Abstract
Obesity is a major public health issue resulting from an interaction between genetic and environmental factors. Genetic risk scores (GRSs) are useful to summarize the effects of many genetic variants on obesity risk. In this study, we aimed to assess the association of previously well-studied genetic variants with obesity and develop a genetic risk score to anticipate the risk of obesity development in the Iranian population. Among 968 participants, 599 (61.88%) were obese, and 369 (38.12%) were considered control samples. After genotyping, an initial screening of 16 variants associated with body mass index (BMI) was performed utilizing a general linear model (p < 0.25), and seven genetic variants were selected. The association of these variants with obesity was examined using a multivariate logistic regression model (p < 0.05), and finally, five variants were found to be significantly associated with obesity. Two gene score models (weighted and unweighted), including these five loci, were constructed. To compare the discriminative power of the models, the area under the curve was calculated using tenfold internal cross‐validation. Among the studied variants, ADRB3 rs4994, FTO rs9939609, ADRB2 rs1042714, IL6 rs1800795, and MTHFR rs1801133 polymorphisms were significantly associated with obesity in the Iranian population. Both of the constructed models were significantly associated with BMI (p < 0.05) and the area under the mean curve of the weighted GRS and unweighted GRS were 70.22% ± 0.05 and 70.19% ± 0.05, respectively. Both GRSs proved to predict obesity and could potentially be utilized as genetic tools to assess the obesity predisposition in the Iranian population. Also, among the studied variants, ADRB3 rs4994 and FTO rs9939609 polymorphisms have the highest impacts on the risk of obesity.
Similar content being viewed by others
References
Albala C, Santos JL et al (2004) Intestinal FABP2 A54T polymorphism: association with insulin resistance and obesity in women. Obes Res 12(2):340–345
Al-Daghri NM, Guerini FR et al (2014) Vitamin D receptor gene polymorphisms are associated with obesity and inflammosome activity. PLoS One 9(7):e102141
Babai MA, Arasteh P et al (2016) Defining a BMI cut-off point for the Iranian population: the Shiraz Heart Study. PLoS One 11(8):e0160639
Barati E, Ghazizadeh H et al (2019) Association of the IL6 gene polymorphism with component features of metabolic syndrome in obese subjects. Biochem Genet 57(5):695–708
Belsky DW, Moffitt TE et al (2013) Development and evaluation of a genetic risk score for obesity. Biodemography Soc Biol 59(1):85–100
Berthier M-T, Paradis A-M et al (2003) The interleukin 6–174G/C polymorphism is associated with indices of obesity in men. J Hum Genet 48(1):14–19
Bordoni L, Marchegiani F et al (2017) Obesity-related genetic polymorphisms and adiposity indices in a young Italian population. IUBMB Life 69(2):98–105
Carlos FF, Silva-Nunes J et al (2013) Association of FTO and PPARG polymorphisms with obesity in portuguese women. Diabetes, Metab Syndr Obes: Targets Therapy 6:241
Cauchi S, Choquet H et al (2008) Effects of TCF7L2 polymorphisms on obesity in European populations. Obesity 16(2):476–482
Cho K, Amin ZM et al. (2017) Methylenetetrahydrofolate reductase A1298C polymorphism and major depressive disorder. Cureus 9(10)
Corella D, Arregui M et al (2011) Association of the LCT-13910C> T polymorphism with obesity and its modulation by dairy products in a mediterranean population. Obesity 19(8):1707–1714
Domingue BW, Belsky DW et al (2014) Polygenic risk predicts obesity in both white and black young adults. PLoS One 9(7):e101596
Dorfman DD, Alf E Jr (1969) Maximum-likelihood estimation of parameters of signal-detection theory and determination of confidence intervals—rating-method data. J Math Psychol 6(3):487–496
Eichler EE, Flint J et al (2010) Missing heritability and strategies for finding the underlying causes of complex disease. Nat Rev Genet 11(6):446–450
Flegal KM, Carroll MD et al (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288(14):1723–1727
Fu L, Zhang M et al (2018) Gene-gene interactions and associations of six hypertension related single nucleotide polymorphisms with obesity risk in a Chinese children population. Gene 679:320–327
Fu L, Li Y-n et al (2019) Plausible relationship between homocysteine and obesity risk via MTHFR gene: a meta-analysis of 38,317 individuals implementing Mendelian randomization. Diabetes, Metab Syndr Obes: Targets Therapy 12:1201
Ghareeb D, Abdelazem AS et al (2021) Association of TNF-α-308 G> A (rs1800629) polymorphism with susceptibility of metabolic syndrome. J Diabetes Metab Disord 20(1):209–215
Gholami M, Sharifi F et al (2019) Association of interleukin-6 polymorphisms with obesity: a systematic review and meta-analysis. Cytokine 123:154769
González-Soltero R, de Valderrama MJBF et al (2021) Can study of the ADRB3 gene help improve weight loss programs in obese individuals? Endocrinología Diabetes y Nutrición (english Ed) 68(1):66–73
Hernández-Guerrero C, Parra-Carriedo A et al (2018) Genetic polymorphisms of antioxidant enzymes CAT and SOD affect the outcome of clinical, biochemical, and anthropometric variables in people with obesity under a dietary intervention. Genes Nutr 13(1):1–10
Ibrahim O, Gabre A et al (2017) Influence of interleukin-6 (174G/C) gene polymorphism on obesity in Egyptian children. Open Access Maced J Med Sci 5(7):831–835
Jalba MS, Rhoads GG et al (2008) Association of codon 16 and codon 27 β2-adrenergic receptor gene polymorphisms with obesity: a meta-analysis. Obesity 16(9):2096–2106
Janssens ACJ, Aulchenko YS et al (2006) Predictive testing for complex diseases using multiple genes: fact or fiction? Genet Med 8(7):395–400
Koochakpour G, Esfandiar Z et al (2019) Evaluating the interaction of common FTO genetic variants, added sugar, and trans-fatty acid intakes in altering obesity phenotypes. Nutr Metab Cardiovasc Dis 29(5):474–480
Liang J, Sun Y et al (2016) Genetic predisposition to obesity is associated with insulin secretion in Chinese adults: the cardiometabolic risk in Chinese (CRC) study. J Diabetes Complicat 30(7):1229–1233
Liu G, Zhu H et al (2010) FTO variant rs9939609 is associated with body mass index and waist circumference, but not with energy intake or physical activity in European-and African-American youth. BMC Med Genet 11(1):1–12
Locke AE, Kahali B et al (2015) Genetic studies of body mass index yield new insights for obesity biology. Nature 518(7538):197–206
Loos RJ, Yeo GS (2021) The genetics of obesity: from discovery to biology. Nat Rev Genet 23(2):120–133
Loos RJ, Yeo GS (2014) The bigger picture of FTO—the first GWAS-identified obesity gene. Nat Rev Endocrinol 10(1):51–61
Lu Y, Loos RJ (2013) Obesity genomics: assessing the transferability of susceptibility loci across diverse populations. Genome Med 5(6):1–14
Luo Z, Lu Z et al (2018) Associations of the MTHFR rs1801133 polymorphism with coronary artery disease and lipid levels: a systematic review and updated meta-analysis. Lipids Health Dis 17(1):1–15
Maes HH, Neale MC et al (1997) Genetic and environmental factors in relative body weight and human adiposity. Behav Genet 27(4):325–351
Mauer J, Denson JL et al (2015) Versatile functions for IL-6 in metabolism and cancer. Trends Immunol 36(2):92–101
Meng Y, Liu X et al (2019) Association of MTHFR C677T polymorphism and type 2 diabetes mellitus (T2DM) susceptibility. Mol Genet Genom Med 7(12):e1020
Miller M, Rhyne J et al (2007) APOC3 promoter polymorphisms C-482T and T-455C are associated with the metabolic syndrome. Arch Med Res 38(4):444–451
Mokdad AH, Ford ES et al (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289(1):76–79
Mozafarizadeh M, Mohammadi M et al (2019) Evaluation of FTO rs9939609 and MC4R rs17782313 polymorphisms as prognostic biomarkers of obesity: a population-based cross-sectional study. Oman Med J 34(1):56
Ostadsharif M, Ebrahimi YB et al (2019) (2019) Gene Polymorphisms of human FTO and obesity in part of Iranian population. Recent Adv Biol Med 5:10205
Poodineh M, Saravani R et al (2019) Association of two methylenetetrahydrofolate reductase polymorphisms (rs1801133, rs1801131) with the risk of type 2 diabetes in South-East of Iran. Rep Biochem Mol Biol 8(2):178
Rahmani A, Sayehmiri K et al (2015) Investigation of the prevalence of obesity in Iran: a systematic review and meta-analysis study. Acta Med Iran 53(10):596–607
Rankinen T, Zuberi A et al (2006) The human obesity gene map: the 2005 update. Obesity 14(4):529–644
Raza ST, Abbas S et al (2017) Association between ACE (rs4646994), FABP2 (rs1799883), MTHFR (rs1801133), FTO (rs9939609) genes polymorphism and type 2 diabetes with dyslipidemia. Int J Mol Cell Med 6(2):121
Ren D, Xu JH et al (2019) Association study between LEPR, MC4R polymorphisms and overweight/obesity in Chinese Han adolescents. Gene 692:54–59
Ryuk JA, Zhang X et al (2017) Association of β3-adrenergic receptor rs4994 polymorphisms with the risk of type 2 diabetes: a systematic review and meta-analysis. Diabetes Res Clin Pract 129:86–96
Saliba LF, Reis RS et al (2014) Obesity-related gene ADRB2, ADRB3 and GHRL polymorphisms and the response to a weight loss diet intervention in adult women. Genet Mol Biol 37:15–22
Saravani S, Miri H et al (2015) Association of catalase (rs7943316) and glutathione peroxidase-1 (rs1050450) polymorphisms with the risk of type 2 diabetes (T2DM). Mol Genet Microbiol Virol 30(4):216–220
Seral-Cortes M, Sabroso-Lasa S et al (2021) Development of a genetic risk score to predict the risk of overweight and obesity in European adolescents from the HELENA study. Sci Rep 11(1):1–11
Smemo S, Tena JJ et al (2014) Obesity-associated variants within FTO form long-range functional connections with IRX3. Nature 507(7492):371–375
Song M, Zheng Y et al (2018) Longitudinal analysis of genetic susceptibility and BMI throughout adult life. Diabetes 67(2):248–255
Status WP (1995) The use and interpretation of anthropometry world health organization. WHO Expert Committee, Geneva, Switzerland
Todendi PF, Klinger EI et al (2015) Association of IL-6 and CRP gene polymorphisms with obesity and metabolic disorders in children and adolescents. An Acad Bras Ciênc 87:915–924
Todendi PF, Klinger EI et al (2019) Genetic risk score based on fat mass and obesity-associated, transmembrane protein 18 and fibronectin type III domain containing 5 polymorphisms is associated with anthropometric characteristics in South Brazilian children and adolescents. Br J Nutr 121(1):93–99
Urry E, Jetter A et al (2016) Assessment of CYP1A2 enzyme activity in relation to type-2 diabetes and habitual caffeine intake. Nutr Metab 13(1):1–9
Viljakainen H, Dahlström E et al (2019) Genetic risk score predicts risk for overweight and obesity in finnish preadolescents. Clin Obes 9(6):e12342
Villalobos-Comparán M, Flores-Dorantes MT et al (2008) The FTO gene is associated with adulthood obesity in the Mexican population. Obesity 16(10):2296–2301
Wang YC, McPherson K et al (2011) Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 378(9793):815–825
Xie C, Hua W et al (2020) The ADRB3 rs4994 polymorphism increases risk of childhood and adolescent overweight/obesity for East Asia’s population: an evidence-based meta-analysis. Adipocyte 9(1):77–86
Zhang H, Wu J et al (2014) Association of Gln27Glu and Arg16Gly polymorphisms in Beta2-adrenergic receptor gene with obesity susceptibility: a meta-analysis. PLoS One 9(6):e100489
Zhou D, Liu H et al (2012) Common variant (rs9939609) in the FTO gene is associated with metabolic syndrome. Mol Biol Rep 39(6):6555–6561
Acknowledgements
We thank all the research staff of Dr. Zeinali’s Medical Genetics Laboratory.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Contributions
ND was responsible for designing the study, data collection, interpreting results, model development and writing the report. SBZ and MHSA contributed to sample analysis, data interpretation, writing the report, and created the tables. AS contributed to data analyses, model constructing and writing the report. SZ provided supervision in all the steps and writing the report.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Communicated by Shuhua Xu.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Damavandi, N., Soleymaniniya, A., Bahrami Zadegan, S. et al. Development of a genetic risk score for obesity predisposition evaluation. Mol Genet Genomics 297, 1495–1503 (2022). https://doi.org/10.1007/s00438-022-01923-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00438-022-01923-0