Association of Mutations in the Melanocortin-2 Receptor Accessory Protein 2 Gene (MRAP2) and Obesity: A Systematic

Ren-Lei Ji1, Huifei Sophia Zheng1, Alan E Wilson2

  • 1Department of Anatomy, Physiology and Pharmacology, College of Veterinary Medicine, Auburn University, Auburn, AL 36849, USA.

Insights

Rare variants in Melanocortin-2 receptor accessory protein 2 (MRAP2) are linked to increased obesity risk. This study quantifies the association, supporting MRAP2 as a key gene in human obesity susceptibility.

Area of Science:

  • Genetics
  • Metabolism
  • Obesity Research

Background:

  • Melanocortin-2 receptor accessory protein 2 (MRAP2) plays a crucial role in regulating energy balance.
  • Previous studies on rare MRAP2 variants and obesity were limited by small sample sizes and heterogeneity.

Purpose of the Study:

  • To systematically review and perform a cohort-level meta-analysis to determine the association between rare coding MRAP2 variants and human obesity.
  • To provide a quantitative assessment of MRAP2's impact on obesity risk.

Main Methods:

  • Systematic literature search across five major databases (Embase, PubMed, Scopus, Google Scholar, Web of Science).
  • Meta-analysis of seven independent cohorts, including 9771 individuals (4548 with obesity, 5223 with normal weight).
  • Analysis of 27 rare coding MRAP2 variants using inverse-variance-weighted random-effects models.

Main Results:

  • 27 rare coding MRAP2 variants were identified in 46 individuals with obesity and 18 with normal weight.
  • Carriers of rare coding MRAP2 variants exhibited significantly higher odds of obesity (OR = 2.61; 95% CI, 1.49-4.58; p = 8.0 × 10^-4).

Conclusions:

  • MRAP2 is a biologically plausible susceptibility gene for human obesity.
  • Rare coding MRAP2 variants are associated with increased odds of obesity, particularly in European-ancestry populations.
  • Findings provide a quantitative basis for future genetic and functional research on MRAP2 and obesity.

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