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Gene polymorphism of leptin and risk for heart disease, obesity, and high BMI: a systematic review and pooled analysis in adult obese subjects

  • Fatemeh Khaki-Khatibi , Behrouz Shademan , Reza Gholikhani-Darbroud EMAIL logo , Alireza Nourazarian EMAIL logo , Saeed Radagdam and Maghsoud Porzour
Published/Copyright: September 15, 2022

Abstract

Objectives

Leptin polymorphism (LEP) has been associated with coronary heart disease (CAD), obesity, and high body mass index (BMI). However, we performed a systematic review and meta-analysis to discover the association because previous studies reached different conclusions.

Methods

Review Manager, version 5.3.5, and Stata, version 15.0, were used for statistical analysis. We calculated the effect size of the studies using the OR with the corresponding 95% CI, and two-sided (bilateral) p-values of 0.05 were considered significant. To determine heterogeneity among the selected studies, the Q test and I2 statistics were used. Meta-regression was used to examine the disease (heart disease, obesity, and high BMI) and heterogeneity between these subgroups.

Results

Eleven studies with 18,984 subjects were included in this study. The G-2548A (rs12112075), rs7799039, and A19G (rs2167270) polymorphisms of the leptin gene (but not the Lys656Asn (rs1805094) polymorphism) are associated with an increased risk of cardiovascular disease. Our pooled analysis revealed an association between the G-2548A (rs12112075) polymorphism and heart disease, high BMI, and obesity. This indicates that individuals carrying the AA allele are at an increased risk for heart disease, high BMI, and obesity. People with heart failure and coronary artery disease did not have the rs7799039 polymorphism or its alleles linked to them.

Conclusions

Combined analysis of data from current and published research suggests that the leptin gene polymorphisms G-2548A (rs12112075), rs7799039, and A19G (rs2167270) (but not the Lys656Asn (rs1805094) polymorphism) are associated with an increased risk of cardiovascular disease. Further research is needed to understand this association.


Corresponding author: Dr. Reza Gholikhani-Darbroud, Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Urmia University of Medical Sciences, Urmia, Iran; E-mail: ; and Dr. Alireza Nourazarian, Department of Basic Medical Sciences, Khoy University of Medical Sciences, Khoy, Iran, E-mail:
Alireza Nourazarian and Reza Gholikhani-Darbroud contributed equally to this work.
  1. Research funding: This research received no specific grants from the public, commercial, or nonprofit funding agencies.

  2. Author contributions: FKH and RG write the draft. AN. Supervised the study and approved the draft manuscript. SR, BS and MP Data collection, draft writing.

  3. Competing interests: The authors declare there are no conflicts of interest.

  4. Ethical approval and consent to participate: Not applicable.

  5. Consent for publication: Not applicable.

  6. Availability of data and material: The data and materials used in this study are available.

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Received: 2022-02-14
Accepted: 2022-07-19
Published Online: 2022-09-15

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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