Abstract
Obesity is a major public health problem, which has a strong genetic component that interplays with environmental factors. Several genes are known to be implicated in the regulation of body weight. The identification of alleles that can be associated with obesity is a key element to control this pandemic. On the basis of a Portuguese population, 65 obesity-related genes are sequenced using Next-Generation Sequencing (NGS) in 72 individuals with obesity, in order to identify variants associated with monogenic obesity and potential risk factors. A total of 429 variants are identified, 129 of which had already been associated with the phenotype. Comparing our results with the European and Global frequencies, from 1000 Genomes project, 23 potential risk variants are identified. Six new variants are discovered in heterozygous carriers: four missense (genes ALMS1-NM_015120.4:c.5552C>T; SORCS1-NM_001013031.2:c.1072A>G and NM_001013031.2: c.2491A>C; TMEM67-NM_153704.5:c.158A>G) and two synonymous (genes BBS1-NM_024649.4:c.1437C>T; TMEM67-NM_153704.5:c.2583T>C). Functional studies should be performed to validate these new findings and evaluate their penetrance and pathogenicity. Regardless of no cases of monogenic obesity being identified, this kind of investigational study is important when we are still trying to understand the aetiology and pathophysiology of obesity. This will allow the identification of rare variants associated with obesity and the study of their prevalence in specific populational groups.
Highlights
Obesity is a major public health problem
Several variants were identified that constitute risk factors associated with obesity, which may influence the development of this phenotype in these individuals
Of all the variants identified in this study, only five (Table 7), found in heterozygous carriers, have a ClinVar classification of pathogenic or probably pathogenic
Summary
The World Health Organization estimated that in 2016 more than 650 million adults (13% of the world’s population) would be obese and 1.9 billion (39% of the world’s population) would be overweight [1]. Obesity is a complex disease influenced by the interaction of genetic and environmental factors [3] and a major risk factor for the development of other conditions, such as type 2 diabetes mellitus, hypertension, cardiovascular diseases and even certain types of cancer. The presence of these severe co-morbidities is responsible for the increased risk of mortality in these individuals [4,5].
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