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Genetic associations with neural reward responsivity to food cues in children
Dabin Yeum1, Timothy J Renier1, Delaina D Carlson2
1Department of Epidemiology, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States.
Insights
Children with an FTO obesity risk allele may show increased neural reward responses to food cues, potentially contributing to overconsumption. This suggests a genetic predisposition to heightened food cue reactivity in the sated state.
Area of Science:
- Neuroscience
- Genetics
- Pediatric Obesity Research
Background:
- Obesity is a complex condition influenced by genetic and environmental factors.
- Neural reward pathways play a crucial role in food intake and appetite regulation.
- Understanding genetic predispositions to reward sensitivity is vital for obesity prevention strategies.
Purpose of the Study:
- To investigate the association between specific obesity-related genetic variants and polygenic risk scores (PRS) with neural reward system activity in response to food cues.
- To explore how genetic risk for obesity relates to brain responses to food stimuli in children after a meal.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to measure brain activity in 151 children (aged 9-12) exposed to food and non-food cues.
- Genetic analyses included the FTO rs9939609 and MC4R rs571312 SNPs, and a pediatric obesity PRS.
- Linear models assessed associations between genetic factors and reward responsivity in targeted reward regions and whole-brain analyses.
Main Results:
- The FTO rs9939609 risk allele showed a trend towards increased response in the right lateral hypothalamus to food cues in the sated state (p < 0.01), though not significant after multiple testing correction.
- No significant associations were found for MC4R rs571312 or the obesity PRS with heightened food-cue-related reward responsivity.
- Whole-brain analysis did not reveal additional genetic associations with food-cue reward responses.
Conclusions:
- Children with the FTO obesity risk allele may exhibit heightened neural reward responsivity to food cues when satiated.
- This genetic predisposition could potentially influence overconsumption and contribute to obesity development.
- Further research is needed to confirm these findings and explore underlying mechanisms.
Objective:
To test associations of candidate obesity-related single nucleotide polymorphisms (SNPs) and obesity polygenic risk scores (PRS) with neural reward reactivity to food cues.
Methods:
After consuming a pre-load meal, 9-12-year-old children completed a functional magnetic resonance imaging (fMRI) paradigm with exposure to food and non-food commercials. Genetic exposures included FTO rs9939609, MC4R rs571312, and a pediatric-specific obesity PRS. A targeted region-of-interest (ROI) analysis for 7 bilateral reward regions and a whole-brain analysis were conducted. Independent associations between each genetic factor and reward responsivity to food cues in each ROI were evaluated using linear models.
Results:
Analyses included 151 children (M = 10.9 years). Each FTO rs9939609 obesity risk allele was related to a higher food-cue-related response in the right lateral hypothalamus after controlling for covariates including the current BMI Z-score (p < 0.01), however, the association did not remain significant after applying the multiple testing correction. MC4R rs571312 and the PRS were not related to heightened food-cue-related reward responsivity in any examined regions. The whole-brain analysis did not identify additional regions of food-cue-related response related to the examined genetic factors.
Conclusion:
Children genetically at risk for obesity, as indicated by the FTO genotype, may be predisposed to higher food-cue-related reward responsivity in the lateral hypothalamus in the sated state, which, in turn, could contribute to overconsumption.
Clinical Trial Registration:
https://clinicaltrials.gov/study/NCT03766191, identifier NCT03766191.
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