东亚人群肥胖的遗传学
Genetics of Obesity in East Asians.
作者信息
Sun Chang, Kovacs Peter, Guiu-Jurado Esther
机构信息
Medical Department III - Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Leipzig, Germany.
出版信息
Front Genet. 2020 Oct 20;11:575049. doi: 10.3389/fgene.2020.575049. eCollection 2020.
Obesity has become a public health problem worldwide. Compared with Europe, people in Asia tend to suffer from type 2 diabetes with a lower body mass index (BMI). Genome-wide association studies (GWASs) have identified over 750 loci associated with obesity. Although the majority of GWAS results were conducted in individuals of European ancestry, a recent GWAS in individuals of Asian ancestry has made a significant contribution to the identification of obesity susceptibility loci. Indeed, owing to the multifactorial character of obesity with a strong environmental component, the revealed loci may have distinct contributions in different ancestral genetic backgrounds and in different environments as presented through diet and exercise among other factors. Uncovering novel, yet unrevealed genes in non-European ancestries may further contribute to explaining the missing heritability for BMI. In this review, we aimed to summarize recent advances in obesity genetics in individuals of Asian ancestry. We therefore compared proposed mechanisms underlying susceptibility loci for obesity associated with individuals of European and Asian ancestries and discussed whether known genetic variants might explain ethnic differences in obesity risk. We further acknowledged that GWAS implemented in individuals of Asian ancestries have not only validated the potential role of previously specified obesity susceptibility loci but also exposed novel ones, which have been missed in the initial genetic studies in individuals of European ancestries. Thus, multi-ethnic studies have a great potential not only to contribute to a better understanding of the complex etiology of human obesity but also potentially of ethnic differences in the prevalence of obesity, which may ultimately pave new avenues in more targeted and personalized obesity treatments.
肥胖已成为全球公共卫生问题。与欧洲人相比,亚洲人往往在较低体重指数(BMI)的情况下患2型糖尿病。全基因组关联研究(GWAS)已确定了750多个与肥胖相关的基因座。尽管大多数GWAS研究结果是在欧洲血统个体中进行的,但最近一项针对亚洲血统个体的GWAS对肥胖易感性基因座的识别做出了重大贡献。事实上,由于肥胖具有多因素特征且环境因素影响很大,所揭示的基因座在不同的祖先遗传背景以及通过饮食和运动等其他因素所呈现的不同环境中可能有不同的贡献。在非欧洲血统中发现新的、尚未揭示的基因可能会进一步有助于解释BMI的遗传力缺失问题。在本综述中,我们旨在总结亚洲血统个体肥胖遗传学的最新进展。因此,我们比较了欧洲和亚洲血统个体肥胖相关易感性基因座的潜在机制,并讨论了已知的基因变异是否可以解释肥胖风险的种族差异。我们还认识到,在亚洲血统个体中开展的GWAS不仅验证了先前确定的肥胖易感性基因座的潜在作用,还发现了在欧洲血统个体的初始基因研究中遗漏的新基因座。因此,多民族研究不仅有很大潜力有助于更好地理解人类肥胖的复杂病因,还有助于理解肥胖患病率的种族差异,这最终可能为更有针对性和个性化的肥胖治疗开辟新途径。