在LEPR中单基致病变体不会导致肥胖
Jérôme Delplanque1, Lauriane Le Collen2, Hélène Loiselle1
1Inserm/CNRS UMR 1283/8199, Institut Pasteur de Lille, EGID, Lille University Hospital, Lille, France; University of Lille, Lille, France.
American journal of human genetics
|November 19, 2024
概括
异性致病性勒素受体 (LEPR) 变体不会增加肥胖风险或体重指数 (BMI). 功能性评估和大规模数据证实没有关联,在这种情况下质疑setmelanotide的使用.
科学领域:
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
- 药理学 药理学是指药理学的学科.
背景情况:
- 双性致病性LEPR变体导致肥胖症,可以用setmelanotide治疗.
- 异性LEPR变体对肥胖的影响尚未完全理解.
- 一项临床试验研究了setmelanotide对具有异性LEPR变体的个体的肥胖症.
研究的目的:
- 为了功能性地评估异合体LEPR变体.
- 评估这些变体与肥胖和BMI的关联.
主要方法:
- 在约10,000名参与者中测序LEPR (法国RaDiO研究).
- 对于86种罕见的异合体变异体进行体外功能测试 (露西法酶,西部斑).
- 分析来自20万个人的外体数据 (英国生物库) 和文献评论.
主要成果:
- 通过ACMG标准确定了12种致病性异性LEPR变体.
- 在致病性异性LEPR变体和肥胖或BMI之间没有发现任何关联.
- 文献数据和英国生物库分析证实了缺乏关联.
结论:
- 单基致病性LEPR变体不会增加肥胖风险或BMI.
- 这些发现挑战了仅仅基于异性LEPR变体的setmelanotide的使用.
- 关于setmelanotide在这个人群中的临床效用,需要进一步评估.
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