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Protein-altering variants associated with body mass index implicate pathways that control energy intake and expenditure underpinning obesity
Ist Teil von
Nature genetics, 2017-12, Vol.50 (1), p.26-41
Erscheinungsjahr
2017
Beschreibungen/Notizen
Genome-wide association studies (GWAS) have identified >250 loci for body mass index (BMI), implicating pathways related to neuronal biology. Most GWAS loci represent clusters of common, non-coding variants from which pinpointing causal genes remains challenging. Here, we combined data from 718,734 individuals to discover rare and low-frequency (MAF<5%) coding variants associated with BMI. We identified 14 coding variants in 13 genes, of which eight in genes (
ZBTB7B, ACHE, RAPGEF3, RAB21, ZFHX3, ENTPD6, ZFR2, ZNF169
) newly implicated in human obesity, two (
MC4R, KSR2
) previously observed in extreme obesity, and two variants in
GIPR
. Effect sizes of rare variants are ~10 times larger than of common variants, with the largest effect observed in carriers of an
MC4R
stop-codon (p.Tyr35Ter, MAF=0.01%), weighing ~7kg more than non-carriers. Pathway analyses confirmed enrichment of neuronal genes and provide new evidence for adipocyte and energy expenditure biology, widening the potential of genetically-supported therapeutic targets to treat obesity.