The Human Obesity Gene Map: The 2002 Update Yvon C. Chagnon,* Tuomo Rankinen,† Eric E. Snyder,† S. John Weisnagel,‡ Louis Pérusse,‡ and Claude Bouchard† Abstract CHAGNON, YVON C., TUOMO RANKINEN, ERIC E. SNYDER, S. JOHN WEISNAGEL, LOUIS PÉRUSSE, AND CLAUDE BOUCHARD. The human obesity gene map: the 2002 update. Obes Res. 2003;11:313–367. This is the ninth update of the human obesity gene map, incorporating published results through October 2002 and continuing the previous format. Evidence from single-gene mutation obesity cases, Mendelian disorders exhibiting obesity as a clinical feature, quantitative trait loci (QTLs) from human genome-wide scans and various animal crossbreeding experiments, and association and linkage studies with candidate genes and other markers is reviewed. For the first time, transgenic and knockout murine models exhibiting obesity as a phenotype are incorporated (N ⫽ 38). As of October 2002, 33 Mendelian syndromes relevant to human obesity have been mapped to a genomic region, and the causal genes or strong candidates have been identified for 23 of these syndromes. QTLs reported from animal models currently number 168; there are 68 human QTLs for obesity phenotypes from genome-wide scans. Additionally, significant linkage peaks with candidate genes have been identified in targeted studies. Seven genomic regions harbor QTLs replicated among two to five studies. Attempts to relate DNA sequence variation in specific genes to obesity phenotypes continue to grow, with 222 studies reporting positive associations with 71 candidate genes. Fifteen such candidate genes are supported by at least Received for review December 16, 2002. Accepted in final form December 17, 2002. *Psychiatric Genetic Unit, Laval University Robert-Giffard Research Center, Québec, Canada; †Human Genomics Laboratory, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana; and ‡Division of Kinesiology, Department of Social and Preventive Medicine, Faculty of Medicine, Laval University, Sainte-Foy, Québec, Canada. Address correspondence to Yvon C. Chagnon, Ph.D., Psychiatric Genetic Unit, Laval University Robert-Giffard Research Center, 2601, chemin de la Canardière, room F-6459, Beauport (Québec), G1J 2G3 Canada. E-mail: [email protected] Copyright © 2003 NAASO five positive studies. The obesity gene map shows putative loci on all chromosomes except Y. More than 300 genes, markers, and chromosomal regions have been associated or linked with human obesity phenotypes. The electronic version of the map with links to useful sites can be found at http://obesitygene.pbrc.edu. Key words: human obesity gene map, association, linkages, Mendelian disorders, quantitative trait loci Introduction The interest for the compendium of putative human obesity genes continues to be very strong. This review is the ninth in a series (1– 8) on the status of the human obesity gene map; this is the eighth report published in Obesity Research. As in previous versions of the map, the current publication incorporates material published up to the end of October 2002. The review includes publications that have dealt with a variety of phenotypes pertaining to obesity; such phenotypes include body mass index (BMI),1 body-fat mass, percentage of body fat, fat-free mass, skinfolds, resting metabolic rates, plasma leptin levels, and other components of energy balance. As in previous updates, negative findings are not systematically reviewed but are briefly introduced when such data were available to us. The interested reader will notice that a good number of genes and genomic positions are now supported by multiple studies and, at times, more than one line of evidence. The present synthesis includes sections dealing with single-gene human mutations, Mendelian disorders exhibiting 1 Nonstandard abbreviations: BMI, body mass index; QTL, quantitative trait locus; Tg, transgenic; KO, knockout; NCBI, National Center for Biotechnology Information; OMIM, Online Mendelian Inheritance in Man; FPL, familial partial lipodystrophy; FPLD, familial partial lipodystrophy, Dunnigan variety; PWS, Prader-Willi syndrome; snoRNA, small nucleolar RNA; BBS, Bardet-Biedl syndrome; MGD, Mouse Genome Database; Lod, linkage-odds; BMIf, female-only phenotype of BMI; BMIm, male-only phenotype of BMI; PPCD, posterior polymorphous corneal dystrophy; CGC, composite double-backcross cross. OBESITY RESEARCH Vol. 11 No. 3 March 2003 313 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. a phenotype of relevance to human obesity, quantitative trait loci (QTLs) from rodent and other animal model studies, human linkage studies including genome scans performed to identify QTLs of obesity or obesity-related phenotypes, association studies in humans with specific genes and polymorphisms, and a comprehensive pictogram of the 2002 human obesity gene map. A novel section deals with transgenic (Tg) and knockout (KO) mice, the phenotypes of which include alterations in adiposity levels or obesity. The references to each entry in the current human obesity gene map are provided for convenience. We are using gene symbols and chromosomal locations given in the Locus Link Web site (http://www.ncbi.nlm.nih.gov/LocusLink) available from the National Center for Biotechnology Information (NCBI), which provides the official nomenclature of genetic loci. From the numerous comments and feedback received over the years, we gather that the reviews of the status of the human obesity gene map have been helpful to the obesityresearch communities. We renew our request for comments from those who are interested in any aspect of the gene map. The electronic version of the human obesity gene map with numerous useful links is available at http://obesitygene. pbrc.edu. Single-Gene Mutations This last year has not witnessed any major advances in human single-gene obesity syndromes. Among the known causal genes (see Table 1), three new mutations have been reported in the melanocortin-4 receptor gene (MC4R). Kobayashi et al. (9) described a 40-year-old Japanese woman with a BMI of 62 kg/m2. She carried a G98R variant, which was found to severely impair ligand binding and signaling in transfection studies. She had a history of hyperphagia and no discernable endocrine deficit. In a study of several cohorts of white and black subjects, Jacobson et al. (10) reported on two novel deletions in the heterozygous state in white subjects. A ⫺65delTG mutation was found in one morbidly obese (BMI ⬎40 kg/m2), 40-year-old woman. A second 171delC mutation in codon 57 was found in a 41-year-old woman with hypertension, hyperinsulinemia, hypertriglyceridemia, and a BMI of 40 kg/m2. These variants were not present in any other subject tested. In another study, Lee et al. (11) reported on a 13-year-old girl from Singapore. She had a BMI of 36.6 kg/m2, and her father had a BMI of 32.7 kg/m2. Both carried a novel heterozygous mutation Ile183Asn (T548A) in the melanocortin-3 receptor gene (MC3R). Although the proband’s mother was also obese, she did not carry this variant. Also, the daughter and father differed substantially in fat mass; the proband had a body-fat percentage of 49%, whereas her father had one of only 30%. Therefore, the significance of the mutation in this gene remains to be determined. 314 OBESITY RESEARCH Vol. 11 No. 3 March 2003 In rodent models (Table 2), the new gene Lpin1 that lowers adipose-tissue mass when mutated has been cloned by position from the fld mouse showing a phenotype of lipodystrophy (12). Two mutations have been observed, fld and fld2l; the first represents a severe chromosomal rearrangement, and the second represents a Gly84Arg substitution. These mutations result in an absent or nonfunctional protein, respectively. Two Lpin-related mouse genes (Lpin2 and Lpin3), as well as the three human equivalents (LPIN1, LPIN2, LPIN3) have been identified by sequence comparison in the databases. We have also added to these models the OLETF rat, which is naturally mutated in the cholecystokinin receptor A (CCKAR) gene and results in mild obesity (13,14). Similarly, the Little mouse showed a growth hormone deficiency associated with decreased somatic growth but increased body fat despite normophagia (15). Mendelian Disorders Progression in the discovery of causal genes for the various adiposity-related Mendelian disorders described in the Online Mendelian Inheritance in Man (OMIM) database continues. Of the 37 syndromes with known map locations, 23 now have well-defined genes or strong candidates (Table 3). Among the autosomal-dominant syndromes, several groups have reported on mutations in the lamin A/C (LMNA) gene in familial partial lipodystrophy (FPL), Dunnigan variety (FPLD). Shackleton et al. (16) described several families and individuals with FPLD, all of whom carried heterozygous mutations in exon 8 of LMNA, disrupting both lamins A and C. The most frequent was an arginineto-tryptophan substitution in codon 482 (R482W; CGG to TGG). Other mutations found were R482Q [already reported by Cao and Hegele (17)], R482L, K486N, and K486N (two different nucleotide substitutions). Speckman et al. (18) also reported the R482Q and R282W mutations as the most frequent, as well as two others: a G465D alteration in the same codon and a R582H mutation within exon 11, which was found in a family with atypical FPLD. In a more recent report, Garg et al. (19) compared women carrying mutations in exon 8 (G465D, R482Q, and R482W) with those having the R582H mutation within exon 11. This latter group demonstrated atypical FPLD with a less-severe phenotype. Finally, in a patient with a non-Dunnigan FPL, Agarwal and Garg (20) described a heterozygous C-to-T mutation at nucleotide 1273 in exon 6 in the peroxisome proliferator-activated receptor-␥ gene (PPAR␥), located at 3p25. This R425C mutation was absent from unaffected family members and normal subjects and was the probable cause of the FPL. In a family with posterior polymorphous corneal dystrophy (PPCD), a corneal endothelial dystrophy in which obesity has been observed, Biswas et al. (21) discovered a Gln455Lys mutation in COL8A2, the gene encoding the ␣2 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 1. Cases of human obesity caused by single-gene mutations Gene Location Mutation LEPR POMC 1p31 2p23.3 PCSK1 SIM1 LEP 5q15-q21 6q16.3-q21 7q31.3 MC4R 18q22 G 3 A (exon 16) G7013T & C7133⌬ (exon 3) C3804A (exon 2) Gly483Arg A 3 C⫹4 (intron 5) C1328 3 T (exon 9) G398⌬ (codon 133) C 3 T (codon 105) (exon 3) CTCT631⌬ (codon 211) GATT732ins (codon 246) CIO5A Tyr35X 47insG A31G C52T C449T A508G C493T T749A T902C Ile137Thr GTins279 Cdel28-bp N66S T112M R165Q C271Y V253I V103I I251L N274S Val50Met Ser58Cys Ile102Ser Ile170Val G98R ⫺65delTG 171delC Age (years) BMI (kg/m2) References 3 2 13 to 19 3 to 7 52.5 to 71.5 NA (160) (161) 1 1 2 4 10 5 11 1 1 1 1 1 1 1 1 1 3 1 5 1 1 2 1 5 7 2 2 2 1 2 1 1 1 3 6.6 2 to 8 6 to 34 4 to 81 11 to 58 8 to 64 28 to 52 NA 29.5 36.6 to 45.8 32.5 to 55.8 27.7 to 41 30 to 57 25.9 to 56.6 41.5 to 64.5 (162) (163) (164) (165,166) (167–169) (170) (167,169) (171) 43 8.3 to 36 NA 5 to 21 NA NA 7.9 to 40 NA 6.9 to 36 NA 52 to 55 6 to 39 12.5 to 39 16.2 13 to 45 40 40 41 57 SDS ⫽ 4.17 (172) (173) 41.7 to 43 SDS ⫽ 2.8 to 5.4 SDS ⫽ 2.1 to 4.2 SDS ⫽ 4.1 SDS ⫽ 3.8 to 4.4 62 ⬎40 40 (174) (175) N* (9) (10) NA, not available; SDS, mean BMI SD score. * Number of published cases. chain of type VIII collagen, located at 1p34.3-p32. No unaffected individuals carried the mutation. Hence, this would be the second locus described for PPCD and the only one for which a highly probable causal gene has been identified. Although many studies have focused on the Prader-Willi syndrome (PWS), no clear novel gene has been reported since last year’s review. However, Meguro et al. (22) demonstrated the possible role of a direct-repeat cluster of multiple small nucleolar RNA (snoRNA) genes within the OBESITY RESEARCH Vol. 11 No. 3 March 2003 315 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 2. Natural single-gene mutation in rodent models of obesity Rodent Mutations* Diabetes (db)† Fatty liver dystrophy (fld) Fat (fat) OLETF Little Obese (ob) Tubby (tub) Mahogany (mg) Agouti yellow (Ay) Human Chr Genes Inheritance Chr 4 12 8 5 11 6 7 2 2 Lepr Lpin1 Cpe Cckar Gh Lep Tub Atrn Ay Recessive Recessive Recessive Recessive Recessive Recessive Recessive Recessive Dominant 1p31 2p21 4q32 4p15.2-p15.1 17q24.1 7q31.3 11p15.5 20p13 20q11.2-q12 Genes Gene product References LEPR LPIN1 CPE CCKAR GH LEP TUB ATRN ASIP Leptin receptor Lipin Carboxypeptidase E Cholecystokinin receptor A Growth hormone Leptin Insulin signaling protein Attractin Agouti signaling protein (176,177) (12) (178) (13,14) (15) (179) (180–182) (183,184) (185) Status as of October 2002. Chr, chromosome. * The strain carrying the Adult (ad) dominant mutation on chromosome 7 is now extinct. † Homologous to rat fat (fa)/corpulent (cp). SNRPN-IPW critical PWS interval. A very recent study by Gallagher et al. (23) confirmed this evidence, narrowing down the minimal critical PWS region to a ⬃121-kb interval comprising the PWCR1/HBII-85 cluster of snoRNA genes and the single HBII-438A snoRNA gene. A Prader-Willi-like syndrome with deletions and duplication/deletions between 6q14 to 6q16 has been described previously (24 –29). In a recent study, Faivre et al. (30) reported on a child with the same phenotype harboring a deletion of 6q16.2, exactly at the SIM1 gene, which has already been implicated in a single-gene disorder (see Table 1). Thus, this category of Prader-Willi-like syndromes might be caused by SIM1 gene deletions. Finally, this year we add a syndrome omitted in previous reviews, the WAGR syndrome (for Wilms tumor, aniridia, genitourinary abnormalities, and mental retardation), where severe obesity has been described by Marlin et al. (31), Tiberio et al. (32), and Gul et al. (33). This syndrome is caused by deletions at 11p14-p12. The causal gene is unknown. In the autosomal recessive syndrome category, several new genes have been identified. Alstrom syndrome is now known to be caused by mutations in the ALMS1 gene, comprising 23 exons over 224 kb of genomic DNA and encoding a protein of 4169 amino acids. Six mutations (two nonsense and four frameshift) causing premature stop codons were described by Hearn et al. (34). Collin et al. (35) also found six mutations (two nonsense and four frameshift, including one found by Hearn). Among the Bardet-Biedl syndromes (BBSs), BBS1, the gene causing the corresponding syndrome, was identified 316 OBESITY RESEARCH Vol. 11 No. 3 March 2003 by Mykytyn et al. (36). It is composed of 17 exons spanning 23 kb, and the authors found four mutations among six families studied. Katsanis et al. (37) demonstrated that mutations in BBS4 (or MYO9A), the gene causing the corresponding syndrome, is a contributor to BBS in ⬍3% of affected families. In the BBS6 gene (also designated MKKS), Slavotinek et al. (38) reported on five new mutations (three in exon 3 and two in exon 4). Agarwal et al. (39) identified the causal gene in congenital generalized lipodystrophy; the gene is also known as Berardinelli-Seip congenital lipodystrophy 1 (BSCL1). Eleven different mutations were found in this gene which encodes 1-acylglycerol-3-phosphate O-acyltransferase 2, a key intermediate enzyme in triacylglycerol and glycerolphospholipid biosynthesis. In a recent systematic review of Cohen syndrome patients by Kivitie-Kallio et al. (40), obesity, occurring in only 17% of patients, was found to be a minor component of the syndrome. Finally, in another recent review, Santer et al. (41) described 33 different mutations (9 missense, 7 nonsense, 10 frameshift, and 7 splice-site) in the SLC2A2 gene at the origin of the Fanconi-Bickel syndrome. As for the X-linked syndromes, the candidate gene for Borjeson-Forssman-Lehmann syndrome (BFLS) was discovered by Lower et al. (42). A zinc-finger gene, plant homeodomain-like finger 6 (PHF6), had eight different missense and truncation mutations in seven familial and two sporadic cases of Borjeson-Forssman-Lehmann syndrome. PHF6 is an 11-exon gene encoding a 365-aminoacid protein of unknown function. In addition, Leshinski- The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 3. Obesity-related Mendelian disorders with known map location* OMIM no. Syndrome Locus Candidate gene Reference Autosomal dominant 100800 103580 300800 103581 105830 605746 151660 604517 147670 122000 176270 Achondroplasia (ACH) Albright hereditary osteodystrophy (AHO) 4p16.3 PHF6, FGF13 20q13.2-q13.3 GNAS1 (186–189) (190–203) Albright hereditary osteodystrophy 2 (AHO2) Angelman syndrome with obesity (AGS) Anisomastia Familial partial lipodystrophy Dunnigan (FPLD) FPL (non-Dunnigan) Insulin resistance syndromes (IRS) Posterior polymorphous corneal dystrophy (PPCD) Prader-Willi syndrome (PWS) 15q 15q11-q13 16q13 1q21.2-q21.3 3p25 19p13.3-p13.2 20q11 15q11-q13 (204) (205) (206) (16–19,207,208) (20) (209–216) (21,217) (22–24,26,27,29,218–229) Prader-Willi-like syndrome 190160 Thyroid hormone resistance syndrome (THRS) 181450 Ulnar-mammary syndrome schinzel syndrome (UMS) 154072 WAGR syndrome 6q16.2-q14 3p24.3 12q24.1 11p13 NA NA NA LMNA PPARG INSR COL8A2 IPW SNRPN NDN ZNF127 MAGEL2 PWCR1 SIM1 THRB TBX3 NA (24–30) (230) (231) (31–33) Autosomal recessive 203800 209901 209900 600151 600374 603650 209900 604896 269700 606158 212065 216550 601538 227810 139191 Alstrom syndrome (ALMS1) Bardet-Biedl syndrome 1 (BBS1) Bardet-Biedl syndrome 2 (BBS2) Bardet-Biedl syndrome 3 (BBS3) Bardet-Biedl syndrome 4 (BBS4) Bardet-Biedl syndrome 5 (BBS5) Bardet-Biedl syndrome 6 (BBS6) 2p13-p12 11q13 16q21 3p13-p12 15q22.3-q23 2q31 20p12 ALMS1 BBS1 BBS2 NA BBS4 (MYO9A) NA MKKS (34,35,232,233) (36,234–236) (234,237,238) (239–241) (37,234,242–244) (245,246) (38,247,248) Berardinelli-Seip congenital lipodystrophy (BSCL1) Berardinelli-Seip congenital lipodystrophy (BSCL2) Carbohydrate-deficient glycoprotein type 1a (CDGS1A) Cohen syndrome (COH1) Combined pituitary hormone deficiency (CPHD) Fanconi-Bickel syndrome (FBS) Isolated growth hormone deficiency (IGHD) 9q34 11q13 16p13.3-p13.2 8q22-q23 5q 3q26.1-q26.2 7p15-p14 AGPAT2 BSCL2 PMM2 NA PROP1 SLC2A2 GHRHR (39,249) (250) (251–253) (254,255) (256,257) (41,258–261) (262,263) X-linked 301900 Borjeson-Forssman-Lehmann syndrome (BFLS) 303110 Choroideremia with deafness (CHOD) 300148 Mehmo syndrome (MEHMO) Xq26.3 PHF6, FgF13 Xq21.1-q21.2 NA Xp22.13-p21.1 NA (42,264,265) (266,267) (43,268,269) OBESITY RESEARCH Vol. 11 No. 3 March 2003 317 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 3 (continued) OMIM no. Syndrome 300218 176270 300238 312870 Mental retardation X-linked, syndromic 7 (MRXS7) Prader-Willi-like syndrome Mental retardation, X-linked, syndromic 11 (MRXS11) Simpson-Golabi-Behmel 1 (SGBS1) Simpson-Golabi-Behmel 2 (SGBS2) 309585 Wilson-Turner syndrome (WTS) Locus Candidate gene Reference Xp11.3-q22.1 Xq23-q25 Xq26-q27 Xq26.1 Xp22 Xp21.2-q22 NA NA NA GPC3, GPC4 NA NA (270) (271) (272) (273–280) (281) (282,283) Status as of October 2002. NA, not available. * Adapted from OMIM (Online Mendelian Inheritance in Man) computerized database. -Silver et al. (43) identified MEHMO (for mental retardation, epileptic seizures, hypogenitalism, microcephaly, obesity) as a mitochondrial disorder. No new causal genes for this or the remaining X-linked syndromes have been identified. KO and Tg Models This year we reviewed KO and Tg experiments that evidenced changes in obesity-related phenotypes. Our review focuses only on genes that are new candidates for obesity and on those for which a human equivalent can be found. Some 39 KO or Tg models are presented with a brief description of the effects (Table 4). This new section will be expanded considerably in subsequent versions of the map. QTLs from Crossbreeding Experiments Relatively few new studies have been reported in the last year on QTLs related to obesity (Table 5). In mice, a study from a SM/J ⫻ A/J cross reported two new QTLs on chromosomes 8 (Bwq3) and 18 (Bwq4), respectively, explaining each 6% of the variance in body weight (44). In rat, a QTL (Imfq1) from an OLETF ⫻ F344 cross explained 5% of the intramuscular-fat content (45). In pig, the SSC7 QTL for back-fat thickness on chromosome 7 has been confirmed again in a Meishan ⫻ Göttingen cross (46). Finally, in cattle, a significant QTL on chromosome 17 (named BTA17LW) that lowered live weight by 24 kg was reported in a Hereford ⫻ composite double-backcross cross (CGC) (47). On the other hand, suggestive or negative results have also been reported, but are not included in the present review. Moreover, we have now decided to remove the QTLs based on chicken models because the synteny with the human genome cannot be established (48,49). 318 OBESITY RESEARCH Vol. 11 No. 3 March 2003 Three studies reported suggestive QTLs with body weight (50 –52), whereas others reported either no effect (53) or effects on the weight of only organs (54,55). In pig, a QTL for muscle glycogen that seemed to be modulated by alleles at the protein kinase adenosine monophosphate-activated ␥3-subunit (PRKAG3) gene has been uncovered (56), but no QTL for body weight or back-fat has been found (57). In cattle, a haplotype associated with birth weight was reported on chromosome 5 (58). Hence, with 168 animal QTLs being reported, the number of animal QTLs linked to body weight or body fat has increased by only four since the last review (Table 5). The equivalent syntenic regions in humans, when they can be determined from available maps, are shown in Table 5. We have proposed acronyms for QTLs to facilitate their inclusion in the map when none was provided by the authors or by the Mouse Genome Database (MGD) (59). Because new maps are now available from the MGD, we have updated the cytological location of the mouse QTLs showing multiple locations from the MGD or by the location of the QTL estimated in the MGD from linked markers and the synteny provided by the NCBI mouse– human map (60). No update was made for other species. For the rat, maps described in Yamada et al. (61) and Jacob et al. (62) were used. For the pig QTLs, maps from the Animal Genome Database in Japan (63) and from the U.S. Livestock Genome Mapping Projects (64) were used. Association Studies The evidence for associations between candidate genes and obesity-related phenotypes is summarized in Table 6. Two hundred twenty-two studies covering 71 candidate The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 4. Selected knockout (KO) and transgenic (Tg) rodent models of obesity Rodent Human Chr Gene Mutations Chr Gene Product 3 NA 1 Nhlh2 Pkar2b Hsd11b1 KO; obesity (maturity onset) KO; ⬍FATw; ⬎MR Tg; obesity 1p12-p11 1q12 1q32-q41 NHLH2 PRKAB2 HSD11B1 13 12 17 2 6 3 NP 13 5 8 Chrm3 Sdc1 Fshr Il1rn (Il-1ra) H1r GabtI NP Drd1a Vgf Eif4ebp1 KO; ⬍BW Tg; obesity (maturity onset) KO; obesity KO; ⬍BW KO; ⫹⌬BW (high fat diet) Tg; obesity Tg; ⬎FAT KO; ⬍BW KO; ⬍BW; ⬍FAT; ⬎MR KO; ⬍FATw; ⬎MR 1q41-q44 2p24.1 2p21-p16 2q14.2 3p25 3p25-p24 4p16.3 5q34-q35 7q22 8p12 CHRM3 SDC1 FSH-R IL1RN HRH1 SLC6A1 HD DRD1 VGF EIF4EBP1 6 15 Fabp4 (aP2) Dgat KO; ⬎⫹⌬FAT (high-fat diet) KO; ⬎FAT/NW (high-fat diet) 8q21 8q-ter FABP4 DGAT1 15 10 5 10 Gdc1 Hmga2 Ptprb Pmch 12q13.2 12q15 12q15-q21 12q23-q24 GPD1 HMGA2 PTPRB PMCH 5 12 9 7 8 Acc2 Batf (A-ZIP/F) Cyp19 Plin Mt Tg; ⫺FATw KO; resistant to high-fat diet KO; resistant to high-fat diet KO; ⬍BW; ⬍FI Tg; obesity KO; ⬍FAT; ⬎FI Tg; ⫺FAT; ⬎BWf KO; ⬎AF KO; ⬍FM; ⬎FFM; ⬍MR KO; obesity; ⬎FATw (epididymal) Neural transcription factor 2 Protein kinase A RII Hydroxysteroid (11-beta) dehydrogenase 1 Muscarinic receptor M3 Syndecan 1 Follicular stimulating hormone receptor Interleukin 1 receptor antagonist Histamine receptor H1 Gamma-aminobutyric acid transporter I Huntingtin Dopamine receptor D1 Neural expressed protein Eukaryotic translation initiation factor 4E binding protein 1 Fatty acid binding protein 4 Acyl CoA: diacylglycerol acyl transferase ␣-Glycerol phosphate dehydrogenase Component enhancesome Hmgic Protein tyrosine phosphatase 1 B Melanin concentrating hormone 12q24.1 14q24.3 15q21 15q26 16q13 8 Srebf1/2 Tg; lipodystrophy 17p11.2 ACACB BATF CYP19 PLIN MT1A MT1B SREBP-1C/1A 11 Stat5 17q11.2 STAT5A 11 11 17 9 7 7 7 2 7 2 Hcrt Ppy C3 Icam1 Cebp Tgfb1 ApoC1 Ghrh Cebp Ptpn1 KO; ⬍BW; ⬍FAT (young); obesity KO; obesity (late onset) Tg; ⬍BW; ⬍FI; ⬍FAT KO; ⬍FAT; ⬍BWf KO; obesity (late onset) KO; ⬍FATw; ⫺FATb Tg; ⬍BW; ⬍FAT Tg; ⬍BW; ⬍FAT Tg; ⬎%AF KO; ⬍FATw; ⫺FATb KO; Obesity (resistant) 17q21 17q21 19p13.3 19p13.2 19q13.11 19q13.1 19q13.2 20q11.2 20q12-q13.1 20q13.1-q13.2 HCRT PPY C3 ICAM-1 CEBPA TGFB1 APOC1 GHRH CEBPB PTPN1 X Brs3 KO; ⬎FAT; ⬍EE Xq26-q28 BRS3 Acetyl CoA Carboxylase 2 Regulator of transcription factor B-ZIP Transferase aromatase Perilipin Metallothionein I & II Sterol regulatory element binding protein Signal transducer and activator of transcription 5 Hypocretin (Orexin) Pancreatic polypeptide Acylation-stimulating protein Intercellular adhesion molecule 1 CCAAT enhancer binding protein Transforming growth factor, beta 1 Apolipoprotein C1 Growth hormone releasing hormone CCAAT enhancer binding protein Protein tyrosine phosphatase, nonreceptor type 1 Bombesin receptor 3 References (284) (285) (286) (287) (288) (289) (290) (291) (292) (293) (294) (295) (296) (297) (298) (299) (300) (301) (302) (303) (304) (305) (306) (307,308) (309) (310,311) (312) (313) (314) (315) (316) (317) (318) (319) (320) (321) (301) (322) Adapted from (323,324) and original papers. Status as of October 2002. ⫺FAT, no fat; AF, abdominal fat; NW, normal weight; MR, metabolic rate; FI, food intake; EE, energy expenditure; NA, not available; NP, not applicable; BW, body weight; ⫹⌬, gain; FFM, fat-free mass; subscript w, white; subscript f, female; subscript b, brown; FM, fat mass. OBESITY RESEARCH Vol. 11 No. 3 March 2003 319 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 5. QTLs reported for animal polygenic models of obesity with their putative syntenic locations in the human genome* Chromosomes Crosses Mouse M. spretus ⫻ C57BL/6J Mouse Mouse NZB/B1NJ ⫻ SM/J CAST/Ei ⫻ C57BL/6J Mouse AKR/J ⫻ SWR/J Mouse Mouse NZO ⫻ SJL NZO/H1Lt ⫻ NON/Lt Mouse A/J ⫻ M. spretus ⫻ C57BL/6J Mouse JU/CBA ⫻ CFLP (P6) Mouse Du6 ⫻ DuK Mouse Du6 ⫻ Duk Mouse Du6i ⫻ DBA/2 Mouse 129/Sv ⫻ Le/Suz Mouse AKR/J ⫻ C57L/J Mouse NZO ⫻ SM 320 QTL Statistics Phenotypes Animal Human References Mob1 Mob2 Mob3 Mob4 Mob5† Mob6 Mob7 Mob8 Qlep Bl/Bw Dob1 Dob2 Dob3‡ Nob1 Nzoq1 Lod ⫽ 4.2 Lod ⫽ 4.8 Lod ⫽ 4.8 Lod ⫽ 3.4 Lod ⫽ 3.6 Lod ⫽ 7.3 Lod ⫽ 5.7 Lod ⫽ 4.7 Lod ⫽ 5.2 Lod ⫽ 4.3/2.5 Lod ⫽ 4.5 Lod ⫽ 4.8 Lod ⫽ 3.9 Lod ⫽ 3.8 Lod ⫽ 3.8 to 9.4 6.5% percent fat 7.1% femoral fat 7.0% percent fat 5.9% mesenteric fat 36% body fat Subcutaneous fat Subcutaneous fat Body fat (%) Leptin level (no obesity) Body length/body weight NA 7% adiposity 4% adiposity 16.8% BMI 16% body weight 7 6 12 15 2 2 2 9 4 15 4 9 15 5 1 (325) Lod ⫽ 3.3/4.0 Lod ⫽ 3.4 Lod ⫽ 6.6 Lod ⫽ 4.3 Lod ⫽ 24.4 Leptin/BMI 24% body weight (three QTLs together) 17% to 20% 10-week weight 12 X X X X 16p12.1-p11.2 7q31.2-q31.3 14q32.1-q32 5p14-p13 20q13.1-q13.3 11p11.2 3p21.3 6p12.1 9p22 8q22-q23 1p33-p32 3p21 8q24.1 4p15 6p12-p11 2q11.2-q35 14q31-q32 Xp11-q26 Xq11-q13 Xp22-q27 Xq28 Nzoq2 Bw1§ Bw2§ Bw3 Bw19 (QbwX) Qbw1 Qbw2 Bw4 Afw1/Afp1 Afw2 Afw3 Afp2 Bw5 Bw13 Afpq9/Afw9 Bw14 Bw16 Afpq10/Afw10 Bw15 Lepq1 Afpq6 Obq1 Obq2 Obq3 Obq4 Obq4 Obq7 Obq8 Obq9 Obq10 Obq11 Obq12 Lod ⫽ 2.7 Lod ⫽ 7.6 F ⫽ 4.79 F ⫽ 4.89 F ⫽ 4.79 F ⫽ 4.70 F ⫽ 4.89 F ⫽ 10.4 F ⫽ 11.7 F ⫽ 18.5/24.9 F ⫽ 25.9 F ⫽ 7.52 F ⫽ 7.48/8.56 F ⫽ 7.36 F ⫽ 7.58 F ⫽ 8.92 Lod ⫽ 8.0 Lod ⫽ 5.5 Lod ⫽ 5.1 Lod ⫽ 4.6 Lod ⫽ 6.3 Lod ⫽ 6.5/6.0 Lod ⫽ 6.4 Lod ⫽ 6.7 Lod ⫽ 6.4 Lod ⫽ 4.4/4.1 Lod ⫽ 5.3/4.5 6.9% abdominal fat 17% body mass 23.1% body weight 10% to 13% abdominal fat 8.3% abdominal fat 7.7% abdominal fat 8.3% abdominal fat (%) 5.4% body weight 6.0% body weight 9.1/12.0% abdominal fat (%) 12.3% body weight 3.9% body weight 3.9/4.5% abdominal fat (%) 3.8% body weight 4.4% leptin 4.6% abdominal fat (%) 12.3% adiposity 6.3% adiposity 7.0% adiposity 6.1% adiposity Inguinal fat % (males) Gonadal/mesenteric fat % (males) Retroperitoneal fat % Mesenteric fat % (females) Gonadal fat % (males) Mesenteric fat/gonadal % Mesenteric fat/gonadal % 3 11 11 4 11 13 3 1 5 7 7 11 12 13 14 17 7 1 2 17 17 1 1 1 2 5 5 4q23-q27 17q12-q22 17q21-q22 1p34-p33 7p13-p11.2 1q43 3q25 2q34 7p22 19q13.3 15q11-12 2p13.3 7p15 7p14-p13 8p21-p12 19p13.3-p13.2 19q13.2-q13.3 6q12-q14 11p11.2 6q27 6q27 2q33.1 1q31 1q22-q23 11p13 7q22-q36 4p15 OBESITY RESEARCH Vol. 11 No. 3 March 2003 (326) (327) (328) (329) (330) (331) (332) (333) (334) (335) (336) (337) (338) (339) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 5 (continued) Chromosomes Crosses Mouse TSOD ⫻ BALB/cA Mouse CAST/Ei ⫻ M16i Mouse KK/H1Lt ⫻ C57BL/6J Mouse KK-A(y) ⫻ C57BL/6J Mouse CAST/EiJ ⫻ C57BL/ 6J-hg/hg MH ⫻ C57BL/6J Mouse Mouse DBA/2J ⫻ C57BL/6J Mouse DBA/2J ⫻ C57BL/6J Mouse Wild M. m. castaneus ⫻ C57BL/6J QTL Statistics Phenotypes Obq13 Obq14 Obq15 Nidd5 Nidd6 Pfat1 Lod ⫽ 5.1 to 6.0/9.3 Lod ⫽ 3.9 to 4.1/9.2 Lod ⫽ 6.6 Lod ⫽ 5.91 Lod ⫽ 4.65 NA 3 pads/mesenteric fat % 3 pads/mesenteric fat % Gonadal fat % (males) 10.9% body weight 9.2% body weight Adiposity 6 6 7 2 1 2 Pfat2 NA Adiposity 2 Pfat3 Pfat4 NA NA Adiposity Adiposity 13 15 Pfat5 Pfat6 NA NA Adiposity Adiposity 15 17 Obq5 Obq6 KK7 Bwq1 Bwq2 Carfhg1 Carfhg2 Hlq1 Hlq2 Lod ⫽ 6.3 Lod ⫽ 5.0 Lod ⫽ 6.9/4.4 Lod ⫽ 3.1 Lod ⫽ 3.4/4.1 Lod ⫽ 2.5 Lod ⫽ 5.8 Lod ⫽ 5.6 Lod ⫽ 3.7 17% adiposity (females) 11.7% adiposity (males) Body weight/inguinal fat 15% body weight 19% body weight/26% adiposity 6.2% fat content 12.5% fat content 4.7% heat loss 3.1% heat loss 9 X 7 4 6 5 9 1 2 Hlq3 Hlq4 Hlq5 Fatq1 Batq1 Batq2 Bw6a Bw6b Bw6c Bw6d Bw6e Bw6f Bw6g Bw6h Bw6i Bw6j Bw6k Pfatp4 Pfatp6 Pfatp13 Pfatp15 C10bw1 C10bw2 C10bw3 C10bw4 C10bw5 Lod ⫽ 3.8 Lod ⫽ 4.7 Lod ⫽ 4.06 Lod ⫽ 8.0 Lod ⫽ 4.0 Lod ⫽ 3.5 Lod ⫽ 3.3 Lod ⫽ 3.3 Lod ⫽ 3.2 Lod ⫽ 4.3 Lod ⫽ 4.0 Lod ⫽ 6.9 Lod ⫽ 4.4 Lod ⫽ 5.7 Lod ⫽ 4.1 Lod ⫽ 3.0 Lod ⫽ 4.9 Lod ⫽ 5.0 Lod ⫽ 4.9 Lod ⫽ 5.3 Lod ⫽ 8.6 Lod ⫽ 10.7 Lod ⫽ 3.3 Lod ⫽ 3.7 Lod ⫽ 3.7 Lod ⫽ 3.4 3.1% heat loss 3.9% heat loss 3.4% heat loss 5.9% gonadal fat 3.3% brown fat 2.8% brown fat 3% 6-week weight 4% 6-week weight 4% 6-week weight 5% 6-week weight 4% 6-week weight 9% 6-week weight 5% 6-week weight 6% 6-week weight 4% 6-week weight 3% 6-week weight 7% 6-week weight 20% predicted fat (%) (four QTLs together) 3 3 7 1 1 3 1 4 5 5 6 7 9 11 13 14 17 4 6 13 15 2 9 11 13 13 1.4 1.1 1.3 0.9 0.8 g g g g g body body body body body weight weigh (females) weight (males) weight (females) weight (males) Animal Human 7p14 3p26 11p15.5 2q22-q23 1q25 2q11-q14 15q21.1 20q13.11q13.13 5q23-q31 8q22-q23 5p15.2 8q24 16p13.3 19q13.4 11q23-q24 Xq26-q28 11q21 6q16 3p26-p25 4p15.1 11q25 1q21-q41 2p13-q13 15q21-q22 3q25 8q21.3-q22.1 16p12-p11.2 18q21.3 1q41-q42.1 4q28-q31 1q31-q33 9p24-p23 4q12-q13 12q24 2p12 19q13.3 6q12-q16 17p13 15q23-q25 8p23.1-p22 6p21 9p24 3p14.1-p12 5q22-q31 8q24-qter 2q24.2 15q21-q22 17q24-q25 5q13 5q14.3 References (340) (341) (342) (343) (344) (345) (346) (347) (348) OBESITY RESEARCH Vol. 11 No. 3 March 2003 321 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 5 (continued) Chromosomes Crosses QTL Statistics Phenotypes Mouse C10bw6 C10bw7 Qsbw Lod ⫽ 4.3 p ⫽ 0.00001 p ⬍ 0.009 1.4 g body weight (females) Body weight (males; epistatic) 40% body weight Q1w1/Skl1 Qlw2/Skl2 Qlw3 Qlw4/Wt1 Qlw5/ Adip2/Wt2 Qlw7/ Adip3 Qlw9/Adip5 Qlw10/Sk14 Qlw11 Qlw12 Qlw13/Adip7 Qlw14/Wt3 Qlw18/Adip8 Bwq3 Bwq4 Nidd3n Fob1 Fob2 Lod ⫽ 2.3 Lod ⫽ 2.9 Lod ⫽ 2.3 Lod ⫽ 2.4¶/2.4 Lod ⫽ 2.8¶ Lod ⫽ 3.6/6.2 to 3.5 Lod ⫽ 2.0¶ Lod ⫽ 3.7/9.7 Lod ⫽ 2.5¶/1.8 Lod ⫽ 2.3¶/4.9 Lod ⫽ 2.6 Lod ⫽ 2.3 Lod ⫽ 2.4/1.9 Lod ⫽ 3.1/2.1 Lod ⫽ 1.6/2.8 Lod ⫽ 4.6 Lod ⫽ 4.8 Lod ⫽ 6.8 Lod ⬎ 3.3 Lod ⬎ 3.3 1.9% late weight gain 2.6% late weight gain 8.4% late weight gain 2.4% late weight gain/weight 3.4% late weight gain Adiposity/weight (females) 2.0% late weight gain Adiposity (males)/weight 2.4% late weight gain/adiposity 1.9% late weight gain/weight 2.4% late weight gain 2.4% late weight gain 4.4% late weight gain/adiposity 2.9% late weight gain/weight 3.0% late weight gain/adiposity 6% body weight at 10 weeks 6% body weight at 10 weeks Epididymal fat 4.9% 14-weeks percentage of fat 19.5% 14-weeks %fat (female) Lod ⫽ 11.3 Lod ⬎ 3.3 Lod ⫽ 2.3 Lod ⫽ 2.5 Lod ⫽ 2.2 14.4% 14-weeks %fat 7.3% 14-weeks %fat 5.4% weight (male) 5.8% BMI (male) 6.9% BMI (female) 15 X 1 Lod ⫽ 2.7 Lod ⫽ 3.0 NA NA NA NA 7.8% weight (female) 8.3% BMI (female) 13% adiposity 9% body weight 7% body weight 24% body weight 12 1 8 17 7 Lod ⫽ 3.2 Lod ⫽ 3.0 Lod ⫽ 6.2 Lod ⫽ 6.0 Lod ⫽ 8.2 to 14.0 Lod ⫽ 4.4 to 5.5 Lod ⫽ 3.5 to 3.6 Lod ⫽ 3.5 to 3.6 Lod ⫽ 4.9 to 5.4 Lod ⫽ 3.5 23.5% body weight NA NA 11.6% body weight Adipose index, fat and body weight Fat weight, adipose index Fat weight, adipose index Fat weight, adipose index Fat weight, adipose index Adipose index 1 10 7 1 1 1 3 6 7 11 Mouse Quackenbush-Swiss ⫻ C57BL/6J SM/J ⫻ LG/J Mouse SM/J ⫻ A/J Mouse Mouse NSY ⫻ C3H/He F⫻L Rat Fob3 Fob4 Leprfa/Leprfa 13M ⫻ WKY Qfa1 Qfa12 Rat GK ⫻ BN Rat GK ⫻ F344 Rat Rat 322 Nidd/gk1 Nidd/gk5 Nidd/gk6 bw/gk1 Niddm1 Niddm3 Weight1 OLETF ⫻ BN Dmo1 (OLETF ⫻ BN) ⫻ OLETF Dmo1 Dmo4 Dmo5 Dmo6p Dmo7p Dmo9 OBESITY RESEARCH Vol. 11 No. 3 March 2003 Animal Human X 12 10 Xp22.2-p21.2 14q23-q24.2 12q22-q23 1 2 3 4 6 2q35-q36 15q11.2-q22.2 3q25-q26 9q31-q32 3p26-p24 7 11p15 9 10 11 12 13 14 18 8 18 6 2 12 6p12.1 12q21 22q12 2p24-p23 1q43 14q11.2 5q31 16q22-q23 5q32-q35 2p14-p12 2q21-q37 7p22-q22 14q12-q13 8q24.2-q24.3 Xq12-q21.2 16q13 16p11 11p15 11q13 7q22 3p21 11q22-q23 1q41-q44 8q21-q24 22q12-q13 10q24-q26 17pter-q23 12q22-q23 10q23-q24 10q23-q24 11p15.5-p15.4 19p13.2-q13.3 14q32 12q22-q23 3q26.1-q28 References (349) (350–352) (44) (353) (354) (355) (356) (357) (358) (359) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 5 (continued) Chromosomes Crosses QTL Statistics Phenotypes Dmo10 Lod ⫽ 3.5 to 3.6 Fat weight, body weight OLETF ⫻ F344 Obs1 Lod ⫽ 5.1 13.8% mesenteric fat Rat OLETF ⫻ F344 Obs2 Obs3 Obs4 Obs5 Obs6 Imfq1 Lod ⫽ 4.2 Lod ⫽ 5.9 Lod ⫽ 5.3 Lod ⫽ 5.4 Lod ⫽ 4.5 Lod ⫽ 3.4 11.3% retroperitoneal 13.4% mesenteric fat 16.5% retroperitoneal 12.4% retroperitoneal 13.8% retroperitoneal 5% intramuscular fat Rat Rat Dahl ⫻ MNS SHR ⫻ BB/OK Rat Rat SHR ⫻ Wild WOKW ⫻ DA/K DAHL3 SHR1 SHR4 SHR10 Wokw1/Q1ms1 p ⬍ 0.00003 Lod ⫽ 3.3 Lod ⫽ 3.1 Lod ⫽ 3.5 Lod ⫽ 4.9 13% body weight 32% body weight (males) 14% body weight (females) Body weight (males) 31% 30-week body weight 3 1 4 10 1 Pig European wild boar ⫻ Large White 16% BMI NA Back/abdominal fat 15.4% visceral fat 7.3% subcutaneous fat 9.7% body fat (%) Back-fat thickness/depth 10.4% back-fat depth Midback-fat depth 4% to 6% back-fat thickness 3% to 4% back-fat thickness 5 4 Rat Pig Pig Pig Iberian ⫻ Landrace Wild Boar ⫻ Large White Meishan ⫻ Large White Meishan ⫻ White Pig Meishan ⫻ White Pig Meishan ⫻ Duroc, Hampshire, Landrace Minghu ⫻ Hampshire, Landrace Meishan ⫻ (Dutch Landrace ⫻ Large White) Pig Pig Meishan ⫻ Dutch Wokw1/Q1ms5 Lod ⫽ 4.5 FAT1 NA F ⫽ 15.8/18.6 p ⬍ 0.0001 p ⬍ 0.0001 p ⬍ 0.0001 F ⫽ 15.9/11.1 IGF2q F ⫽ 7.1 BFM4 NA SSC1:167–175 F ⫽ 12.6 to 43.2 SSC4:49–84 F ⫽ 14.9 to 15.3 Animal 11 2 fat fat fat fat 4 8 9 14 14 1 21q22.1 22q11.2 5p13-p12 5q11.2-q13 7q11.2-q36 6q12-q13 6p21 4q12-q13 7p13-p12 9q12 10q23-q25.3 10q25 11p15.5 7p15.3 17pter-q23 3p21 10q24-q26 1p36-p31 1q21-q25 2% to 5% back-fat thickness 1% to 2% back-fat thickness 5% to 14% back-fat thickness 1% to 2% back-fat thickness 8% to 40% back-fat thickness (males) Weight; back-fat depth Back-fat depth Back-fat depth Average back-fat 5 6 7 8 X 11p15.5 1q21-q25 15q25 1p13 1q22-q25 8q22 12p12 16q22-q24 6p12 4p16-p13 X 1 7 X 7 15q21 6p12 X 6p21 42-day weight 13 3p11 SSC5:35–42 SSC6:37–81 SSC7:51–72 SSC8:21–57 SSCX:65–85 F ⫽ 13.4 to 15.1 F ⫽ 11.9 F ⫽ 29.9 to 87.5 F ⫽ 9.5 F ⫽ 27.8 to 45.3 SSC1:136–138 SSC7:55–58 SSCX:76–79 Pig QTL2 PIT1 F ⫽ 39.8 to 94.9 F ⫽ 10.4 to 20.5 F ⫽ 37.4 to 71.8 p ⬍ 0.01, F ⫽ 7.9 F ⫽ 3.34 SSC2 SSC7 F ⫽ 2.7¶ F ⫽ 18.0¶ Back-fat thickness Back-fat thickness SSC2 SSC6p SSC6q F ⫽ 24.1 F ⫽ 14.5 F ⫽ 14.7 Back-fat thickness (p) Intramuscular fat (m) Intramuscular fat (p) 2p 4 1 4 Human 2 7 2 6p 6q 11p15 6p21.3 15q22-qter 11p15 16q22-qter 1p33-p32 1p22 18p11.2 References (360) (45) (361) (362) (363) (364,365) (366) (367) (368) (369) (370,371) (372) (373) (374) (375,376) (377) (378) (379) (380) OBESITY RESEARCH Vol. 11 No. 3 March 2003 323 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 5 (continued) Chromosomes Crosses Pig Meishan ⫻ Dutch Pig Pig Meishan ⫻ Göttingen Meishan ⫻ White composite Pig Berkshire ⫻ Yorkshire Bovine Hereford ⫻ CGC QTL Statistics Phenotypes Animal Human SSC7 SSCX Back-fat thickness (p/m) 1.0% to 1.5% back-fat thickness 0.1 to 0.02% intramuscular fat 18% back-fat thickness Back-fat thickness Back-fat thickness Back-fat thickness 4.8% back-fat 6.0% weight 4.8% back-fat 7 X 6p22-p21.3 Xq11.2-q22 SSC7 SSC1 SSC7 SSCX SSC1:29 SSC4:123 SSC5:113 F ⫽ 30.3/49.4 F ⫽ 22.6 F ⫽ 12.8 F ⫽ 19.5 F ⫽ 15.4 F ⫽ 14.7 F ⫽ 32.3 F ⫽ 11.3 F ⫽ 11.8 F ⫽ 9.5 7 1 7 X 1 4 5 SSC7:58–72 BTA17LW F ⫽ 11.1/13.8 F⫽8 5.3/6.9% back-fat ⫺24 kg live weight 7 17 6p21.3 9q32-q34.1 6p21.3 X 7q21-q24 1q12 15p13 15q22-q23 6p22-p21.1 4 References (381) (46) (382) (383) (47) Status as of October 2002. Mob, multigenic obesity; Dob, dietary obese; Afw, abdominal fat weight; Afp, abdominal fat percent; Bl, body length; Bw, body weight; Obq, obesity QTL; Pfat, polygenic fatness; Qlw, QTL late weight gain (6 to 10 weeks); Qbw, QTL body weight; Qlep, QTL for leptin; Bw6, body weight at 6 weeks; Qfa, QTL LEPRfa; Nidd/gk, non-insulin dependent diabetes/Goto-Kakizaki; bw/gk, body weight/Goto-Kakizaki; Niddm, non-insulin dependent diabetes mellitus; Hlq, heat loss QTL; Fatq, fat QTL; Batq, brown adipose-tissue QTL; Pfatp, predicted fat percent; Dmo, diabetic mouse; Fob, fat obesity; Wokw, Wistar Ottawa Karlsburg Rt1uW; SHR, salt hypertensive rat; SSC, swine chromosome; C10bw, castaneus 10-week body weight QTL; Carfhg1 (Q5Ucd1-fp), carcass fat in high growth mice 1; Nidd3n (Nidd3nsy), non-insulin-dependent diabetes mellitus 3 in NSY; BTA17LW, bovine chromosome 17 live weight; Imfq1, intramuscular fat QTL 1; p, paternal effect; m, maternal effect; NA, Not available. * Synteny relationships established according to the following references (60 – 64). † Also observed in the cross CAST/Ei ⫻ C57BL/6J (327). ‡ Also observed in the CAST/Ei ⫻ C57Bl/6J F2 intercross (591). § Also observed in the cross (C3H/He ⫻ A/J) ⫻ M. spretus (592). ¶ Replicated. genes have reported significant associations. Of these, 49 studies (32 candidate genes) were published during the past year. Body weight, BMI, overweight, and obesity were associated with DNA sequence variation in LEPR (65,66), GHRL (67), PPARG (68), APM1 (69,70), PPARGC1 (71), CART (72), ADRB2 (73,74), SERPINE1 (75), ADRB3 (76,77), CYP7A1 (78), ADRB1 (79), IGF2 (80), INS (80), TH (80), DRD2 (81), GNB3 (82), HTR2A (83), SAH (84), AGRP (85), FIZZ3 (86), and TNRC11 (87). Body-fatnessrelated phenotypes (body-fat mass, percentage of body fat, and skinfolds) showed associations with markers on PPARGC1 (71), ADRB2 (74), ADRA2A (88), ADRB1 (79), IGF2 (89), AGRP (85), LIPE (90), and MC3R (91). Phenotypes reflecting body-fat distribution (abdominal visceral fat, waist-to-hip ratio, waist circumference) were associated with APM1 (69) and GCGR (92). Resting energy expenditure and respiratory quotient were associated with UCP3 (93,94) and MC3R (91) markers, whereas adipocyte lipolysis showed associations with polymorphisms in CAPN10 (117), LEP (95), and GNB3 (96,97). 324 OBESITY RESEARCH Vol. 11 No. 3 March 2003 Thirteen studies reported associations between candidate genes and changes in body weight. The LEPR (65), AGT (98), ADRA2B (99), and ADRB2 (100) loci showed associations with spontaneous weight gain over time. Markers in the UCP3 (101) and GNB3 (102) loci were associated with endurance-training-induced changes in the sum of eight skinfolds and fat mass, respectively, whereas the ADRB3 locus was associated with diet-induced weight changes in Chinese children (103). DNA sequence variation in the PPARG locus showed associations with weight loss during a 3-year lifestyle intervention (104). Markers in the HTR2C locus were associated with antipsychotic-drug-induced weight gain in psychiatric patients (105) and with weight loss in teenage girls (106). In addition to the positive studies summarized above, we identified 49 studies reporting lack of associations between candidate genes and obesity-related phenotypes. Among these studies, the most frequent ones were those pertaining to markers of PPARG (107–110) and FIZZ3 (111–114) (four studies each), CAPN10 (115–117), GNB3 Figure 1: The 2002 human obesity gene map. The map includes all obesity-related genes and QTLs identified from the various lines of evidence reviewed in this article. This year’s map is a hybrid, consisting of an updated 850-band-resolution cytogenetic map overlaid with the draft human genome sequence, build 30, available from NCBI (http://www.ncbi.nlm.nih.gov). This allows the human genes (as abbreviated in the Tables and Appendix and located to the right of each chromosome in this figure) to be placed at precise positions on both the sequence and the cytogenetic map. Regions of the human genome homologous to the animal QTLs from Table 5 are represented on the human map (on left). The ruler to the left of each figure represents kilo basepairs. Chromosomes are drawn to scale only within a given page. These maps, along with information from this report, can be browsed and searched interactively at the Obesity Gene Map Web site (http://obesitygene.pbrc.edu). OBESITY RESEARCH Vol. 11 No. 3 March 2003 325 326 OBESITY RESEARCH Vol. 11 No. 3 March 2003 OBESITY RESEARCH Vol. 11 No. 3 March 2003 327 328 OBESITY RESEARCH Vol. 11 No. 3 March 2003 OBESITY RESEARCH Vol. 11 No. 3 March 2003 329 330 OBESITY RESEARCH Vol. 11 No. 3 March 2003 OBESITY RESEARCH Vol. 11 No. 3 March 2003 331 332 OBESITY RESEARCH Vol. 11 No. 3 March 2003 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 6. Evidence for the presence of an association between markers of candidate genes with BMI, body fat, and other obesity-related phenotypes Gene Location TNFRSF1B NR0B2 LEPR 1p36.3-p36.2 1p36.1 1p31 HSD3B1 LMNA 1p13.1 1q21.2-q21.3 ATP1A2 1q21-q23 APOA2 AGT 1q21-q23 1q42-q43 ACP1 2p25 APOB 2p24-p23 POMC 2p23.3 ADRA2B 2p13-q13 IRS1 2q36 CAPN10 GHRL 2q37.3 3p26-p25 PPARG 3p25 Cases (N) Phenotype p value 217 217 20 308 130 502 267 62 118 179 387 220 335 336 132 48 306 47 186 122 156 624 316 94 135 75 265 232 181 56 337 75 166 126 1748 156 148 192 65 820 333 973 752 869 121 141 375 921 838 70 BMI, leptin Obesity (early-onset) %FAT FFM (in BMI ⱖ 27 kg/m2) Obesity (extreme in children) BMI, FM BMI, abdominal sagittal diameter ATF, ASF BMI ⫺⌬BW (overweight women) FM, BMI BMI, FM, leptin (postmenopausal women) ⬎BW, ⬎FM, ⬎BMI (women) Overweight/obesity ⌬SF(⌺6) (12 years) Leptin, leptin: BMI ratio, lipodystrophy BMI, WHR, leptin (Canadian Oji-Cree) Familial partial lipodystrophy BW, BMI, WC, SF (subscapular) %FAT, RQ RQ (young adults) WC WHR FM (women ⱖ42 years old) ⫹⌬BW (3-year follow-up) BMI (children) BMI (NIDDM subjects) BMI BMI %FAT, fat (abdominal) Leptin (Mexican Americans) Leptin (obese children) BMR (obese nondiabetics) ⌬BW (5-year in nondiabetics) BMI, ⌬BMI (African Americans) Leptin (obese subjects) ADRB3 activity (adipocytes; overweight) Obesity (women) BMI (tall obese children) Leptin (obese subjects) BMI (middle-aged) BMI (elderly) ⌬BMI (obese men) ⌬BMI (lean men) BMI BW, BMI, LBM, FM, WC, HC Obesity (severe with early onset) BMI, WC, leptin (Mexican Americans) BMI, BW, WC, height ⫹⌬weight (regain after loss) ⬍0.05 0.009 0.003 0.03 to 0.05 0.02 to 0.04 0.005 to 0.03 0.04 to 0.05 0.03 to 0.04 0.01 to 0.04 0.006 0.003 to 0.03 0.0001 to 0.009 0.01 to 0.05 0.009 to 0.01 0.04 ⬍0.05 ⬍0.05 ⬍0.0001 0.002 to 0.02 ⬍0.05 0.0001 0.03 0.007 0.008 to 0.02 0.006 0.02 0.002 0.005 0.05 0.04 0.001 ⬍0.03 0.01 0.04 0.04 to 0.05 0.03 0.004 ⬍0.05 0.001 0.001 0.03 0.02 0.002 0.008 0.03 0.002 to 0.05 ⬍0.05 0.02 to 0.03 0.002 to 0.04 ⬍0.01 References (384) (385) (386) (387) (388) (389) (390) (391) (392) (393) (394) (65) (66) (395) (396) (397) (398) (399) (400) (401) (402) (403) (404) (98) (405) (406) (407) (408) (409) (410) (411) (412) (99) (413) (414) (117) (415) (67) (416) (417) (418) (419) (420) (421) (422) (423) (424) OBESITY RESEARCH Vol. 11 No. 3 March 2003 333 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 6 (continued) Gene Location APOD APM1 3q26.2-qter 3q27 CCKAR PPARGC1 FABP2 4p15.2-p15.1 4p15.1 4q28-q31 UCP1 4q28-q31 NPY5R CART 4q31-q32 5q13.1 GRL 5q31-q32 ADRB2 5q31-q32 TNFA 6p21.3 HSPA1B HTR1B ESR1 6p21.3 6q13 6q25.1 334 Cases (N) Phenotype p value 619 119 225 464 114 413 614 371 1296 467 395 507 123 163 113 526 24 74 612 528 51 262 480 12 135 140 508 836 574 277 826 224 180 284 236 494 286 24 366 63 38 363 1351 110 378 1047 176 136 517 98 216 BMI ⫹⌬weight (10-year) ⫺⌬weight (3-year lifestyle intervention) BMI, obesity BMI BW, WC (Japanese) BW (whites) BMI %FAT, leptin BMI, FM, WC, HC (women) Fat (abdominal) BMI, %FAT Fat (high gainers over 12 years) ⫺⌬BW, ⫺⌬BMI ⫺⌬BW (Japanese women) BMI (overweight women) BW (recovery 4 months after overfeeding) Obesity (BMI 40 to 47 kg/m2; Pima Indians) WHR (men) BMI, obesity AVF (lean subjects) BMI, WHR, WC, leptin AVF ⫹⌬BW (100 days of overfeeding) WHR (males) BMI, FM, fat cell volume BMI (Japanese) BW, BMI, WC, WHR, HC (French men) BMI (Japanese) BMI (Japanese men) Obesity, BMI, WC, HC, WHR BMI ⬎ 35 kg/m2 (men) BMI Leptin Lipolysis ⫹⌬BW (childhood to adulthood; males) ⫹⌬BW ⫹⌬BW, ⬎SF(⌺8), ⬎leptin (overfeeding) BMI (women) BMI, FM %FAT BMI BMI Obesity (27 ⬍ BMI ⬍ 35 kg/m2) BMI, %FAT (women) Obesity BMI WC (women) Obesity BMI (women with bulimia nervosa) Obesity (android type) 0.04 0.009 0.04 0.01 to 0.03 0.006 0.03 to 0.004 0.03 0.02 0.003 to 0.04 0.005 to 0.03 0.008 0.01 0.05 ⬍0.05 0.001 0.02 0.05 ⬍0.05 0.002 0.008 to 0.04 0.003 ⬍ p ⬍ 0.007 0.001 to 0.039 0.001 0.01 0.01 0.001 ⬍ p ⬍ 0.009 0.001 ⬍0.002 0.009 to 0.003 0.004 0.05 to 0.01 0.01 0.003 to 0.02 0.03 0.02 ⬍0.01 0.04 to 0.05 ⬍0.03 ⬍0.01 ⬍0.05 0.02 0.01 0.004 0.02 0.02 0.04 0.01 0.04 0.0002 0.001 0.0002 OBESITY RESEARCH Vol. 11 No. 3 March 2003 References (425) (426) (104) (68) (427) (69) (70) (428) (71) (429) (430) (431) (432) (433) (434) (93) (435) (436) (72) (437) (438) (439) (440) (441) (442) (443) (444) (445) (446) (447) (448) (449) (450) (451) (100) (452) (453) (73) (74) (454) (455) (456) (457) (458) (459) (460) (461) (462) (463) (464) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 6 (continued) Gene Location GCK NPY 7p15.3-p15.1 7p15.1 PON2 SERPINE1 LEP 7q21.3 7q21.3-q22 7q31.3 Cases (N) 58 369 595 100 505 168 84 395 117 103 211 233 LPL 8p22 ADRB3 8p12-p11.2 CYP7A1 CBFA2T1 SH3D5 ADRA2A 8q11-q12 8q22 10q23.3-q24.1 10q24-q26 ADRB1 10q24-q26 236 249 587 128 185 335 350 49 295 254 131 398 83 53 586 56 261 211 179 76 553 213 802 476 1675 979 457 154 313 47 1102 281 770 72 476 213 931 Phenotype p value References BW (at birth; males) BW (at birth) BMI, WHR BW (at birth; Trinidadian neonates/South Asian) Obesity ⫺⌬BW BW Leptin Leptin Leptin (response to diet) BMI, BW Obesity (women) Leptin (obese women) Leptin (secretion) BMI (leanness) ⌬BMI-FM-%FAT (training; white women) BMI (women) ⫹⌬BW (25 years) ⫹⌬BW (20 years), weight (current) WHR (women) BMI BMI BMI Obesity (early onset) FM, AVF AVF/ASF, BMI BMI (CAD patients) Obesity BMI, HC (women) BMI, FM, WC BMI Obesity (moderate) ⌬BMI (during pregnancy) FM (Thai males) Obesity (Japanese children) ATF, ASF BMI BMI (men) Obesity, BMI, %fat WHR (men ⬎53 years old) Overweight (20-year follow-up) Obesity (sedentary state) Obesity (20 to 35 years old) ⫹⌬BW (dietary intervention; obese children) BMI %FAT, BMI, WC, HC Obesity TER (women) ATF, ASF TER (blacks) BW, BMI 0.002 0.03 0.03 to 0.04 ⬍0.05 0.002 to 0.006 0.006 ⬍ p ⬍ 0.007 0.05 0.02 0.04 (465) (466) (467) (468) (75) (469) (470) (471) (472) 0.005 ⬍0.05 0.02 to 0.04 ⬍0.05 0.05 0.01 to 0.03 ⬍0.02 0.01 0.007 ⬍ p ⬍ 0.03 0.02 0.009 0.03 ⬍0.05 0.002 ⬍0.01 0.02 ⬍ p ⬍ 0.03 ⬍0.05 ⬍0.05 ⬍0.03 ⬍0.05 ⬍0.05 0.02 0.006 to 0.02 ⬍0.05 0.02 0.02 to 0.03 0.02 0.05 ⬍0.05 ⬍0.05 ⬍0.05 0.05 ⬍0.05 ⬍0.05 ⬍0.05 0.0002 ⬍ p ⬍ 0.02 ⬍0.05 0.002 0.01 to 0.003 0.04 ⬍0.05 (473) (474) (475) (95) (476) (477) (478) (479) (480) (481) (482) (483) (484) (485) (486) (487) (488) (489) (490) (491) (492) (493) (494) (495) (496) (448) (497) (478) (498) (499) (76) (77) (103) (78) (500) (501) (502) (448) (88) (79) OBESITY RESEARCH Vol. 11 No. 3 March 2003 335 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 6 (continued) Gene Location SUR1 IGF2 11p15.1 11p15.5 INS 11p15.5 TH UCP2 11q15.5 11q13 UCP3 11q13 APOA4 11q23 DRD2 11q22.2-q22.3 GNB3 12p13 336 Cases (N) 214 232 1474 427 2734 758 52 1152 238 2734 2734 82 790 220 143 60 105 813 41 791 596 949 120 382 401 734 116 220 208 419 64 24 393 73 375 613 392 383 176 320 990 197 1950 213 230 181 20 130 Phenotype p value BW, BMI, FM Obesity (morbid) BMI FM BW BW (at birth) WHR (obese women) BMI Obesity (childhood; paternal transmission) BW BW 24-h SMR BMI (⬎45 years old) BMI (South Indian women) BMI (South Indian parents; NIDDM probands) 24-h EE, 24-h SPA, sleeping SPA, 24-h NPRQ, 24-h FATOX BW, BMI, %overweight, %FAT, FM, SF(⌺4) Obesity (BMI ⬎30 kg/m2) ⫹⌬BW, ⫹⌬FM (peritoneal dialysis patients) BMI Obesity Obesity BMI, RQ, NPRQ, FATOX/LBM (African American) BMI (current, max.), BW (diet therapy; very obese) BMI (morbidly obese subjects) BMI, FM, %FAT, SF(⌺6), leptin WHR (South Indian women) WHR (South Indian women) WHR (European women) BMI %FAT (women) RMR ⌬SF(⌺8) (training) REE (black women) BMI, WHR (young men; no family history of MI) BMI, %FAT BW SF (iliac, triceps) Obesity (BMI ⬎30 kg/m2) 24-h EE SMR Obesity BMI (hypertensives) BW, BMI (males; white, Chinese, African) BMI, WC, HC, SF (Nunavut Inuit) BMI (primiparous women) BW (at birth; mothers’ genotype) Lipolysis (in vitro) BMI ⬍0.05 0.02 0.02 ⬍0.05 0.001 0.009 0.005 ⬍0.0002 ⬍0.05 0.0014 0.01 0.007 ⬍ p ⬍ 0.04 0.04 0.02 ⬍0.001 0.005 to 0.05 OBESITY RESEARCH Vol. 11 No. 3 March 2003 0.001 to 0.05 0.002 ⬍0.05 0.03 0.007 0.006 0.008 to 0.04 0.02 to 0.04 0.0037 ⬍0.0005 0.03 0.04 0.04 0.004 0.03 ⬍0.01 ⬍0.01 0.01 0.004 0.004 to 0.02 0.002 0.002 to 0.04 0.002 to 0.003 0.03 0.04 0.03 0.02 0.001 to 0.05 ⬍0.05 0.01 0.02 0.01 ⬍0.001 References (503) (504) (89) (80) (505) (506) (507) (508) (80) (80) (509) (510) (511) (512) (513) (514) (515) (516) (517) (518) (519) (520) (521) (522) (523) (93) (101) (94) (524) (525) (526) (527) (528) (529) (81) (530) (531) (532) (533) (534) (96) (82) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 6 (continued) Location Cases (N) IGF1 12q22-q23 250 114 502 CD36L1 HTR2A 12q24.1-q24.3 13q14-q21 SAH AGRP GCGR MC5R MC4R 16p13.11 16q22 17q25 18p11.2 18q22 FIZZ3 INSR LDLR 19p13.3 19p13.3-p.13.2 19p13.3 LIPE 19q13.1-q13.2 APOE 19q13.2 GYS1 ADA MC3R 19q13.3 20q12-q13.11 20q13.2-q13.3 PPARA TNRC11 HTR2C 22q12-q13.1 Xq13 Xq24 Gene 288 276 264 4059 183 950 156 156 268 411 75 84 112 83 270 131 380 117 110 257 181 64 164 130 273 314 168 154 68 589 117 148 Phenotype p value ⌬FM, ⌬%FAT (training) Lipolysis (subcutaneous; adrenoceptor-mediated) FM, %FAT, FFM ⌬FFM (training) BMI (lean women) Dietary energy, carbohydrate/alcohol intake (obese) BMI, WHR, abdominal sagittal diameter BMI BMI, FM, %FAT (white parents) WC, WHR, sagittal abdominal diameter BMI (females) FM, %FAT, FFM (females) WHR, BMI BMI, obesity Obesity (BMI ⬎26 kg/m2; hypertensives) BMI (hypertensives) BMI (hypertensives) BMI (normotensives) Obesity (BMI ⱖ26 kg/m2) BMI, SF (triceps, subscapular), arm fat index Obesity WHR, lipolysis BMI (women) %FAT, SF(⌺8) (white women) BMI, FM, %FAT, SF(⌺8) (black women) Leptin WC (women with a family history of diabetes) Obesity BMI (NIDDM subjects) FM, %FAT (normal weight) FM, %FAT, BMI, RQ (overweight) BMI (type 2 diabetics) Obesity BMI (⬎28 kg/m2) ⫹⌬BW (antipsychotic-induced) ⫺⌬BW (teenage women) 0.006 to 0.01 0.004 to 0.02 ⬍0.05 0.005 0.004 to 0.03 0.03 to 0.05 0.02 to 0.04 0.007 0.003 to 0.02 0.001 to 0.04 0.003 0.002 ⬍ p ⬍ 0.004 0.02 to 0.05 0.01 to 0.04 0.05 0.004 0.04 0.008 0.02 0.001 to 0.02 0.002 0.02 to 0.001 0.012 0.005 to 0.01 0.0009 to 0.01 0.02 ⬍0.05 0.03 0.0004 to 0.01 ⬍0.0005 0.0001 to 0.009 0.02 0.001 0.009 to 0.02 0.0003 0.0001 References (102) (97) (535) (536) (537) (83) (84) (85) (92) (538) (538) (539) (86) (540) (541) (542) (543) (544) (545) (546) (547) (548) (90) (523) (549) (550) (551) (91) (552) (87) (553) (105) (106) Status as of October 2002. FM, fat mass; %FAT: percentage of body fat; NIDDM: non-insulin-dependent diabetes; RQ, respiratory quotient; WC, waist circumference; HC, hip circumference; SF, skinfolds; WHR, waist to hip ratio; FFM, fat free mass; LBM, lean body mass; ⌬, change; ⫹⌬, gain; ⫺⌬: loss; TER, trunk to extremity ration skinfolds; ATF, abdominal total fat; ASF, abdominal subcutaneous fat; AVF, abdominal visceral fat; 24-h EE, 24-hour energy expenditure; REE, resting energy expenditure; 24-h SMR, 24-hour sleeping metabolic rate; 24-h SPA, 24-hour spontaneous physical activity; FATOX, fat oxidation; NP, non-protein; CAD, cardiovascular disease; ⌺, sum of skinfolds. (102,118,119), LEPR (120 –122), and TNF (65,123,124) (three studies), and ADRB3 (65,125), LEP (66,126), MC4R (10,127), and POMC (128,129) (two studies). Other markers yielding negative findings were those related to ACE (130), ADRA2A (131), ADRB1 (132), ADRB2 (133), AGT (134), APOE (135), CETP (136), EDN1 (137), ENPP1 (138), FABP2 (139), GABRA6 (140), GHRL (141), HSD3B1 (142), LIPE (143), NPY (66), NPYY1 (144), PPARGC1 (71), PTPN1 (145), SLC2A4 (146), TNFRSF1B (147), UCN (148), and UCP1 (149). OBESITY RESEARCH Vol. 11 No. 3 March 2003 337 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 7. Evidence for the presence of linkage with obesity-related phenotypes Gene and/or markers* Location N pairs Phenotypes p or Lod value D1S468,508 PGD LEPR D1S193,200,476 Q223R, IVS3CA, IVS16CTTT D1S1665 D1S550 D1S534 ATP1B1 ATP1A2 N/A D1S1679 1p36.3-p36.2 1p36.2-p36.13 994 subjects; 37 pedigrees ⬎168 BMI (females) SF (suprailiac) 2.2 ⬍ Lod ⬍ 2.5 p ⫽ 0.03 (155) (554) 1p35-p31 1p31 202–251 268–324 BMI, SF (⌺6), FM BMI, SF (⌺6), FM, FFM 0.009 ⬍ p ⬍ 0.02 0.005 ⬍ p ⬍ 0.05 (555) 1p31-p21 Leptin 24-h RQ ASF RQ RQ adipocyte size BMI Lod ⫽ 3.4 Lod ⫽ 2.8 Lod ⫽ 2.3 p ⫽ 0.04 p ⫽ 0.02 Lod ⫽ 1.7 Lod ⫽ 1.8 ACP1 2p25 D2S2337 D2S1788 2p23.3 2p21 D2S165, 367 2p22-p21 D2S411 IGKC D2S1399,1334 IRS1, D2S434 D3S2387 D3S3608 D3S1259 D3S2432 D3S1768 D3S1764 D3S2427 2p14 2p12 2q22.1 2q36 3p26.3 3p25 3p24.2-p22 198 subjects; 18 pedigrees 236 521 subjects; 156 families 94 289 295 subjects; 164 families 1184 subjects; 317 sibships 3027 subjects; 401 families ⬎300 ⬎168 264 ⬎5000 (relative) 720 subjects; 230 families 337 subjects 264 1100 subjects; 170 families 668 subjects; 99 families ⬎168 668 subjects; 99 families 668 subjects; 99 families 668 subjects; 105 families 624 subjects; 28 families 1055 377 580 families 924 2209 subjects; 507 families BMI SF (triceps) Leptin FM, leptin Leptin, BMI Leptin Leptin Adiponectin ASF (whites) SF (triceps) AVF (whites) AVF (whites) ASF (blacks) Eating behavior: restraint BMI (white) %FAT BMI (Finnish) BMI (black) BMI WC BMI (African American) BMI ASF (blacks) ASF BMI (females) TER ASF (blacks) ASF Adiponectin BMI (African American) Leptin BMI Obesity BMI, leptin ASF, ATF (whites) BMI (⬎27 kg/m2) TER p ⫽ 0.004 p ⫽ 0.02 Lod ⫽ 2.0 Lod ⫽ 4.9/2.8 0.008 ⬍ p ⬍ 0.03 Lod ⫽ 7.5 Lod ⫽ 2.4/2.7 Lod ⫽ 2.7 Lod ⫽ 1.9 p ⫽ 0.03 2.0 ⬍ Lod ⬍ 2.3 1.9 ⬍ Lod ⬍ 2.5 Lod ⫽ 2.2 Lod ⫽ 2.5 Lod ⫽ 2.0 Lod ⫽ 2.0 Lod ⫽ 3.4 Lod ⫽ 3.4 Lod ⫽ 3.3 Lod ⫽ 2.4 Lod ⫽ 1.8 Lod ⫽ 3.4 Lod ⫽ 2.5 Lod ⫽ 2.3 6.1 ⬍ Lod ⬍ 9.2 p ⫽ 0.02 Lod ⫽ 2.3 Lod ⫽ 1.8 Lod ⫽ 4.1 Lod ⫽ 1.9 Lod ⫽ 2.9 Lod ⫽ 1.7 p ⫽ 0.03 0.0004 ⬍ p ⬍ 0.006 1.9 ⬍ Lod ⬍ 2.1 p ⫽ 0.009 p ⫽ 0.02 D3S1311 D4S2397 D4S2632, 3350 GYPA D4S2431 D4S2417 D5S817 1p11.2 1q22-q25 1q21-q23 1q21-q23 1q24.2 3q21 3q22.1 3q27 3q29 4p15-p14 4q28.2-q31.1 4q31.22-q32.1 5p15.3 D5S426 D5S2489, 2500 ISL1 5p11 5q12-q13 5q22.3 D5S658, 1480 GRL ADRB2 5q31.2-q31.3 5q31-q32 5q31-q32 338 618 subjects; 202 families 4821 668 subjects; 105 families 521 subjects; 156 families 994 subjects; 37 pedigrees 160 668 subjects; 105 families 521 subjects; 156 families 1100 subjects; 170 families 618 subjects; 202 families 264 1526 226 284 668 subjects; 99 families 88 66 OBESITY RESEARCH Vol. 11 No. 3 March 2003 References (387) (556) (557) (558) (400) (401) (559) (153) (560) (554) (561) (562) (563) (410) (564) (565) (151) (554) (151) (151) (151) (156) (154) (566) (567) (154) (568) (152) (154) (151) (558) (155) (569) (151) (558) (565) (152) (564) (150) (570) (151) (571) (502) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 7 (continued) Gene and/or markers* Location N pairs Phenotypes p or Lod value MFD154 5q35 BMI Lod ⫽ 1.8 (153) BF TNFA TNFir24, D6S273,291 GLO1 D6S1959 D6S276 D6S271 D6S403,1003 D6S264 NPY 6p21.3 6p21.3 1184 subjects; 317 sibships; 3027 subjects; 401 families ⬎168 ⬎255 SF (triceps, subscapular, suprailiac) %FAT 0.01 ⬍ p ⬍ 0.03 0.002 ⬍ p ⬍ 0.05 (554) (455) (554) (152) (156) (572) (157) (157) (573) D10S197 D10S220 N/A D10S204,193,17,81, TCF8 D10S208, 582, 107 10p12-p11 10p12-p11 ⬎168 618 subjects; 202 families 624 subjects; 28 families 1199 261 subjects; 27 pedigrees 261 subjects; 27 pedigrees 545 170 1070 336 1055 47 60 60 545 545 46 59 88 545 521 subjects; 156 families 1184 subjects; 317 sibships; 3027 subjects; 401 families 672 subjects; 28 pedigrees 402 668 subjects; 105 families 470 subjects; 10 pedigrees 994 subjects; 37 pedigrees ⬎5000 (relative) 522 subjects; 99 families 521 subjects; 156 families ⬎168 522 subjects; 99 families ⬎168 522 subjects; 99 families 1526 264 672 subjects; 28 pedigrees 1100 subjects; 170 families 386 subjects; 93 families AFM198zb SUR1, D11S419 C11P15_3 CCKBR 10q-ter 11p15.1 11p15.2 11p15.4 862 212 198 67 668 221 D7S3051 D7S1808 D7S2847 LEP D7S680, 530 D7S514 6p21.3-p21.1 6p21.3-p21.1 6q24.1-q24.2 6q25.2-q26 7p15.1 7p15.3-p15.2 7q22.3 7q31.3 D7S495 D7S504 D7S1875 D7S1875 GATA443C11, D7S1804 D7S640, 636 KEL D7S3070, NOS3 ADRB3, D8S1121 D8S282 D8S1110 D8S556 D9S1122, 257 ORM1 D9S158 AK1 D10S1435, 189 7q31.3-q32.3 7q31-q36 7q33 7q36.2 8p12-p11.2 8p11.22 8q11.1 8q23.3 9q22.1 9q31-q32 9q34.3 9q34.1 10p15 subjects; 170 families subjects; 43 families subjects; 18 pedigrees subjects; 105 families References SF (suprailiac), BW %FAT (African American) Eating behavior: restraint Leptin BMI, leptin, insulin (PCA) BMI, leptin, insulin (PCA) BW, SF, WC, HC, height (PCA) Obesity BMI (Asian) FFM BMI (white) body fat BMI (⬎35 kg/m2) BMI (⬎35 kg/m2) BMI, SF, FM, WC BMI, SF, FM, WC BMI (⬎85th percentile) BMI (ⱖ40 kg/m2) BMI WHR ASF BMI 0.004 ⬍ p ⬍ 0.05 Lod ⫽ 2.7 Lod ⫽ 2.3 Lod ⫽ 2.1 Lod ⫽ 4.2 Lod ⫽ 4.9 p ⫽ 0.05 p ⫽ 0.04 Lod ⫽ 2.7 Lod ⫽ 2.7 Lod ⫽ 2.4 p ⫽ 0.008 0.002 ⬍ p ⬍ 0.009 0.002 ⬍ p ⬍ 0.009 0.0001 ⬍ p ⬍ 0.02 0.0001 ⬍ p ⬍ 0.02 p ⫽ 0.001 p ⫽ 0.04 p ⫽ 0.04 p ⫽ 0.009 Lod ⫽ 2.0 3.2 ⬍ Lod ⬍ 4.9 (154) (574) (154) (575) (576) (576) (577) (577) (578) (579) (580) (573) (558) (153) Leptin (adjusted for BMI) BMI, SF(⌺6) ⌬ATF (black; training) BMI BMI (males) Leptin BMI ASF SF (suprailiac) BMI SF (suprailiac) BMI, FM BMI Obesity Leptin (adjusted for BMI) Adiponectin Obesity Lod ⫽ 1.9 ⬍0.0001 2.3 ⬍ Lod Lod ⫽ 3.2 Lod ⫽ 2.0 Lod ⫽ 2.2 Lod ⫽ 2.0 2.1 ⬍ Lod p ⫽ 0.03 Lod ⫽ 2.3 p ⫽ 0.01 2.1 ⬍ Lod Lod ⫽ 1.7 Lod ⫽ 4.9 Lod ⫽ 2.7 Lod ⫽ 1.9 1.1 ⬍ Lod (581) (569) (151) (582) (155) (562) (583) (558) (554) (583) (554) (583) (150) (564) (581) (565) (584) Obesity (white) Obesity (African American) BMI BMI (ⱖ27 kg/m2) ASF (black) Leptin 0.03 ⬍ p ⬍ 0.0005 (585) Lod ⫽ 3.3 p ⫽ 0.003 Lod ⫽ 1.9 p ⫽ 0.01 (556) (503) (151) (570) ⬍ 2.5 ⬍ 2.4 ⬍ 2.7 ⬍ 2.5 OBESITY RESEARCH Vol. 11 No. 3 March 2003 339 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 7 (continued) Gene and/or markers* Location N pairs Phenotypes p or Lod value GATA34E08 UCP2/UCP3 D11S2000 D11S2366 11p14.1 11q13 11q22 D11S976 D11S4464, 934, 912 D11S912 D11S1998, 4464 D12S1042 IGF1 IGF1 D12S2078, 1045 D13S175, 221 D13S257 11q23-q24 668 subjects; 105 families 240 (relative) 277 277 451 236 479 subjects; 14 pedigrees 1766 1526 522 subjects; 99 families 521 subjects; 156 families 352 521 subjects; 156 families 580 Finnish families 1184 subjects; 317 sibships 3027 subjects; 401 families 194 521 subjects; 156 families 522 subjects; 99 families 1100 subjects; 170 families 672 subjects; 28 pedigrees ASF (black) RMR %FAT %FAT %FAT 24-h EE BMI (males) BMI BMI BMI, FM ASF AVF ASF BMI (diabetic subjects) BMI Lod ⫽ 1.8 p ⫽ 0.000002 Lod ⫽ 2.8 Lod ⫽ 2.8 Lod ⫽ 2.1 Lod ⫽ 2.0 2.6 ⬍ Lod ⬍ 2.8 Lod ⫽ 3.6 Lod ⫽ 2.7 Lod ⫽ 2.2 Lod ⫽ 1.9 p ⫽ 0.02 1.5 ⬍ Lod ⬍ 2.9 Lod ⫽ 3.3 Lod ⫽ 3.2 SF(⌺6), %FAT ASF BMI, FM, FFM Adiponectin WC Leptin (adjusted for BMI) ASF (blacks) BMI (blacks) BMI p ⬍ 0.04 Lod ⫽ 1.9 1.7 ⬍ Lod ⬍ 2.4 Lod ⫽ 3.2 Lod ⫽ 1.8 Lod ⫽ 2.5 Lod ⫽ 2.4 Lod ⫽ 2.2 Lod ⫽ 1.7 (569) (558) (583) (565) (581) FFM BMI, Leptin BMI (white) Leptin Leptin Adiponectin BMI (white) ASF BMI, SF(⌺6), FM, FFM, %FAT, RMR RQ Obesity FFM FFM %FAT Obesity Leptin (white) BMI BMI (females) 24-h RQ BMI, SF(⌺6) BMI, SF(⌺6), FM, %FAT BMI, SF(⌺6), FM, %FAT BMI, SF(⌺6), FM BMI (⬎30 kg/m2), %FAT ASF (whites) 2.0 ⬍ Lod ⬍ 3.6 Lod ⫽ 1.7 Lod ⫽ 2.6 Lod ⫽ 2.0 Lod ⫽ 5.0 Lod ⫽ 1.7 Lod ⫽ 2.5 1.5 ⬍ Lod ⬍ 2.2 0.001 ⬍ p ⬍ 0.02 (574) (581) (154) (572) (568) (565) (154) (558) (538) p ⫽ 0.04 0.001 ⬍ p ⬍ 0.003 Lod ⫽ 3.6 Lod ⫽ 3.6 Lod ⫽ 2.3 Lod ⫽ 2.4 p ⫽ 0.0009 Lod ⫽ 3.5 2.0 ⬍ Lod ⬍ 2.2 Lod ⫽ 3.0 0.001 ⬍ p ⬍ 0.02 0.004 ⬍ p ⬍ 0.02 0.004 ⬍ p ⬍ 0.02 0.008 ⬍ p ⬍ 0.02 3.0 ⬍ Lod ⬍ 3.2 Lod ⫽ 2.0 (538) (588) (574) (574) (557) (589) (583) (158) (155) (557) (569) (326) (326) (326) (590) (151) 12p12.1 12q22-q23 12q24.3 13q11 13q14 ESD D13S285 D14S283, 742, 1280 D14S608, 599 D14S276 D14S74, 280 D14S588 D14S617 GAAA1C11 13q14.1-q14.2 13q34 14q11.2-q13 14q22-q31 IGF1R, D15S652, 657 D16S510 GATA67G11 D16S265 D17S947 15q25-q26 16p 16q12.2 16q21 17p12 D17S2180, 1290, 1301 MC5R 17q21 18p11.2 MC4R 18q22 D18S535 D18S877 18q12 18q21 14q24 15q14 D18S115 LDLR D20S438 D20S478,438,465,481 D20S601 ADA 20q12-q13.11 D20S17,120 MC3R D20S107,211,149 D22S264 20q12-q13 20q13.2-q13.3 20q13 22q11.23 340 19p13 20p11.1-q11.1 20q11.2-q12 668 subjects; 105 families 800 1184 subjects; 317 sibships 3027 subjects; 401 families 336 672 subjects; 28 pedigrees 924 1199 2209 subjects; 507 families 1100 subjects; 170 families 924 521 subjects; 156 families 242 to 289 210 105 336 336 451 193 522 subjects; 99 families 1711 subjects; 103 pedigrees 994 subjects; 37 pedigrees 236 428 139 to 226 139 to 226 212 to 258 423 668 subjects; 99 families OBESITY RESEARCH Vol. 11 No. 3 March 2003 References (151) (586) (566) (557) (155) (587) (150) (583) (558) (535) (558) (567) (153) (151) (154) (153) The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 7 (continued) Gene and/or markers* Location N pairs P1 DXS8099 DXS997-DXS1003 22q11.2-qter Xp21 Xp22-p21 DXS1059 DXS6804 Xq23-q24 ⬎168 994 subjects; 940 subjects; 208 subjects; 994 subjects; 193 37 pedigrees 190 families 43 families 37 pedigrees Phenotypes p or Lod value References BW BMI (females) WHR (white and black females) p ⫽ 0.03 Lod ⫽ 2.6 Lod ⫽ 2.7 (554) (155) (159) BMI (females) Obesity Lod ⫽ 2.0 Lod ⫽ 3.1 (155) (589) Status as of October 2002. Chromosomal locations in bold indicate QTLs from genome-wide linkages; for these QTLs, the markers are given as indication and do not correspond necessarily to the peak linkage. NA, not available; RQ, respiratory quotient; RMR, resting metabolic rate; TER, trunk to extremity skinfolds ratio; WC, waist circumference; WHR, waist-to-hip circumferences ratio; ASF, abdominal subcutaneous fat; AVF, abdominal visceral fat; SF, skinfolds; ⌺:, sum of skinfolds; ⌬, change; PCA, principal component analysis; BW, body weight; %FAT: percent body fat; FM: fat mass; FFM: fat free mass; 24-h EE, 24-hour energy expenditure. * See appendix for the complete name of the gene. Linkage Studies Table 7 presents a summary of the loci providing evidence of linkage with obesity-related phenotypes. We have slightly reorganized the table by combining the gene and marker information into one column. To highlight potential replications among various studies, we have also combined into one chromosomal region the overlapping QTLs uncovered from genome-wide scans. Finally, chromosomal locations indicated in bold mean that the linkage was derived from genome-wide scans. The new linkages identified since last year’s review were derived from eight genome-wide scans (150 –157) and two scans of chromosomes 20 (158) and X (159). To examine the hypothesis that imprinted genes may affect obesity, the evidence of linkage of BMI to loci derived from either father or mother was tested in 846 individuals from 235 Pima Indian families (1526 sibpairs) who were genotyped for 516 autosomal markers (150). Evidence of linkage of BMI to maternally and paternally derived alleles was found on chromosomes 5q12-q13 [linkage-odds (Lod) ⫽ 1.7] and 10p15 (Lod ⫽ 1.7), respectively]. In the combined model (non-parent-specific linkage), evidence of linkage to BMI was found on 11q23-q24 (Lod ⫽ 2.7). A genome-wide linkage analysis of abdominal fat measured by computed tomography before and after 20 weeks of endurance training was performed in the HERITAGE Family Study using a panel of 344 autosomal markers genotyped in 668 individuals from 99 white and 105 black families (151). For total abdominal fat, the best evidence of linkage was found on 5q31.2-q31.3. For abdominal subcutaneous fat, the regions providing evidence of linkage include 2p14, 5q31.2-q31.3, and 22q11.23 in whites and 3p26.3, 3q29, 4q31.22-q32.1, 11p15.2, 11p14.1, and 14q24 in blacks. Finally, for abdominal visceral fat, linkages were found on 2q22.1 and 2q36 in whites. For the response to training, the best evidence of linkage was found on 7q36.2 for changes in total abdominal fat in blacks. A genome-wide scan for obesity was also conducted in 618 subjects from 202 African-American families living in the suburb of Chicago (152). Evidence of linkage with BMI and percentage of body fat measured by bioelectric impedance was assessed using a panel of 387 autosomal markers. Evidence of linkage for BMI was found on chromosomes 3q27 (Lod ⫽ 1.8) and 5p15.3 (Lod ⫽ 1.9). For percentage of body fat, the only significant evidence of linkage was found on chromosome 6p21.3-p21.1 (Lod ⫽ 2.7). Several QTLs influencing body mass index were uncovered from two genome-wide scans involving a large collection of family samples. The first of these scans was performed in two samples of families participating in the National Heart, Lung, and Blood Institute Family Heart Study (153). The first sample included 1184 individuals from 317 sibships genotyped for 243 markers, and the second included 3027 subjects from 401 three-generation families genotyped for 404 markers. Linkage analyses were performed in each sample, as well as in the combined sample, by putting the markers from each sample on a common genetic map. Strong evidence of linkage with BMI was found in each sample, as well as in the combined sample on 7q31.3-q32.3 (3.2 ⬍ Lod ⬍4.9) near the leptin gene. Evidence of linkage in the combined sample was also observed on chromosomes 1q24.2 (Lod ⫽ 1.8), 5q35 (Lod ⫽ 1.8), 13q14 (Lod ⫽ 3.2), and 15q14 (Lod ⫽ 1.7). The second scan for BMI was performed in eight samples of families from the National Heart, Lung, and Blood Institute Family Blood Pressure Program involving 6849 subjects OBESITY RESEARCH Vol. 11 No. 3 March 2003 341 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Table 8. Evolution in the status of the human obesity gene map Single-gene mutations* KO and Tg Mendelian disorders with map location Animal QTLs Human QTLs from genome scans Candidate genes with positive findings 1994 1995 1996 1997 1998 1999 2000 2001 2002 — — 8 7 — 9 — — 12 9 — 10 — — 13 24 — 13 2 — 16 55 3 21 6 — 16 67 8 29 6 — 20 98 14 40 6 — 24 115 21 48 6 — 25 165 33 58 6 38 33 168 68 71 From references (1– 8) and this review. * Number of genes, not number of mutations. (154). In the analyses of individual samples, the only significant evidence of linkage was found on 3q22.1 in a sample of 924 black sibpairs (Lod ⫽ 3.4). Six additional regions with weaker evidence of linkage in at least one of the sample were found on chromosomes 3p24.2-p22, 7p15.3-p15.2, 7q22.3, 14q24, 16q12.2, and 17p12. Finally, linkage with BMI was also tested by pooling data from seven of the eight samples of families. This combined data set included 2363 white sibpairs, 1990 black sibpairs, and 468 Mexican-American sibpairs. Asian sibpairs from the eight samples were not included in the pooled data set because the mean and the variance of the adjusted BMI were quite different from the other ethnic groups. This combined analysis revealed strong evidence of linkage on 3q27 (Lod ⫽ 3.4 with marker D3S2427), a region that was shown to be linked with obesity phenotypes in three other studies (see Table 7). A genome scan for genes affecting severe obesity (BMI ⱖ40 kg/m2) was performed in multigenerational Utah pedigrees (155). Linkages were investigated using 628 markers and three different BMI phenotypes: a sexnonspecific phenotype (BMI), a female-only phenotype (BMIf), and a male-only phenotype (BMIm). From 64 pedigrees with 1687 subjects, 37 pedigrees with 994 subjects were included in the analysis of BMIf and 14 pedigrees with 479 subjects were included in the analysis of BMIm. A strong evidence of linkage with BMIf was found on chromosome 4p15-p14 in a 10-cM interval centered around marker D4S2632 (Lod ⫽ 6.1). After increasing the marker density around the marker and the size of the data set by adding 14 pedigrees, the evidence of linkage increased to a Lod score of 9.2 at marker D4S3350. Other regions showing significant evidence of linkage with BMIf include 1p36.3-p36.2, 20q11.2-q12, Xp21, and Xq23-q24. Evidence of linkage with BMIm was found on 8p11.22 and 11q23-q24 (155). A previous study undertaken in the same population tested evidence of linkage of BMI to 48 chromosome 20 markers geno342 OBESITY RESEARCH Vol. 11 No. 3 March 2003 typed on 1711 individuals from 103 extended pedigrees (158). The results provided evidence of linkage with BMI in a 10-cM region around the centromere of chromosome 20 (Lod ⫽ 3.5 with D20S438 on 20p11.1-q11.1). The first genome scan for phenotypes related to eating behavior was published this year. Three eating behaviors (restraint, disinhibition, and hunger) were measured in 624 subjects from 28 Amish families using the Three-Factor Eating Questionnaire. The phenotypes were tested for linkage with a panel of 373 markers including 16 markers on chromosome X (156). The strongest evidence of linkage was found for restraint on chromosomes 3p25 (Lod ⫽ 2.5 with D3S1304) and 6p21.3-p21.1 (Lod ⫽ 2.3 with marker D6S276). The peak linkages for disinhibition and hunger did not reach the Lod score threshold of 1.7 (Lod ⫽ 1.6 near marker D7S657 for disinhibition and Lod ⫽ 1.4 near marker D3S1278 for hunger). A genome-wide scan for three factors related to the metabolic syndrome was performed in 261 subjects from 27 Mexican-American families using 301 microsatellite markers (157). These three factors were obtained from a principal-component factor analysis of eight phenotypes related to the metabolic syndrome and explained 68% of the variance in the eight phenotypes. Factor 1, which included BMI, leptin levels, and fasting insulin as phenotypes, showed significant evidence of linkage to chromosomes 6q24.1-q24.2 (Lod ⫽ 4.2) and 6q25.2-q26 (Lod ⫽ 4.9). Finally, 20 markers of the chromosome X were tested for linkage with obesity phenotypes (BMI, percentage of body fat, plasma leptin, waist and hip circumferences, as well as waist-to-hip ratio) in two samples of families: 940 subjects from 190 European-American families and 208 subjects from 43 African-American families (159). Only the waistto-hip ratio in female subjects provided significant evidence of linkage in the two samples as well as in the combined sample in a 20-cM interval on Xp22-p21 between markers DXS997 (47 cM) and DXS1003 (77.0 cM). The peak link- The Human Obesity Gene Map: The 2002 Update, Chagnon et al. age was found in African-American women at 73 cM with a nonparametric linkage score of 2.7. Table 7 indicates that 68 QTLs have now been uncovered from 29 genome scans of obesity-related phenotypes. Eighteen of these QTLs have been replicated in at least two studies on different populations; these QTLs are on chromosomes 1p31-p21, 2p22-p21, 3p24.2-p22, 3q27, 4p15p14, 4q31.22-q32.1, 5p15.3, 6p21.3-p21.1, 7p15.3-p15.2, 7q31.3-q32.3, 10p12-p11, 11q23-q24, 14q11.2-q13, 14q24, 17p12, 18q21, 20q11.2-q12, and Xq23-q24. The regions harboring the largest number of replications include 11q23q24 with linkages in four different studies and 3q27, 6p21.3-p21.1, 10p12-p11, 17p12, and 18q21 with linkages in three different studies. Discussion Figure 1 depicts the human obesity gene map and incorporates the loci from single-gene-mutation rodent models of obesity, human obesity cases attributable to single-gene mutations, and QTLs from crossbreeding experiments and genome-wide scans, all relevant Mendelian disorders that have been mapped, genes or markers that have been shown to be associated or linked with an obesity phenotype, and genes that have been evidenced in Tg or KO experiments. The map reveals that putative loci affecting obesity-related phenotypes are found on all but chromosome Y of the human chromosomes. It is becoming obvious that several genomic regions are characterized by a high density of concordant positive findings. As we near the completion of the final draft of the human genome sequence and, with it, a more exhaustive annotation of the genome, we expect continuous advances in the understanding of the genetic basis of the predisposition to human obesity. The number of genes and other markers associated or linked with human obesity phenotypes continues to expand. The progress made over the last decade is exemplified in the numbers collated in Table 8. The human obesity gene map has become significantly more detailed and complex since the first version developed in 1994. Of course, some of these loci will turn out to be more important than others, and many will eventually be proven to be false positives. The main goals remain to identify the combination of genes and mutations that are contributing to the predisposition to human obesity and to determine the environmental circumstances under which these gene combinations and mutations occur. Acknowledgments The research of the authors on the genetics of obesity is funded by the Canadian Institute Health Research (MOP13960) and the Pennington Biomedical Research Center. C. Bouchard is supported by the George A. Bray Chair in Nutrition. We thank Diane Drolet, M.Sc., for her dedicated contribution to the compendium and the development of the manuscript. Our gratitude goes to Marc J. Boudreaux and Brandon Walts for their assistance with the data processing associated with the production of Figure 1 and to Nina Laidlaw for her help with the final version of the paper. 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Symbols, full names, and cytogenetic location of genes and loci of the 2002 human obesity gene map* Gene or locus Name Location ACACB ACH ACP1 ADA ADRB1 ADRB2 ADRA2A ADRA2B ADRB3 AGPAT2 AGRP AGS AGT ANMA AHO AHO2 AK1 ALMS1 APM1 APOA2 APOA4 APOB APOC1 APOD APOE ASIP ATP1A2 ATP1B1 ATRN Acetyl CoA Carboxylase 2 Achondroplasia Acid phosphatase 1, soluble Adenosine deaminase Adrenergic, beta-1-, receptor Adrenergic, beta-2-, receptor, surface Adrenergic, alpha-2A-, receptor Adrenergic, alpha-2B-, receptor Adrenergic, beta-3-, receptor Lysophosphatidic acid acyltransferase, beta Agouti-related protein Angelman syndrome with obesity Angiotensinogen Anisomastia Albright hereditary osteodystrophy Albright hereditary osteodystrophy 2 Adenylate kinase 1 Alstrom syndrome 1 Adipose most abundant gene transcript 1 Apolipoprotein A-II Apolipoprotein A-IV Apolipoprotein B (including Ag (x) antigen) Apolipoprotein C1 Apolipoprotein D Apolipoprotein E Agouti (mouse)-signaling protein ATPase, Na⫹/K⫹ transporting, alpha 2 (⫹) polypeptide ATPase, Na⫹/K⫹ transporting, beta 1 polypeptide Attractin (with dipeptidylpeptidase IV activity) 12q24.1 4p16.3 2p25 20q12-q13.11 10q24-q26 5q31-q32 10q24-q26 2p13-q13 8p12-p11.2 9q34.3 16q22 15q11-q13 1q42-q43 16q13-q21 20q13.2 15q 9q34.1 2p13-p12 3q27 1q21-q23 11q23 2p24-p23 19q13.2 3q26.2-qter 19q13.2 20q11.2-q12 1q21-q23 1q22-q25 20p13 C BATF BBS1 BBS2 BBS3 BBS4 BBS5 BBS6 BF BFLS BRS3 BSCL1 BSCL2 C3 CAPN10 CART Regulator of transcription factor B-ZIP Bardet-Biedl syndrome 1 Bardet-Biedl syndrome 2 Bardet-Biedl syndrome 3 Bardet-Biedl syndrome 4 Bardet-Biedl syndrome 5 Bardet-Biedl syndrome 6 B-factor, properdin Borjeson-Forssman-Lehman syndrome Bombesin receptor 3 Berardinelli-Seip Congenital Lipodystrophy Berardinelli-Seip Congenital Lipodystrophy Acylation-stimulating protein Calpain 10 Cocaine—amphetamine-regulated transcript 14q24.3 11q13 16q21 3p13-p12 15q22.3-q23 2q31 20p12 6p21.3 Xq26.3 Xq26-q28 9q34 11q13 19p13.3 2q37.3 5q A B OBESITY RESEARCH Vol. 11 No. 3 March 2003 363 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Gene or locus CBFA2T1 CCKAR CCKBR CDGS1A CD36L1 CEBPA CEBPB CHOD CHRM3 COH1 COL8A2 CPE CPHD CYP7A1 CYP19 D F DGAT1 DRD1 DRD2 EIF4EBP1 ESD ESR1 FABP2 FABP4 FBS FGFR3 FGF13 FIZZ3 FPLD FSH-R G H GCGR GCK GH1 GHRH GHRHR GHRL GLO1 GNAS1 GNB3 GPC3 GPC4 364 Name Location Core-binding factor, runt domain, alpha subunit 2; translocated to, 1; cyclin D-related Cholecystokinin A receptor Cholecystokinin B receptor Carbohydrate-deficient glycoprotein syndrome type Ia CD36 antigen (collagen type I receptor, thrombospondin receptor)like 1 CCAAT enhancer binding protein CCAAT enhancer binding protein Choroideremia with deafness Muscarinic receptor M3 Cohen syndrome 1 Collagen, type VIII, alpha 2 Carboxypeptidase E Combined Pituitary Hormone Deficiency Cytochrome P450, subfamily VIIA (cholesterol 7 alphamonooxygenase), polypeptide 1 Transferase Aromatase 8q22 Acyl CoA: diacylglycerol acyl transferase Dopamine receptor D1 Dopamine receptor D2 Eukaryotic translation initiation factor 4E binding protein 1 Esterase D/formylglutathione hydrolase Estrogen receptor 1 Fatty acid binding protein 2, intestinal Fatty acid binding protein 4 Fanconi-Bickel syndrome Fibroblast growth factor receptor 3 (achondroplasia, thanatophonic dwarfism) Fibroblast Growth Factor 13 Found in inflammatory zone 3 (resistin) Familial Partial Lipodystrophy Dunnigan Follicular stimulating hormone receptor 8q-ter 5q34-q35 11q23 8p12 13q14.1-q14.2 6q25.1 4q28-q31 8q21 3q26.1-q26.3 4p16.3 Glucagon receptor Glucokinase (hexokinase 4, maturity onset diabetes of the young 2) Growth hormone Growth hormone releasing hormone Growth hormone releasing hormone receptor Ghrelin Glyoxalase I Guanine nucleotide binding protein (G protein), alpha stimulating activity polypeptide 1 Guanine nucleotide binding protein (G protein), beta polypeptide 3 Glypican 3 Glypican 4 17q25 7p15.3-p15.1 17q24.1 20q11.2 7p14 3p26-p25 6p21.3-p21.1 20q13.2-q13.3 OBESITY RESEARCH Vol. 11 No. 3 March 2003 4p15.2-p15.1 11p15.4 16p13 12q24.1-q24.3 19q13.11 20q12-q13.1 Xq21.1-q21.2 1q41-q44 8q22-q23 1p34.3-p32.3 4q32 5q 8q11-q12 15q21 Xq26 19p13.3 1q21-q22 2p21-p16 12p13 Xq26.1 Xq26.1 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Gene or locus Name Location 12q13.2 5q31-q32 4q28.2-q31.1 19q13.3 17q21 4p16.3 12q15 3p25 6p21.3 1p13.1 HSD11B1 HTR1B HTR2A HTR2C ␣-Glycerol phosphate dehydrogenase Glucocorticoid receptor Glycophorin A (includes MN blood group) Glycogen synthase 1 (muscle) Hypocretin (Orexin) Huntingtin Component enhancesome Hmgic Histamine receptor H1 Heat-shock 70-kD protein 1B Hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid deltaisomerase 1 Hydroxysteroid (11-beta) dehydrogenase 1 5-hydroxytryptamine (serotonin) receptor 1B 5-hydroxytryptamine (serotonin) receptor 2A 5-hydroxytryptamine (serotonin) receptor 2C K ICAM-1 IGF1 IGF1R IGF2 IGHD IGKC ILIRN INS INSR IPW IRS IRS1 ISL1 KEL Intercellular adhesion molecule 1 Insulin-like growth factor 1 (somatomedin C) Insulin-like growth factor 1 receptor Insulin-like growth factor 2 (somatomedin A) Isolated growth hormone deficiency Immunoglobulin constant Interleukin 1 receptor antagonist Insulin Insulin receptor Imprinted in Prader-Willi syndrome Insulin resistance syndromes Insulin receptor substrate 1 ISL1 transcription factor, LIM/homeodomain (islet-1) Kell blood group 19p13.2 12q22-q23 15q25-q26 11p15.5 7p15-p14 2p12 2q14.2 11p15.5 19p13.3-p13.2 15q11-q12 19p13.3 2q36 5q22.3 7q33 LDLR LEPR LEP LIPE LMNA LPIN1 LPL Low density lipoprotein receptor (familial hypercholesterolemia Leptin receptor Leptin (murine obesity homolog) Lipase, hormone sensitive Lamin A/C Lipin Lipoprotein lipase 19p13.3 1p31 7q31.3 19q13.1-q13.2 1q21.2-q21.3 2p21 8p22 MAGE-like 2 Melanocortin 3 receptor Melanocortin 4 receptor Melanocortin 5 receptor Mental retardation, epileptic seizures, hypogonadism and genitalism, microcephaly and obesity syndrome McKusick-Kaufman syndrome 15q11-q12 20q13.2-q13.3 18q22 18p11.2 Xq22.13-p21.1 GPD1 GRL GYPA GYS1 HCRT HD HMGA2 HRH1 HSPA1B HSD3B1 I 1q32-q41 6q13 13q14-q21 Xq24 L M N O MAGEL2 MC3R MC4R MC5R MEHMO MKKS 20p12 OBESITY RESEARCH Vol. 11 No. 3 March 2003 365 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Gene or locus MRXS7 MRXS11 MT1A MT1B MYO9A NDN NHLH2 NPY NPY5R NR0B2 ORM1 P S P1 PCSK1 PGD PHF6 PLIN PMCH PMM2 POMC PON2 PPARA PPARG PPARGC1 PPCD PPY PROP1 PRKAB2 PTPN1 PTPRB PWCR1 PWS SAH SDC1 SERPINE1 SGBS1 SGBS2 SH3D5 SIM1 SLC2A2 SLC6A1 SNRPN SREBP-1C/1A 366 Name Location Mental retardation, X-linked, syndromic 7 Mental retardation, X-linked, syndromic 11 Metallothionein I Metallothionein II Myosin IXA Necdin (mouse) homolog Neural transcription factor 2 Neuropeptide Y Neuropeptide Y receptor Y5 Nuclear receptor subfamily 0, group B, member 2 Orosomucoid 1 Xp11.3-q22.1 Xq26-q27 16q13 16q13 15q22-q23 15q11.2-q12 1p12-p11 7p15.1 4q31-q32 1p36.1 9q31-q32 P blood group (P one antigen) Proprotein convertase subtilisin/kexin type 1 Phosphogluconate dehydrogenase PHD finger protein 6 Perilipin Melanin concentrating hormone Phosphomannomutase 2 Proopiomelanocortin Paraoxonase 2 Peroxisome proliferative activated receptor, alpha Peroxisome proliferative activated receptor, gamma Peroxisome proliferative activated receptor, gamma, coactivator 1 Posterior Polymorphous Corneal dystrophy Pancreatic polypeptide Prophet of Pit 1, paired-like homeodomain transcription factor Protein kinase A RII Protein tyrosine phosphatase, non-receptor type 1 Protein tyrosine phosphatase 1 B Prader-Willi syndrome chromosome region 1 Prader-Willi syndrome Prader-Willi-like Syndrome Prader-Willi-like Syndrome Shashi X-linked Mental Retardation Syndrome SA hypertension-associated homolog (rat) Syndecan 1 Serine (or cysteine) proteinase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 1 Simpson-Golabi-Behmel syndrome 1 Simpson-Golabi-Behmel syndrome 2 SH3-domain protein 5 (ponsin) Single-minded (Drosophila) homolog 1 Solute carrier family 2 (facilitated glucose transporter), member 2 Gamma-aminobutyric acid transporter 1 Small nuclear ribonucleoprotein polypeptide N Sterol regulatory element binding protein 22q11.2-qter 5q15-q21 1p36.2-p36.13 Xq26.3 15q26 12q23-q24 16p13.3-p13.2 2p23.3 7q21.3 22q12-q13.1 3p25 4p15.1 20q11 17q21 5q 1q12 20q13.1-q13.2 12q15-q21 15q11.2 15q11-q13 6q1 Xq23-q25 Xq26-q27 16p13.11 2p24.1 7q21.3-q22 OBESITY RESEARCH Vol. 11 No. 3 March 2003 Xq26 Xp22 10q23.3-q24.1 6q16.3-q21 3q26.1-q26.2 3p25-p24 15q12 17p11.2 The Human Obesity Gene Map: The 2002 Update, Chagnon et al. Gene or locus STAT5A SUR1 T U W TBX3 TCF8 TGFB1 TH THRB THRS TNF TNFRSF1B TNRC11 TUB UCP1 UCP2 UCP3 UMS VDR VGF WTS ZNF127 (MKRN3) Name Location Signal transducer and activator of transcription 5 Sulfonylurea receptor 1 17q11.2 11p15.1 T-box3 (ulnar mammary syndrome) Transcription factor 8 (represses interleukin 2 expression) Transforming growth factor, beta 1 Tyrosine hydroxylase Thyroid hormone receptor, beta Thyroid Hormone Resistance syndrome Tumor necrosis factor Tumor necrosis factor receptor superfamily member 1B Trinucleotide-repeat-containing gene 11 (THR-associated protein, 230-kDa subunit) Tubby (mouse) homolog Uncoupling protein 1 (mitochondrial, proton carrier) Uncoupling protein 2 (mitochondrial, proton carrier) Uncoupling protein 3 (mitochondrial, proton carrier) Ulnar-Mammary syndrome Schinzel syndrome Vitamin D (1,25-dihydroxyvitamin D3) receptor Neural expressed protein Wilson-Turner X-linked mental retardation syndrome Makorin, ring finger protein, 3 12q24.1 10p11.2 19q13.1 11p15.5 3p24.3 3p24.3 6p21.3 1p36.3-p36.2 Xq13 11p15.5 4q28-q31 11q13 11q13 12q23-q24.1 12q12-q14 7q22 Xp21.2-q22 15q11-q13 * The gene symbols, names and cytogenetic locations are from the Locus Link Web site (http://www.ncbi.nlm.nih.gov/LocusLink) available from NCBI, which provides the official nomenclature of genetic loci. For the abbreviations of the Mendelian disorders (see Table 3). For the Mendelian disorders, the localization is from the OMIM data base. OBESITY RESEARCH Vol. 11 No. 3 March 2003 367
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