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Obesity Gene
Introduction
The search
for an obesity gene has uncovered multiple aspects of how our DNA predisposes
some of us to being overweight. For most of us, there is not one single "fat
gene" that may cause us to be overweight.
There are some genes that contribute to being overweight. It
is known that in studies of adopted children, the tendency to be overweight
depends more on the weight of the biologic parents rather than the adoptive
parents. Additionally, twins that have been raise apart tend to have similar
BMIs. As much as 40-70% of our body weight is determined by the genes from our
parents.
However, this can be overcome with calorie restriction. In fact, the
balance of calories in versus calories burned nearly always trumps the genetics
of obesity. Cultural factors seem to play a dominate role as well. In
industrialized countries, poor women are more often obese, while in developing
nations, rich women are the ones who are more often obese.
Genetic Obesity Syndromes
There are several genetic diseases that cause a person to be
obese. This is typically only one aspect of these syndromes. Small gonads (i.e.
testicles and ovaries) and mental retardation are also common features amongst
these conditions. The following is a list of the most well known genetic
syndromes:
These syndromes tend to have a common characteristic. Nearly all cells of higher
life forms have something called the
primary cilium. It seems to have some involvement with cell signaling.
Genetic obesity syndromes have a defect in the primary cilium.
The Obesity Gene (s)
Much of the research on obesity genes has been in mice (see
mouse obesity gene). After their initial discovery in genetically altered mice,
several similar overweight genes have been found in humans.
Unless a person has
one of the genetic syndromes listed above or some other medical condition,
his/her predisposition toward being overweight may come from a combination of
the following genetic defects:
(The following genes have also been
investigated for obesity and have some positive evidence: ADIPOQ, ADRB2, ADRB3,
GNB3, HTR2C, NR3C1, PPARG, UCP1, UCP2, and UCP3. AS of October 2005, a total of
127 candidate genes have been reported.)
There does seem to be a specific part of one of our
chromosomes where several known and unknown obesity genes reside. POMC is
definitely there. This region of DNA on chromosome 2 is called 2p22. Future research focused
here may unravel more of the mysteries of obesity. We will be able to add new therapies
to current nutritional and
exercise recommendations. In addition,
research into a "skinny gene" would also aid in our understanding.
(See V103I allele of MC4R.)
The more we learn and for each obesity gene we find, we can
move toward recognizing that obesity is at least in part a medical condition and
not just a lack of personal character. About 7% of those with severe obesity
have one of these genetic defects. There is much more to learn about genetics.
This also shows that environment and behavior play a large role in obesity.
Genetic testing for an obesity gene is not part of standard
medical care, but new tests are being developed in the lab and used in research.
Characteristics that could indicate that one has a genetic predisposition for
being obese are: excess eating and severe obesity before 5 years old with family
members who had early onset obesity
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It is important you
discuss any weight loss or exercise plan with your doctor. Only you and
your physician can decide what is best for you. Some people have
certain conditions that prevent them from doing all exercises, and goal
body weights may be different for different people. You need to discuss
all these things with your physician before starting any weight loss or
exercise program.
This
article was written by
John
Vickery, MD.
References Fauci et al., Harrison's
Principles of Internal Medicine 17th ed., ch 74
Science. 2008 Oct 17;322(5900):449-52.
Endocrine Reviews 27(7):710-718
Endocrinol Metab Clin N Am 2008;37:733-751
Current Opinion in Lipidology
2008;19:113-121

Last updated: 01/24/2009
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