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PMID: 21773009 Published · ppublish English Journal Article

Genetics of childhood obesity.

Journal of obesity ·Vol. 2011 ·2011-00-00 ·Pages 845148

Zhao J, Grant SF

Abstract

Obesity is a major health problem and an immense economic burden on the health care systems both in the United States and the rest of the world. The prevalence of obesity in children and adults in the United States has increased dramatically over the past decade. Besides environmental factors, genetic factors are known to play an important role in the pathogenesis of obesity. Genome-wide association studies (GWAS) have revealed strongly associated genomic variants associated with most common disorders; indeed there is general consensus on these findings from generally positive replication outcomes by independent groups. To date, there have been only a few GWAS-related reports for childhood obesity specifically, with studies primarily uncovering loci in the adult setting instead. It is clear that a number of loci previously reported from GWAS analyses of adult BMI and/or obesity also play a role in childhood obesity.

Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Zhao Jianhua
Division of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Grant Struan F A
References (120)
120 references, click to expand
  1. Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and Prevention.
    Am J Clin Nutr. 2002 Apr;75(4):761-6 PMID: 11916765
  2. Variation in FTO contributes to childhood obesity and severe adult obesity.
    Nat Genet. 2007 Jun;39(6):724-6 PMID: 17496892
  3. Eating patterns, dietary quality and obesity.
    J Am Coll Nutr. 2001 Dec;20(6):599-608 PMID: 11771675
  4. The genetics of obesity: FTO leads the way.
    Trends Genet. 2010 Jun;26(6):266-74 PMID: 20381893
  5. The effects of metformin on body mass index and glucose tolerance in obese adolescents with fasting hyperinsulinemia and a family history of type 2 diabetes.
    Pediatrics. 2001 Apr;107(4):E55 PMID: 11335776
  6. Examination of all type 2 diabetes GWAS loci reveals HHEX-IDE as a locus influencing pediatric BMI.
    Diabetes. 2010 Mar;59(3):751-5 PMID: 19933996
  7. Overweight children and adolescents: description, epidemiology, and demographics.
    Pediatrics. 1998 Mar;101(3 Pt 2):497-504 PMID: 12224656
  8. INSIG2 gene rs7566605 polymorphism is associated with severe obesity in Japanese.
    J Hum Genet. 2008;53(9):857-862 PMID: 18615239
  9. Genome wide association (GWA) study for early onset extreme obesity supports the role of fat mass and obesity associated gene (FTO) variants.
    PLoS One. 2007 Dec 26;2(12):e1361 PMID: 18159244
  10. Octreotide therapy of pediatric hypothalamic obesity: a double-blind, placebo-controlled trial.
    J Clin Endocrinol Metab. 2003 Jun;88(6):2586-92 PMID: 12788859
  11. Effect of sibutramine on cardiovascular outcomes in overweight and obese subjects.
    N Engl J Med. 2010 Sep 2;363(10):905-17 PMID: 20818901
  12. Complement factor H polymorphism in age-related macular degeneration.
    Science. 2005 Apr 15;308(5720):385-9 PMID: 15761122
  13. Genome-wide association scan shows genetic variants in the FTO gene are associated with obesity-related traits.
    PLoS Genet. 2007 Jul;3(7):e115 PMID: 17658951
  14. A multidisciplinary approach to the adolescent bariatric surgical patient.
    J Pediatr Surg. 2004 Mar;39(3):442-7; discussion 446-7 PMID: 15017567
  15. Two new Loci for body-weight regulation identified in a joint analysis of genome-wide association studies for early-onset extreme obesity in French and german study groups.
    PLoS Genet. 2010 Apr 22;6(4):e1000916 PMID: 20421936
  16. Intensive therapies for pediatric obesity.
    Pediatr Clin North Am. 2001 Aug;48(4):1041-53 PMID: 11494637
  17. Autism genome-wide copy number variation reveals ubiquitin and neuronal genes.
    Nature. 2009 May 28;459(7246):569-73 PMID: 19404257
  18. Diabetes mellitus in the Pima Indians: incidence, risk factors and pathogenesis.
    Diabetes Metab Rev. 1990 Feb;6(1):1-27 PMID: 2192853
  19. A common allele on chromosome 9 associated with coronary heart disease.
    Science. 2007 Jun 8;316(5830):1488-91 PMID: 17478681
  20. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity.
    Science. 2007 May 11;316(5826):889-94 PMID: 17434869
  21. Health consequences of obesity in youth: childhood predictors of adult disease.
    Pediatrics. 1998 Mar;101(3 Pt 2):518-25 PMID: 12224658
  22. Prevalence and trends in obesity among US adults, 1999-2000.
    JAMA. 2002 Oct 9;288(14):1723-7 PMID: 12365955
  23. A genome-wide scalable SNP genotyping assay using microarray technology.
    Nat Genet. 2005 May;37(5):549-54 PMID: 15838508
  24. The association of a SNP upstream of INSIG2 with body mass index is reproduced in several but not all cohorts.
    PLoS Genet. 2007 Apr 27;3(4):e61 PMID: 17465681
  25. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935.
    N Engl J Med. 1992 Nov 5;327(19):1350-5 PMID: 1406836
  26. Common variants near MC4R are associated with fat mass, weight and risk of obesity.
    Nat Genet. 2008 Jun;40(6):768-75 PMID: 18454148
  27. Effects of sibutramine treatment in obese adolescents: a randomized trial.
    Ann Intern Med. 2006 Jul 18;145(2):81-90 PMID: 16847290
  28. Mapping complex disease loci in whole-genome association studies.
    Nature. 2004 May 27;429(6990):446-52 PMID: 15164069
  29. New insights into the field of children and adolescents' obesity: the European perspective.
    Int J Obes Relat Metab Disord. 2004 Oct;28(10):1189-96 PMID: 15365581
  30. Common variants at five new loci associated with early-onset inflammatory bowel disease.
    Nat Genet. 2009 Dec;41(12):1335-40 PMID: 19915574
  31. A genome-wide association study of type 2 diabetes in Finns detects multiple susceptibility variants.
    Science. 2007 Jun 1;316(5829):1341-5 PMID: 17463248
  32. Preventing childhood obesity: health in the balance: executive summary.
    J Am Diet Assoc. 2005 Jan;105(1):131-8 PMID: 15635359
  33. Recent advances in the genetics of severe childhood obesity.
    Arch Dis Child. 2000 Jul;83(1):31-4 PMID: 10868996
  34. The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender.
    Pediatrics. 1997 Jun;99(6):804-7 PMID: 9164773
  35. Rare structural variants found in attention-deficit hyperactivity disorder are preferentially associated with neurodevelopmental genes.
    Mol Psychiatry. 2010 Jun;15(6):637-46 PMID: 19546859
  36. Refining the impact of TCF7L2 gene variants on type 2 diabetes and adaptive evolution.
    Nat Genet. 2007 Feb;39(2):218-25 PMID: 17206141
  37. Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index.
    Nat Genet. 2010 Nov;42(11):937-48 PMID: 20935630
  38. Weight-reducing effects of the plasma protein encoded by the obese gene.
    Science. 1995 Jul 28;269(5223):543-6 PMID: 7624777
  39. Does overweight in childhood have an impact on adult health?
    Nutr Rev. 2003 Apr;61(4):139-42 PMID: 12795448
  40. Bardet-Biedl syndrome: a molecular and phenotypic study of 18 families.
    J Med Genet. 1997 Feb;34(2):92-8 PMID: 9039982
  41. Linkage mapping in 29 Bardet-Biedl syndrome families confirms loci in chromosomal regions 11q13, 15q22.3-q23, and 16q21.
    Genomics. 1997 Apr 1;41(1):93-9 PMID: 9126487
  42. Exclusion mapping of the Cohen syndrome gene from the Prader-Willi syndrome locus.
    Clin Genet. 1990 Dec;38(6):422-6 PMID: 1981180
  43. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services.
    Am J Clin Nutr. 1994 Feb;59(2):307-16 PMID: 8310979
  44. The role of obesity-associated loci identified in genome-wide association studies in the determination of pediatric BMI.
    Obesity (Silver Spring). 2009 Dec;17(12):2254-7 PMID: 19478790
  45. 40-year follow-up of overweight children.
    Lancet. 1989 Aug 26;2(8661):491-3 PMID: 2570196
  46. A genome-wide study reveals copy number variants exclusive to childhood obesity cases.
    Am J Hum Genet. 2010 Nov 12;87(5):661-6 PMID: 20950786
  47. A frameshift mutation in human MC4R is associated with a dominant form of obesity.
    Nat Genet. 1998 Oct;20(2):113-4 PMID: 9771699
  48. Rare structural variants disrupt multiple genes in neurodevelopmental pathways in schizophrenia.
    Science. 2008 Apr 25;320(5875):539-43 PMID: 18369103
  49. Predicting obesity in young adulthood from childhood and parental obesity.
    N Engl J Med. 1997 Sep 25;337(13):869-73 PMID: 9302300
  50. Childhood predictors of adult obesity: a systematic review.
    Int J Obes Relat Metab Disord. 1999 Nov;23 Suppl 8:S1-107 PMID: 10641588
  51. A haplotype map of the human genome.
    Nature. 2005 Oct 27;437(7063):1299-320 PMID: 16255080
  52. Modern science versus the stigma of obesity.
    Nat Med. 2004 Jun;10(6):563-9 PMID: 15170194
  53. Variants of DENND1B associated with asthma in children.
    N Engl J Med. 2010 Jan 7;362(1):36-44 PMID: 20032318
  54. A genome-wide association study identifies KIAA0350 as a type 1 diabetes gene.
    Nature. 2007 Aug 2;448(7153):591-4 PMID: 17632545
  55. A whole-genome admixture scan finds a candidate locus for multiple sclerosis susceptibility.
    Nat Genet. 2005 Oct;37(10):1113-8 PMID: 16186815
  56. Novel common copy number variation for early onset extreme obesity on chromosome 11q11 identified by a genome-wide analysis.
    Hum Mol Genet. 2011 Feb 15;20(4):840-52 PMID: 21131291
  57. Targeted disruption of the melanocortin-4 receptor results in obesity in mice.
    Cell. 1997 Jan 10;88(1):131-41 PMID: 9019399
  58. Body mass index reference curves for the UK, 1990.
    Arch Dis Child. 1995 Jul;73(1):25-9 PMID: 7639544
  59. Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease.
    Diabetes Care. 1991 Mar;14(3):173-94 PMID: 2044434
  60. Structural variation of chromosomes in autism spectrum disorder.
    Am J Hum Genet. 2008 Feb;82(2):477-88 PMID: 18252227
  61. Large, rare chromosomal deletions associated with severe early-onset obesity.
    Nature. 2010 Feb 4;463(7281):666-70 PMID: 19966786
  62. Genome-wide association study identifies novel breast cancer susceptibility loci.
    Nature. 2007 Jun 28;447(7148):1087-93 PMID: 17529967
  63. Six new loci associated with body mass index highlight a neuronal influence on body weight regulation.
    Nat Genet. 2009 Jan;41(1):25-34 PMID: 19079261
  64. Whole-genome genotyping with the single-base extension assay.
    Nat Methods. 2006 Jan;3(1):31-3 PMID: 16369550
  65. Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial.
    JAMA. 2003 Apr 9;289(14):1805-12 PMID: 12684359
  66. Brief report: impaired processing of prohormones associated with abnormalities of glucose homeostasis and adrenal function.
    N Engl J Med. 1995 Nov 23;333(21):1386-90 PMID: 7477119
  67. Genome-wide association analysis identifies loci for type 2 diabetes and triglyceride levels.
    Science. 2007 Jun 1;316(5829):1331-6 PMID: 17463246
  68. A genome-wide association study reveals variants in ARL15 that influence adiponectin levels.
    PLoS Genet. 2009 Dec;5(12):e1000768 PMID: 20011104
  69. Inactivation of the Fto gene protects from obesity.
    Nature. 2009 Apr 16;458(7240):894-8 PMID: 19234441
  70. Fine mapping of the association with obesity at the FTO locus in African-derived populations.
    Hum Mol Genet. 2010 Jul 15;19(14):2907-16 PMID: 20430937
  71. A common variant on chromosome 9p21 affects the risk of myocardial infarction.
    Science. 2007 Jun 8;316(5830):1491-3 PMID: 17478679
  72. Variant of transcription factor 7-like 2 (TCF7L2) gene confers risk of type 2 diabetes.
    Nat Genet. 2006 Mar;38(3):320-3 PMID: 16415884
  73. Proopiomelanocortin neurons are direct targets for leptin in the hypothalamus.
    Endocrinology. 1997 Oct;138(10):4489-92 PMID: 9322969
  74. Comment on "A common genetic variant is associated with adult and childhood obesity".
    Science. 2007 Jan 12;315(5809):187; author reply 187 PMID: 17218509
  75. Overexpression of Fto leads to increased food intake and results in obesity.
    Nat Genet. 2010 Dec;42(12):1086-92 PMID: 21076408
  76. Genome-wide association studies for common diseases and complex traits.
    Nat Rev Genet. 2005 Feb;6(2):95-108 PMID: 15716906
  77. Comment on "A common genetic variant is associated with adult and childhood obesity".
    Science. 2007 Jan 12;315(5809):187; author reply 187 PMID: 17218510
  78. Perspectives: molecular genetic research in human obesity.
    Obes Rev. 2003 Aug;4(3):139-46 PMID: 12916815
  79. Positional cloning of the mouse obese gene and its human homologue.
    Nature. 1994 Dec 1;372(6505):425-32 PMID: 7984236
  80. Comment on "A common genetic variant is associated with adult and childhood obesity".
    Science. 2007 Jan 12;315(5809):187; author reply 187 PMID: 17218508
  81. Association between microdeletion and microduplication at 16p11.2 and autism.
    N Engl J Med. 2008 Feb 14;358(7):667-75 PMID: 18184952
  82. Genome-wide association study of 14,000 cases of seven common diseases and 3,000 shared controls.
    Nature. 2007 Jun 7;447(7145):661-78 PMID: 17554300
  83. Changes in the distribution of body mass index of adults and children in the US population.
    Int J Obes Relat Metab Disord. 2000 Jul;24(7):807-18 PMID: 10918526
  84. A new highly penetrant form of obesity due to deletions on chromosome 16p11.2.
    Nature. 2010 Feb 4;463(7281):671-5 PMID: 20130649
  85. Association analysis of the FTO gene with obesity in children of Caucasian and African ancestry reveals a common tagging SNP.
    PLoS One. 2008 Mar 12;3(3):e1746 PMID: 18335027
  86. A common genetic variant is associated with adult and childhood obesity.
    Science. 2006 Apr 14;312(5771):279-83 PMID: 16614226
  87. Effects of orlistat on fat-soluble vitamins in obese adolescents.
    Pharmacotherapy. 2002 Jul;22(7):814-22 PMID: 12126214
  88. The genetics of human obesity.
    Nat Rev Genet. 2005 Mar;6(3):221-34 PMID: 15703762
  89. Effects of the obese gene product on body weight regulation in ob/ob mice.
    Science. 1995 Jul 28;269(5223):540-3 PMID: 7624776
  90. Several mutations in the melanocortin-4 receptor gene including a nonsense and a frameshift mutation associated with dominantly inherited obesity in humans.
    J Clin Endocrinol Metab. 1999 Apr;84(4):1483-6 PMID: 10199800
  91. A genome-wide association study identifies novel risk loci for type 2 diabetes.
    Nature. 2007 Feb 22;445(7130):881-5 PMID: 17293876
  92. Obese, a new mutation in the house mouse.
    J Hered. 1950 Dec;41(12):317-8 PMID: 14824537
  93. Obesity and impaired prohormone processing associated with mutations in the human prohormone convertase 1 gene.
    Nat Genet. 1997 Jul;16(3):303-6 PMID: 9207799
  94. Phenotypes of mouse diabetes and rat fatty due to mutations in the OB (leptin) receptor.
    Science. 1996 Feb 16;271(5251):994-6 PMID: 8584938
  95. Three-month tolerability of orlistat in adolescents with obesity-related comorbid conditions.
    Obes Res. 2002 Jul;10(7):642-50 PMID: 12105286
  96. New advances in the genetics of early onset obesity.
    Int J Obes (Lond). 2005 Oct;29(10):1149-52 PMID: 16155585
  97. Large recurrent microdeletions associated with schizophrenia.
    Nature. 2008 Sep 11;455(7210):232-6 PMID: 18668039
  98. Banting Lecture 1988. Role of insulin resistance in human disease. 1988.
    Nutrition. 1997 Jan;13(1):65; discussion 64, 66 PMID: 9058458
  99. BDNF Val66Met polymorphism is associated with body mass index in healthy adults.
    Neuropsychobiology. 2006;53(3):153-6 PMID: 16707914
  100. Finding the missing heritability of complex diseases.
    Nature. 2009 Oct 8;461(7265):747-53 PMID: 19812666
  101. Severe early-onset obesity, adrenal insufficiency and red hair pigmentation caused by POMC mutations in humans.
    Nat Genet. 1998 Jun;19(2):155-7 PMID: 9620771
  102. Investigation of the locus near MC4R with childhood obesity in Americans of European and African ancestry.
    Obesity (Silver Spring). 2009 Jul;17(7):1461-5 PMID: 19265794
  103. Strong synaptic transmission impact by copy number variations in schizophrenia.
    Proc Natl Acad Sci U S A. 2010 Jun 8;107(23):10584-9 PMID: 20489179
  104. Prevalence of loss-of-function FTO mutations in lean and obese individuals.
    Diabetes. 2010 Jan;59(1):311-8 PMID: 19833892
  105. A frameshift mutation in MC4R associated with dominantly inherited human obesity.
    Nat Genet. 1998 Oct;20(2):111-2 PMID: 9771698
  106. A genome-wide association study identifies IL23R as an inflammatory bowel disease gene.
    Science. 2006 Dec 1;314(5804):1461-3 PMID: 17068223
  107. A fifth locus for Bardet-Biedl syndrome maps to chromosome 2q31.
    Am J Hum Genet. 1999 Mar;64(3):900-4 PMID: 10053027
  108. Alström syndrome. Report of 22 cases and literature review.
    Ophthalmology. 1998 Jul;105(7):1274-80 PMID: 9663233
  109. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment.
    Circulation. 2005 Apr 19;111(15):1999-2012 PMID: 15837955
  110. Genetics of common forms of obesity: a brief overview.
    Am J Clin Nutr. 2005 Jul;82(1 Suppl):215S-217S PMID: 16002823
  111. Strong association of de novo copy number mutations with autism.
    Science. 2007 Apr 20;316(5823):445-9 PMID: 17363630
  112. Identification and functional analysis of novel human melanocortin-4 receptor variants.
    Diabetes. 1999 Mar;48(3):635-9 PMID: 10078568
  113. Serum immunoreactive-leptin concentrations in normal-weight and obese humans.
    N Engl J Med. 1996 Feb 1;334(5):292-5 PMID: 8532024
  114. Genome-wide association yields new sequence variants at seven loci that associate with measures of obesity.
    Nat Genet. 2009 Jan;41(1):18-24 PMID: 19079260
  115. Criteria for definition of overweight in transition: background and recommendations for the United States.
    Am J Clin Nutr. 2000 Nov;72(5):1074-81 PMID: 11063431
  116. Robust associations of four new chromosome regions from genome-wide analyses of type 1 diabetes.
    Nat Genet. 2007 Jul;39(7):857-64 PMID: 17554260
  117. FTO genetic variation and association with obesity in West Africans and African Americans.
    Diabetes. 2010 Jun;59(6):1549-54 PMID: 20299471
  118. Global variation in copy number in the human genome.
    Nature. 2006 Nov 23;444(7118):444-54 PMID: 17122850
  119. Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks.
    Science. 1995 Jul 28;269(5223):546-9 PMID: 7624778
  120. Replication of genome-wide association signals in UK samples reveals risk loci for type 2 diabetes.
    Science. 2007 Jun 1;316(5829):1336-41 PMID: 17463249
Article Info
Journal
Journal of obesity
Abbr.
J Obes
ISSN
2090-0716
Published
2011-00-00
Epub
2011-00-26
Pages
845148
Language
English
Region
United States
NLM ID
101526295
PMCID
PMC3136227
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