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Published on: May 6, 2022
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.
Abstract:
Melanocortin-2 receptor accessory protein 2 (MRAP2) is essential for the intricate regulation of energy balance. Although rare MRAP2 variants have been reported in obese individuals, their overall impact on human obesity risk remains uncertain because previous studies were small, heterogeneous, and often lacked systematic functional characterization. To address this gap, we conducted a comprehensive systematic review and cohort-level meta-analysis to quantify the association between rare coding variants in MRAP2 and obesity. We systematically searched five major databases (Embase, PubMed, Scopus, Google Scholar, and Web of Science) and identified five eligible publications comprising seven independent cohorts. In total, 27 rare coding MRAP2 variants were observed in 46 (1.01%) individuals with obesity and 18 (0.34%) individuals with normal weight, among 9771 individuals (5223 with normal weight and 4548 with obesity). Using inverse-variance-weighted random-effects models fitted with restricted maximum likelihood, carriers of rare coding MRAP2 variants had higher odds of obesity (OR = 2.61; 95% CI, 1.49-4.58; p = 8.0 × 10-4). Taken together, these findings, derived predominantly from European-ancestry cohorts, support MRAP2 as a biologically plausible susceptibility gene for human obesity and indicate that rare coding MRAP2 variants are associated with higher odds of obesity, providing a quantitative framework to guide future large-scale genetic and functional studies.
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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