Rana Sobia, Rahmani Soma, Mirza Saad
Molecular Biology and Human Genetics Laboratory, Dr. Panjwani Center for Molecular Medicine and Drug Research (PCMD), International Center for Chemical and Biological Sciences (ICCBS), University of Karachi Karachi-75270 Pakistan
RSC Adv. 2018 May 9;8(30):16957-16972. doi: 10.1039/c8ra00695d. eCollection 2018 May 3.
MC4R represents a key player involved in melanocortin-mediated control of energy balance. Recently identified near MC4R variant rs17782313 (T > C) can serve as a contributing factor for obese phenotype but its association with obesity has never been sought in a sample of the Pakistani population. The role of genetic variants as causal factors varies across populations. Association studies in a specific population can help us to distinguish global from local gene-gene and gene-environment interactions. This is the first study that investigated the association of rs17782313 with obesity and various obesity-linked anthropometric, metabolic, physical, and behavioural traits in Pakistani subjects including 306 OW/OB (overweight and obese) and 300 NW (normal weight) individuals. The comparison of various aforementioned obesity-linked continuous and categorical variables between OW/OB and NW subjects revealed that almost all variables were found significantly aberrant ( < 0.05) in OW/OB subjects as compared to their age- and gender-matched NW controls indicating greater risk of developing various cardio-metabolic disorders. The genotyping of rs17782313 showed significant association of this variant with obesity and obesity-linked anthropometric traits in females suggesting the gender-specific effect of this variant in our population. The minor allele C increased the risk of obesity by 1.55 times (95% CI = 1.1-2.18, = 0.01) whereas homozygous CC genotype increased the risk by 2.43 times (95% CI = 1.19-4.96, = 0.015) in females. However, no association of rs17782313 was observed with any of the obesity-linked metabolic, physical, and behavioural traits except random eating timings. In conclusion, the current study significantly contributes to the knowledge of the genetic proneness to obesity in Pakistani females. This could also be helpful for forthcoming meta-analysis studies elucidating which variants are truly associated with the susceptibility to develop an obese phenotype.
黑素皮质素4受体(MC4R)是参与黑素皮质素介导的能量平衡控制的关键因子。最近发现的位于MC4R附近的变体rs17782313(T>C)可能是肥胖表型的一个促成因素,但在巴基斯坦人群样本中从未探究过其与肥胖的关联。基因变体作为因果因素的作用在不同人群中有所不同。在特定人群中进行关联研究有助于我们区分全球范围内和本地的基因-基因以及基因-环境相互作用。这是第一项研究rs17782313与肥胖以及各种与肥胖相关的人体测量学、代谢、身体和行为特征之间关联的研究,研究对象为306名超重/肥胖(OW/OB)和300名体重正常(NW)的巴基斯坦人。对OW/OB和NW受试者之间各种上述与肥胖相关的连续和分类变量进行比较后发现,与年龄和性别匹配的NW对照组相比,几乎所有变量在OW/OB受试者中均显著异常(P<0.05),这表明他们患各种心血管代谢疾病的风险更高。rs17782313的基因分型显示,该变体与女性肥胖以及与肥胖相关的人体测量学特征存在显著关联,表明该变体在我们的人群中具有性别特异性效应。在女性中,次要等位基因C使肥胖风险增加了1.55倍(95%置信区间=1.1-2.18,P=0.01),而纯合CC基因型使风险增加了2.43倍(95%置信区间=1.19-4.96,P=0.015)。然而,除了随机饮食时间外,未观察到rs17782313与任何与肥胖相关的代谢、身体和行为特征存在关联。总之,本研究为了解巴基斯坦女性肥胖的遗传倾向做出了重要贡献。这对于即将开展的荟萃分析研究也可能有所帮助,这些研究旨在阐明哪些变体真正与肥胖表型易感性相关。