups (80&#x02013;95 years). Blood samples were collected at the Istanbul University Medico-Social Center, Turkey, with the written consent of the individuals who completed a form indicating their background regarding gender, age, inherited diseases, cancer, exposure to chemical or radioactive agents, permanent use of medicines, smoking habits and presence in the family of individuals aged &gt;90 years. Genomic DNA was extracted from the blood samples using the High Pure PCR Template Preparation kit (Roche Diagnostics GmbH, Mannheim, Germany).</p>
<p>The procedures followed were in accordance with the current ethical standards.</p></sec>
<sec>
<title>Primer selection</title>
<p>The promoter sequence for <italic>SIRT6</italic> was extracted and combined from Transcriptional Regulatory Element Database by Cold Spring Harbor Laboratory, Eukaryotic Promoter Database by the Swiss Institute of Bioinformatics and Promoter Controls by SwitchGear Genomics. The CpG islands were identified with the CpG Island Searcher (GC&#x0003D;66.2&#x00025;; <ext-link xlink:href="http://cpgislands.usc.edu" ext-link-type="uri">http://cpgislands.usc.edu</ext-link>). The primers were designed specifically for bisulfite-converted DNA with the MethPrimer (v1.1 beta) program (<ext-link xlink:href="http://www.urogene.org/cgi-bin/methprimer/methprimer.cgi" ext-link-type="uri">http://www.urogene.org/cgi-bin/methprimer/methprimer.cgi</ext-link>). The primer sequences were 5&#x02032;-TTAATAAGGGAAATTTTATTGTTTT-3&#x02032; for the forward primer and 5&#x02032;-CTAACCTCAATACCC CCTAATATTC-3&#x02032; for the reverse primer targeting a 212-bp region on the <italic>SIRT6</italic> promoter.</p></sec>
<sec>
<title>Bisulfite-qPCR</title>
<p>A total of 500 ng of the extracted genomic DNAs were bisulfite-converted by the EZ DNA Methylation&#x02122; kit (D5002; Zymo Research, Irvine, CA, USA) according to the manufacturer&#x02019;s recommendations. The converted DNA samples were dissolved in 15 &#x003BC;l elution buffer. The concentration of the eluted DNA was measured by NanoDrop (2000c; Thermo Scientific, Waltham, MA, USA) as RNA due to the single-stranded nature and uracil content of the bisulfite-converted DNA. The extracted DNAs were diluted to a concentration of 20 ng/&#x003BC;l. The specificity of the primers was confirmed by agarose gel electrophoresis following bisulfite-PCR using 20 ng sample DNA. To assess the methylation level of the region of interest, fully methylated (D5015; Zymo Research) and demethylated (EpiTect<sup>&#x000AE;</sup> Control DNA, 59665; Qiagen, Hilden, Germany) bisulfite-converted control DNAs were mixed accordingly to obtain 100, 80, 60, 20 and 10&#x00025; methylated standards. A total of 10 ng of standards and sample DNAs were used for qPCR (CFX96; Bio-Rad, Hercules, CA, USA) along with 0.5 &#x003BC;M primers, 0.25 mM dNTP, 1&#x000D7; SYBR-Green I (Bioline, Taunton, MA, USA) and 0.5 unit of ZymoTaq&#x02122; DNA polymerase (E2002; Zymo Research) in a total volume of 10 &#x003BC;l. The PCR conditions were as follows: initial denaturation at 95&#x000B0;C for 10 min, followed by 40 cycles of denaturation at 95&#x000B0;C for 30 sec, annealing at 57&#x000B0;C for 30 sec and extension with a plate reading step at 72&#x000B0;C for 1 min followed by a melting curve analysis step from 65&#x000B0;C to 95&#x000B0;C by 0.5&#x000B0;C increments for 5 sec. All the samples were examined in double replicates and the standard DNAs in triple replicates. The C<sub>t</sub> values for the standard DNAs were used to generate a standard curve. The methylation levels of all the subjects were calculated according to the standard curve formula. The average methylation status of the age groups and standard deviations were calculated.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The significance levels of the probable association of <italic>SIRT6</italic> promoter methylation rates with gender, smoking and longevity were calculated using non-parametric Kruskal-Wallis one-way analysis of variance. P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Bisulfite-qPCR</title>
<p>The concentrations of the extracted bisulfite-converted DNAs were measured to be 23.5&#x02013;39.1 ng/&#x003BC;l and were diluted to 20 ng/&#x003BC;l. Following qPCR analysis, a standard curve was generated with the mean C<sub>t</sub> values of the standards (<xref rid="f1-br-02-04-0574" ref-type="fig">Figs. 1</xref> and <xref rid="f2-br-02-04-0574" ref-type="fig">2</xref>). The <italic>SIRT6</italic> promoter methylation levels of the subjects were calculated using their mean C<sub>t</sub> values according to the standard curve formula: y &#x0003D; 0.1493x &#x0002B; 20.966</p>
<p>The methylation levels and information on the subjects are presented in <xref rid="tI-br-02-04-0574" ref-type="table">Table I</xref>.</p>
<p>The average methylation percentages in different age groups were calculated. The methylation of the <italic>SIRT6</italic> promoter was found to be 43.21&#x00025; in the 9&#x02013;19 age group, an average of 65.63&#x00025; in the 20&#x02013;79 age group and 52.15&#x00025; in the 80&#x02013;95 age group (<xref rid="f3-br-02-04-0574" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The Kruskal-Wallis test confirmed that the methylation differences between at least two age groups were significant (P&#x0003D;0.011). However, we were unable to identify a significant correlation between methylation status and gender (P&#x0003D;0.806), smoking (P&#x0003D;0.180), family history of cancer (P&#x0003D;0.504), exposure to chemical or radioactive agents (P&#x0003D;0.085), or extended longevity in the family (P&#x0003D;0.556).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In this study, we determined the promoter methylation status of the human <italic>SIRT6</italic> gene in lymphocytes of 55 subjects aged 9&#x02013;95 years. Our data indicated that the promoter was highly methylated between 20 and 79 years. The regulatory association of methylation of CpG islands in the repression of gene expression was previously established (<xref rid="b15-br-02-04-0574" ref-type="bibr">15</xref>). However, there was no significant correlation with longevity, gender, permanent medical treatment or smoking observed in our study. These results are consistent with those reported by Michishita <italic>et al</italic> (<xref rid="b16-br-02-04-0574" ref-type="bibr">16</xref>), who demonstrated that the overexpression of <italic>SIRT6</italic> in fibroblasts or epithelial cells was not associated with a lifespan extension compared to normal cells.</p>
<p>There are currently no available data on the methylation levels of the human <italic>SIRT6</italic> promoter. However, Ren <italic>et al</italic> (<xref rid="b17-br-02-04-0574" ref-type="bibr">17</xref>) demonstrated that <italic>SIRT6</italic> mRNA levels in porcine brain decreased with age, which is an indicator of a possible increase in promoter methylation. By contrast, SIRT6 protein levels were found to be increased during aging in diabetic mice (<xref rid="b18-br-02-04-0574" ref-type="bibr">18</xref>) and following exercise in young and older mice (<xref rid="b19-br-02-04-0574" ref-type="bibr">19</xref>). There is also accumulating evidence that SIRT6 is regulated in a circadian fashion. It was proven that NAD<sup>&#x0002B;</sup> levels and SIRT1 activity change according to a circadian rhythm (<xref rid="b20-br-02-04-0574" ref-type="bibr">20</xref>,<xref rid="b21-br-02-04-0574" ref-type="bibr">21</xref>). SIRT6 is a NAD<sup>&#x0002B;</sup>-dependent enzyme and is also positively regulated by SIRT1 (<xref rid="b22-br-02-04-0574" ref-type="bibr">22</xref>). Therefore, it is possible that SIRT6 is also regulated in a circadian manner. Marquardt <italic>et al</italic> (<xref rid="b23-br-02-04-0574" ref-type="bibr">23</xref>) demonstrated that changing the SIRT6 expression in mice also changed the expression of certain genes related to the circadian rhythm.</p>
<p>SIRT6 is a chromatin-associated protein expressed in the majority of tissues. To gain insight into SIRT6 function, a characterization of the subcellular and tissue distribution patterns of its expression is required. Apart from age, SIRT6 expression or activity may change during the day, before and after meals or before and after exercise (<xref rid="b19-br-02-04-0574" ref-type="bibr">19</xref>,<xref rid="b24-br-02-04-0574" ref-type="bibr">24</xref>,<xref rid="b25-br-02-04-0574" ref-type="bibr">25</xref>). In summary, we demonstrated that promoter methylation of human <italic>SIRT6</italic> is detectable by bisulfite-qPCR, but there was no correlation with longevity. Further research and clinical studies are required to fully elucidate the mechanisms underlying the process of aging.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Istanbul University Department of Scientific Research Project (grant no. 21953).</p></ack>
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<floats-group>
<fig id="f1-br-02-04-0574" position="float">
<label>Figure 1</label>
<caption>
<p>Amplification curve of the standards. Methylated standards (100, 80, 60, 20 and 10&#x00025;) were used to assess the methylation levels of the samples. RFU, relative fluorescence units.</p></caption>
<graphic xlink:href="BR-02-04-0574-g00.gif"/></fig>
<fig id="f2-br-02-04-0574" position="float">
<label>Figure 2</label>
<caption>
<p>Standard methylation curve. The methylation curve was established by the standards (R<sup>2</sup>&#x0003D;0.9335).</p></caption>
<graphic xlink:href="BR-02-04-0574-g01.gif"/></fig>
<fig id="f3-br-02-04-0574" position="float">
<label>Figure 3</label>
<caption>
<p>Average methylation percentage in different age groups. Age group 1, 9&#x02013;19; 2, 20&#x02013;29; 3, 30&#x02013;39; 4, 40&#x02013;49; 5, 50&#x02013;59; 6, 60&#x02013;69; 7, 70&#x02013;79; and 8, 80&#x02013;95 years.</p></caption>
<graphic xlink:href="BR-02-04-0574-g02.gif"/></fig>
<table-wrap id="tI-br-02-04-0574" position="float">
<label>Table I</label>
<caption>
<p>Evaluation of the subjects.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Group no.</th>
<th align="center" valign="bottom">Subject no.</th>
<th align="left" valign="bottom">Gender</th>
<th align="center" valign="bottom"><italic>SIRT6</italic> promoter methylation (&#x00025;)</th>
<th align="center" valign="bottom">Age (years)</th>
<th align="center" valign="bottom">Permanent medical treatment<break/>&#x0002B;</th>
<th align="center" valign="bottom">Smoking habit<break/>&#x0002B;</th>
<th align="center" valign="bottom">Extended longevity in the family<break/>&#x0002B;</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">1</td>
<td align="center" valign="top">1-1</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">66.74</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">1-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">65.25</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">2-1</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">37.18</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">2-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">46.22</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">2-3</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">15.63</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">2-4</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">15.10</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">2-5</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">56.34</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top">2</td>
<td align="center" valign="top">3-1</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">62.76</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-2</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">53.97</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-3</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">78.08</td>
<td align="center" valign="top">22</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-4</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">67.40</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-5</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">52.57</td>
<td align="center" valign="top">22</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-6</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">59.40</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-7</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">68.00</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-8</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">63.75</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">3-9</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">63.39</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top">3</td>
<td align="center" valign="top">4-1</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">70.42</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">59.46</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-3</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">62.38</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-4</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">67.02</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-5</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">71.41</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-6</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">65.43</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-7</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">65.13</td>
<td align="center" valign="top">33</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-8</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">64.85</td>
<td align="center" valign="top">34</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">4-9</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">61.03</td>
<td align="center" valign="top">34</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">4</td>
<td align="center" valign="top">5-1</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">45.98</td>
<td align="center" valign="top">47</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">52.22</td>
<td align="center" valign="top">45</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-3</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">65.78</td>
<td align="center" valign="top">44</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-4</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">78.19</td>
<td align="center" valign="top">42</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-5</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">69.98</td>
<td align="center" valign="top">45</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-6</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">77.30</td>
<td align="center" valign="top">42</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">5-7</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">73.96</td>
<td align="center" valign="top">41</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top">5</td>
<td align="center" valign="top">6-1</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">67.91</td>
<td align="center" valign="top">51</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">6-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">59.96</td>
<td align="center" valign="top">51</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">6-3</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">74.64</td>
<td align="center" valign="top">52</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">6-4</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">68.55</td>
<td align="center" valign="top">52</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">6-5</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">76.36</td>
<td align="center" valign="top">53</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">6-6</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">68.26</td>
<td align="center" valign="top">59</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">6</td>
<td align="center" valign="top">7-1</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">65.19</td>
<td align="center" valign="top">63</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">7-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">75.60</td>
<td align="center" valign="top">65</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">7-3</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">74.31</td>
<td align="center" valign="top">67</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">7-4</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">72.99</td>
<td align="center" valign="top">65</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">7-5</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">56.70</td>
<td align="center" valign="top">64</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top">7</td>
<td align="center" valign="top">8-1</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">64.05</td>
<td align="center" valign="top">71</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">8-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">62.30</td>
<td align="center" valign="top">72</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">8-3</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">60.05</td>
<td align="center" valign="top">73</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">8-4</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">52.22</td>
<td align="center" valign="top">75</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">8-5</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">65.51</td>
<td align="center" valign="top">75</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">8</td>
<td align="center" valign="top">9-1</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">39.87</td>
<td align="center" valign="top">80</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">9-2</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">31.51</td>
<td align="center" valign="top">83</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">9-3</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">39.11</td>
<td align="center" valign="top">83</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">9-4</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">35.17</td>
<td align="center" valign="top">88</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">9-5</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">86.39</td>
<td align="center" valign="top">88</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">10-1</td>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">66.25</td>
<td align="center" valign="top">91</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="center" valign="top">10-2</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">66.74</td>
<td align="center" valign="top">95</td>
<td align="center" valign="top">X</td>
<td align="center" valign="top"/>
<td align="center" valign="top">X</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-br-02-04-0574">
<p><italic>SIRT6</italic>, sirtuin 6 gene.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
