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Allelic variants of the Melanocortin 4 receptor (MC4R) gene in a South African study group


Obesity is a global epidemic that results in significant morbidity and mortality. Mutations in the melanocortin 4 receptor (MC4R) gene, which codes for a G-protein-coupled receptor responsible for postprandial satiety signaling, have been associated with monogenic obesity. The prevalence of obesity is on the increase in South Africa, and it is hypothesized that mutations in MC4R are a contributing factor. The aim of this study was to perform a retrospective assessment of the relationship between allelic variants of MC4R and BMI in a South African study cohort. DNA was isolated from a demographically representative cohort of 297 individuals and the entire MC4R gene sequenced by Sanger sequencing. Eight previously reported MC4R variants were identified in 42 of the 297 (14.1%) study participants. The most frequently observed MC4R alleles were V103I (4.0%), I170V (1.5%), and I198I (1.2%), while the remaining five variants together constituted 1.18%. Five compound heterozygotes were also detected. Although MC4R variants were rare, the majority of variation was observed in individuals of Black African ancestry. No statistically significant associations with BMI were reported. Given that lifestyle interventions have limited success in decreasing obesity, there is an urgent need to perform large-scale population studies to further elucidate the molecular underpinnings of this disease.

Keywords:
Genotype–phenotype correlation; melanocortin 4 receptor; obesity; South Africa


Autoři: Murray Logan 1,2;  Maria-Teresa Van Der Merwe 3;  Tyren M. Dodgen 2,4;  Renier Myburgh 1,2;  Arinda Eloff 1,2;  Marco Alessandrini 1,2;  Michael S. Pepper 1,2,5,*
Působiště autorů: Department of Immunology, University of Pretoria, Pretoria, South Africa 1;  Faculty of Health Sciences, Institute for Cellular and Molecular Medicine, University of Pretoria, Pretoria, South Africa 2;  Department of Endocrinology, University of Pretoria, Pretoria, South Africa 3;  Department of Pharmacology, University of Pretoria, Pretoria, South Africa 4;  Department of Genetic Medicine and Development, Faculty of Medicine, University of Geneva, Geneva, Switzerland 5
Vyšlo v časopise: Molecular Genetics & Genomic Medicine 2015; Early View(Early View)
Kategorie: Original Research
prolekare.web.journal.doi_sk: https://doi.org/10.1002/mgg3.180

© 2015 University of Pretoria. Molecular Genetics & Genomic Medicine published by Wiley Periodicals, Inc.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Souhrn

Obesity is a global epidemic that results in significant morbidity and mortality. Mutations in the melanocortin 4 receptor (MC4R) gene, which codes for a G-protein-coupled receptor responsible for postprandial satiety signaling, have been associated with monogenic obesity. The prevalence of obesity is on the increase in South Africa, and it is hypothesized that mutations in MC4R are a contributing factor. The aim of this study was to perform a retrospective assessment of the relationship between allelic variants of MC4R and BMI in a South African study cohort. DNA was isolated from a demographically representative cohort of 297 individuals and the entire MC4R gene sequenced by Sanger sequencing. Eight previously reported MC4R variants were identified in 42 of the 297 (14.1%) study participants. The most frequently observed MC4R alleles were V103I (4.0%), I170V (1.5%), and I198I (1.2%), while the remaining five variants together constituted 1.18%. Five compound heterozygotes were also detected. Although MC4R variants were rare, the majority of variation was observed in individuals of Black African ancestry. No statistically significant associations with BMI were reported. Given that lifestyle interventions have limited success in decreasing obesity, there is an urgent need to perform large-scale population studies to further elucidate the molecular underpinnings of this disease.

Keywords:
Genotype–phenotype correlation; melanocortin 4 receptor; obesity; South Africa


Zdroje

1. Branson, R., N. Potoczna, J. G. Kral, K.-U. Lentes, M. R. Hoehe, and F. F. Horber. 2003. Binge eating as a major phenotype of melanocortin 4 receptor gene mutations. N. Engl. J. Med. 348:1096–1103.

2. Chen, M., A. Celik, K. E. Georgeson, C. M. Harmon, and Y. Yang. 2006. Molecular basis of melanocortin-4 receptor for AGRP inverse agonism. Regul. Pept. 136:40–49.

3. Cheung, W. W., and P. Mao. 2012. Recent advances in obesity: genetics and beyond. ISRN Endocrinol. 2012:536905.

4. Cone, R. D. 2005. Anatomy and regulation of the central melanocortin system. Nat. Neurosci. 8:571–578.

5. Deliard, S., S. Panossian, F. D. Mentch, C. E. Kim, C. Hou, E. C. Frackelton, , et al. 2013. The missense variation landscape of FTO, MC4R, and TMEM18 in obese children of African Ancestry. Obesity (Silver Spring). 21:159–163.

6. Dempfle, A., A. Hinney, M. Heinzel-Gutenbrunner, M. Raab, F. Geller, T. Gudermann, et al. 2004. Large quantitative effect of melanocortin-4 receptor gene mutations on body mass index. J. Med. Genet. 41:795–800.

7. Dubern, B., and K. Clement. 2012. Leptin and leptin receptor- related monogenic obesity. Biochimie 94:2111–2115.

8. Dubern, B., K. Cl ement, V. Pelloux, P. Froguel, J. P. Girardet, B. Guy-Grand, et al. 2001. Mutational analysis of melanocortin-4 receptor, agouti-related protein, and alpha- melanocyte-stimulating hormone genes in severely obese children. J. Pediatr. 139:204–209.

9. Farooqi, I. S., G. S. H. Yeo, J. M. Keogh, S. Aminian, S. A. Jebb, G. Butler, et al. 2000. Dominant and recessive inheritance of morbid obesity associated with melanocortin 4 receptor deficiency. J. Clin. Invest. 106:271–279.

10. Farooqi, I. S., J. M. Keogh, G. S. H. Yeo, E. J. Lank, T. Cheetham, and S. O’Rahilly. 2003. Clinical spectrum of obesity mutations in the melanocortin 4 receptor gene. N. Engl. J. Med. 34:1085–1095.

11. Geller, F., K. Reichwald, and A. Dempfle. 2004. Melanocortin- 4 receptor gene variant I103 is negatively associated with obesity. Am. J. Genet. 74:572–581.

12. Gonz alez-P erez, A., and N. Lo pez-Bigas. 2011. Improving the assessment of the outcome of nonsynonymous SNVs with a consensus deleteriousness score. Condel. Am. J. Hum. Genet. 88:440–449.

13. Govaerts, C., S. Srinivasan, A. Shapiro, S. Zhang, F. Picard, K. Clement, et al. 2005. Obesity-associated mutations in the melanocortin 4 receptor provide novel insights into its function. Peptides 26:1909–1919.

14. Hinney, A., S. Hohmann, F. Geller, C. Vogel, C. Hess, A.-K. Wermter, et al. 2003. Melanocortin-4 receptor gene: case- control study and transmission disequilibrium test confirm that functionally relevant mutations are compatible with a major gene effect for extreme obesity. J. Clin. Endocrinol. Metab. 88:4258–4267.

15. Hinney, A., A.-L. Volckmar, and N. Knoll. 2013. Melanocortin-4 receptor in energy homeostasis and obesity pathogenesis. Elsevier Inc, Amsterdam, The Netherlands.

16. Hughes, D. A., A. Hinney, H. Brumm, A.-K. Wermter, H. Biebermann, J. Hebebrand, et al. 2009. Increased constraints on MC4R during primate and human evolution. Hum. Genet. 124:633–647.

17. Jacobson, P., O. Ukkola, T. Rankinen, E. E. Snyder, A. S. Leon, G. S. Cowan, et al. 2002. Melanocortin 4 receptor sequence variations are seldom a cause of human obesity: the Swedish obese subjects, the HERITAGE Family Study, and a Memphis Cohort. J. Clin. Endocrinol. Metab. 87:4442–4446.

18. Larsen, L. H., S. M. Echwald, T. I. A. Sørensen, T. Andersen, and B. S. Wulff. 2005. Prevalence of mutations and functional analyses of melanocortin 4 receptor variants identified among 750 men with juvenile-onset obesity. J. Endocrinol. Metab. 90:219–224.

19. List, J. F., D. Ph, and J. F. Habener. 2003. Editorials defective melanocortin 4 receptors in hyperphagia. N. Engl. J. Med. 20:1160–1163.

20. Lombard, Z., N. J. Crowther, L. van der Merwe, P. Pitamber, S. Norris, and M. Ramsay. 2012. Appetite regulation genes are associated with body mass index in black South African

21. adolescents: a genetic association study. BMJ Open 2:1–10. Lubrano-Berthelier, C., M. Cavazos, B. Dubern, A. Shapiro, C.

22. L. Stunff, S. Zhang, et al. 2003. Molecular genetics of human obesity-associated MC4R mutations. Ann. N. Y. Acad. Sci. 994:49–57.

23. Lubrano-Berthelier, C., B. Dubern, J.-M. Lacorte, F. Picard, A. Shapiro, S. Zhang, et al. 2006. Melanocortin 4 receptor mutations in a large cohort of severely obese adults: prevalence, functional classification, genotype-phenotype relationship, and lack of association with binge eating. J. Clin. Endocrinol. Metab. 91:1811–1818.

24. Ma, L., P. Tataranni, C. Bogardus, and L. Baier. 2004. Melanocortin 4 receptor gene variation is associated with severe obesity in Pima Indians. Diabetes 53:2–5.

25. MacKenzie, R. G. 2006. Obesity-associated mutations in the human melanocortin-4 receptor gene. Peptides 27:395–403. van der Merwe, M.-T., and M. S. Pepper. 2006. Obesity in South Africa. Obes. Rev. 7:315–322.

26. Potoczna, N., R. Branson, J. G. Kral, G. Piec, R. Steffen, T. Ricklin, et al. 2004. Gene variants and binge eating as predictors of comorbidity and outcome of treatment in severe obesity. J. Gastrointest. Surg. 8:971–981; discussion 981–2.

27. Rettenbacher, E., P. Tarnow, H. Brumm, D. Prayer, A.-K. Wermter, J. Hebebrand, et al. 2007. A novel non- synonymous mutation in the melanocortin-4 receptor gene (MC4R) in a 2-year-old Austrian girl with extreme obesity. Exp. Clin. Endocrinol. Diabetes 115:7–12.

28. Rong, R., Y.-X. Tao, B. M. Y. Cheung, A. Xu, G. C. N. Cheung, and K. S. L. Lam. 2006. Identification and functional characterization of three novel human melanocortin-4 receptor gene variants in an obese Chinese population. Clin. Endocrinol. (Oxf) 65:198–205.

29. Speliotes, E. K., C. J. Willer, S. I. Berndt, K. L. Monda, G. Thorleifsson, A. U. Jackson, et al. 2011. Association analyses of 249,796 individuals reveal eighteen new loci associated with body mass index. Nat. Genet. 42:937–948.

30. Swinburn, B. A., G. Sacks, K. D. Hall, K. McPherson, D. T. Finegood, M. L. Moodie, et al. 2011. The global obesity pandemic: shaped by global drivers and local environments. Lancet 378:804–814.

31. Tao, Y.-X. 2005. Molecular mechanisms of the neural melanocortin receptor dysfunction in severe early onset obesity. Mol. Cell. Endocrinol. 239:1–14.

32. Tao, Y., and D. L. Segaloff. 2005. Functional analyses of melanocortin-4 receptor mutations identified from patients with binge eating disorder and nonobese or obese subjects. J. Clin. Endocrinol. Metab. 90:5632–5638.

33. Vaisse, C., and K. Clement. 2000. Melanocortin-4 receptor mutations are a frequent and heterogeneous cause of morbid obesity. J. Clin. Invest. 106:253–262.

34. Xiang, Z., S. A. Litherland, N. B. Sorensen, B. Proneth, M. S. Wood, A. M. Shaw, et al. 2006. Pharmacological characterization of 40 human melanocortin-4 receptor polymorphisms with the endogenous proopiomelanocortin- derived agonists and the agouti-related protein (AGRP) antagonist. Biochemistry 45:7277–7288.

35. Xiang, Z., B. Proneth, M. L. Dirain, S. A. Litherland, and C. Haskell-Luevano. 2010. Pharmacological characterization of 30 human melanocortin-4 receptor polymorphisms with the endogenous proopiomelanocortin-derived agonists, synthetic agonists, and the endogenous agouti-related protein antagonist. Biochemistry 49:4583–4600.Young, E. H., N. J. Wareham, S. Farooqi, A. Hinney, J.

36. Hebebrand, A. Scherag, et al. 2007. The V103I polymorphism of the MC4R gene and obesity: population based studies and meta-analysis of 29 563 individuals. Int. J. Obes. (Lond) 31:1437–1441.

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