Evaluation of the role of FTO (rs9939609) and MC4R (rs17782313) gene polymorphisms in type 1 diabetes and their relation to obesity
-
Youssef M. Mosaad
Abstract
Objectives
This study aims to explore the effects of fat mass obesity-associated (FTO) (rs9939609) and melanocortin 4 receptor (MC4R) (rs17782313) gene polymorphisms in children with type 1 diabetes (T1D) and their relation to obesity.
Methods
Fat mass obesity-associated (FTO) (rs9939609) and melanocortin 4 receptor (MC4R) (rs17782313) gene polymorphisms were evaluated in 164 patients and 100 controls, and genotypes, alleles, and haplotype frequencies were compared between cases and controls.
Results
A significant association with T1D development was found with the TC, CC, and TC+CC genotypes and the C allele of MC4R rs17782313. In addition, TA, AA, and TA+AA genotypes and the A allele of FTO rs9939609 may also be risky for T1D development. While the TC and TC+CC genotypes of MC4R rs17782313 may be protective against obesity development, the AA genotype and A allele of FTO rs9939609 may also be protective against obesity development. Regarding obese subjects, comparing diabetics vs. non-diabetic studied subjects, FTO rs9939609, TA, AA, and TA+AA genotypes and the A allele had significantly higher frequencies in T1D with a higher risk of developing T1D. However, conducting multivariable analysis using significant covariates in univariable analysis revealed that only earlier age of T1D onset, lower C-peptide, and the MC4R dominant model were considered independent predictors of obesity within T1D.
Conclusions
The role of both genes’ polymorphisms on the pathogenesis and the outcome of T1D and obesity can help in understanding the pathogenesis of both diseases and their associations with each other’s and may be used as novel therapeutic targets for both diseases.
-
Ethical approval: This study was approved by the Institutional Research Council of the Mansoura Faculty of Medicine under proposal code MD.19.01.123.R1.
-
Informed consent: Informed consent was obtained from all individuals included in this study.
-
Author contributions: YMM conceived and designed the study, interpreted the data, contributed data or analysis tools, supervised the study and approved the final version of the manuscript. MM selection of the patients, performed experiments, collected the data, and statistical analysis. MA wrote the paper, contact journals, language editing, supervised the study, and approved the final version of the manuscript. FAEAEC AND AAE supervised the study, and approved the final version of the study. The authors read and approved the final manuscript.
-
Competing interests: Authors state no conflict of interest.
-
Research funding: None declared.
-
Data availability: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
1. Turton, JL, Raab, R, Rooney, KB. Low-carbohydrate diets for type 1 diabetes mellitus: a systematic review. PLoS One 2018;13:e0194987. https://doi.org/10.1371/journal.pone.0194987.Suche in Google Scholar PubMed PubMed Central
2. Katsarou, A, Gudbjörnsdottir, S, Rawshani, A, Dabelea, D, Bonifacio, E, Anderson, BJ, et al.. Type 1 diabetes mellitus. Nat Rev Dis Prim 2017;3:17016. https://doi.org/10.1038/nrdp.2017.16.Suche in Google Scholar PubMed
3. Sørgjerd, EP. Type 1 diabetes-related autoantibodies in different forms of diabetes. Curr Diabetes Rev 2019;15:199–204. https://doi.org/10.2174/1573399814666180730105351.Suche in Google Scholar PubMed
4. Szadkowska, A, Madej, A, Ziółkowska, K, Szymańska, M, Jeziorny, K, Mianowska, B, et al.. Gender and Age - dependent effect of type 1 diabetes on obesity and altered body composition in young adults. Ann Agric Environ Med 2015;22:124–8. https://doi.org/10.5604/12321966.1141381.Suche in Google Scholar PubMed
5. Fryar, CD, Carroll, MD, Ogden, CL. Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States. USA: CNCHS Health E-Stats; 2018:1963–5 pp.Suche in Google Scholar
6. Abarca-Gómez, L, Abdeen, ZA, Hamid, ZA, Abu-Rmeileh, NM, Acosta-Cazares, B, Acuin, C, et al.. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128 9 million children, adolescents, and adults. Lancet 2017;390:2627–42. https://doi.org/10.1016/s0140-6736(17)32129-3.Suche in Google Scholar
7. Steigleder-Schweiger, C, Rami-Merhar, B, Waldhör, T, Fröhlich-Reiterer, E, Schwarz, I, Fritsch, M, et al.. Prevalence of cardiovascular risk factors in children and adolescents with type 1 diabetes in Austria. Eur J Pediatr 2012;171:1193–202. https://doi.org/10.1007/s00431-012-1704-x.Suche in Google Scholar PubMed
8. Schwab, KO, Doerfer, J, Marg, W, Schober, E, Holl, RW. DPV Science Initiative and the Competence Network Diabetes mellitus. Characterization of 33 488 children and adolescents with type 1 diabetes based on the gender-specific increase of cardiovascular risk factors. Pediatr Diabetes 2010;11:357–63. https://doi.org/10.1111/j.1399-5448.2010.00665.x.Suche in Google Scholar PubMed
9. Nansel, TR, Iannotti, RJ, Liu, A. Clinic-integrated behavioral intervention for families of youth with type 1 diabetes: randomized clinical trial. Pediatrics 2012;129:e866–73. https://doi.org/10.1542/peds.2011-2858.Suche in Google Scholar PubMed PubMed Central
10. Lu, Y, Loos, RJ. Obesity genomics: assessing the transferability of susceptibility loci across diverse populations. Genome Med 2013;5:55. https://doi.org/10.1186/gm459.Suche in Google Scholar PubMed PubMed Central
11. Krashes, MJ, Lowell, BB, Garfield, AS. Melanocortin-4 receptor-regulated energy homeostasis. Nat Neurosci 2016;19:206–19. https://doi.org/10.1038/nn.4202.Suche in Google Scholar PubMed PubMed Central
12. García-Solís, P, Reyes-Bastidas, M, Flores, K, García, OP, Rosado, JL, Méndez-Villa, L, et al.. Fat mass obesity-associated (FTO) (rs9939609) and melanocortin 4 receptor (MC4R) (rs17782313) SNP are positively associated with obesity and blood pressure in Mexican school-aged children. Br J Nutr 2016;116:1834–40. https://doi.org/10.1017/S0007114516003779.Suche in Google Scholar PubMed
13. Eid, R, Abdelsalam, M, Fathy, AA, Abd-El Ghaffar, DM, Elmarghany, EB, El-Hanafy, AA, et al.. Predictors of decreased bone mineral density in childhood systemic lupus erythematosus: possible role of osteoprotegerin gene polymorphisms. J Pediatr Endocrinol Metab 2021;35:79–87. https://doi.org/10.1515/jpem-2021-0496.Suche in Google Scholar PubMed
14. Silverstein, J, Klingensmith, G, Copeland, K, Plotnick, L, Kaufman, F, Laffel, L, et al.. American Diabetes Association. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care 2005;28:186–212. https://doi.org/10.2337/diacare.28.1.186.Suche in Google Scholar PubMed
15. Krischer, JP, Lynch, KF, Lernmark, Å, Hagopian, WA, Rewers, MJ, She, JX, et al.. Genetic and environmental interactions modify the risk of diabetes-related autoimmunity by 6 Years of age: the TEDDY study. Diabetes Care 2017;40:1194–202. https://doi.org/10.2337/dc17-0238.Suche in Google Scholar PubMed PubMed Central
16. Skinner, AC, Ravanbakht, SN, Skelton, JA, Perrin, EM, Armstrong, SC. Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics. 2018;141:e20173459. https://doi.org/10.1542/peds.2017-3459. Erratum in: Pediatrics. 2018;142.Suche in Google Scholar PubMed PubMed Central
17. Grigolon, RB, Dunker, KLL, Almeida, MC, Achôa, DC, Claudino, AM. Dietary patterns as a red flag for higher risk of eating disorders among female teenagers with and without type I diabetes mellitus: adolescents with type I diabetes mellitus are a risk factor for eating disorders: a case-control study. Eat Weight Disord 2019;24:151–61. https://doi.org/10.1007/s40519-017-0442-5.Suche in Google Scholar PubMed
18. Bitkin, EC, Kara, C, Yılmaz, GC, Mammadova, J, Aydın, HM. Evaluation of children with type 1 diabetes mellitus in terms of overweight/obesity in tertiary care hospital. J Pediatr Endocrinol Metab 2021;34:995–1000. https://doi.org/10.1515/jpem-2021-0268.Suche in Google Scholar PubMed
19. Thomas, NJ, Jones, SE, Weedon, MN, Shields, BM, Oram, RA, Hattersley, AT. Frequency and phenotype of type 1 diabetes in the first six decades of life: a cross-sectional, genetically stratified survival analysis from UK Biobank. Lancet Diabetes Endocrinol 2018;6:122–9. https://doi.org/10.1016/S2213-8587(17)30362-5.Suche in Google Scholar PubMed PubMed Central
20. Leite, LCG, Dos Santos, MC, Duarte, NE, Horimoto, ARVR, Crispim, F, Vieira Filho JPB, et al.. Association of fat mass and obesity-associated (FTO) gene rs9939609 with obesity-related traits and glucose intolerance in an indigenous population, the Xavante. Diabetes Metabol Syndr 2022;16:102358. https://doi.org/10.1016/j.dsx.2021.102358.Suche in Google Scholar PubMed
21. Loos, RJF, Yeo, GSH. The genetics of obesity: from discovery to biology. Nat Rev Genet 2022;23:120–33. https://doi.org/10.1038/s41576-021-00414-z.Suche in Google Scholar PubMed PubMed Central
22. Quan, LL, Wang, H, Tian, Y, Mu, X, Zhang, Y, Tao, K. Association of fat-mass and obesity-associated gene FTO rs9939609 polymorphism with the risk of obesity among children and adolescents: a meta-analysis. Eur Rev Med Pharmacol Sci 2015;19:614–23.Suche in Google Scholar
23. Abdelsalam, M, Allam, SH, Zohdy, M, Magdy, H, Mostafa, M. TLR4 gene polymorphisms in Egyptian vitiligo patients: insights into emerging association with clinical activity, family history, and response to therapy. J Genet Eng Biotechnol 2021;19:132. https://doi.org/10.1186/s43141-021-00218-y.Suche in Google Scholar PubMed PubMed Central
24. Sarhan, W, Ismail, N, Zidan, N, Abeer El-Hawary, Makani, V, Abd elnour, HM. Association of fat mass and obesity gene (FTO) polymorphism with COVID-19 severity in Egyptian obese patients. Zagazig Univ Med J 2021;27:984–91. https://doi.org/10.21608/zumj.2021.80189.2260.Suche in Google Scholar
25. El Hajj Chehadeh, S, Osman, W, Nazar, S, Jerman, L, Alghafri, A, Sajwani, A, et al.. Implication of genetic variants in overweight and obesity susceptibility among the young Arab population of the United Arab Emirates. Gene 2020;739:144509. https://doi.org/10.1016/j.gene.2020.144509.Suche in Google Scholar PubMed
26. Reuter, CP, Burgos, MS, Bernhard, JC, Tornquist, D, Klinger, EI, Borges, TS, et al.. Association between overweight and obesity in schoolchildren with rs9939609 polymorphism (FTO) and family history for obesity. J Pediatr 2016;92:493–8. https://doi.org/10.1016/j.jped.2015.11.005.Suche in Google Scholar PubMed
27. Lazopoulou, N, Gkioka, E, Ntalla, I, Pervanidou, P, Magiakou, AM, Roma-Giannikou, E, et al.. The combined effect of MC4R and FTO risk alleles on childhood obesity in Greece. Hormones 2015;14:126–33. https://doi.org/10.14310/horm.2002.1524.Suche in Google Scholar PubMed
28. Pereira Pde, A, Alvim-Soares, AMJr, Sandrim, VC, Lanna, CM, Souza-Costa, DC, Belo Vde, A, et al.. Lack of association between genetic polymorphism of FTO, AKT1 and AKTIP in childhood overweight and obesity. J Pediatr 2016;92:521–7. https://doi.org/10.1016/j.jped.2015.12.007.Suche in Google Scholar PubMed
29. Sovio, U, Mook-Kanamori, DO, Warrington, NM, Lawrence, R, Briollais, L, Palmer, CN, et al.. Early Growth Genetics Consortium. Association between common variation at the FTO locus and changes in body mass index from infancy to late childhood: the complex nature of genetic association through growth and development. PLoS Genet 2011;7:e1001307. https://doi.org/10.1371/journal.pgen.1001307.Suche in Google Scholar PubMed PubMed Central
30. Resende, CMM, Silva, HAMD, Campello, CP, Ferraz, LAA, de Lima, ELS, Beserra, MA, et al.. Polymorphisms on rs9939609 FTO and rs17782313 MC4R genes in children and adolescent obesity: a systematic review. Nutrition 2021;91–92:111474. https://doi.org/10.1016/j.nut.2021.111474.Suche in Google Scholar PubMed
31. Bordoni, L, Marchegiani, F, Piangerelli, M, Napolioni, V, Gabbianelli, R. Obesity-related genetic polymorphisms and adiposity indices in a young Italian population. IUBMB Life 2017;69:98–105. https://doi.org/10.1002/iub.1596.Suche in Google Scholar PubMed
32. León-Mimila, P, Villamil-Ramírez, H, Villalobos-Comparan, M, Villarreal-Molina, T, Romero-Hidalgo, S, Lopez-Contreras, B, et al.. Contribution of common genetic variants to obesity and obesity-related traits in mexican children and adults. PloS one 2013;8:e70640. https://doi.org/10.1371/journal.pone.0070640.Suche in Google Scholar PubMed PubMed Central
33. Klimentidis, YC, Chen, GB, López-Alarcón, M, Harris, JJ, Duarte, CW, Fernández, JR. Associations of obesity genes with obesity-related outcomes in multiethnic children. Arch Med Res 2011;42:509–14. https://doi.org/10.1016/j.arcmed.2011.07.003.Suche in Google Scholar PubMed PubMed Central
34. Cortés-Martín, A, Colmenarejo, G, Selma, MV, Espín, JC. Genetic polymorphisms, mediterranean diet and microbiota-associated urolithin metabotypes can Predict obesity in childhood-adolescence. Sci Rep 2020;10:7850. https://doi.org/10.1038/s41598-020-64833-4.Suche in Google Scholar PubMed PubMed Central
35. Luczyński, W, Fendler, W, Ramatowska, A, Szypowska, A, Szadkowska, A, Młynarski, W, et al.. Polymorphism of the FTO gene influences body weight in children with type 1 diabetes without severe obesity. Internet J Endocrinol 2014;2014:630712. https://doi.org/10.1155/2014/630712.Suche in Google Scholar PubMed PubMed Central
36. Gu, HF, Alvarsson, A, Brismar, K. The common FTO genetic polymorphism rs9939609 is associated with increased BMI in type 1 diabetes but not with diabetic nephropathy. Biomark Insights 2010;5:29–32. https://doi.org/10.4137/bmi.s4599.Suche in Google Scholar PubMed PubMed Central
37. Jackson, SE, Llewellyn, CH, Smith, L. The obesity epidemic - nature via nurture: a narrative review of high-income countries. SAGE Open Med 2020;8:2050312120918265. https://doi.org/10.1177/2050312120918265.Suche in Google Scholar PubMed PubMed Central
© 2023 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review
- Myoinositol or D-chiro-inositol for PCOS symptoms in adolescents: a narrative review
- Mini Review
- Effects of the COVID-19 pandemic on the incidence of central precocious puberty; a narrative review
- Original Articles
- Evaluation of the role of FTO (rs9939609) and MC4R (rs17782313) gene polymorphisms in type 1 diabetes and their relation to obesity
- Lack of association between month of birth and risk of developing type 1 diabetes in Brazil: a 40-year analysis
- Review on the screening of urine glucose for early diagnosis of type 2 diabetes mellitus in school children and adolescents with obesity in Hong Kong
- Effect of daily zinc supplementation for 12 weeks on serum thyroid auto-antibody levels in children and adolescents with autoimmune thyroiditis – a randomized controlled trial
- Correlation between serum vitamin D level and uterine volume in girls with idiopathic central precocious puberty
- Diagnostic model based on multiple factors for girls with central precocious puberty
- Validity and reliability of parent assessments of pubertal maturation among adolescent girls in Isfahan, Iran
- Newborn screening for primary carnitine deficiency using a second-tier genetic test
- Case Reports
- From neglect to peril: diabetic ketoacidosis unleashing colonic necrosis and perforation in an adolescent girl with type 1 diabetes mellitus
- Unusual onset of Graves’ disease associated with thymic hyperplasia in a 5-year-old girl with congenital bilateral clinical anophthalmia: diagnostic and therapeutic challenges
- Thyroid hormone resistance and large goiter mimicking infiltrative carcinoma in a pediatric patient
- Hereditary hypomagnesemia with secondary hypocalcemia caused by a novel mutation in TRPM6 gene
- Letter to the Editor
- Congenital hyperinsulinism patient with ABCC8 and KCNJ11 double heterozygous variants: a case report with 6 years follow-up
Artikel in diesem Heft
- Frontmatter
- Review
- Myoinositol or D-chiro-inositol for PCOS symptoms in adolescents: a narrative review
- Mini Review
- Effects of the COVID-19 pandemic on the incidence of central precocious puberty; a narrative review
- Original Articles
- Evaluation of the role of FTO (rs9939609) and MC4R (rs17782313) gene polymorphisms in type 1 diabetes and their relation to obesity
- Lack of association between month of birth and risk of developing type 1 diabetes in Brazil: a 40-year analysis
- Review on the screening of urine glucose for early diagnosis of type 2 diabetes mellitus in school children and adolescents with obesity in Hong Kong
- Effect of daily zinc supplementation for 12 weeks on serum thyroid auto-antibody levels in children and adolescents with autoimmune thyroiditis – a randomized controlled trial
- Correlation between serum vitamin D level and uterine volume in girls with idiopathic central precocious puberty
- Diagnostic model based on multiple factors for girls with central precocious puberty
- Validity and reliability of parent assessments of pubertal maturation among adolescent girls in Isfahan, Iran
- Newborn screening for primary carnitine deficiency using a second-tier genetic test
- Case Reports
- From neglect to peril: diabetic ketoacidosis unleashing colonic necrosis and perforation in an adolescent girl with type 1 diabetes mellitus
- Unusual onset of Graves’ disease associated with thymic hyperplasia in a 5-year-old girl with congenital bilateral clinical anophthalmia: diagnostic and therapeutic challenges
- Thyroid hormone resistance and large goiter mimicking infiltrative carcinoma in a pediatric patient
- Hereditary hypomagnesemia with secondary hypocalcemia caused by a novel mutation in TRPM6 gene
- Letter to the Editor
- Congenital hyperinsulinism patient with ABCC8 and KCNJ11 double heterozygous variants: a case report with 6 years follow-up