The V103I polymorphism of the MC4R gene and obesity: population based studies and meta-analysis of 29 563 individuals

EH Young, NJ Wareham, S Farooqi, A Hinney… - International journal of …, 2007 - nature.com
EH Young, NJ Wareham, S Farooqi, A Hinney, J Hebebrand, A Scherag, S O'Rahilly
International journal of obesity, 2007nature.com
Background: Previous studies have suggested that a variant in the melanocortin-4 receptor
(MC4R) gene is important in protecting against common obesity. Larger studies are needed,
however, to confirm this relation. Methods: We assessed the association between the V103I
polymorphism in the MC4R gene and obesity in three UK population based cohort studies,
totalling 8304 individuals. We also did a meta-analysis of relevant studies, involving 10 975
cases and 18 588 controls, to place our findings in context. Finding: In an analysis of all …
Abstract
Background:
Previous studies have suggested that a variant in the melanocortin-4 receptor (MC4R) gene is important in protecting against common obesity. Larger studies are needed, however, to confirm this relation.
Methods:
We assessed the association between the V103I polymorphism in the MC4R gene and obesity in three UK population based cohort studies, totalling 8304 individuals. We also did a meta-analysis of relevant studies, involving 10 975 cases and 18 588 controls, to place our findings in context.
Finding:
In an analysis of all studies, individuals carrying the isoleucine allele had an 18%(95% confidence interval 4–30%, P= 0.015) lower risk of obesity compared with non-carriers. There was no heterogeneity among studies and no apparent publication bias.
Interpretation:
This study confirms that the V103I polymorphism protects against human obesity at a population level. As such it provides proof of principle that specific gene variants may, at least in part, explain susceptibility and resistance to common forms of human obesity. A better understanding of the mechanisms underlying this association will help determine whether changes in MC4R activity have therapeutic potential.
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