Association of Morbid Obesity With FTO and INSIG2 Allelic Variants

OBJECTIVE To determine whether 2 single nucleotide polymorphisms (SNPs) in the obesity genes the fat mass and obesity associated gene (FTO) and the insulin induced gene 2 (INSIG2) are associated with class III, or morbid, obesity in patients undergoing bariatric weight loss operations. DESIGN Retros...

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Veröffentlicht in:Archives of surgery (Chicago. 1960) 2008-03, Vol.143 (3), p.235-240
Hauptverfasser: Chu, Xin, Erdman, Robert, Susek, Meghan, Gerst, Heather, Derr, Kimberly, Al-Agha, Mouna, Wood, G. Craig, Hartman, Christina, Yeager, Stephanie, Blosky, Mary Ann, Krum, Wanda, Stewart, Walter F, Carey, David, Benotti, Peter, Still, Christopher D, Gerhard, Glenn S
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container_end_page 240
container_issue 3
container_start_page 235
container_title Archives of surgery (Chicago. 1960)
container_volume 143
creator Chu, Xin
Erdman, Robert
Susek, Meghan
Gerst, Heather
Derr, Kimberly
Al-Agha, Mouna
Wood, G. Craig
Hartman, Christina
Yeager, Stephanie
Blosky, Mary Ann
Krum, Wanda
Stewart, Walter F
Carey, David
Benotti, Peter
Still, Christopher D
Gerhard, Glenn S
description OBJECTIVE To determine whether 2 single nucleotide polymorphisms (SNPs) in the obesity genes the fat mass and obesity associated gene (FTO) and the insulin induced gene 2 (INSIG2) are associated with class III, or morbid, obesity in patients undergoing bariatric weight loss operations. DESIGN Retrospective analysis of genotype and clinical data. SETTING Large rural tertiary care health system. PATIENTS A total of 707 adult patients with a body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of at least 40 undergoing open or laparoscopic Roux-en-Y gastric bypass operations for morbid obesity or its comorbid medical problems at Geisinger Medical Center, Danville, Pennsylvania. RESULTS The mean BMI in the predominantly white female cohort was 51.2. Approximately 21% of patients were homozygous for the FTO obesity SNP variant, 13% were homozygous for the INSIG2 obesity SNP variant, and 3.4% were homozygous for both. Mean BMIs in the groups homozygous for each of these genes were not significantly different from nonhomozygotes. However, FTO/INSIG2 double homozygotes and homozygote/heterozygote pairs had significantly higher BMIs than the other groups. CONCLUSION Increased BMI in morbid obesity is associated with a combination of FTO and INSIG2 SNPs.Arch Surg. 2008;143(3):235-240-->
doi_str_mv 10.1001/archsurg.2007.77
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PATIENTS A total of 707 adult patients with a body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of at least 40 undergoing open or laparoscopic Roux-en-Y gastric bypass operations for morbid obesity or its comorbid medical problems at Geisinger Medical Center, Danville, Pennsylvania. RESULTS The mean BMI in the predominantly white female cohort was 51.2. Approximately 21% of patients were homozygous for the FTO obesity SNP variant, 13% were homozygous for the INSIG2 obesity SNP variant, and 3.4% were homozygous for both. Mean BMIs in the groups homozygous for each of these genes were not significantly different from nonhomozygotes. However, FTO/INSIG2 double homozygotes and homozygote/heterozygote pairs had significantly higher BMIs than the other groups. 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Craig</creatorcontrib><creatorcontrib>Hartman, Christina</creatorcontrib><creatorcontrib>Yeager, Stephanie</creatorcontrib><creatorcontrib>Blosky, Mary Ann</creatorcontrib><creatorcontrib>Krum, Wanda</creatorcontrib><creatorcontrib>Stewart, Walter F</creatorcontrib><creatorcontrib>Carey, David</creatorcontrib><creatorcontrib>Benotti, Peter</creatorcontrib><creatorcontrib>Still, Christopher D</creatorcontrib><creatorcontrib>Gerhard, Glenn S</creatorcontrib><title>Association of Morbid Obesity With FTO and INSIG2 Allelic Variants</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>OBJECTIVE To determine whether 2 single nucleotide polymorphisms (SNPs) in the obesity genes the fat mass and obesity associated gene (FTO) and the insulin induced gene 2 (INSIG2) are associated with class III, or morbid, obesity in patients undergoing bariatric weight loss operations. DESIGN Retrospective analysis of genotype and clinical data. SETTING Large rural tertiary care health system. PATIENTS A total of 707 adult patients with a body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of at least 40 undergoing open or laparoscopic Roux-en-Y gastric bypass operations for morbid obesity or its comorbid medical problems at Geisinger Medical Center, Danville, Pennsylvania. RESULTS The mean BMI in the predominantly white female cohort was 51.2. Approximately 21% of patients were homozygous for the FTO obesity SNP variant, 13% were homozygous for the INSIG2 obesity SNP variant, and 3.4% were homozygous for both. Mean BMIs in the groups homozygous for each of these genes were not significantly different from nonhomozygotes. However, FTO/INSIG2 double homozygotes and homozygote/heterozygote pairs had significantly higher BMIs than the other groups. 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Craig</au><au>Hartman, Christina</au><au>Yeager, Stephanie</au><au>Blosky, Mary Ann</au><au>Krum, Wanda</au><au>Stewart, Walter F</au><au>Carey, David</au><au>Benotti, Peter</au><au>Still, Christopher D</au><au>Gerhard, Glenn S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Morbid Obesity With FTO and INSIG2 Allelic Variants</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2008-03</date><risdate>2008</risdate><volume>143</volume><issue>3</issue><spage>235</spage><epage>240</epage><pages>235-240</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><coden>ARSUAX</coden><abstract>OBJECTIVE To determine whether 2 single nucleotide polymorphisms (SNPs) in the obesity genes the fat mass and obesity associated gene (FTO) and the insulin induced gene 2 (INSIG2) are associated with class III, or morbid, obesity in patients undergoing bariatric weight loss operations. DESIGN Retrospective analysis of genotype and clinical data. SETTING Large rural tertiary care health system. PATIENTS A total of 707 adult patients with a body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of at least 40 undergoing open or laparoscopic Roux-en-Y gastric bypass operations for morbid obesity or its comorbid medical problems at Geisinger Medical Center, Danville, Pennsylvania. RESULTS The mean BMI in the predominantly white female cohort was 51.2. Approximately 21% of patients were homozygous for the FTO obesity SNP variant, 13% were homozygous for the INSIG2 obesity SNP variant, and 3.4% were homozygous for both. Mean BMIs in the groups homozygous for each of these genes were not significantly different from nonhomozygotes. However, FTO/INSIG2 double homozygotes and homozygote/heterozygote pairs had significantly higher BMIs than the other groups. CONCLUSION Increased BMI in morbid obesity is associated with a combination of FTO and INSIG2 SNPs.Arch Surg. 2008;143(3):235-240--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>18347269</pmid><doi>10.1001/archsurg.2007.77</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Alleles
Alpha-Ketoglutarate-Dependent Dioxygenase FTO
Bariatric Surgery
Biological and medical sciences
Body fat
Female
General aspects
Genes
Genotype
Humans
Insulin
Intracellular Signaling Peptides and Proteins - genetics
Male
Medical sciences
Membrane Proteins - genetics
Metabolic diseases
Metabolism
Middle Aged
Obesity
Obesity, Morbid - genetics
Obesity, Morbid - surgery
Polymorphism
Polymorphism, Single Nucleotide
Proteins - genetics
Retrospective Studies
Rural Population
title Association of Morbid Obesity With FTO and INSIG2 Allelic Variants
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