Abstract
It has been proposed that functional mutations in the melanocortin 4 receptor (MC4R) gene have an important impact in body mass index, being considered as a major susceptibility gene for obesity. A number of mutations have been reported in the MC4R gene in subjects from different countries and ethnic groups. However, no reports of MC4R mutations are have been published for South American populations. In this study, DNA samples of thirty-two unrelated obese women of Chilean origin were examined to search for genetic variants in the single exon of the gene through the use of single strand conformational polymorphism techniques and direct sequencing, leading to the identification of a Thr150Ile mutation in heterozygous status. The evaluation of family relatives of the index case for this mutation using PCR-RFLP analysis, identified two additional carriers in a three-generation family. Obesity, eating behavior and body composition phenotypes in this family revealed a possible relation of this variant with obesity in the presence of reduced penetrance. According to our knowledge, this is the first report of MC4R mutations in South American populations.
Resumen
Las mutaciones funcionales del receptor 4 de melanocortina (MC4R) tienen un impacto muy relevante sobre el índice de masa corporal, siendo considerado MC4R como un gen may or de susceptibilidad frente a la obesidad. Se han descrito mutaciones en este gen en diferentes grupos étnicos, aunque aún no existen publicaciones sobre variantes de MC4R en poblaciones de Sudamérica. En este estudio, se analizaron 32 mujeres obesas de Chile en la búsqueda de variantes genéticas en MC4R mediante uso de la técnica de polimorfismo conformacional de hebra simple, seguida de secuenciación bidireccional, encontrándose una portadora de la mutación Thr150Ile en heterocigosis. Se buscaron los familiares de este caso índice a través de tres generaciones, lo que llevó a la identificación de otras dos personas portadoras de esta mutación mediante técnicas de PCR-RFLP. La evaluación de fenotipos de obesidad, composición corporal y conducta alimentaria reveló la posible existencia de asociación de esta mutación con obesidad en presencia de penetrancia reducida. Hasta donde sabemos, este estudio representa la primera publicación sobre mutaciones en MC4R en poblaciones de Sudamérica.
Similar content being viewed by others
References
Albala, C., Vio, F., Kain, J., Uauy, R. (2002): Nutrition transition in Chile: determinants and consequences. Public Health Nutr, 5, 123–128.
Albala, C., Santos, J.L., Cifuentes, M. et al. (2004): Intestinal FABP2 Ala54Thr polymorphism: association with insulin resistance and obesity in women. Obes Res, 12, 340–345.
De Lauzon, B., Romon, M., Deschamps, V., Lafay, L., Borys, J.M., Karlsson, J., Ducimetiere, P., Charles, M.A., Fleurbaix Laventie Ville Sante Study Group (2004): The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. J Nutr, 134, 2372–2380.
Dempfle, A., Hinney, A., Heinzel-Gutenbrunner, M. et al. (2004): Large quantitative effect of melanocortin-4 receptor gene mutations on body mass index. J Med Genet, 41, 795–800.
Domínguez, P., Olivares, S., Santos, J.L. (2008). Influencia familiar sobre la conducta alimentaria y su relación con la obesidad infantil. Arch Lat Nutr, 58, 249–255.
Farooqi, I.S., Keogh, J.M., Yeo, G.S.H. et al. (2003): Clinical spectrum of obesity and mutations in the melanocortin 4 receptor gene. N Engl J Med, 348, 1085–1095.
Farooqi, I.S., O’Rahilly, S. (2006): Genetics of Obesity in Humans. Endocr Rev, 22, 221–226.
Hill, J.O., Peters, J.C. (1998): Environmental contributions to the obesity epidemic. Science, 280, 1371–1374.
Hinney, A., Schmidt, A., Nottebom, K. et al. (1999): Several mutations in the melanocortin-4 receptor gene including a nonsense and a frameshift mutation associated with dominantly inherited obesity in humans. J Clin Endocrinol Metab, 84, 1483–1486.
Huszar, D., Lynch, C.A., Fairchild-Huntress, V. et al. (1997): Targeted disruption of the melanocortin-4 receptor results in obesity in mice. Cell, 88, 131–141.
Lubrano-Berthelier, C., Dubern, B., Lacorte, J.M. et al. (2006): Melanocortin 4 receptor mutations in a large cohort of severely obese adults: prevalence, functional classification, genotypephenotype relationship, and lack of association with binge eating. J Clin Endocrinol Metab, 91, 1811–1818.
Marti, A., Corbalán, M.S., Forga, L. et al. (2003): A novel nonsense mutation in the melanocortin-4 receptor associated with obesity in a Spanish population. Int J Obes Relat Metab Disord, 27, 385–388.
Ochoa, M.C., Azcona, C., Biebermann, H. et al. (2007): A novel mutation Thr162Arg of the melanocortin 4 receptor gene in a Spanish children and adolescent population. Clin Endocrinol, 66, 652–658.
Santos, J.L., Albala, C., Lera, L. et al. (2004): Anthropometric measurements in the elderly population of Santiago, Chile. Nutrition, 20, 452–457.
Stein, C.J., Colditz, G.A. (2004): The epidemic of obesity. J Clin Endocrinol Metab, 89, 2522–2525.
Stutzmann, F., Tan, K., Vatin, V. et al. (2008): Prevalence of MC4R deficiency in European population and their age-dependant penetrance in multi-generational pedigrees. Diabetes, 57, 2511–2518.
Vaisse, C, Clement, K., Durand, E. et al. (2000): Melanocortin-4 receptor mutations are a frequent and heterogeneous cause of morbid obesity. J Clin Invest, 106, 253–262.
WHO/FAO expert consultation (2003). Report of the joint WHO/FAO expert consultation on diet, nutrition and the prevention of chronic diseases. WHO 2003.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Santos, J.L., Amador, P., Valladares, M. et al. Obesity and eating behaviour in a three-generation chilean family with carriers of the Thr150Ile mutation in the melanocortin-4 receptor gene. J. Physiol. Biochem. 64, 205–210 (2008). https://doi.org/10.1007/BF03178843
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF03178843