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Genetic susceptibility, birth weight and obesity risk in young Chinese
1Shanghai Clinical Center for Endocrine and Metabolic Diseases, Shanghai Institute of Endocrinology and Metabolism, Endocrine and Metabolic E-Institutes of Shanghai Universities (EISU) and Key Laboratory for Endocrinology and Metabolism of Chinese Health Ministry, Rui-jin Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China.
Insights
Birth weight influences genetic susceptibility to obesity in young Chinese adults. Normal birth weight amplifies the impact of genetic risk factors on obesity development.
Area of Science:
- Genetics
- Obesity Research
- Public Health
Background:
- Birth weight is a marker of prenatal development and linked to adult obesity.
- Genetic factors play a role in obesity risk.
- Understanding gene-environment interactions is crucial for obesity prevention.
Purpose of the Study:
- To investigate if birth weight modifies the association between genetic susceptibility and obesity risk in young Chinese individuals.
- To identify specific genetic variants associated with obesity in this population.
Main Methods:
- Recruited 540 obese and 500 normal-weight young Chinese individuals (14-30 years).
- Genotyped 23 single-nucleotide polymorphisms (SNPs) associated with Body Mass Index (BMI) from Caucasian GWAS.
- Calculated genetic risk scores (GRS) and analyzed interactions with birth weight.
Main Results:
- Six loci (SEC16B, GNPDA2, BDNF, FTO, MC4R, TMEM160) were significantly associated with obesity.
- Genetic risk scores improved obesity prediction.
- A significant interaction between genetic risk scores and birth weight was observed (Pinteraction<0.001).
- Genetic effects on obesity were strongest in individuals with normal birth weight.
Conclusions:
- Confirmed associations of specific SNPs with obesity in young Chinese.
- Birth weight significantly modifies genetic susceptibility to obesity.
- Highlights the importance of considering birth weight in genetic obesity risk assessments.
Objective:
Birth weight reflects prenatal metabolic adaption and has been related to later-life obesity risk. This study aimed to evaluate whether birth weight modifies the effect of genetic susceptibility on obesity risk in young Chinese.
Methods:
We recruited 540 young (14-30 years) and obese patients (body mass index, BMI30 kg m(-2)), and 500 age- and sex-matched normal-weight healthy individuals (BMI<23 kg m(-2)). We genotyped 23 BMI-associated genetic variants identified from recent genome-wide association studies (GWAS) in Caucasians with European ancestry with minor allele frequency>0.05 in HapMap Han Chinese in Beijing, China.
Results:
Six loci, including SEC16B, GNPDA2, BDNF, FTO, MC4R and TMEM160, were significantly associated with obesity risk, with odds ratio from 1.314 to 1.701. The 23 risk loci accounted for 6.38% of the genetic variance in obesity. We created two genetic risk scores (GRSs) by summing the risk alleles of all 23 (GRS1) and 6 obesity-associated (GRS2) genetic variants. Prediction of obesity was significantly improved (P<0.001) when the GRS1 and GRS2 were added to a model with age and gender, with improvement of discrimination for obesity by 0.8% and 2.7%, respectively. In addition, we found that the two GRSs interacted with birth weight in relation to obesity (Pinteraction<0.001). The genetic effect appeared to be more pronounced in individuals with normal range of birth weight (25-75%) than those with either low (<25%) or high (>75%) birth weight.
Conclusion:
We confirmed the associations of the single-nucleotide polymorphism tagging six loci reported in recent GWAS with obesity in young Chinese. Our data also suggest birth weight may significantly modify genetic susceptibility to obesity risk.
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