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[单基因肥胖遗传学的新进展及其对病理生理学的启示]

[Something new in the genetics of monogenic obesity and its insights into pathophysiology].

作者信息

Baron Morgane, Froguel Philippe, Bonnefond Amélie

机构信息

Inserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Université de Lille, CHU de Lille, 1 place de Verdun, 59045, France.

Inserm UMR1283, CNRS UMR8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Université de Lille, CHU de Lille, 1 place de Verdun, 59045, France - Department of Metabolism, Imperial College London, Londres, W12 0NN, Royaume-Uni.

出版信息

Med Sci (Paris). 2020 Oct;36(10):859-865. doi: 10.1051/medsci/2020156. Epub 2020 Oct 7.

DOI:10.1051/medsci/2020156
PMID:33026327
Abstract

Obesity is a complex, multifactorial disorder. About 5% of obese patients actually present with a monogenic form of obesity where only one mutation is sufficient to cause the disease. So far, the genes that have been found to be mutated in these monogenic forms play a key role in the leptin/melanocortin pathway which is mainly active in the hypothalamus and which regulates food intake and energy expenditure. Our laboratory has recently reported a novel monogenic form of obesity due to MRAP2 deficiency where, contrary to previously described monogenic forms of obesity, the carriers presented with hyperglycemia and hypertension in addition to obesity, suggesting that MRAP2 might play a pleiotropic role in metabolic tissues, in addition to its role in brain control of food intake and energy expenditure.

摘要

肥胖是一种复杂的多因素疾病。约5%的肥胖患者实际上患有单基因形式的肥胖症,其中仅一个突变就足以引发该病。到目前为止,已发现这些单基因形式中发生突变的基因在瘦素/黑皮质素途径中起关键作用,该途径主要在下丘脑活跃,并调节食物摄入和能量消耗。我们实验室最近报告了一种由于MRAP2缺乏导致的新型单基因肥胖症,与先前描述的单基因肥胖症形式相反,携带者除肥胖外还出现高血糖和高血压,这表明MRAP2除了在大脑控制食物摄入和能量消耗中发挥作用外,可能在代谢组织中也发挥多效性作用。

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1
[Something new in the genetics of monogenic obesity and its insights into pathophysiology].[单基因肥胖遗传学的新进展及其对病理生理学的启示]
Med Sci (Paris). 2020 Oct;36(10):859-865. doi: 10.1051/medsci/2020156. Epub 2020 Oct 7.
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Monogenic human obesity syndromes.单基因人类肥胖综合征
Handb Clin Neurol. 2021;181:301-310. doi: 10.1016/B978-0-12-820683-6.00022-1.
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Updates on Monogenic Obesity in a Multifactorial Disease.单基因肥胖症在多因素疾病中的最新研究进展。
Obes Surg. 2019 Dec;29(12):4077-4083. doi: 10.1007/s11695-019-04200-z.
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Rare genetic forms of obesity: From gene to therapy.罕见的遗传性肥胖形式:从基因到治疗。
Physiol Behav. 2020 Dec 1;227:113134. doi: 10.1016/j.physbeh.2020.113134. Epub 2020 Aug 14.
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Treatment options for children with monogenic forms of obesity.单基因肥胖形式儿童的治疗选择。
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Monogenic human obesity.单基因人类肥胖症
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[The role of leptin and its peptide mediators in neurophysiology].[瘦素及其肽类介质在神经生理学中的作用]
Vestn Ross Akad Med Nauk. 2005(2):44-8.
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The role of the leptin-melanocortin signalling pathway in the control of food intake.瘦素-黑皮质素信号通路在食物摄入控制中的作用。
Crit Rev Eukaryot Gene Expr. 2009;19(4):267-87. doi: 10.1615/critreveukargeneexpr.v19.i4.20.
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[Monogenic obesity in human].[人类的单基因肥胖症]
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Lessons from extreme human obesity: monogenic disorders.极端人类肥胖的教训:单基因疾病。
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