The Human Obesity Gene Map The Human Obesity Gene Map: The 2003 Update Eric E. Snyder,* Brandon Walts,* Louis Pérusse,† Yvon C. Chagnon,‡ S. John Weisnagel,† Tuomo Rankinen,* and Claude Bouchard* Abstract SNYDER, ERIC E., BRANDON WALTS, LOUIS PÉRUSSE, YVON C. CHAGNON, S. JOHN WEISNAGEL, TUOMO RANKINEN, AND CLAUDE BOUCHARD. The human obesity gene map: the 2003 update. Obes Res. 2004;12:369 – 439. This is the tenth update of the human obesity gene map, incorporating published results up to the end of October 2003 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 animal crossbreeding experiments, and association and linkage studies with candidate genes and other markers is reviewed. Transgenic and knockout murine models relevant to obesity are also incorporated (N ⫽ 55). As of October 2003, 41 Mendelian syndromes relevant to human obesity have been mapped to a genomic region, and causal genes or strong candidates have been identified for most of these syndromes. QTLs reported from animal models currently number 183. There are 208 human QTLs for obesity phenotypes from genome-wide scans and candidate regions in targeted studies. A total of 35 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 272 studies reporting positive associations with 90 candidate genes. Fifteen such candidate genes are supported by at least five positive studies. The obesity gene map shows putative loci on all chromosomes except Y. Overall, more than 430 genes, markers, and *Human Genomics Laboratory, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana; †Division of Kinesiology, Department of Social and Preventive Medicine, Faculty of Medicine, Laval University, Sainte-Foy, Québec, Canada; and ‡Psychiatric Genetic Unit, Laval University Robert-Giffard Research Center, Québec, Canada. Address correspondence to Claude Bouchard or Eric E. Snyder, Human Genomics Laboratory, Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, Louisiana 70808-4124. E-mail: [email protected] Copyright © 2004 NAASO 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 paper is the tenth in a series (1–9) on the status of the human obesity gene map; this is the ninth report published in Obesity Research. As in previous versions of the map, the current publication incorporates material published up to the end of October 2003. The review includes publications that have dealt with a variety of phenotypes pertaining to obesity; such phenotypes include BMI, body-fat mass, percentage of body fat, abdominal fat, fat-free mass, skinfolds, resting metabolic rates, plasma leptin levels, and other components of fat distribution and 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 and digenic human obesity cases, Mendelian disorders exhibiting a phenotype of relevance to human obesity, quantitative trait loci (QTLs)1 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 1 Nonstandard abbreviations: QTL, quantitative trait locus; Tg, transgenic; KO, knockout; NCBI, National Center for Biotechnology Information; OGMDB, Obesity Gene Map Database; AHO, Albright Hereditary Osteodystrophy; WAGR, Wilms’ tumor-aniridiagenital anomalies-mental retardation; md, Mahoganoid; LH, luteinizing hormone; AR, androgen; DH, double heterozygote; Lod, logarithm of odds; cM, centimorgan(s). OBESITY RESEARCH Vol. 12 No. 3 March 2004 369 The Human Obesity Gene Map: The 2003 Update, Snyder et al. pictogram of the 2003 human obesity gene map. A section deals with transgenic (Tg) and knockout (KO) mice, the phenotypes of which include alterations in adiposity levels or a trait relevant to 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 website (http://www. ncbi.nlm.nih.gov/LocusLink) available from the National Center for Biotechnology Information (NCBI). The Appendix provides a complete list of genes and map locations cited in this paper. The search for the relevant genetic literature is undertaken through a variety of sources: PubMed searches using a combination of key words, authors, and journals; continuous reviews of obesity and genetics journals; personal collection of reprints; and papers made available to us by colleagues from around the world. Each collaborating author is assigned an area of the report for closer scrutiny of the material available and for preparing the summary of studies relevant to that area. The electronic version of the human obesity gene map with numerous useful links is available at http://obesitygene.pbrc.edu. Bioinformatics Issues The data management requirements for this review have increased significantly since the Obesity Gene Map was first published in 1996. The online Obesity Gene Map Database (OGMDB) was created in 2000 to give users additional querying and browsing capability and to facilitate the accurate creation of the map figure. This is the first year in which full capabilities of the database were exploited, enabling us to create the map and tables in an automated fashion. The online OGMDB (http://obesitygene.pbrc.edu) contains HTML (hypertext markup language) versions of the tables (created on demand), complete with hypertext links to the corresponding OGMDB data objects. The OGM database and website were made possible by three key software components. ACeDB (10,11) (A C. elegans DataBase) is an object-oriented database environment initially built to support the Caenorhabditis elegans genome sequencing project (12) but has become a bioinformatics workhorse for a variety of projects including the SNP Consortium database (13). The database’s web interface was deployed using AceBrowser (14), a collection of common gateway interface scripts that connect to the ACeDB server to generate generic database query forms and display documents. The tables were created using the application programming interface known as AcePerl (14). This code library allows a Perl script to retrieve data from the database and manipulate it programmatically. AcePerl also greatly reduced the time required to update the cytogenetic and sequence map positions of loci in the database. The browsing and querying capabilities of OGMDB have brought to light even more acutely that our ability to draw 370 OBESITY RESEARCH Vol. 12 No. 3 March 2004 conclusions from a large-scale analysis of the obesity literature is limited. One major problem is the poor standardization in the description of polymorphisms such as those reported in Table 1. The use of a standard nomenclature [such as that proposed by Antonarakis et al. (15)] for the representation of polymorphisms at the amino acid and nucleotide level could prevent confusion and loss of information. Furthermore, it would be helpful if all residue numbering were done with reference to a standard sequence such as those available in GenBank or European Molecular Biology Laboratory. In addition, as new mutations and polymorphisms are identified, they should be deposited in the Database of Single Nucleotide Polymorphism (dbSNP), particularly when population frequency information is available (for submission information see http://www.ncbi. nlm.nih.gov/SNP). Another critical issue has to do with the lack of standardized vocabularies for describing obesity phenotypes and the populations in which they are studied. We currently index 125 distinct study traits, which reduce to ⬃100 after merging trivial variants. The latter subset shares many common features that could probably be represented by a series of hierarchical relationships. The same is true of the 83 study populations and demographic characteristics (age, sex, ethnic origin, etc.) that have been identified in this year’s inventory. Much work into defining gene function relationships has been done under the auspices of the Gene Ontology Consortium (16). However, there are no widely accepted ontologies for describing human phenotypic data or populations. A move to create structured vocabularies appropriate for obesity research reporting would facilitate communication and data mining activities in the future. Single-Gene and Digenic Obesity Cases In the past year, no novel single-gene obesity syndromes have been described. However, there has been more activity on the melanocortin-4 receptor (MC4R) gene with several papers on the functional impact of previously and newly reported mutations (17–24). The number of sequence variants discovered so far is quite large (well over 50). However, there is often insufficient information in the published reports on pedigrees and trait transmission. The mutations retained in Table 1 are those that have been shown to be functional through in vitro studies or would be strongly suspected to affect receptor structure (deletions, frameshift and nonsense mutations). A total of 42 different mutations in 130 individuals fit these criteria, making MC4R mutations the most prevalent genetic cause of obesity identified to date. These mutations are typically associated with early onset and rather severe obesity. However, not surprisingly, the variation in phenotypic expression of obesity related to the MC4R gene points to variable penetrance and other genetic factors. One possible mechanism through which The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 1. Monogenic and digenic nonsyndromic human obesity cases Gene Location LEPR POMC 1p31.3 2p24.1 PCSK1 5q15 LEP 7q32.2 MC4R 18q21.32 Mutation N Age (years) IVS16 ⫹ 1G ⬎ A R236G 7133delC 7013G ⬎ T 3804C ⬎ A G483R IVS5 ⫹ 4A ⬎ C G398del R105W V50M S58C I102S I170V 279–280insGT C271Y 3⬘UTR ⫹ 28delC T112M R165Q V253I 335–336insA I125K A175T I316S Deletion N97D N62S I137T P78L V95I I121T G181D A244E 750–751delGA S94R 960delT Y35X -65-(-64)delTG 171delC G98R S127L 3 6 1 13 to 19 13 3 1 1 7 3 2 4 2 2 1 2 7 9 1 2 1 1 1 2 2 11 6 5 9 1 1 1 1 1 1 1 1 1 11 1 1 1 2 A244G 3 8 to 50 P299H 2 6 to 27 47–48insG 1 20 BMI (SDS) 53 to 72 (2.9) References (192) (26) (193) (193) (194) 2 to 8 6 to 34 6 to 39 13 to 39 16 13 to 45 8 to 36 8 to 40 37 to 46 33 to 56 (2.8 to 5.4) (2.1 to 4.2) (4.1) (3.8 to 4.4) 43 57 8 to 64 40 41 40 8 to 34 26 to 57 40 40 62 27 to 45 (3.2 to 5.3) 24 to 32 (1.8 to 4.1) 28 to 34 (2.7 to 6.3) 42 (195) (196,197) (21,24,198) (21,24,198) (24,198) (21,23,198) (17,24,199) (17,22,23,199) (199) (23,199,200) (19,23,199) (19,22,23,199) (17) (17,22) (17,22) (17,22) (17) (17,22) (17,21,22) (23,201) (19,23,24) (19) (19) (19) (19) (19) (19) (19) (18,19,202,203) (204) (204) (21,205) (24,206) (24,206) (24,206) (207) OBESITY RESEARCH Vol. 12 No. 3 March 2004 371 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 1. (continued) Gene PPARG PPP1R3A Location 3p25.2 7q31.2 Mutation N Age (years) BMI (SDS) T150I I170V L250Q I301T 1 2 1 2 52 20 60 30 to 35 R165W 5 40 to 75 5 1 1 10 5 11 to 58 50 30 (3.8) 68 (8.5) 54 to 57 (10 to 10.4) 33 to 62 (2.1 to 10) 30 to 57 4 to 81 21 to 49 28 to 41 26 to 31.4 732–733insGATT Y287X L106P 631–634delCTCT 553–555delAAAinsT 1984–1985delAG References (207) (23,207) (207) (207) (207) (208) (22) (22) (17,19,24,202,203,209) (27) Status as of October 2003. N represents the number of published cases. SDS stands for standard deviation BMI scores and are shown in parentheses. these mutations affect body weight is loss of normal regulation of food intake (17). Two studies have reported an association with bulimia (18,25). As for the other genes, one group described 2 unrelated children with obesity (2.9 and 3.4 SD scores for BMI), both carrying a missense R236G mutation in the POMC gene, not found in a control population (26). This mutation disrupted the dibasic cleavage site between -melanocyte stimulating hormone and -endorphin, causing the formation of a fusion protein that only weakly activates the receptor. The mutation co-segregated with early-onset obesity over three generations in one family. One report pertained to a family in which all affected members with overweight or obesity (and insulin resistance) were double heterozygotes for a premature stop mutation 553–555delAAAinsT (creating a frameshift at codon 185 and a stop codon at 186) in PPARG and a frameshift/premature stop mutation 1984 –1985delAG (creating a frameshift at codon 662 and a stop codon at 668) in PPP1R3A, a gene that encodes protein phosphatase 1, muscle-specific regulatory subunit 3, involved in carbohydrate metabolism (27). Two affected members of another family were carriers of the PPP1R3A mutation, suggesting that other genes could be involved as well. The oligogenic obesity cases identified thus far could all be ascribed to a single-gene defect. The previous paper appears to be the first to report on cases in which two hits in different genes were necessary for the patients to be obese. We have high-lighted this report 372 OBESITY RESEARCH Vol. 12 No. 3 March 2004 because we feel that it will be followed by many others as the oligogenic nature of many obesity cases is progressively revealed. Mendelian Disorders Updated references for all Mendelian disorders exhibiting obesity as one of their clinical features and new additions are described in Table 2. Among the autosomal dominant syndromes, several dozen new mutations in the GNAS1 gene have been discovered by different groups in patients with Albright Hereditary Osteodystrophy (AHO) (28 –32). These mutations were confirmed to affect function. Exclusive maternal transmission of mutations was reported by one group, suggesting a role of parental imprinting of the GNAS1 gene (30). There exists a form of AHO with no resistance to parathyroid hormone. In this condition called pseudopseudohypoparathyroidism, the classical features of AHO such as obesity are present. The STK25 gene, coding for a kinase involved in heterotrimeric G protein signaling, is absent as a result of micro-deletions at 2q27 described in these patients and, thus, is a strong candidate gene for this condition (33–35). Among the lipodystrophy syndromes, several patients with either generalized or partial lipodystrophy combined with other clinical features have been reported (36 –39). All carried mutations in the lamin A (LMNA) gene. As for non-Dunnigan familial partial lipodystrophy (FPLD), another family was reported with a mutation in the PPARG gene (40). All five affected members carried an The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 2. Obesity-related Mendelian disorders with known map locations OMIM no. Syndrome Locus Candidate gene* References Autosomal recessive 203800 209901 209900 600151 600374 603650 209900 607590 269700 606158 212065 216550 601538 227810 139191 Alstrom syndrome Bardet-Biedl syndrome 1 Bardet-Biedl syndrome 2 Bardet-Biedl syndrome 3 Bardet-Biedl syndrome 4 Bardet-Biedl syndrome 5 Bardet-Biedl syndrome 6 Bardet-Biedl syndrome 7 Berardinelli-Seip congenital lipodystrophy 1 Berardinelli-Seip congenital lipodystrophy 2 Carbohydrate-deficient glycoprotein type 1a Cohen syndrome Combined pituitary hormone deficiency Fanconi-Bickel syndrome Isolated growth hormone deficiency 2p13.1 11q13.1 16q13 3p13-p12 15q22.33 2q31 20p12.2 4q27 9q34.3 11q13 16p13.2 8q22.2 5q35.3 3q26.31 7p14 ALMS1 BBS1 BBS2 BBS3* BBS4 BBS5* MKKS BBS7 AGPAT2 BSCL2 PMM2 COH1 PROP1 SLC2A2 GHRHR (210–213) (50,51,214–217) (217–219) (220–222) (217,223–226) (227,228) (229–231) (49) (52,232,233) (52,234–236) (237) (53,238,239) (240,241) (54,55,242–247) (248,249) FGFR3 GNAS1 STK25 AHO2* ANCR* ANMA* LMNA PPARGC1 INSR COL8A2 VSX1 IPW PWCR1 SNRPN MAGEL2 NDN MKRN3 SIM1 PRKAR1A TBX3 THRB TBX3 WT1 PAX6 (250–253) (254–267) (33–35) (268) (269) (270) (36–39,271–276) (40,41,277) (278–285) (286) (42,287) (288–305) Autosomal dominant 100800 103580 103580 103581 105830 605746 151660 604517 147670 122000 605020 176270 Achondroplasia Albright hereditary osteodystrophy Albright hereditary osteodystrophy (PPHP) Albright hereditary osteodystrophy 2 Angelman syndrome with obesity Anisomastia Familial partial lipodystrophy, Dunnigan Familial partial lipodystrophy, non-Dunnigan Insulin resistance syndromes Posterior polymorphous corneal dystrophy (Chr 1) Posterior polymorphous corneal dystrophy (Chr 20) Prader-Willi syndrome 603128 188830 181450 190160 181450 194072 Prader-Willi-like syndrome (chr 6q) Primary pigmented nodular adrenocortical disease Schinzel syndrome Thyroid hormone resistance syndrome Ulnar-mammary syndrome WAGR syndrome 4p16.3 20q13.32 2q37.3 15q11-q13 15q11-q12 16q13-q21 1q23.1 4p15.31 19p13.3 1p34.3 20p11.21 15q11.2 15q11.2 15q12 15q11.2 15q11.2 15q11.2 6q16.3 17q24.3 12q24.21 3p24.1 12q24.21 11p13 11p13 (291,301,302,305–309) (48) (310) (311) (43,310,312) (44,45,313–315) OBESITY RESEARCH Vol. 12 No. 3 March 2004 373 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 2. (continued) OMIM no. Syndrome Locus Candidate gene* References X-linked 301900 303110 Borjeson-Forssman-Lehmann syndrome Choroideremia with deafness 309550 300148 300218 300238 176270 312870 Fragile X syndrome with Prader-Willi-like phenotype MEHMO syndrome Mental retardation X-linked, syndromic 7 Mental retardation, X-linked, syndromic 11 Prader-Willi-like syndrome, X-linked Simpson-Golabi-Behmel 1 300209 309585 Simpson-Golabi-Behmel 2 Wilson-Turner syndrome Xq26.3 Xq21.1 Xq21.2 Xq28 Xp22.13-p21.1 Xp11.3-q22.1 X26-q27 Xq23-q25 Xq26.2 X Xp22 Xq21.2-q22 PHF6 DFN3 CHM FMR1 MEHMO* MRXS7* MRXS11 GPC3 GPC4 SGBS2* WTS* (56,316–318) (319,320) (60–63) (321–323) (324) (57,325) (308,326) (327–333) (334) (335,336) Status as of October 2003. OMIM, Online Mendelian Inheritance of Man. * Symbols with asterisks are the National Center for Biotechnology Information LocusLink symbols for the traits rather than for the genes and are used when no candidate genes are known. F388L mutation that affected transcriptional activity and receptor activity. Another group described severe insulin resistance with partial lipodystrophy in carriers of a P467L mutation in PPARG (41). In cases of posterior polymorphous corneal dystrophy, a corneal endothelial dystrophy in which obesity has been observed, two loci seem to be involved. Mutations in the COL8A2 gene at 1p34.2-p32.3 and the VSX1 gene (at 20q11), which encodes a homeodomain transcription factor (42), have been reported. The Prader-Willi-like syndrome linked to 6q16.2-q14 and the SIM1 gene are now reported here with the Mendelian syndromes. New mutations have been reported for ulnar-mammary (Schinzel) syndrome (43). For the Wilms’ tumor-aniridia-genital anomalies-mental retardation (WAGR) syndrome, a further case of obesity with hyperphagia has been described (44). One recent report described several mutations in the PAX6 gene in patients with aniridia, a condition of iris hypoplasia. One patient had WAGR syndrome, in which PAX6 was deleted, making PAX6 a possible candidate gene (45). One of the classical forms of central obesity is Cushing’s syndrome, in which obesity, insulin resistance, glucose abnormalities, hypertension, and other features are invariably found, all of which are caused by pathologically elevated levels of cortisol. The causal gene for the only known inherited form of this disease has recently been reported by 374 OBESITY RESEARCH Vol. 12 No. 3 March 2004 2 groups (46,47). Primary pigmented nodular adrenocortical disease with Cushing’s syndrome is caused by mutations in the regulatory subunit R1A of the protein kinase A gene (PRKAR1A), encoding a key mediator of cyclic adenosine 3⬘,5⬘-monophosphate signaling in mammals. This disease is part of the multiple neoplasia syndrome, the Carney complex (48). In the autosomal recessive syndrome category, another Bardet-Biedl syndrome (BBS) locus has been found, BBS7. The gene causing the corresponding syndrome codes for a protein of unknown function (49). Two groups reported on the complex inheritance in BBS (50,51). An exploration of the heterogeneity of congenital generalized lipodystrophy (Berardinelli-Seip Congenital Lipodystrophy) led to the identification of 12 different mutations in AGPAT2 in 27 pedigrees and 9 mutations in BSCL2 in 11 other pedigrees (52). Two other studies described patients with the syndrome who did not carry any mutations in these genes, suggesting a possible additional BSCL locus. The causal gene, COH1, in Cohen syndrome, in which obesity is a minor component, was recently identified by a Finnish group (53). Affected individuals carried mutations encoding a transmembrane protein with a presumed role in vesicle-mediated sorting and intracellular protein transport. Finally, several new mutations have been described in the The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 3. Natural single-gene mutation in mouse models of obesity Mouse Mutations* Human homolog Chr Genes Inheritance Diabetes (db)† 4 Fatty liver dystrophy (fld) 12 Fat (fat) 8 OLETF 5 Little 11 Obese (ob) 6 Tubby (tub) 7 Mahogany (mg) 2 Mahoganoid (md) 16 y 2 Agouti yellow (A ) Lepr Lpin1 Cpe Cckar Gh Lep Tub Atrn Mgm1 Ay Recessive Recessive Recessive Recessive Recessive Recessive Recessive Recessive Recessive Dominant Chr Genes Gene product References 1p31 2p21 4q32 4p15.2-p15.1 8q12.3 7q31.3 11p15.5 20p13 16p13.3 20q1.2-q12 LEPR LPIN1 CPE CCKAR GH LEP TUB ATRN MGRN1 ASIP Leptin receptor Lipin Carboxypeptidase E Cholecystokinin receptor A Growth hormone Leptin Insulin signaling protein Attractin Mahogunin, ring finger 1 Agouti signaling protein (337,338) (339) (340) (341,342) (343) (344) (345–347) (348,349) (64) (350) Status as of October 2003. Chr, chromosome. * The strain carrying the Adult (ad) dominant mutation on chromosome 7 is now extinct. † Homologous to rat fat (fa)/corpulent (cp). GLUT2 or SLC2A2 gene that causes the Fanconi-Bickel syndrome (54,55). As for the X-linked syndromes, a novel D333del mutation in the candidate gene for Borjeson-Forssman-Lehmann syndrome has been reported (56). A second family with Shashi X-linked mental retardation syndrome with prominent obesity has been described (57). In Simpson-GolabiBehmel 1 syndrome patients with overgrowth, two studies expanded on the phenotypic and genotypic spectrum of the disease (58,59). Finally, we have added to this year’s list a fragile X syndrome with Prader-Willi-like phenotype. Fragile-X syndrome is a common cause of mental retardation. However, a subtype with Prader-Willi-like phenotype has been described in which mutations in the FMR-1 gene are present, with no deletions at the PWS locus at 15q11-q12 (60 – 63). Patients with this syndrome often present with severe obesity. Single-Gene Mutations in Mice Table 3 summarizes the mouse models of obesity caused by a defect in a single gene. There is only one addition this year. The Mahoganoid (MGRN1) gene has been cloned from the mouse coat color mutant Mahoganoid (md) (64). MGRN1 encodes a 494-amino acid protein containing a C3HC4 RING domain. The human homologue is 81% identical at the amino acid level. Three mutations have been observed (md, md2J, and md5J). They are all due to large (5to 8-kb) retroviral insertions (exon 2, intron 2, intron 11, respectively), resulting in a 10- to 20-fold lower expression level of the normal transcript. Mahoganoid diminishes the obesity of AY mice (65), but does not suppress obesity caused by a high-fat diet (64). Knockout and Transgenic Models New KO and Tg mice have evidenced that other genes have the potential to impact obesity-related phenotypes. We have retained only those models in which the gene has a human equivalent (Table 4). Five new KO or Tg gene models and one transgenic model for a chromosomal duplication/deletion have been added to the compendium. Two hormonal genes (luteinizing hormone or LH and androgen receptor or AR) have been related to obesity-related phenotypes. Tg female mice overexpressing a chimeric bovine LH -subunit/human chorionic gonadotropin -subunit COOHterminal extension (bLHb-CTP) became obese with a 32% increase in body weight at 5 months of age (66). Food intake was increased and thermogenic activity reduced (66). Using a conditional targeting technique based on the Cre-loxP system, AR knockout male mice showed late-onset obesity at 30 weeks of age (67). Food intake remained normal whereas white adipose tissue accumulated, which suggests that ARs act as a negative regulator of adipocyte development (67). Secreted protein acidic and rich in cysteine/osteonectin/ BM-40 (SPARC) is a matrix-associated protein that elicits changes in cell shape. SPARC-null mice have a greater deposit of subcutaneous fat arising from an increase in size and number of adipocytes (68). The immune-modulating cytokine interleukin-6 is expressed both in adipose tissue and hypothalamic nuclei that regulate body composition. OBESITY RESEARCH Vol. 12 No. 3 March 2004 375 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 4. Knockout and transgenic rodent models relevant to obesity Rodent Chr Human Gene Mutations 5 7 X 2 2 12 X 17 5 7 7 Acc2 ApoC1 Ar Atrn Ay Batf(A-ZIP/F) Brs3 C3 Cckar Cebp Cebp Knockout Transgenic Knockout Naturally occurring Naturally occurring Transgenic Knockout Knockout Naturally occurring Knockout Knockout 13 8 9 11 Chrm3 Cpe Cyp19 Df(11)(17)* Smcr Dgat Gene Product References 12q24.1 19q13.2 Xq11.2-q12 20p13 20q11.2-q12 14q24.3 Xq26-q28 19p13.3 4p15.2-p15.1 20q12-q13.1 20q13.13 ACACB APOC1 AR ATRN ASIP BATF BRS3 C3 CCKAR CEBPA CEBPB (351) (352) (67) (348,349) (350) (353) (354) (355) (341,342) (356) (357) Knockout Naturally occurring Knockout Transgenic 1q41-q44 4q32 15q21 17p11.2 CHRM3 CPE CYP19A1 del(17)(p11.2)* SMCR Acetyl CoA carboxylase 2 Apolipoprotein C1 Androgen receptor Mahogany Agouti yellow Regulator of transcription factor B-ZIP Bombesin receptor 3 Acylation-stimulating protein OLETF CCAAT enhancer binding protein CCAAT/enhancer binding protein (C/EBP), beta Muscarinic receptor M3 Fat Transferase Aromatase Smith-Magenis syndrome Knockout 8q-ter DGAT1 (360) Transgenic 17p11.2 13 8 Dp(11)(17)* Smcr Drd1a Eif4ebp1 Knockout Knockout 5q34-q35 8p12 dup(17)(p11.2)(p11.2)* SMCR DRD1 EIF4EBP1 Acyl CoA: diacylglycerol acyl transferase Smith-Magenis syndrome (361) (362) 3 17 3 15 Fabp4 (aP2) Fshr GabtI Gdc1 Knockout Knockout Transgenic Transgenic 8q21 2p21 3p25-p24 12q13.2 FABP4 FSHR SLC6A1 GPD1 2 6 15 6 11 5 10 1 Ghrh Ghrhr Gpr24 H1r Hcrt Hdh Hmga2 Hsd11b1 Transgenic Naturally occurring Knockout Knockout Knockout Transgenic Knockout Transgenic 20q11.2 7p14 22q13.3 3p25 17q21 4p16.3 12q15 1q32-q41 GHRH GHRHR GPR24 HRH1 HCRT HD HMGA2 HSD11B1 9 2 5 6 4 7 12 2 Icam1 Il1rn(Il-1ra) Il-6 Lep Lepr Lhb Lpin1 Mapk8ip Knockout Knockout Knockout Naturally occurring Naturally occurring Transgenic Naturally occurring Knockout 19p13.2 2q14.2 7p15.3 7q32.2 1p31.3 19q13.32 2p21 11p11.2 ICAM1 IL1RN IL6 LEP LEPR LHB LPIN1 MAPK8IP1 8 3 3 7 Mt Nhlh2 Pkar2b Plin Knockout Knockout Knockout Knockout 16q13 1p12-p11 1q12 15q26 MT1A NHLH2 PRKAB2 PLIN Dopamine receptor D1 Eukaryotic translation initiation factor 4E binding protein 1 Fatty acid binding protein 4 Follicular stimulating hormone receptor Gamma-aminobutyric acid transporter I alpha-glycerol phosphate dehydrogenase Growth hormone releasing hormone Little G protein-coupled receptor 24 Histamine receptor H1 Hypocretin (Orexin) Huntingtin Component enhancesome Hmgic Hydroxysteroid (11-beta) dehydrogenase 1 Intercellular adhesion molecule 1 interleukin 1 receptor antagonist Interleukin 6 Obese Diabetes Luteinizing hormone beta polypeptide Fatty liver dystrophy Mitogen-activated protein kinase 8 interacting protein 1 Metallothionein I and II Neural transcription factor 2 Protein kinase A RIIb Perilipin 15 11 376 Chr OBESITY RESEARCH Vol. 12 No. 3 March 2004 (358) (340) (359) (72) (72) (363) (364) (365) (366) (367) (343) (368) (369) (370) (371) (372) (373) (374) (375) (69) (344) (337,338) (66) (339) (71) (376) (377) (378) (379,380) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 4. (continued) Rodent Chr Gene Human Mutations Chr Gene 10 11 2 2 Pmch Ppy Prkcq Ptpn1 Transgenic Transgenic Transgenic Knockout 12q23.3 17q21 10p15.1 20q13.1-q13.2 PMCH PPY PRKCQ PTPN1 5 12 11 Ptprb Sdc1 Sparc Knockout Transgenic Knockout 12q15-q21 2p24.1 5q33.1 PTPRB SDC1 SPARC 8 Srebf1/Srebf2 Transgenic 17p11.2 SREBF1 11 Stat5 Knockout 17q11.2 STAT5A 7 7 5 Tgfb1 Tub Vgf Transgenic Naturally occurring Knockout 19q13.31 11p15.5 7q22 TGFB1 TUB VGF Product Melanin concentrating hormone Pancreatic polypeptide Protein kinase C, theta Protein tyrosine phosphatase, nonreceptor type 1 Protein tyrosine phosphatase 1 B Syndecan 1 Secreted protein, acidic, cysteine-rich (osteonectin) Sterol regulatory element binding protein Signal transducer and activator of transcription 5 Transforming growth factor, beta 1 Tubby Neural expressed protein References (381,382) (383) (70) (384) (384) (385) (68) (386,387) (388) (389) (345–347) (390) Status as of October 2003. Chr, chromosome. *Dp(11)(17) and Df(11)(17) represent an engineered chromosomal duplication or deletion, respectively, of the Smith-Magenis syndrome region on mouse chromosome 11. Similarly, del(17)(p11.2) and dup(17)(p11.2)(p11.2) refer to the deletion and duplication, respectively, of the corresponding human chromosomal regions. Interleukin-6 KO mice showed disturbed carbohydrate and lipid metabolism resulting in mature-onset obesity (69). In a Tg model overexpressing a mutated form of protein kinase C theta (PKC-theta), a dominant negative mutation that acted specifically in skeletal muscle to invalidate kinase activity, mice were obese and insulin resistant at 4 months of age (70), whereas the inactivation of the c-Jun aminoterminal kinase 1 (JNK1) decreased adiposity and improved insulin sensitivity (71). Finally, Tg mice carrying a deletion on chromosome 11 [Df(11)17] homologous to the human Smith-Magenis syndrome region at 17p11.2 exhibited marked obesity. In contrast, Tg mice carrying the reciprocal duplication of the same chromosomal region [Dp(11)17] were underweight (72). carrying the reciprocal duplication of the same chromosomal region [Dp(11)17] were underweight (72). Examination of the Df(11)17/Dp(11)17 animals suggests that the phenotype results from a gene dosage effect (72). QTLs from Crossbreeding Experiments A total of 183 animal QTLs are now included in our inventory (Table 5) with equivalent human syntenic regions determined from the Mouse Genome Database of the Jackson Laboratory (73) and the NCBI Mouse/Human homology maps (74). Only mice crosses have been added to this year’s review. In previous years, maps described by Yamada et al. (75) and Jacob et al. (76) were used for the rat, and maps from the Animal Genome Database in Japan (77) and from the U.S. Livestock Genome Mapping Projects (78) for the pig. A cross between fat-preferring C57BL/6J and carbohydrate-preferring CAST/EiJ mice was studied for macronutrient intake (79). Three QTLs for intake of fat (Mnif1 to 3), three for carbohydrate (Mnic1 to 3), and two for total caloric intake (Kcal1 and 2) were uncovered (79). A total of 16.4%, 12.8%, and 9% of the variance was explained by these QTLs for the three phenotypes, respectively. Similarly, A/J and C57BL/6J strains differ markedly in a number of behavioral traits with A/J mice showing a significantly inhibited exploratory behavior. In an intercross between A/J and C57BL/6J, a QTL for body weight at 8 weeks (Bw8q1) was detected and a second one (Bw8q2) in the backcross (C57BL/6J ⫻ A/J) ⫻ A/J, accounting for 2% and 4% of the phenotypic variance in body weight, respectively (80). In a new cross between the heavier and fatter inbred strain C57BL/6ByJ and strain 129P3/J, two QTLs for body weight (Bwq5 and Bwq6) and two for adiposity (Adip5 and Adip9) were observed. They explained 9.1% of each of the variance in weight and adiposity (81). Double heterozygotes for insulin receptor and insulin receptor substrate-1 (DH) mice exhibited a reduction in size and body weight, but showed OBESITY RESEARCH Vol. 12 No. 3 March 2004 377 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 5. QTLs for obesity phenotypes from animal crosses with putative syntenic locations in the human genome Cross Mus musculus (A/J ⫻ M. spretus) ⫻ C57BL/6J Mus musculus 129/Sv ⫻ Le/Suz Mus musculus 129S6 ⫻ C57BL/6J Mus musculus A/J ⫻ (C57BL/6J ⫻ A/J) Mus musculus AKR/J ⫻ C57L/J Mus musculus AKR/J ⫻ SWR/J QTL Bw1* Bw2* Bw3 Obq2 Obq1 D12Mit38 Lod ⫽ 3.4 Lod ⫽ 6.6 Lod ⫽ 4.3 Lod ⫽ 5.5 Lod ⫽ 8 Lod ⫽ 3.7 Bw8q2 Obq4 Obq3 Dob1 Dob2 Dob3† Mus musculus C3H/HeJXDBA/2J ⫻ D3Mit127 (BALB/cJ ⫻ C57BL/6J) Mus musculus Adip5 C57BL/6J ⫻ 129P3/J Bwq5 Bwq6 Adip9 Mus musculus Bw8q1 C57BL/6J ⫻ A/J Mus musculus Mob7 CAST/Ei ⫻ C57BL/6J Mob8 Qlep Mob6 Bl Bw Mus musculus Pfat1 CAST/Ei ⫻ M16i Pfat3 Pfat4 Pfat5 Pfat2 Mus musculus Mnif1 CAST/EiJ ⫻ C57BL/6J Mnif2 Mnif3 Mnic1 Mnic2 Mnic3 Kcal1 Kcal2 Mus musculus Carfhg1 CAST/EiJ ⫻ C57BL/6J-hg/hg Carfhg2 Mus musculus DBA/2J ⫻ C57BL/6J 378 Statistics Bw6a Bw6e Pfatp6 Bw6c Pfatp13 Bw6g Variance (%) 24 Chromosome Phenotypes Animal Human References 6.3 12.3 33 Body weight Body weight Body weight Adiposity Adiposity Leptin, increased X X X 7 7 7 Xp11-q26 Xq11-q13 Xp22-q27 6q12-q14 19q13.2-q13.3 11q13 (82) Lod ⫽ 3.3 4 Body weight, 8 weeks 4 6p22.2-p22.3 (80) Lod ⫽ 4.6 Lod ⫽ 5.1 Lod ⫽ 4.8 Lod ⫽ 3.9 6.1 7 7 4 Adiposity Adiposity Adiposity Adiposity 17 Leptin, 4 months 6q27 11p11.2 1p33-p32 3p21 8q24.1 4q23-q25 (393) p ⫽ 0.001 17 2 4 9 15 3 Lod ⫽ 4.0 Lod ⫽ 4.4 Lod ⫽ 4.0 Lod ⫽ 3.3 Lod ⫽ 4.4 4.7 4.8 4.3 4.4 2 Adiposity Body weight Body weight Adiposity Body weight, 8 weeks 9 2 9 16 1 11q23.1-q24.3 20q11.2-q12 3p21.33-q21 21q22.11-q22.2 1q21 (81) (396) 2q11-q14 5q23-q31 8q22-q23 8q24 20q13.11-q13.13 8p22-p21.3 5q22-q23 Xq26-q26.3 6p21 3p26-p24 Xq13.1 5q31 6p21.3-p21.1 4p15.1 11q25 (397) 7.1 5.4 3.6 6 3.1 3.7 6.8 4.4 6.2 12.5 2 9 4 2 15 15 2 13 15 15 2 8 18 X 17 6 X 17 18 5 9 3p21.3 6p12.1 9p22 11p11.2 Lod ⫽ 8.0 Lod ⫽ 6.0 Lod ⫽ 4.0 Lod ⫽ 6.7 Lod ⫽ 3.4 Lod ⫽ 4.1 Lod ⫽ 7.7 Lod ⫽ 4.9 Lod ⫽ 2.5 Lod ⫽ 5.8 Subcutaneous fat Body fat, percentage Leptin level (no obesity) Subcutaneous fat Body length Body weight Adiposity Adiposity Adiposity Adiposity Adiposity Fat, intake Fat, intake Fat, intake Carbohydrate intake Carbohydrate intake Carbohydrate intake Kilocalorie intake Kilocalorie intake Fat content Fat content Lod ⫽ 3.3 Lod ⫽ 4 Lod ⫽ 4.9 Lod ⫽ 3.2 Lod ⫽ 5.3 Lod ⫽ 4.4 3 4 20 4 20 5 6-week weight 6-week weight Predicted fat, percent 6-week weight Predicted fat, percent 6-week weight 1 6 6 5 13 9 1q31-q33 2p12 3p14.1-p12 4q12-q13 5q22-q31 6q12-q16 Lod ⫽ 5.7 Lod ⫽ 4.7 Lod ⫽ 5.2 Lod ⫽ 7.3 Lod ⫽ 4.3 Lod ⫽ 2.5 OBESITY RESEARCH Vol. 12 No. 3 March 2004 (391) (392) (394,395) (83) (80) (79) (398) (399,400) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 5. (continued) Cross Mus musculus Du6 ⫻ DuK Mus musculus Du6i ⫻ DBA/2 Mus musculus F⫻L Mus musculus JU/CBA ⫻ CFLP (P6) Mus musculus KK-A(y) ⫻ C57BL/6J Mus musculus KK/H1Lt ⫻ C57BL/6J Mus musculus MH ⫻ C57BL/6J QTL Statistics Chromosome Variance (%) Phenotypes Animal Human References Bw6k Bw6j Pfatp15 Bw6b Pfatp4 Bw6d Bw6i Bw6h Bw6f Afw3 Afw1 Afp2 Qbw1 Afw2 Qbw2 Bw4 Afp1 Bw5 Bw16 Bw13 Bw15 Afpq10 Lepq1 Bw14 Afpq6 Afpq9 Afw10 Afw9 Fob1 Lod ⫽ 4.9 Lod ⫽ 3 Lod ⫽ 8.6 Lod ⫽ 3.3 Lod ⫽ 5 Lod ⫽ 4.3 Lod ⫽ 4.1 Lod ⫽ 5.7 Lod ⫽ 6.9 F ⫽ 4.7 F ⫽ 4.89 F ⫽ 4.89 Lod ⫽ 2.7 F ⫽ 4.79 Lod ⫽ 7.6 F ⫽ 4.79 F ⫽ 4.89 F ⫽ 10.4 F ⫽ 7.52 F ⫽ 11.7 F ⫽ 7.36 F ⫽ 7.48 F ⫽ 7.58 F ⫽ 25.9 F ⫽ 8.92 F ⫽ 18.5 F ⫽ 8.56 F ⫽ 24.9 Lod ⬎ 3.3 7 3 20 4 20 5 4 6 9 7.7 10–13 8.3 6.9 8.3 17 23.1 10–13 5.4 3.9 6 3.8 3.9 4.4 12.3 4.6 9.1 4.5 12 4.9 6-week weight 6-week weight Predicted fat, percent 6-week weight Predicted fat, percent 6-week weight 6-week weight 6-week weight 6-week weight Abdominal fat Abdominal fat Abdominal fat, percentage Abdominal fat Abdominal fat Body mass Body weight Abdominal fat Body weight Body weight Body weight Body weight Abdominal fat, percentage Leptin Body weight Abdominal fat, percentage Abdominal fat, percentage Abdominal fat, percentage Abdominal fat, percentage 14-weeks fat, percent 17 14 15 4 4 5 13 11 7 13 4 3 3 11 11 11 4 1 11 5 13 12 14 7 17 7 12 7 2 2q34 2p13.3 7p22 7p14-p13 7p15 8p21-p12 15q11-12 19p13.3-p13.2 19q13.3 (403) 2q21-q37 (404) Fob2 Lod ⫽ 3.3 19.5 12 7p22-q22 Fob3 Fob4 Bw19 QbwX Bwq2 Bwq1 Obq5 KK7 Obq6 Hlq1 Batq1 Hlq2 Hlq3 Batq2 Hlq4 Hlq5 Fatq1 Lod ⫽ 11.3 Lod ⫽ 3.3 Lod ⫽ 24.4 Lod ⫽ 24.4 Lod ⫽ 4.1 Lod ⫽ 3.1 Lod ⫽ 6.3 Lod ⫽ 4.4 Lod ⫽ 5 Lod ⫽ 5.6 Lod ⫽ 4 Lod ⫽ 3.7 Lod ⫽ 3.8 Lod ⫽ 3.5 Lod ⫽ 4.7 Lod ⫽ 4.06 Lod ⫽ 8 14.4 7.3 17–20 17–20 26 15 17 11.7 14-weeks fat, percent (female) 14-weeks fat, percent 14-weeks fat, percent 10-week weight 10-week weight Adiposity Body weight Adiposity (females) Inguinal fat Adiposity (males) Heat loss Brown fat Heat loss Heat loss Brown fat Heat loss Heat loss Gonadal fat 15 X X X 6 4 9 7 X 1 1 2 3 3 3 7 1 8q24.2-q24.3 Xq12-q21.2 Xq28 4.7 3.3 3.1 3.1 2.8 3.9 3.4 5.9 6p21 8p23.1-p22 8q24-qter 9p24-p23 9p24 12q24 15q23-q25 17p13 19q13.3 1q43 1p34-p33 3q25 4q23-q27 7p13-p11.2 17q12-q22 17q21-q22 3p26-p25 6q16 11q23-q24 11q21 Xq26-q28 1q21-q41 1q41-q42.1 2p13-q13 3q25 4q28-q31 8q21.3-q22.1 16p12-p11.2 18q21.3 (401,402) (404) (405) (406) (407) OBESITY RESEARCH Vol. 12 No. 3 March 2004 379 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 5. (continued) Cross Mus musculus Mus spretus ⫻ C57BL/6J Mus musculus NSY ⫻ C3H/He Mus musculus NZB/B1NJ ⫻ SM/J Mus musculus NZO ⫻ SJL Mus musculus NZO ⫻ SM Mus musculus NZO/H1Lt ⫻ NON/Lt Mus musculus Quackenbush-Swiss ⫻ C57BL/6J Mus musculus SM/J ⫻ A/J Mus musculus SM/J ⫻ LG/J Mus musculus TSOD ⫻ BALB/cA 380 QTL Statistics Chromosome Variance (%) Mob4 Mob2 Mob3 Mob1 Nidd3nsy Lod ⫽ 3.4 Lod ⫽ 4.8 Lod ⫽ 4.8 Lod ⫽ 4.2 Lod ⫽ 6.8 5.9 7.1 7 6.5 Mob5‡ Lod ⫽ 3.6 Nob1 Lod ⫽ 3.8 Obq8 Lod ⫽ 6.4 Obq9 Lod ⫽ 6.7 Obq7 Lod ⫽ 6 Obq14 Obq12 Obq4 Lod ⫽ 9.2 Lod ⫽ 4.5 Lod ⫽ 6.3 Obq11 Obq13 Obq10 Lod ⫽ 4.1 Lod ⫽ 9.3 Lod ⫽ 6.4 Obq15 Lod ⫽ 6.6 Nzoq1 Phenotypes Animal Human References Mesenteric fat Femoral fat Body fat, percentage Body fat, percentage Epididymal fat 15 6 12 7 6 5p14-p13 7q31.2-q31.3 14q32.1-q32 16p12.1-p11.2 2p14-p12 (409) 36 Body fat 2 20q13.1-q13.3 (410) 16.8 BMI 5 4p15 (411) 1 1q31 (412) 1 1q22-q23 1 2q33.1 6 17 3p26 4p15 6q27 5 6 2 7q22-q36 7p14 11p13 7 11p15.5 Lod ⫽ 3.8–9.4 16 Retroperitoneal fat, percentage Percent mesenteric fat (females Mesenteric fat, percentage (males) Mesenteric fat, percentage Gonadal fat, percentage Inguinal fat, percentage (males) Gonadal fat, percentage Mesenteric fat, percentage Gonadal fat, percentage (males) Gonadal fat, percentage (males) Body weight 1 6p12-p11 (413) Nzoq2 Qsbw Lod ⫽ 4 p ⫽ 0.009 40 BMI Body weight 12 10 14q31-q32 12q22-q23 (414) Bwq4 Bwq3 Qlw13 Qlw12 Qlw1 Qlw3 Qlw5 Qlw18 Qlw9 Qlw4§ Qlw7§ Qlw10§ Qlw14 Qlw2 Qlw11 Adip2 Lod ⫽ 4.8 Lod ⫽ 4.6 Lod ⫽ 1.9 Lod ⫽ 2.3 Lod ⫽ 2.3 Lod ⫽ 2.3 Lod ⫽ 2.8§ Lod ⫽ 2.8§ Lod ⫽ 1.8 Lod ⫽ 2.4 Lod ⫽ 2 Lod ⫽ 4.9 Lod ⫽ 2.1 Lod ⫽ 2.9 Lod ⫽ 2.6 Lod ⫽ 3.5–6.2 18 8 13 12 1 3 6 18 9 4 7 10 14 2 11 6 5q32-q35 16q22-q23 1q43 2p24-p23 2q35-q36 3q25-q26 3p26-p24 5q31 6p12.1 9q31-q32 11p15 12q21 14q11.2 15q11.2-q22.2 22q12 Adip3 Nidd6 Nidd5 Lod ⫽ 9.7 Lod ⫽ 4.65 Lod ⫽ 5.91 Body weight at 10 weeks Body weight at 10 weeks Adiposity Late weight gain Late weight gain Late weight gain Late weight gain Adiposity Adiposity Late weight gain Late weight gain Weight Weight Late weight gain Late weight gain Adiposity/weight (females) Adiposity (males)/weight Body weight Body weight OBESITY RESEARCH Vol. 12 No. 3 March 2004 6 6 2.4 1.9 8.4 3.4 2.4 2 2.6 2.4 9.2 10.9 7 1 2 1q25 2q22-q23 (408) (415) (409,416–418) (419) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 5. (continued) Cross Mus musculus Wild Mus musculus castaneus ⫻ C57BL/6J Rattus norvegicus (OLETF ⫻ BN) ⫻ OLETF Rattus norvegicus Dahl ⫻ MNS Rattus norvegicus GK ⫻ BN Rattus norvegicus GK ⫻ F344 Rattus norvegicus Lepr(fa)/Lepr(fa) 13M ⫻ WKY Rattus norvegicus OLETF ⫻ BN Rattus norvegicus OLETF ⫻ F344 Rattus norvegicus SHR ⫻ BB/OK Rattus norvegicus SHR ⫻ Wild Rattus norvegicus WOKW ⫻ DA/K Sus scrofa Berkshire ⫻ Yorkshire Sus scrofa European wild boar ⫻ Large White QTL Statistics C10bw1 C10bw4 Lod ⫽ 10.7 Lod ⫽ 3.7 C10bw5 C10bw7 Lod ⫽ 3.4 p ⫽ 0.00001 C10bw2 Lod ⫽ 3.3 C10bw3 C10bw6 Lod ⫽ 3.7 Lod ⫽ 4.3 Dmo9 Dmo1 Dmo4 Dmo7p Dmo6p Dmo5 Dmo10 DAHL3 Lod ⫽ 3.5 Lod ⫽ 8.2–14 Lod ⫽ 4.4–5.5 Lod ⫽ 4.9–5.4 Lod ⫽ 3.5–3.6 Lod ⫽ 3.5–3.6 Lod ⫽ 3.5–3.6 p ⫽ 0.00003 Nidd/gk6 Nidd/gk1 bw/gk1 Nidd/gk5 Niddm1 Lod ⫽ 3.2 Chromosome Variance (%) Phenotypes Animal Human 2 13 2q24.2 5q13 13 12 5q14.3 14q23-q24.2 9 15q21-q22 11 X 17q24-q25 Xp22.2-p21.2 13 1.4-g body weight 0.9-g body weight (females) 0.8-g body weight (males) Body weight (males; epistatic) 1.1-g body weight (females) 1.3-g body weight (males) 1.4-g body weight (females) Adiposity index Body weight Adiposity index Adiposity index Adiposity index Adiposity index Body weight Body weight 11 1 1 7 6 3 11 3 3q26.1-q28 10q23-q24 11p15.5-p15.4 12q22-q23 14q32 19p13.2-q13.3 21q22.1 10q25 23.5 Body weight Adiposity Body weight Body weight Body weight 17 1 7 8 1 1q41-q44 3p21 8q21-q24 11q22-q23 10q24-q26 12q22-q23 17pter-q23 7q22 16q13 References (420) (421) (422) (423) (424) Weight1 Niddm3 Qfa12 Qfa1 Lod ⫽ 3 Lod ⫽ 2.2 8.3 6.9 BMI, female BMI, female 7 10 12 1 Dmo1 Lod ⫽ 6 11.6 Body weight 1 10q23-q24 (426) Obs5 Obs1 Obs3 Obs4 Obs2 Obs6 Imfq1 SHR4 SHR1 SHR10 Lod ⫽ 5.4 Lod ⫽ 5.1 Lod ⫽ 5.9 Lod ⫽ 5.3 Lod ⫽ 4.2 Lod ⫽ 4.5 Lod ⫽ 3.4 Lod ⫽ 3.1 Lod ⫽ 3.3 Lod ⫽ 3.5 12.4 13.8 13.4 16.5 11.3 13.8 5 14 32 Retroperitoneal fat Mesenteric fat Mesenteric fat Retroperitoneal fat Retroperitoneal fat Retroperitoneal fat Intramuscular fat Body weight (females) Body weight (males) Body weight (males) 14 2 8 9 4 14 1 4 1 10 4q12-q13 5p13-p12 6q12-q13 6p21 7q11.2-q36 7p13-p12 9q12 7p15.3 11p15.5 17pter-q23 (427,428) WOKW1/ Q5 ms1 WOKW1/ Q1 ms1 SSC7 SSC1 SSC4 SSC5 FAT1 Lod ⫽ 4.5 16 BMI 5 1p36-p31 Lod ⫽ 4.9 31 30-week body weight 1 3p21 F ⫽ 13.8 F ⫽ 11.3 F ⫽ 11.8 F ⫽ 9.5 p ⫽ 0.0001 6.9 4.8 6 4.8 9.7 Back fat Back fat Weight Back fat Body fat, percentage 7 1 4 5 4 6p21.3 9q32-q34.1 (432) 1q21-q25 (433–435) (425) (429) (430) (404,431) OBESITY RESEARCH Vol. 12 No. 3 March 2004 381 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 5. (continued) Cross Sus scrofa Iberian ⫻ Landrace Sus scrofa Meishan ⫻ (Dutch Landrace ⫻ Large White) Sus scrofa Meishan ⫻ Duroc, Hampshire, Landrace Sus scrofa Meishan ⫻ Dutch Sus scrofa Meishan ⫻ Gottingen Sus scrofa Meishan ⫻ Large White Sus scrofa Meishan ⫻ White Sus scrofa Meishan ⫻ White composite Sus scrofa Minghu ⫻ Hampshire, Landrace Sus scrofa Wild Boar ⫻ Large White Bos bovis Hereford ⫻ CGC QTL Statistics Variance (%) Chromosome Phenotypes Animal Human References FAT1 F ⫽ 11.1 Back fat depth 4 1q21-q25 (436) SSC7 SSC2 F ⫽ 18§ F ⫽ 2.7 Back fat thickness Back fat thickness 7 2 6p21.3 11p15 (437,438) PigQTL2 F ⫽ 7.9 Average backfat 7 6p21 (439,440) SSC6q SSC7 SSC2 SSC6p SSCX SSC7 F ⫽ 14.7 F ⫽ 49.4 F ⫽ 24.1 F ⫽ 14.5 F ⫽ 12.8 F ⫽ 19.5 Intramuscular fat Back fat thickness Back fat thickness Intramuscular fat Intramuscular fat Back fat thickness 6q 7 2 6p X 7 1p33-p32 6p21.3 11p15 16q22-qter Xq11.2-q22 6p21.3 (441,442) Mid-back fat depth 4 1q21-q25 (444) Back fat depth Weight Back fat depth Back fat thickness Back fat thickness Back fat thickness Back fat thickness Back fat thickness Back fat thickness Back fat thickness 42-day weight 7 1 X 4 8 5 6 7 1 X 13 6p21.3 9q32-q34.1 Xq11.2-q22 (445,446) 6p21.3 9q32-q34.1 Xq11.2-q22 3p11 (447) ¶ Back fat depth 2p 11p15.5 (448,449) ⫺24 kg live weight 17 4 (450) 0.1–0.2 18 BFM4 SSC7 SSC1 SSCX SSC4 SSC8 SSC5 SSC6 SSC7 SSC1 SSCX PIT1 F ⫽ 10.4–20.5 F ⫽ 39.4–94.9 F ⫽ 37.4–71.8 F ⫽ 14.9–15.3 F ⫽ 9.5 F ⫽ 13.4–15.1 F ⫽ 11.9 F ⫽ 14.7 F ⫽ 15.4 F ⫽ 32.3 F ⫽ 3.34 3–4 1–2 2–5 1–2 IGF2q F ⫽ 7.1 10.4 BTA17LW F ⫽ 8 (443) Status as of October 2003. Adip, adiposity; Afp, abdominal fat percent; Afpq, abdominal fat QTL; Afw, abdominal fat weight; Batq, brown adipose tissue QTL; BFM4, backfat QTL on chromosome 4; Bl, body length; BTA17LW, bovine chromosome 17 live weight; Bw, body weight; bw/gk, body weight/Goto-Kakizaki; Bw6, body weight at 6 weeks; Bw8q, QTL for body weight at 8 weeks of age; Bwq, body weight QTL; C10bw, castaneus 10-week body weight QTL; Carfhg1 (Q5Ucd1-fp): carcass fat in high growth mice 1; DAHL3, Dahl rat body weight QTL on chromosome 3; Dmo, diabetic mouse; Dob, dietary obese; FAT 1, pig QTL with major effect on fitness; Fatq, fat QTL; Fob, fat obesity; Hlq, heat loss QTL; IGF2q, QTL located near the gene for insulin-like growth factor 2; Imfq1, intramuscular fat QTL 1; Kcal, cumulative kilocalorie intake; KK7, KK mouse chromosome 7 region; Lepq, leptin receptor QTL; m, maternal effect; Minc, macronutrient intake, carbohydrate; Mnif, macronutrient intake, fat; Mob, multigenic obesity; na, Not available; Nidd, non-insulin dependent diabetes mellitus; Nidd3n (Nidd3nsy), non-insulin-dependent diabetes mellitus 3 in NSY; Niddm, non-insulin dependent diabetes mellitus; Nob1, New Zealand obese QTL 1; Nzoq, New Zealand obese contributed QTL; Obq, obesity QTL; Obs, Obesity QTL; p, paternal effect; Pfat, polygenic fatness; Pfatp, predicted fat percent; PigQTL2, Pig backfat thickness QTL; PIT1, POU-domain transcriptional regulator; Q1 ms1, metabolic syndrome QTL on chromosome 1; Q5 ms1, metabolic syndrome QTL on chromosome 5; Qbw, QTL body weight; Qfa, QTL LEPRfa; Nidd/gk, non-insulin dependent diabetes/Goto-Kakizaki; Qlep, QTL for leptin; Qlw, QTL late weight gain (6 to 10 weeks); Qsbw, Quackenbush-Swiss body weight; SHR, salt hypertensive rat; SSC, swine chromosome; WEIGHT1, body weight QTL 1; WOKW, Wistar Ottawa Karlsburg Rt1uW. * Also observed in the cross (C3H/He ⫻ A/J) ⫻ M. spretus (391). † Also observed in the CAST/Ei ⫻ C57B1/6J F2 intercross (451). ‡ Also observed in the cross CAST/Ei ⫻ C57BL/6J (396). § Replicated. ¶Yu T, Wang L, Tuttle C, Rothschild M. Mapping genes for fatness and growth on pig chromosome 13: a search in the region close to the pig PIT1 gene. J Anim Breed Genet. 1999;116:269 – 80. Synteny relationships established according to the following references: (74,75,77,78,452). 382 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. a marked hyperinsulinemia and diabetes on a C57BL/6J background, and only a mild elevation of insulin and with no diabetes on a 129S6 background. The cross DH-C57BL/6J ⫻ DH-129S6 uncovered a QTL for hyperleptinemia on chromosome 7 in the vicinity of the uncoupling protein 2/3 gene cluster (82). Finally, a QTL for leptin has been found on chromosome 3 in the UM-HET3 mice obtained from the cross [BALB/cJ ⫻ C57BL/6J] ⫻ [C3H/HeJXDBA/2J]. These mice showed an average difference of 0.9 ng/mL from mean leptin levels (5.3 and 5.0 ng/mL for females and males, respectively) (83). Association Studies The evidence for associations between candidate genes and obesity-related phenotypes is summarized in Table 6. A total of 272 studies covering 90 candidate genes have reported significant associations. Of these, 58 studies (43 candidate genes) were published during the past year. This year’s update includes 23 new candidate gene entries. These new reports indicate that body weight, BMI, overweight, and obesity were associated with DNA sequence variation in ACE (84), ADRB2 (85), ADRB3 (86), AGRP (87), APM1 (88,89), APOA1 (90), APOA4 (91), ATP1A2 (92), CAPN10 (93), ESR1 (94), FABP2 (95), FOXC2 (96), GNB3 (97), HSD11B1 (98), IL6 (99), IL6R (100), IRS2 (101), LIPC (102), LIPE (103), MACS2 (104), MC4R (19), NCOA3 (105), NR0B2 (106), NR3C1 (107,108), PGR (105), PPARA (109), PPARG (110 –114), SCARB1 (112), SLC6A3 (115), TCF1 (116), and TGFB1 (117). Body fatness-related phenotypes (fat mass, percentage of body fat, sum of skinfolds) showed associations with markers in AGRP (87), AR (118), ATP1A2 (92), CNTFR (119), ESR1 (94), FOXC2 (96), IRS2 (101), LIPE (103), PPARA (109), and PPARG (113). Phenotypes reflecting body fat distribution (abdominal visceral fat, waist circumference, waist-to-hip girth ratio, sagittal diameter) were associated with ADRB2 (120,121), APM1 (89), APOA1 (90), AR (122), CYP19A1 (123), DF (124), ESR1 (94), HSD11B1 (98), IL6 (99), IRS2 (101), LIPC (102), MACS2 (104), PPARG (113,114), TGFB1 (117), and UCP1 (125). Resting energy expenditure, thermic effect of feeding, and 24-hour lipid oxidation phenotypes were associated with ADRB3 (126), IL6 (127), LEPR (128), PPARG (129), and PPARGC1 (130) markers, whereas adipocyte size and lipolysis showed associations with polymorphisms in LEPR (128), PLIN (131), and PPARGC1 (130). Three candidate genes (ENPP1, MC3R, POMC) were reported to be associated with plasma leptin levels (132–134). Seven studies reported associations between candidate genes and changes in body weight and body composition (132). The UCP1 (135) and NR3C1 (136) loci showed associations with spontaneous changes in body weight and adiposity over time, whereas weight gain during pregnancy was associated with the GNB3 polymorphism (137). Mark- ers in the GNB3 (138) and PNMT (139) loci were reported to be predictive of sibutramine-induced weight loss. Response to a lifestyle based weight-loss program was associated with a marker in the ADRB3 locus (140) and endurance training-induced changes in body composition showed associations with the ADRB2 polymorphisms (141) In addition to the positive studies summarized above, we identified 40 studies dealing with 27 candidate genes in which there were no associations between DNA sequence variations and obesity-related phenotypes. Among these studies, the most frequent were those pertaining to markers of UCP2 (142–145) (four studies), ADRA2B (146 –148), ADRB2 (149 –151), PPARG (86,152,153), and RETN (154 –156) (three studies each). Other markers yielding negative findings were those related to ACE (157), ADRB3 (158), APOE (159,160), CAPN10 (161), CYP27B1 (162), DGAT1 (163), DRD2 (164), EDN1 (165,166), ESR1 (167), F7 (168), FABP2 (169), GNB3 (170), GPR10 (171), IL6 (172,173), IRS1 (174), IRS2 (174), LEPR (175), LPL (176), NOS3 (177), NR0B2 (178), SORBS1 (179), and TNF (180). Linkage Studies A total of nine linkage studies with obesity-related phenotypes were reported over the last 12 months, including five new genome-wide scans (53,181–184). The other four studies were attempts to replicate previous linkages reported on chromosomes 3q27 (185), 7q22-q35 (186), 2p and 10p (103), and 10p and 20q (187). Results from these studies are described below, and the new QTLs have been added to Table 7. A genome scan of BMI allowing for potential effects of imprinting was performed on a sample of 1909 individuals from 255 three-generation pedigrees who took part in the Rochester Family Heart Study (182). Linkage between BMI and 372 autosomal markers was tested in the whole sample (893 sibpairs) and in two age groups: children 5 to 11 years old (101 sibpairs) and young adults 17 to 30 years old (173 sibpairs). Analyses of all sibpairs revealed significant evidence of linkage on 1p36 with marker D1S552 [logarithm of odds (Lod) ⫽ 2.03; p ⫽ 0.002)]. In children 5 to 11 years, evidence of linkage to BMI was found on chromosomes 5q34-q35 (Lod ⫽ 2.48 with marker D5S1471), 16p13 (Lod ⫽ 3.12 with D16S404), 16p11.2-p13.1 (Lod ⫽ 2.45 with D16S764), 20p12-p13 (Lod ⫽ 3.55 with D20S482), and 20p11.2-pter (Lod ⫽ 4.08 with D20S851). None of these regions showed evidence of parent-specific linkage (imprinting). However, evidence of linkage of BMI to paternally derived alleles was found on chromosomes 3p23p24 (Lod ⫽ 1.77 with D3S3038), 10p14-q11.2 (Lod ⫽ 1.89 with D10S1423), and 12p12-pter (Lod ⫽ 1.83 with GATA49D12), whereas linkage to maternally derived alleles was found on chromosome 4q31.1-q33 (Lod ⫽ 1.89 with D4S1629). In the 17- to 30-years of age group, evidence of linkage was found on 8p11-q13 (Lod ⫽ 2.05 with D8S1113) and 14q11.2-q21.3 (Lod ⫽ 1.95 with D14S742), OBESITY RESEARCH Vol. 12 No. 3 March 2004 383 The Human Obesity Gene Map: The 2003 Update, Snyder et al. whereas linkage to paternally derived alleles was found on chromosomes 4q31-qter (Lod ⫽ 1.84 with D4S2417) and 8p (Lod ⫽ 1.98 with D8S277). Another genome scan based on data from 89 German families with two or more obese children and adolescents was published in 2003 (188). Obese sibships included one sibling with a BMI ⱖ95th percentile and other siblings with BMI ⱖ90th percentile. Linkage with obesity was tested with 452 genetic markers with an average intermarker distance of 8.4 centimorgans (cM). Only three regions provided evidence of linkage with Lod scores ⱖ1.5; these regions were on chromosomes 10p11.23 (Lod ⫽ 2.24 with D10S197), 11q11-q13.1 (Lod ⫽ 1.65 with D11S1313), and 19q12 (Lod ⫽ 1.97 with D19S414). Three other genome-wide linkage analyses of obesity based on BMI have been reported. One was undertaken in 769 subjects from 182 Nigerian families with an average BMI of 21.3 kg/m2 (181). Subjects were genotyped for 402 autosomal markers, an average map density of 9 cM. The highest Lod scores were observed on chromosomes 7p14 with marker D7S817 (Lod ⫽ 3.83) and 11q22 with marker D11S2000 (Lod ⫽ 3.35). Significant evidence of linkage was also observed on chromosomes 1q21 (Lod ⫽ 2.24 with marker D1S534) and 8p22 (Lod ⫽ 2.34 with marker GATA151F02). In another genome scan, linkage between BMI and 384 markers was tested in 157 subjects from seven large nuclear families from the Old Order Amish population, selected on evidence for the segregation of a single locus with major effects on BMI (184). Sibpair linkage analyses identified QTLs for BMI on chromosomes 1p32 (p ⬍ 0.009), 5q35 (p ⬍ 0.004), 7q35 (p ⬍ 0.004 for 3 markers), 8q23 (p ⬍ 0.005), and 11q22 (p ⬍ 0.008). Typing of additional markers on 7q35 confirmed the linkage with BMI in a 10- to 15-cM region downstream from the leptin gene (184). Finally, another genome scan of obesity was undertaken in a cohort of families ascertained for probands with obstructive sleep apnea (183). Given that obesity is a major risk for patients suffering from obstructive sleep apnea, the authors tested linkage between BMI and 373 autosomal markers, with a mean spacing of 9.1 cM, genotyped in 349 subjects from 66 white pedigrees. Results revealed that BMI was linked to markers located on chromosomes 2p22 (Lod ⫽ 3.08), 7p22 (Lod ⫽ 2.53), and 12q21 (Lod ⫽ 3.41). Finally, four other studies were undertaken to test for linkages between BMI and markers located at specific chromosomal regions in an effort to replicate previous findings. In a study based on a sample of 1422 twin pairs from the Swedish Twin Registry (103), no evidence of linkage to five markers located in the area of the QTL reported earlier on 2p21 (189) or to 8 markers located in the area of the QTL reported on 10p12-p11 (190) was observed. In an attempt to replicate a linkage for BMI on 3q27 (191), a sample of 545 individuals from 128 African-American families were geno384 OBESITY RESEARCH Vol. 12 No. 3 March 2004 typed for 15 markers evenly spaced in a 112-cM region around the peak linkage previously identified. Evidence of linkage was found between marker D3S2427 at 188.3 cM and BMI (Lod ⫽ 2.4) (185). When analyses were repeated in a larger sample comprising 1163 individuals from 330 families, the peak linkage (Lod ⫽ 4.3) was found at 187.6 cM between markers D3S3676 and D3S2427. The authors concluded that 3q27 should be considered as a strong candidate region in the search for obesity-related genes (185). To identify genes potentially involved in obesity on chromosome 7q, Li et al. (186) examined linkage between BMI and 21 markers located in a 40-cM region flanking the leptin gene on 7q22.1-q35. Significant evidence of linkage was obtained with D7S692 (Lod ⫽ 2.75) and D7S523 (Lod ⫽ 2.11) on 7q31.1. These markers define a 20-cM region upstream of the leptin gene which could harbor an obesity-related gene (186). The last linkage study at a candidate region was undertaken on 200 white families with 542 siblings and 44 African-American families with 125 siblings, with the aim of testing epistatic interactions among five loci located on chromosomes 10 and 20 (187). Linkage analyses performed in the combined sample of 244 families revealed evidence of linkage on 10p11.2-cent with obesity (BMI ⱖ27 kg/m2), on 10q22 with waist circumference and BMI, on 10q25 with obesity and WHR, and on 20q13.1q13.2 with percentage of body fat (187). Discussion Figure 1 depicts the human obesity gene map and incorporates ⬎430 loci from single-gene mutation rodent models of obesity, human obesity cases due to single-gene (or digenic) 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. In the case of chromosome 21, it is important to note that there are only two loci from animal models and none that has been confirmed in human studies. It is obvious that several genomic regions are characterized by a high density of concordant positive findings. As we now have a 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 interest is the fact The Human Obesity Gene Map: The 2003 Update, Snyder et al. Figure 1: The 2003 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 consists of an updated 850-band-resolution cytogenetic map overlaid with build 34 of the human genome sequence 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. For all loci, we used the name preferred by UniSTS or LocusLink. 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 website (http://obesitygene.pbrc.edu). OBESITY RESEARCH Vol. 12 No. 3 March 2004 385 The Human Obesity Gene Map: The 2003 Update, Snyder et al. 386 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. OBESITY RESEARCH Vol. 12 No. 3 March 2004 387 The Human Obesity Gene Map: The 2003 Update, Snyder et al. 388 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. OBESITY RESEARCH Vol. 12 No. 3 March 2004 389 The Human Obesity Gene Map: The 2003 Update, Snyder et al. 390 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. OBESITY RESEARCH Vol. 12 No. 3 March 2004 391 The Human Obesity Gene Map: The 2003 Update, Snyder et al. 392 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. Evidence for association between markers of candidate genes with obesity-related phenotypes Gene Location ABCC8 ACE ACP1 11p15.1 17q24.1 2p25 ADA ADRA2A 20q13.12 10q25.3 ADRA2B 2q11.2 ADRB1 ADRB2 10q26.11 5q31-q32 Cases (N) 232 959 75 265 273 213 72 166 126 931 239 180 494 247 247 247 230 236 508 140 826 366 836 63 277 1576 284 224 ADRB3 8p12-p11.2 24 286 574 185 313 476 553 179 295 83 211 53 350 398 154 586 56 128 1675 254 Phenotype p References Obesity, morbid Overweight BMI (in children) BMI (in NIDDM subjects) BMI (in NIDDM subjects) Skinfolds, trunk to extremity ratio (in blacks) Skinfolds, trunk to extremity ratio (in women) Basal metabolic rate (in obese nondiabetics) Body weight, change, 5-year (in nondiabetics) Body weight, BMI, fat mass Waist-to-hip ratio BMI Body weight, increase (in men) Change in BMI (in women) Change in fat mass (in women) Change in percent body fat (in women) Change in sum of 8 skinfolds (in men) Lipolysis BMI (in Japanese) BMI, fat mass, fat cell volume Obesity, BMI, waist-to-hip ratio, waist circumference, hip circumference BMI (in women) Body weight, BMI, waist-to-hip ratio, waist circumference, hip circumference (in French men) BMI, fat mass BMI (in Japanese men) BMI Leptin BMI, abdominal total fat, abdominal subcutaneous fat (in men) Leptin, body weight, increase, skinfolds, sum of 8 Body weight, increase BMI (in Japanese) Body weight, increase over 20 years, weight, current Obesity (in those 20 to 35 years old) BMI (in men) Obesity (in Japanese children) BMI BMI BMI (in CAD patients) Obesity, moderate Obesity BMI BMI, abdominal subcutaneous fat, abdominal visceral fat Obesity (in sedentary individuals) BMI, hip circumference (in women) BMI, fat mass, waist circumference Body weight, increase over 25 years Obesity, BMI, percent body fat Obesity, early onset 0.02 0.014 0.02 0.002 0.0004 0.04 0.002 0.01 0.04 0.05 0.05 0.003 0.01 0.04 0.0008 0.0003 0.03 0.02 0.001 0.001 0.05 (453) (84) (454) (455) (456) (457) (458) (459) (460) (461) (462) (463) (464) (141) (141) (141) (141) (465) (466) (467) (468) 0.01 0.002 (469) (470) 0.05 0.004 0.02 0.03 0.01 (471) (472) (85) (473) (474) 0.03 0.04 0.009 0.007 0.05 0.05 0.02 0.006 0.05 0.05 0.02 0.05 0.009 0.02 (475) (476) (477) (478) (462) (479) (480) (481) (482) (483) (484) (485) (486) (487) 0.05 0.03 0.05 0.01 0.05 0.002 (488) (489) (490) (491) (492) (493) OBESITY RESEARCH Vol. 12 No. 3 March 2004 393 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene Location Cases (N) 76 131 261 979 AGRP 16q22.1 AGT 1q42.2 APM1 3q28 APOA1 11q23.3 APOA2 APOA4 1q23.1 11q23.3 APOB 2p24.2 APOD APOE 3q26.2-qter 19q13.32 AR Xq12 ATP1A2 1q23.1 CAPN10 2q37.3 CART 5q13.2 CBFA2T1 8q21.3 CCKAR CNTFR CYP19A1 CYP7A1 DF DRD2 4p15.2-p15.1 9p13.2 15q21 8q12.1 19p13.3 11q23.2 394 802 49 335 47 183 253 212 212 135 316 94 413 371 95 95 245 482 482 624 369 375 613 56 232 181 114 164 113 106 122 156 12 12 148 286 612 528 281 1296 465 125 1102 24 392 176 Phenotype Fat mass (in Thai males) Fat mass, abdominal visceral fat BMI Waist-to-hip ratio, overweight (in men ⬎53 years old) BMI BMI Waist-to-hip ratio (in women) Body weight (in obese children) BMI, percent body fat, fat mass (in whites) BMI Fat mass Percent body fat Body weight, change Waist-to-hip ratio Fat mass (in women ⬎42 years old) Body weight, waist circumference (in Japanese, in whites) BMI BMI (in obese women) Sagittal diameter (in obese women) BMI BMI (in type 2 diabetics) Waist-to-height ratio (in type 2 diabetics) Waist circumference BMI BMI, waist-to-hip ratio (in young men) BMI, percent body fat Abdominal fat, percent body fat BMI BMI BMI Waist circumference (in women with a family history of diabetes) Waist circumference (in women) Percent body fat Percent body fat, respiratory quotient Respiratory quotient (in young adults) Fat mass Body weight ADRB3 activity in adipocytes (in overweight individuals) BMI Waist-to-hip ratio (in men) Obesity, BMI BMI, percent body fat, waist circumference, hip circumference Leptin, percent body fat Fat-free mass Sagittal diameter (in women) BMI Abdominal fat (in MZ twins) Body weight Obesity OBESITY RESEARCH Vol. 12 No. 3 March 2004 p References 0.05 0.01 0.05 0.05 (494) (495) (496) (497) 0.02 0.03 0.02 0.05 0.003 0.015 0.028 0.013 0.006 0.007 0.008 0.03 (498) (499) (500) (501) (502) (87) (87) (87) (503) (504) (505) (506) 0.02 0.014 0.032 0.05 0.048 0.023 0.03 0.003 0.004 0.004 0.04 0.005 0.05 0.006 0.05 (507) (508) (508) (88) (90) (90) (509) (91) (510) (511) (512) (513) (514) (515) (516) 0.002 0.01 0.05 0.0001 0.01 0.05 0.004 (122) (118) (517) (518) (508) (508) (519) 0.003 0.002 0.008 0.0002 (93) (520) (521) (522) 0.003 0.011 0.049 0.05 0.05 0.002 0.002 (523) (119) (123) (524) (124) (525) (526) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene Location ENPP1 ESR1 6q23.1 6q25.1 FABP2 4q27 FABP4 FOXC2 8q21 16q24.1 GCGR 17pter GCK GHRL 7p13 3p25.3 GNB3 12p13.31 Cases (N) 320 383 990 293 108 551 551 551 216 507 395 714 644 215 950 58 65 192 737 294 230 20 111 213 181 130 250 114 197 1950 GYS1 HSD11B1 19q13.33 1q32-41 HSD3B1 HSPA1B HTR1B HTR2A 1p11.2 6p21.31 6q14.1 13q14.11 HTR2C Xq24 IGF1 12q23.3 IGF2 11p15.5 IL6 7p15.3 130 263 263 263 132 517 98 276 264 117 148 589 502 1474 427 271 Phenotype p References Energy expenditure, 24-hour, sleeping metabolic rate Skinfolds, iliac, skinfolds, triceps Obesity Leptin BMI (in postmenopausal women) BMI (in middle-aged women) Percent body fat (in middle-aged women) Waist circumference (in middle-aged women) Obesity, android type BMI, percent body fat Abdominal fat BMI BMI Percent body fat Waist-to-hip ratio, waist girth, sagittal abdominal diameter Body weight at birth (in males) BMI (in tall obese children) Obesity (in women) Obesity (in men) Weight gain during pregnancy BMI (in primiparous women) Lipolysis Weight loss with sibutramine BMI, waist circumference, hip circumference, skinfolds (in Nunavut Inuit) Body weight at birth BMI Fat mass, change, body fat, percent change Lipolysis (subcutaneous, adrenoreceptor-mediated) BMI (in hypertensives) Body weight, BMI (in males, white, Chinese and African) Obesity BMI (in children) Waist circumference (in children) Waist-to-hip ratio (in children) Skinfolds, sum of six, 12-year change in Obesity BMI (in women with bulimia nervosa) dietary energy, carbohydrate and alcohol intake (in obese subjects) BMI, abdominal sagittal diameter, waist-to-hip ratio Body weight, gain, antipsychotic-induced Body weight, loss (in teenage women) BMI Percent body fat, fat-free mass, fat mass, fat-free mass, change in BMI Fat mass BMI (in men) 0.03 0.002 0.03 0.01 0.04 0.05 0.05 0.05 0.0002 0.01 0.008 0.042 0.03 0.02 0.001 (527) (528) (529) (132) (530) (94) (94) (94) (531) (532) (533) (95) (96) (96) (534) 0.002 0.001 0.05 0.01 0.006 0.01 0.01 0.0013 0.05 (535) (536) (537) (97) (137) (538) (539) (138) (540) 0.02 0.001 0.006 0.004 0.02 0.001 (541) (542) (543) (544) (545) (546) 0.03 0.005 0.05 0.05 0.04 0.0002 0.001 0.028 (547) (98) (98) (98) (548) (549) (550) (551) 0.015 0.0003 0.0001 0.009 0.05 (552) (553) (554) (555) (556) 0.02 0.05 0.007 (557) (558) (99) OBESITY RESEARCH Vol. 12 No. 3 March 2004 395 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene Location IL6R INS 1q22 11p15.5 INSR IRS1 19p13.3 2q36.3 IRS2 13q33.3 LDLR 19p13.2 LEP 7q32.2 LEPR 1p31.3 LIPC 15q21.3 LIPE 19q13.31 Cases (N) 271 124 124 184 758 2734 238 1152 52 75 156 1748 233 233 233 83 131 270 84 112 103 395 unknown 233 211 117 168 84 502 308 335 179 336 220 267 130 268 184 20 62 118 230 234 231 257 117 405 405 396 Phenotype Waist circumference (in men) Fasting energy expenditure Energy expenditure during hyperinsulinemic clamp Obesity (in women) Body weight Body weight Obesity BMI Waist-to-hip ratio (in obese women) Obesity (in hypertensives) Leptin (in obese subjects) BMI (in African Americans) BMI Percent body fat Waist circumference BMI (in normotensives) BMI, skinfolds, subscapular, skinfolds, triceps, arm fat index Obesity BMI (in hypertensives) BMI (in hypertensives) Body weight, BMI Leptin Leptin secretion Leptin (in obese women) Obesity (in women) Leptin Body weight, decrease Body weight BMI, fat mass Fat-free mass Body weight, BMI, fat mass (in women) BMI, fat mass, body weight, loss (in overweight women) Overweight/obesity Leptin, BMI, fat mass (in postmenopausal women) BMI, abdominal sagittal diameter Obesity, extreme (in children) 24-hour energy expenditure Subcutaneous abdominal adipocyte size Percent body fat Abdominal total fat, abdominal subcutaneous fat BMI BMI Waist circumference Abdominal visceral fat BMI, percent body fat, fat mass, skinfolds, sum of 8 (in white women, in black women) Waist-to-hip ratio, lipolysis Obesity (in women) Percent body fat (in women) OBESITY RESEARCH Vol. 12 No. 3 March 2004 p References 0.01 0.012 0.007 0.05 0.009 0.001 0.05 0.0002 0.005 0.05 0.03 0.04 0.02 0.01 0.004 0.008 0.001 (99) (127) (127) (100) (559) (560) (561) (562) (563) (564) (565) (566) (101) (101) (101) (567) (568) 0.02 0.004 0.04 0.005 0.02 0.05 0.02 0.05 0.04 0.006 0.05 0.005 0.03 0.01 0.006 (569) (570) (571) (572) (573) (574) (575) (576) (577) (578) (579) (580) (581) (582) (583) 0.009 0.0001 0.04 0.02 0.02 0.02 0.003 0.03 0.01 0.002 0.002 0.03 0.005 (584) (585) (586) (587) (128) (128) (588) (589) (590) (102) (102) (102) (591) 0.02 0.05 0.05 (592) (593) (593) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene LMNA Location 1q23.1 Cases (N) 380 110 48 306 47 186 LPL 8p21.3 MACS2 16p12.3 MC3R 20q13.2 236 1976 1976 314 MC4R 18q21.32 244 156 NCOA3 NPY 20q13.13 7p15.3 NPY5R NR0B2 4q32.2 1p35.3 NR3C1 5q31 PGR PLIN PNMT POMC 11q22.2 15q26 17q21.2 2p24.1 PON2 7q21.3 PPARA 22q13.31 587 249 1135 268 301 595 369 74 294 809 809 305 217 51 279 135 262 369 83 480 12 301 117 149 75 337 118 100 698 570 154 Phenotype Obesity BMI (in women) Ilpodystrophy, leptin, leptin:BMI ratio Leptin, BMI, waist-to-hip ratio (in Canadian OjiCree) Familial partial lipodystrophy Body weight, BMI, waist circumference, skinfolds, subscapular BMI (in women) Percent body fat, fat mass, BMI, change (in white women) BMI BMI Waist-to-hip ratio BMI, percent body fat, fat-free mass, fat mass, respiratory quotient (in normal-weight individuals, in overweight individuals) Leptin (in morbidly obese subjects) BMI, percent body fat, fat-free mass, fat mass (in females) Obesity (in children and adolescents) BMI, waist-to-hip ratio BMI (in postmenopausal women with breast cancer) BMI, waist-to-hip ratio Body weight at birth Obesity (in Pima Indians) Birth weight BMI (in 7-year-olds) Waist circumference (in 7-year-olds) BMI (in women) Obesity, early-onset Abdominal visceral fat (in lean subjects) BMI (in obese subjects) Waist-to-hip ratio (in males) Leptin, BMI, waist-to-hip ratio, waist circumference Overweight (in type 2 diabetics) Increase in sum of skinfolds (in girls) Abdominal visceral fat Body weight, gain BMI (in postmenopausal women with breast cancer) Lipolysis in adipocytes (in obese women) Weight loss (in women) Leptin (in obese children) Leptin (in Mexican Americans) Leptin (in lean subjects) Body weight at birth (in Trinidadian neonates and South Asians) BMI Percent body fat BMI (in type 2 diabetics) p References 0.002 0.012 0.05 0.05 (594) (595) (596) (597) 0.0001 0.002 (598) (599) 0.02 0.01 (479) (600) 0.05 0.009 0.0011 0.0005 (601) (104) (104) (602) 0.05 0.003 (133) (603) 0.006 0.023 0.01 0.03 0.03 0.05 0.05 0.05 0.01 0.05 0.009 0.003 0.04 0.01 0.001 0.003 0.01 0.001 0.01 0.005 0.0008 0.006 0.03 0.001 0.003 0.05 (19) (604) (105) (605) (606) (607) (106) (106) (106) (106) (608) (609) (107) (610) (611) (108) (136) (612) (613) (105) (131) (139) (614) (615) (134) (616) 0.023 0.028 0.02 (109) (109) (617) OBESITY RESEARCH Vol. 12 No. 3 March 2004 397 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene PPARG Location 3p25.2 Cases (N) 921 333 973 422 752 869 464 619 451 451 451 228 119 225 838 820 183 183 70 121 714 596 685 501 501 268 375 141 PPARGC1 4p15.31 RETN SAH SCARB1 19p13.3 16p13.11 12q24.31 SERPINE1 SLC6A3 SORBS1 TCF1 TGFB1 7q22.1 5p15.33 10q24.1 12q24.31 19q13.31 TNF 6p21.3 398 467 467 467 467 201 165 165 411 4059 288 228 505 90 770 203 284 284 176 136 38 1351 378 1047 363 Phenotype Leptin, BMI, waist circumference (in Mexican Americans) BMI (in the middle-aged) BMI (in the elderly) BMI BMI, change (in obese men) BMI, change (in lean men) Obesity, BMI BMI BMI (in overweight blacks) Waist-to-hip ratio (in overweight blacks) Waist circumference (in overweight blacks) Morbid obesity Weight, increase, 10-year Weight, decrease, 3-year Body weight, BMI, waist circumference, height Leptin (in obese subjects) 24-hour lipid oxidation 24-hour lipid balance Weight, increase BMI BMI Fat mass Waist circumference Abdominal visceral fat Abdominal subcutaneous fat BMI Obesity, severe, with early onset Body weight, BMI, fat mass, waist circumference, lean body bass, hip circumference Fat mass (in Austrian women) BMI (in Austrian women) Waist circumference (in Austrian women) Hip circumference (in Austrian women) Adipocyte size (in Pima Indians) 24-hour lipid oxidation (in Pima Indians) 24-hour lipid balance (in Pima Indians) Obesity, BMI BMI BMI (in healthy lean women) Morbid obesity Obesity Obesity (in black smokers) Obesity BMI (in young early onset diabetics) BMI (in Swedish men) Abdominal sagittal diameter (in Swedish men) BMI Waist circumference (in women) Percent body fat BMI BMI, percent body fat (in women) Obesity BMI OBESITY RESEARCH Vol. 12 No. 3 March 2004 p References 0.02 (618) 0.03 0.02 0.03 0.002 0.008 0.01 0.04 0.02 0.01 0.004 0.02 0.009 0.04 0.002 0.001 0.03 0.02 0.01 0.03 0.04 0.009 0.03 0.01 0.001 0.022 0.05 0.002 (619) (619) (111) (620) (620) (621) (622) (114) (114) (114) (112) (623) (624) (625) (626) (129) (129) (627) (628) (113) (113) (113) (113) (113) (110) (629) (630) 0.005 0.006 0.01 0.03 0.04 0.03 0.004 0.0097 0.0066 0.004 0.002 0.002 0.006 0.05 0.0024 0.05 0.05 0.01 0.04 0.02 0.004 0.02 0.04 0.01 (631) (631) (631) (631) (117) (117) (117) (632) (633) (634) (112) (635) (115) (636) (116) (117) (117) (637) (638) (639) (640) (641) (642) (643) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 6. (continued) Gene Location TNFRSF1B TNRC11 UCP1 1p36.21 Xq13.1 4q31.1 UCP2 11q13.3 Cases (N) 110 217 68 163 526 162 113 99 123 24 60 220 791 596 813 949 41 82 105 UCP3 11q13.3 120 116 419 73 734 393 401 382 64 Phenotype p References Obesity Leptin, BMI Obesity Body weight, decrease, BMI, decrease BMI (in overweight women) Waist-to-hip ratio Body weight (in Japanese women) Change in body weight (in premenopausal women) Fat, increase (in high weight gainers) Body weight, resting metabolic rate Energy expenditure, 24-hour, spontaneous physical activity, 24-hour, sleeping spontaneous physical activity, respiratory quotient, 24-hour non-protein, fat oxidation, 24-hour BMI (in South Indian women) BMI Obesity Obesity Obesity Body weight, increase, fat mass, increase (in peritoneal dialysis patients) BMI, metabolic rate, 24-hour sleeping (in those ⬎45 years old) Body weight, BMI, percent body fat, fat mass, overweight, percentage, skinfolds, sum of 4 BMI, respiratory quotient, lean body bass, nonprotein respiratory quotient, fat oxidation (in African Americans) Waist-to-hip ratio (in South Indian women, in European women) BMI Resting energy expenditure (in black women) leptin, BMI, percent body fat, fat mass, skinfolds, sum of 6 skinfolds, sum of 8 BMI (in morbidly obese subjects) Body weight, BMI, current, BMI, maximum Leptin, percent body fat (in women) 0.02 0.05 0.001 0.05 0.02 0.003 0.001 0.048 0.05 0.05 0.005 (644) (645) (646) (647) (648) (125) (649) (135) (650) (651) (652) 0.02 0.03 0.007 0.002 0.006 0.05 (653) (654) (654) (655) (656) (657) 0.007 (658) 0.001 (659) 0.008 (660) 0.03 (661) 0.004 0.01 0.0005 (662) (663) (664) 0.01 0.0037 0.02 0.03 (665) (666) (667) (668) Status as of October 2003. OBESITY RESEARCH Vol. 12 No. 3 March 2004 399 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. Evidence for the presence of linkage with obesity-related phenotypes in human studies Gene/Marker Location D1S468 1p36.32 D1S508 1p36.23-22 PGD D1S552 D1S3721 1p36.22 1p36.13 1p34.1 D1S193 D1S197 1p34.1 1p33 157 7 202 202 D1S200 D1S476 1p32.2 1p32.2 202 to 251 pairs 202 to 251 pairs LEPR 1p31.3 302 subjects; 57 families 302 subjects; 57 families 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 268 to 324 pairs 198 subjects 236 pairs LEPR-IVS16CTTT 1p31.3 LEPR-IVS3CA 1p31.3 LEPR-Q223R 1p31.3 D1S1665 D1S550 1p31.1 1p31.1 D1S534 1p11.2 D1S1679 1q21-22 ATP1A2 1q23.1 D1S476 1p32.2 ATP1B1 ACP1 1q23.3 2p25 D2S2337 D2S165 2p24.1 2p23.3 400 p or Lod score References BMI BMI BMI BMI BMI Skinfolds, suprailiac BMI (in whites) BMI (in whites) Lod ⫽ 2.75 MLS ⫽ 2.09 Lod ⫽ 2.5 Lod ⫽ 2.5 Lod ⫽ 2.5 p ⫽ 0.03 p ⫽ 0.002 p ⫽ 0.0099 (669) (669) (670) (670) (670) (671) (182) (184) BMI (Quebec Family Study) Insulin level, fasting (Quebec Family Study) Fat mass (Quebec Family Study) Insulin level, integrated, following oral glucose tolerance test (Quebec Family Study) Blood glucose, fasting (in Mexican Americans) Blood pressure, diastolic (in Mexican Americans) Fat-free mass Fat mass BMI Fat-free mass Fat mass Skinfolds, sum of 6 Fat mass BMI Skinfolds, sum of 6 Fat-free mass Leptin Respiratory quotient, 24-hour (in Pima Indians) BMI (in Africans) p ⫽ 0.03 p ⫽ 0.05 (672) (672) p ⫽ 0.009 p ⫽ 0.02 (672) (672) p ⫽ 0.018 (673) p ⫽ 0.003 (673) p ⫽ 0.007 p ⫽ 0.05 p ⫽ 0.05 p ⫽ 0.05 p ⫽ 0.05 p ⫽ 0.05 p ⫽ 0.005 p ⫽ 0.02 p ⫽ 0.02 p ⫽ 0.02 Lod ⫽ 3.4 Lod ⫽ 2.8 (581) (581) (581) (581) (581) (581) (581) (581) (581) (581) (674) (675) Lod ⫽ 2.24 (181) Abdominal subcutaneous fat (Quebec Family Study) BMI (National Heart, Lung and Blood Institute Family Heart Study) Respiratory quotient (Quebec Family Study) Adipocyte size Lod ⫽ 2.3 (676) Lod ⫽ 1.8 (677) p ⫽ 0.02 (518) Lod ⫽ 1.7 (678) Insulin level, integrated, following oral glucose tolerance test (Quebec Family Study) Respiratory quotient BMI Skinfolds, triceps Leptin (in French Caucasians) Adiponectin (in Northern Europeans) p ⫽ 0.02 (672) p ⫽ 0.04 p ⫽ 0.004 p ⫽ 0.02 Lod ⫽ 2 Lod ⫽ 2.7 (517) (679) (671) (680) (681) Leptin Lod ⫽ 2.4 (190) Population 1249 sib pairs 1249 sib pairs 994 subjects 994 subjects 994 subjects ⬎168 pairs subjects; families to 251 pairs to 251 pairs 769 subjects; 182 families 521 subjects; 156 families 3027 subjects; 401 families 171 families; 289 pairs 295 subjects; 164 families 202 to 251 pairs 94 pairs 300 pairs ⬎168 pairs 1100 subjects; 170 families 264 pairs OBESITY RESEARCH Vol. 12 No. 3 March 2004 Phenotypes The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location D2S367 2p23.1 D2S1788 2p22.3 D2S441 2p13.3 IGKC D2S160 D2S347 2p11.2 2q13 2q14.3 D2S1334 2q21.3 D2S1399 2q23.3 D2S434 2q35 D3S2387 3p26.3 D3S1259 D3S3038 D3S2432 3p25.2 3p24.3 3p22.3 D3S1768 D3S1764 D3S2427 3p22.2 3q22.3 3q26.33 D3S3676 3q26.33 D3S1311 3q29 D4S2397 4p15.2 p or Lod score References Adiponectin (in Northern Europeans) Lod ⫽ 2.7 (681) Leptin Leptin Fat mass Leptin BMI (in whites) Leptin Lod ⫽ 2.7 Lod ⫽ 4.9 Lod ⫽ 2.8 Lod ⫽ 7.5 Lod ⫽ 3.08 p ⫽ 0.008 (190) (189) (189) (615) (183) (682) BMI p ⫽ 0.008 (682) Abdominal subcutaneous fat Lod ⫽ 1.9 (683) Skinfolds, triceps BMI BMI Body fat, percentage Fat mass BMI Abdominal visceral fat p ⫽ 0.03 Lod ⫽ 2.56 Lod ⫽ 4.04 Lod ⫽ 1.91 Lod ⫽ 2.03 MLS ⫽ 4.44 Lod ⫽ 2.3 (671) (669) (669) (669) (669) (669) (683) Abdominal visceral fat Lod ⫽ 2.3 (683) Abdominal visceral fat Lod ⫽ 2.5 (683) Abdominal subcutaneous fat Lod ⫽ 2.2 (683) BMI BMI, paternal effect (in whites) Body fat, percentage (in Pima Indians) BMI BMI BMI Lod ⫽ 2 p ⫽ 0.0065 Lod ⫽ 2 (684) (182) (685) Lod ⫽ 3.4 Lod ⫽ 3.4 Lod ⫽ 3.3 (684) (191) Waist circumference Lod ⫽ 2.4 (191) BMI (in African Americans) Lod ⫽ 2.4 (185) BMI (in African Americans) Lod ⫽ 4.3 (185) BMI BMI Lod ⫽ 3.4 Lod ⫽ 1.8 (684) (686) BMI (in African Americans) Lod ⫽ 4.3 (185) Abdominal subcutaneous fat Lod ⫽ 2.5 (683) Abdominal subcutaneous fat (Quebec Family Study) Lod ⫽ 2.4 (676) Population 1100 subjects; 170 families 264 pairs 337 subjects 349 subjects 720 subjects; 230 families 720 subjects; 230 families 668 subjects; 99 families ⬎168 pairs 1249 sib pairs 1249 sib pairs 1249 sib pairs 1249 sib pairs 1249 sib pairs 668 subjects; 99 families 668 subjects; 99 families 668 subjects; 99 families 668 subjects; 99 families 1055 pairs 377 pairs 580 families 1055 pairs 2209 subjects; 507 families 2209 subjects; 507 families 545 subjects; 128 families 545 subjects; 128 families 1055 pairs 618 subjects; 202 families 545 subjects; 128 families 668 subjects; 99 families 521 subjects; 156 families Phenotypes OBESITY RESEARCH Vol. 12 No. 3 March 2004 401 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location D4S3350 4p15.1 D4S2632 4p15.1 D4S1592 D4S2417 4q12 4q31.1 GYPA D4S1629 D4S2431 4q31.1 4q32.1 4q34.1 D5S817 5p15.2 Population 994 994 994 994 994 subjects subjects subjects subjects subjects 1249 sib pairs 521 subjects; 156 families 160 pairs 668 subjects; 99 families 1100 subjects; 170 families 618 subjects; 202 families 264 pairs 1526 pairs 226 pairs 226 pairs 226 pairs 1249 sib pairs 1526 pairs 668 subjects; 99 families 88 pairs 668 subjects; 99 families D5S426 D5S2489 ISL1 5p13.3 5p13.2 5q11.2 D5S407 D5S2500 D5S658 5q11.2 5q12.1 5q31.3 NR3C1 D5S1480 5q31 5q32 D5S1471 D5S211 5q35.1 5q35.2 D5S408 5q35.3 D6S1959 6p22.3-2 D6S276 6p22.1 TNF 6p21.3 BF 6p21.31 GLO1 6p21.2 D6S271 D6S403 6p21.1 6q23.3 ⬎168 pairs ⬎168 pairs ⬎168 pairs ⬎168 pairs ⬎168 pairs 1199 pairs 261 subjects D6S1003 6q24.1 261 subjects 402 3027 subjects; 401 families 157 subjects; 7 families 618 subjects; 202 families 624 subjects; 28 families ⬎255 pairs OBESITY RESEARCH Vol. 12 No. 3 March 2004 Phenotypes p or Lod score References Lod ⫽ 9.2 p ⫽ 11.3 MLS ⫽ 9.2 p ⫽ 5.3 MLS ⫽ 6.1 HLOD Lod ⫽ 2.29 p ⫽ 0.005 Lod ⫽ 1.8 (670) (670) (670) (670) (670) p ⫽ 0.02 p ⫽ 0.005 Lod ⫽ 2.3 (687) (182) (683) Adiponectin (in Northern Europeans) Lod ⫽ 4.1 (681) BMI Lod ⫽ 1.9 (686) Leptin BMI (in Pima Indians) Obesity Leptin BMI Fat-free mass BMI (in Pima Indians) Abdominal subcutaneous fat Lod ⫽ 2.9 Lod ⫽ 1.7 p ⫽ 0.03 p ⫽ 0.0004 p ⫽ 0.0004 Lod ⫽ 1.59 Lod ⫽ 1.7 Lod ⫽ 2.1 (190) (688) (689) (689) (689) (669) (688) (683) BMI Abdominal total fat p ⫽ 0.009 Lod ⫽ 2.1 (689) (683) BMI (in whites) BMI (National Heart, Lung and Blood Institute Family Heart Study) BMI (in whites) p ⫽ 0.0006 Lod ⫽ 1.8 (182) (677) p ⫽ 0.0039 (184) Body fat, percentage Lod ⫽ 2.7 (686) Eating behavior, restraint (in Old Order Amish) Body fat, percentage (in Pima Indians) Skinfolds, subscapular Skinfolds, triceps Skinfolds, suprailiac Body weight Skinfolds, suprailiac Leptin (BMI, leptin, FSI) (in Mexican Americans) (BMI, leptin, FSI) (in Mexican Americans) Lod ⫽ 2.3 (690) p ⫽ 0.002 (643) p ⫽ 0.01 p ⫽ 0.01 p ⫽ 0.01 p ⫽ 0.004 p ⫽ 0.004 Lod ⫽ 2.1 Lod ⫽ 4.2 (671) (671) (671) (671) (671) (691) (692) Lod ⫽ 4.2 (692) BMI BMI BMI BMI BMI BMI BMI, paternal effect (in whites) Abdominal subcutaneous fat (Quebec Family Study) Skinfolds, trunk to extremity ratio BMI, maternal effect (in whites) Abdominal subcutaneous fat (669) (182) (676) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location Population D6S264 6q27 261 subjects D6S281 6q27 D7S2477 D7S1819 D7S3051 NPY 7p22.3 7p22.2 7p21.1 7p15.3 1249 sib pairs 1249 sib pairs 349 subjects 349 subjects 1055 pairs 302 subjects; 57 families 302 subjects; 57 families 302 subjects; 57 families 302 subjects; 57 families 302 subjects; 57 families 302 subjects; 57 families D7S1808 D7S817 7p15.1 7p14.3 D7S479 7q22.1 D7S692 7q22.3 D7S523 7q31.1 D7S471 7q31.1 D7S2847 D7S680 D7S514 7q31.31 7q32.2 7q32.2 769 subjects; 182 families 261 subjects 1020 subjects; 200 families 1020 subjects; 200 families 261 subjects 1055 pairs 60 pairs 60 pairs 545 pairs 545 pairs 545 pairs D7S504 7q32.2 D7S1875 7q32.2 LEP 7q32.2 545 pairs 46 pairs 59 pairs 302 subjects; 57 families 521 subjects; 156 families 88 pairs 302 subjects; 57 families 302 subjects; 57 families 302 subjects; 57 families p or Lod score References (Systolic and diastolic blood pressure) (in Mexican Americans) BMI Fat mass BMI (in whites) BMI (in whites) BMI Obesity (in Mexican Americans) Lod ⫽ 4.9 (692) Lod ⫽ 1.77 Lod ⫽ 2.02 Lod ⫽ 2.53 Lod ⫽ 2.53 Lod ⫽ 2.7 p ⫽ 0.042 (669) (669) (183) (183) (684) (673) Body weight (in Mexican Americans) p ⫽ 0.02 (673) Abdominal circumference (in Mexican Americans) Hip circumference (in Mexican Americans) Blood pressure, diastolic (in Mexican Americans) (Body mass, body size) (in Mexican Americans) Fat-free mass (Quebec Family Study) BMI (in Africans) p ⫽ 0.031 (673) p ⫽ 0.012 (673) p ⫽ 0.005 (673) p ⫽ 0.048 (673) Lod ⫽ 2.72 Lod ⫽ 3.83 (693) (181) (HDL, ln-TG) (in Mexican Americans) BMI (in whites) Lod ⫽ 3.2 (692) p ⫽ 0.0002 (186) BMI (in whites) p ⫽ 0.0009 (186) (HDL, ln-TG) (in Mexican Americans) BMI BMI BMI BMI (in Mexican Americans) Skinfolds, extremity (in Mexican Americans) Waist circumference (in Mexican Americans) Fat mass (in Mexican Americans) BMI (in African Americans) BMI Waist-to-hip ratio (in Mexican Americans) Abdominal subcutaneous fat (Quebec Family Study) BMI Waist-to-hip ratio (in Mexican Americans) Cholesterol, total (in Mexican Americans) Cholesterol, HDL (in Mexican Americans) Lod ⫽ 3.2 (692) Lod ⫽ 2.4 p ⫽ 0.002 p ⫽ 0.002 p ⫽ 0.0001 p ⫽ 0.0001 (684) (694) (694) (695) (695) p ⫽ 0.0001 (695) p ⫽ 0.0001 p ⫽ 0.001 p ⫽ 0.04 p ⫽ 0.009 (695) (696) (697) (673) Lod ⫽ 2 (676) p ⫽ 0.04 p ⫽ 0.01 (698) (673) p ⫽ 0.03 (673) p ⫽ 0.026 (673) Phenotypes OBESITY RESEARCH Vol. 12 No. 3 March 2004 403 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker D7S530 D7S1804 D7S640 D7S495 Location 7q32.3 7q32.3 7q33 7q34 Population 47 pairs 60 pairs 3027 subjects; 401 families 3027 subjects; 401 families 672 subjects 545 pairs 545 pairs 545 pairs 545 pairs D7S1824 7q34 KEL 7q35 D7S2195 7q35 D7S3068 7q35 D7S636 D7S3070 7q36.1 7q36.2 D8S277 GATA151F02 8p23.1 8p22 D8S549 D8S282 D8S1121 D8S1110 D8S1113 D8S556 8p22 8p21.3 8p11.23 8q11.22 8q12.1 8q23.1 D8S1132 8q23.1 D9S1122 9q21.32 D9S257 9q22.1 ORM1 AK1 D9S158 9q33.1 9q34.13 9q34.3 D10S1435 10p15.3 D10S189 404 10p15.1 157 subjects; 7 families 160 pairs 160 pairs 157 subjects; 7 families 157 subjects; 7 families 672 subjects 668 subjects; 99 families 769 subjects; 182 families 1249 sib pairs 994 subjects 470 subjects 522 subjects; 99 families 157 subjects; 7 families 521 subjects; 156 families 521 subjects; 156 families ⬎168 pairs ⬎168 pairs 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 1526 pairs 522 subjects; 99 families OBESITY RESEARCH Vol. 12 No. 3 March 2004 Phenotypes p or Lod score References Body fat BMI BMI (National Heart, Lung and Blood Institute Family Heart Study) BMI (National Heart, Lung and Blood Institute Family Heart Study) Leptin (in Old Order Amish) BMI (in Mexican Americans) Skinfolds, extremity (in Mexican Americans) Fat mass (in Mexican Americans) Waist circumference (in Mexican Americans) BMI (in whites) p ⫽ 0.008 p ⫽ 0.002 MLS ⫽ 4.7 p ⬍ 0.00001 MLS ⫽ 3.2 p ⬍ 0.00007 p ⫽ 1.9 p ⫽ 0.0001 p ⫽ 0.0001 (699) (694) (677) p ⫽ 0.0001 p ⫽ 0.0001 (695) (695) p ⫽ 0.0008 (184) BMI Skinfolds, sum of 6 BMI (in whites) p ⫽ 0.0001 p ⫽ 0.0001 p ⫽ 0.001 (687) (687) (184) BMI (in whites) p ⫽ 0.004 (184) Leptin (in Old Order Amish) Abdominal total fat p ⫽ 1.9 Lod ⫽ 2.5 (700) (683) BMI, paternal effect (in whites) BMI (in Africans) p ⫽ 0.003 Lod ⫽ 2.34 (182) (181) Fat mass BMI BMI (in Mexican Americans) Leptin BMI (in whites) BMI (HERITAGE, in whites) Lod ⫽ 1.95 Lod ⫽ 2 Lod ⫽ 3.2 Lod ⫽ 2.2 p ⫽ 0.0013 Lod ⫽ 2 (669) (670) (701) (189) (182) (702) BMI (in whites) p ⫽ 0.005 (184) Abdominal subcutaneous fat (Quebec Family Study) Abdominal subcutaneous fat (Quebec Family Study) Skinfolds, suprailiac Skinfolds, suprailiac BMI (HERITAGE, in whites) Lod ⫽ 2.4 (676) Lod ⫽ 2.4 (676) p ⫽ 0.03 p ⫽ 0.01 Lod ⫽ 2.3 (671) (671) (702) BMI (HERITAGE, in whites) Lod ⫽ 2.7 (702) Fat mass (HERITAGE, in whites) Lod ⫽ 2.7 (702) BMI (in Pima Indians) BMI (HERITAGE, in whites) Lod ⫽ 1.7 MLS ⫽ 2.7 SEGPATH (688) (702) (677) (700) (695) (695) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location D10S1781 10p13-q11 D10S1423 D10S582 10p12.33 10p12.31 D10S197 10p12.2 D10S204 10p12.1 D10S193 10p12.1 D10S208 10p11.23 SHGC-31480 10p11.23 D10S220 D10S107 10q21.1 10q21.1 D10S1646 10q22.1 D10S535 D10S1679 D10S1656 10q22.3 10q26.13 10q26.2 D10S212 CCKBR C11P15_3 10q26.3 11p15.4 11p15.2 D11S419 ATA34E08 11p15.2 11p14.1 D11S1313 11q12.1 Population 522 subjects; 99 families 522 subjects; 99 families 1526 pairs 386 subjects; 93 families 667 subjects; 244 families 862 subjects; 170 families 264 pairs 369 subjects; 89 families 386 subjects; 93 families 386 subjects; 93 families 667 subjects; 244 families 862 subjects; 170 families 386 subjects; 93 families 672 subjects 862 subjects; 170 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 667 subjects; 244 families 198 subjects 226 pairs 668 subjects; 99 families 67 pairs 668 subjects; 99 families 369 subjects; 89 families Phenotypes p or Lod score References MLS ⫽ 2.3 Mapmaker/Sibs MLS ⫽ 1 Mapmaker/Sibs Lod ⫽ 1.7 Lod ⫽ 2.5 (702) BMI, paternal effect (in whites) Obesity (in whites and African Americans) Obesity p ⫽ 0.005 NPL ⫽ 2.68 (182) (187) Obesity Obesity (in white children and adolescents) Obesity Lod ⫽ 4.9 Lod ⫽ 2.24 (190) (188) Lod ⫽ 2.5 (703) Obesity Lod ⫽ 2.5 (703) Obesity (in whites and African Americans) Obesity NPL ⫽ 2.68 (187) Obesity Lod ⫽ 2.5 (703) Leptin (in Old Order Amish) Obesity Lod ⫽ 2.7 p ⫽ 0.0005 (700) (704) Waist circumference (in whites and African Americans) BMI (in whites and African Americans) Waist circumference (in whites and African Americans) BMI (in whites and African Americans) Waist-to-hip ratio (in whites and African Americans) Obesity (in whites and African Americans) Waist-to-hip ratio (in whites and African Americans) Obesity (in whites and African Americans) BMI Leptin Abdominal subcutaneous fat Lod ⫽ 2.5 (187) NPL ⫽ 2.24 (187) Lod ⫽ 2.5 (187) NPL ⫽ 2.24 (187) NPL ⫽ 2.22 (187) NPL ⫽ 2.25 (187) NPL ⫽ 2.22 (187) NPL ⫽ 2.25 (187) Lod ⫽ 3.3 p ⫽ 0.01 Lod ⫽ 1.9 (674) (689) (683) BMI (in French Caucasians) Abdominal subcutaneous fat p ⫽ 0.003 Lod ⫽ 1.8 (453) (683) Obesity (in white children and adolescents) Lod ⫽ 1.65 (188) BMI (HERITAGE, in whites) Fat mass (HERITAGE, in whites) BMI (in Pima Indians) Obesity p ⫽ 0.0005 p ⫽ 0.0005 (702) (688) (703) (704) (704) OBESITY RESEARCH Vol. 12 No. 3 March 2004 405 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location Population D11S916 11q13.3 640 subjects D11S1321 11q13.3 640 subjects 640 subjects D11S911 11q13.4 D11S2000 11q22.3 D11S2366 11q23.1 640 subjects 640 subjects 769 subjects; 182 families 377 pairs 157 subjects; 7 families 377 pairs 377 pairs D11S1998 D11S976 11q23.3 11q23.3 1526 pairs 236 pairs D11S4464 11q24.1 D11S934 D11S912 11q24.2 11q24.3 1526 pairs 994 subjects 994 subjects 1766 pairs 994 subjects D3S2395 D12S1042 12p13.31 12p12.1 D12S1045 D12S83 D12S1052 D12S1064 IGF1 12p11.23q13.12 12q13.3 12q21.1 12q21.33 12q23.3 D12S2078 12q24.32 D13S175 D13S221 ESD 13q12.11 13q12.13 13q14.11 D13S257 13q14.2 D13S285 13q34 D14S742 14q11.2 406 522 subjects; 99 families 522 subjects; 99 families 521 subjects; 156 families 1249 sib pairs 349 subjects 349 subjects 521 subjects; 156 families 352 pairs 521 subjects; 156 families 580 families 580 families 160 pairs 160 pairs 3027 subjects; 401 families 521 subjects; 156 families 522 subjects; 99 families OBESITY RESEARCH Vol. 12 No. 3 March 2004 Phenotypes p or Lod score References p ⫽ 0.006 (705) p ⫽ 0.02 (705) p ⫽ 0.04 (705) p ⫽ 0.02 p ⫽ 0.000002 (705) (705) Lod ⫽ 3.35 (181) Body fat, percentage (in Pima Indians) BMI (in whites) Lod ⫽ 2.8 (685) p ⫽ 0.0079 (184) Body fat, percentage (in Pima Indians) Body fat, percentage (in Pima Indians) BMI (in Pima Indians) Energy expenditure, 24-hour (in Pima Indians) BMI (in Pima Indians) BMI BMI BMI BMI BMI, paternal effect (in whites) BMI (HERITAGE, in whites) p ⫽ 2.1 (685) p ⫽ 2.8 (685) Lod ⫽ 2.7 Lod ⫽ 2 (688) (675) Lod ⫽ 2.7 Lod ⫽ 2.8 Lod ⫽ 2.8 Lod ⫽ 3.6 Lod ⫽ 2.8 p ⫽ 0.006 MLS ⫽ 2.1 Mapmaker/Sibs MLS ⫽ 1.2 SEGPATH Lod ⫽ 2.9 (688) (670) (670) (706) (670) (182) (702) Lod ⫽ 1.79 Lod ⫽ 3.41 Lod ⫽ 3.41 Lod ⫽ 1.9 (669) (183) (183) (676) p ⫽ 0.02 Lod ⫽ 2.9 (556) (676) Lod ⫽ 3.3 Lod ⫽ 3.3 p ⫽ 0.04 p ⫽ 0.04 MLS ⫽ 3.2 p ⬍ 0.00006 Lod ⫽ 1.9 (687) (687) (677) Resting metabolic rate (Quebec Family Study) Resting metabolic rate (Quebec Family Study) Body fat, percentage (Quebec Family Study) Fat mass (Quebec Family Study) Resting metabolic rate (Quebec Family Study) BMI (in Africans) Fat mass (HERITAGE, in whites) Abdominal subcutaneous fat (Quebec Family Study) Fat-free mass BMI (in whites) BMI (in whites) Abdominal subcutaneous fat (Quebec Family Study) Abdominal visceral fat Abdominal subcutaneous fat (Quebec Family Study) BMI BMI Body fat, percentage Skinfolds, sum of 6 BMI (National Heart, Lung and Blood Institute Family Heart Study) Abdominal subcutaneous fat (Quebec Family Study) Fat mass (HERITAGE, in whites) MLS ⫽ 1.7 Mapmaker/Sibs (702) (676) (676) (702) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location Population 522 subjects; 99 families D14S283 D14S1280 14q11.2 14q11.2 D14S608 14q12 D14S599 14q13.1 D14S276 14q22.2 D14S588 14q24.1 D14S74 D14S280 D14S617 D15S1232 14q24.3 14q32.12 14q32.12 15q13.3 D15S652 D15S657 D16S510 15q26.1 15q26.2 16p13.3 D16S404 D16S764 D16S2620 D16S265 D17S947 16p13.2 16p13.12 16q21 16q21 17p12 D17S2180 17q21.32 D17S1290 17q23.2 D17S1301 17q25.2 MC5R 18p11.21 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 1100 subjects; 170 families 1100 subjects; 170 families 672 subjects 668 subjects; 99 families 672 subjects 672 subjects 1055 pairs 3027 subjects; 401 families 672 subjects 672 subjects 1055 pairs 1199 pairs 1100 subjects; 170 families 2209 subjects; 507 families 1055 pairs 521 subjects; 156 families 521 subjects; 156 families 521 subjects; 156 families 289 pairs 289 pairs Phenotypes p or Lod score References (702) BMI (in whites) Fat mass (HERITAGE, in whites) MLS ⫽ 2.2 SEGPATH p ⫽ 0.002 p ⫽ 0.0006 Leptin (HERITAGE, in whites) p ⫽ 0.003 (702) Fat mass (HERITAGE, in whites) (702) Adiponectin (in Northern Europeans) MLS ⫽ 2 Mapmaker/Sibs MLS ⫽ 1.8 SEGPATH MLS ⫽ 1.1 SEGPATH MLS ⫽ 2.4 SEGPATH Lod ⫽ 3.2 Adiponectin (in Northern Europeans) Lod ⫽ 3.2 (681) Waist circumference (in Old Order Amish) Abdominal subcutaneous fat Lod ⫽ 1.8 (700) Lod ⫽ 2.4 (683) Leptin (in Old Order Amish) Leptin (in Old Order Amish) BMI BMI (National Heart, Lung and Blood Institute Family Heart Study) Fat-free mass (Quebec Family Study) Fat-free mass (Quebec Family Study) Leptin (in Old Order Amish) BMI (in Old Order Amish) BMI (in whites) BMI (in whites) BMI Leptin Adiponectin (in Northern Europeans) Lod ⫽ 2.5 Lod ⫽ 2.5 Lod ⫽ 2.2 Lod ⫽ 1.7 (700) (700) (684) (677) Lod ⫽ 3.56 Lod ⫽ 2 Lod ⫽ 1.7 Lod ⫽ 1.7 p ⫽ 0.00025 p ⫽ 0.0006 Lod ⫽ 2.6 Lod ⫽ 2 Lod ⫽ 1.7 (693) (693) (700) (700) (182) (182) (684) (691) (681) Leptin Lod ⫽ 5 (191) BMI Abdominal subcutaneous fat (Quebec Family Study) Abdominal subcutaneous fat (Quebec Family Study) Abdominal subcutaneous fat (Quebec Family Study) BMI (Quebec Family Study) Skinfolds, sum of 6 (Quebec Family Study) Lod ⫽ 2.5 Lod ⫽ 2.2 (684) (676) Lod ⫽ 2.2 (676) Lod ⫽ 2.2 (676) p ⫽ 0.001 p ⫽ 0.005 (603) (603) BMI (HERITAGE, in whites) BMI (HERITAGE, in whites) Fat-free mass (HERITAGE, in whites) BMI (HERITAGE, in whites) (182) (702) (702) (702) (702) (681) OBESITY RESEARCH Vol. 12 No. 3 March 2004 407 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location Population 289 pairs 289 pairs 289 pairs 289 pairs D18S877 18q12.1 236 pairs D18S535 D18S1155 MC4R 18q12.3 18q21.32 18q21.32 LDLR 19p13.2 D19S414 19q13.11 D20S482 D20S851 D20S601 D20S478 D20S438 20p13 20p12.3 20q11.22q11.23 20q12 20q12 D20S465 D20S107 20q12 20q12 ADA 20q13.12 D20S481 D20S17 20q13.12 20q13.12 D20S178 20q13.13 D20S211 20q13.2 D20S120 408 20q13.2 193 pairs 289 pairs 522 subjects; 99 families 522 subjects; 99 families 522 subjects; 99 families 369 subjects; 89 families 236 pairs 994 subjects 1711 subjects 994 subjects 994 subjects 513 subjects; 92 families; 423 pairs 513 subjects; 92 families; 423 pairs 160 pairs 160 pairs 994 subjects 650 subjects; 139 to 226 pairs 667 subjects; 244 families 513 subjects; 92 families; 423 pairs 513 subjects; 92 families; 423 pairs 650 subjects; 139 to 226 pairs OBESITY RESEARCH Vol. 12 No. 3 March 2004 Phenotypes p or Lod score References Fat mass (Quebec Family Study) Body fat, percentage (Quebec Family Study) Fat-free mass (Quebec Family Study) Resting metabolic rate (Quebec Family Study) Fat-free mass (Quebec Family Study) Body fat, percentage (in Pima Indians) Fat-free mass (Quebec Family Study) Obesity (in Finns) Respiratory quotient (Quebec Family Study) Skinfolds, sum of 8 (HERITAGE, in whites) Leptin (HERITAGE, in whites) p ⫽ 0.001 p ⫽ 0.02 (603) (603) p ⫽ 0.008 p ⫽ 0.002 (603) (603) Lod ⫽ 3.6 Lod ⫽ 2.3 (693) (675) Lod ⫽ 3.58 Lod ⫽ 2.4 p ⫽ 0.04 (693) (707) (603) p ⫽ 0.002 (702) p ⫽ 0.0009 (702) Body fat, percentage (HERITAGE, in whites) Obesity (in white children and adolescents) BMI (in whites) BMI (in whites) Respiratory quotient, 24-hour (in Pima Indians) BMI BMI (in Utah pedigrees) BMI BMI BMI p ⫽ 0.009 (702) Lod ⫽ 1.97 (188) p ⫽ 0.00016 p ⫽ 0.000046 Lod ⫽ 3 (182) (182) (675) Lod ⫽ 2.2 Lod ⫽ 3.5 Lod ⫽ 2.2 Lod ⫽ 2.2 Lod ⫽ 3.2 (670) (708) (670) (670) (709) Body fat, percentage Lod ⫽ 3.2 (709) BMI Skinfolds, sum of 6 BMI Body fat, percentage p ⫽ 0.001 p ⫽ 0.001 Lod ⫽ 2.2 p ⫽ 0.0078 (687) (687) (670) (410) Body fat, percentage (in whites and African Americans) BMI NPL ⫽ 2.57 (187) Lod ⫽ 3.2 (709) Body fat, percentage Lod ⫽ 3.2 (709) Body fat, percentage p ⫽ 0.004 (410) The Human Obesity Gene Map: The 2003 Update, Snyder et al. Table 7. (continued) Gene/Marker Location D20S476 20q13 D20S149 20q13.31-qter D3S3608 20q13.33 D22S264 22q11.21 A4GALT DXS8099 DXS997 22q13.31 Xp22.13 Xp21.3 DXS1003 Xp11.3 DXS1059 DXS6804 Xq23 Xq23 p or Lod score References BMI Lod ⫽ 3.06 (709) Body fat, percentage (in whites and African Americans) BMI NPL ⫽ 2.57 (187) Lod ⫽ 3.2 (709) Body fat, percentage Lod ⫽ 3.2 (709) Eating behavior, restraint (in Old Order Amish) Abdominal subcutaneous fat Lod ⫽ 2.5 (690) Lod ⫽ 2 (683) Body weight BMI Waist-to-hip ratio p ⫽ 0.03 Lod ⫽ 2.6 Lod ⫽ 2.7 (671) (670) (710) Waist-to-hip ratio Lod ⫽ 2.7 (710) BMI Obesity (in Finns) Lod ⫽ 2 Lod ⫽ 3.1 (670) (707) Population 513 subjects; 92 families; 423 pairs 667 subjects; 244 families 513 subjects; 92 families; 423 pairs 513 subjects; 92 families; 423 pairs 624 subjects; 28 families 668 subjects; 99 families ⬎168 pairs 994 subjects 208 subjects; 43 families 208 subjects; 43 families 994 subjects 193 pairs Phenotypes Status as of October 2003. HDL, high-density lipoprotein; ln-TG, natural log-transformed triglycerides; MLS, multipoint Lod score; NPL, nonparametric linkage score. Computer programs used: 1) SEGPATH [Province MA, Rao DC. General purpose model and a computer program for combined segregation and path analysis (SEGPATH): automatically creating computer programs from symbolic language model specifications. Genet Epidemiol. 1995; 12:203–19; Province MA, Rice TK, Borecki IB, Gu C, Kraja A, Rao DC. Multivariate and multilocus variance components method, based on structural relationships to assess quantitative trait linkage via SEGPATH. Genet Epidemiol. 2003;24:128 –38]; and 2) MapMaker Sibs (Kruglyak L, Lander E. Complete multipoint sib pair analysis of qualitative and quantitative traits. Am J Hum Genet. 1995;57:439 –54). Table 8. Evolution in the status of the Human Obesity Gene Map 1994 Single-gene mutations* KO and Tg Mendelian disorders with map location Animal QTLs Human QTLs from genome scans Candidate genes with positive findings 8 7 9 1995 12 9 10 1996 13 24 13 1997 1998 1999 2000 2001 2002 2003 2 6 6 6 6 6 38 6/7 55 16 55 16 67 20 98 24 115 25 165 33 168 41 183 3 8 14 21 33 68 139 21 29 40 48 58 71 90 From Refs. 1–9 and this review. * Number of genes, not number of mutations. OBESITY RESEARCH Vol. 12 No. 3 March 2004 409 The Human Obesity Gene Map: The 2003 Update, Snyder et al. that there are now 15 candidate genes that are supported by a minimum of five independent association studies. Of course, many of these loci on the map 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. Most of the advances to date have come from an understanding of the single-gene mutations that have the potential to cause obesity in a small number of individuals. With the developments in human and model organisms genome sequences and the progress in laboratory technologies, analytical tools, and bioinformatics, one can anticipate that it will be possible to define the genes and mutations involved in the predisposition or the resistance to obesity. It is likely that the oligogenic cases in which a small number of genes (digenic, trigenic, etc.) with large effects will be resolved first. We hope that this publication will contribute to this enormous challenge. Acknowledgments Our research on the genetics of obesity is funded by the Canadian Institutes for Health Research (MOP-13960), the Pennington Biomedical Research Center, and an unrestricted grant from Bristol-Myers Squibb. C.B. is supported by the George A. Bray Chair in Nutrition. Our gratitude goes to Nina Laidlaw for her help with the final version of the paper. The list of genes and markers currently in the map, as well as the pictorial representation of the map, is also available online at http://obesitygene.pbrc.edu (Pennington Biomedical Research Center, Human Genomics Laboratory) . References 1. Bouchard C, Perusse L. Current status of the human obesity gene map. Obes Res. 1996;4:81–90. 2. Perusse L, Bouchard C. Identification of genes contributing to excess body fat and fat distribution. In: Angel A, Anderson H, Bouchard C, Lau D, Leiter L Mendelson R, eds. 7th International Congress on Obesity. Progress in Obesity Research 7. 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An X-chromosome scan reveals a locus for fat distribution in chromosome region Xp21–22. Diabetes. 2002;51:1989 –91. OBESITY RESEARCH Vol. 12 No. 3 March 2004 433 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. Symbols, full names, and cytogenetic location of genes and loci of the 2003 human obesity gene map Gene or locus Name Location A A4GALT ABCC8 ACACB ACE ACH ACP1 ADA ADRA2A ADRA2B ADRB1 ADRB2 ADRB3 AGPAT2 AGRP AGS AGT AHO AHO2 AK1 ALMS1 ANCR ANMA APM1 APOA1 APOA2 APOA4 APOB APOC1 APOD APOE AR ASIP ATP1A2 ATP1B1 ATRN alpha 1,4-galactosyltransferase (P1 blood group) (also referred to before as P1) ATP-binding cassette, sub-family C (CFTR/MRP), member 8 (sulfonylurea receptor) (also referred to before as SUR1) acetyl-Coenzyme A carboxylase beta angiotensin I converting enzyme (peptidyl-dipeptidase A) 1 achondroplasia (thanatophoric dwarfism) acid phosphatase 1, soluble adenosine deaminase adrenergic, alpha-2A-, receptor adrenergic, alpha-2B-, receptor adrenergic, beta-1-, receptor adrenergic, beta-2-, receptor, surface adrenergic, beta-3-, receptor 1-acylglycerol-3-phosphate O-acyltransferase 2 (lysophosphatidic acid acyltransferase, beta) (Bernardinelli-Seip congenital lipodystrophy 1) agouti related protein homolog (mouse) Angelman syndrome with obesity angiotensinogen [serine (or cysteine) proteinase inhibitor, clade A (alpha-1 antiproteinase, antitrypsin), member 8] Albright hereditary osteodystrophy Albright hereditary osteodystrophy 2 adenylate kinase 1 Alstrom syndrome 1 Angelman syndrome chromosome region anisomastia (with obesity) adipose most abundant gene transcript 1 apolipoprotein A–I apolipoprotein A–II apolipoprotein A–IV apolipoprotein B [including Ag(x) antigen] apolipoprotein C–I apolipoprotein D apolipoprotein E androgen receptor (dihydrotestosterone receptor; testicular feminization; spinal and bulbar muscular atrophy; Kennedy disease) agouti signaling protein, nonagouti homolog (mouse) ATPase, Na⫹/K⫹ transporting, alpha 2 (⫹) polypeptide ATPase, Na⫹/K⫹ transporting, beta 1 polypeptide attractin 22q13.31 11p15.1 12q24.1 17q24.1 4p16.3 2p25 20q13.12 10q25.3 2q11.2 10q26.11 5q31-q32 8p12-p11.2 9q34.3 16q22.1 15q11-q13 1q42.2 20q13.2 15q11-q13 9q34.13 2p13.1 15q11-q12 16q13-q21 3q28 11q23.3 1q23.1 11q23.3 2p24.2 19q13.2 3q26.2-qter 19q13.32 Xq11.2-q12 20q11.2-q12 1q23.1 1q23.3 20p13 B–C BATF BBS1 BBS2 BBS3 BBS4 434 basic leucine zipper transcription factor, ATF-like Bardet-Biedl syndrome 1 Bardet-Biedl syndrome 2 Bardet-Biedl syndrome 3 Bardet-Biedl syndrome 4 (myosin IXA) OBESITY RESEARCH Vol. 12 No. 3 March 2004 14q24.3 11q13.1 16q13 3p13-p12 15q22.33 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. (contents) Gene or locus BBS5 BBS6 BBS7 BF BFLS BRS3 BSCL1 BSCL2 BULN C3 CAPN10 CART CBFA2T1 CCKAR CCKBR CDGS1A CEBPA CEBPB CHM CHOD CHRM3 CNTFR COH1 COL8A2 CPE CPHD CYP19A1 CYP7A1 Name Location Bardet-Biedl syndrome 5 Bardet-Biedl syndrome 6 (MKKS) Bardet-Biedl syndrome 7 B-factor, properdin Borjeson-Forssman-Lehmann syndrome bombesin-like receptor 3 Bernardinelli-Seip congenital lipodystrophy 1 Bernardinelli-Seip congenital lipodystrophy 2 (seipin) bulimia nervosa, susceptibility to complement component 3 calpain 10 cocaine- and amphetamine-regulated transcript core-binding factor, runt domain, alpha subunit 2; translocated to, 1; cyclin Drelated cholecystokinin A receptor cholecystokinin B receptor carbohydrate-deficient glycoprotein syndrome type 1a CCAAT/enhancer binding protein (C/EBP), alpha CCAAT/enhancer binding protein (C/EBP), beta choroideremia (Rab escort protein 1) choroideremia with deafness cholinergic receptor, muscarinic 3 ciliary neurotrophic factor receptor Cohen syndrome 1 collagen, type VIII, alpha 2 carboxypeptidase E combined pituitary hormone deficiency cytochrome P450, family 19, subfamily A, polypeptide 1 cytochrome P450, family 7, subfamily A, polypeptide 1 2q31 20p12.2 4q27 6p21.31 Xq26.3 Xq26-q28 9q34 11q13 10p14-p12.33 19p13.3 2q37.3 5q13.2 8q21.3 D component of complement (adipsin) POU domain, class 3, transcription factor 4 diacylglycerol O-acyltransferase homolog 1 (mouse) dopamine receptor D1 dopamine receptor D2 eukaryotic translation initiation factor 4E binding protein 1 ectonucleotide pyrophosphatase/phosphodiesterase 1 esterase D/formylglutathione hydrolase estrogen receptor 1 fatty acid binding protein 2, intestinal fatty acid binding protein 4, adipocyte Fanconi-Bickel Syndrome (SLC2A2) fibroblast growth factor 13 fibroblast growth factor receptor 3 (achondroplasia, thanatophoric dwarfism) fragile X mental retardation 1 forkhead box C2 (MFH-1, mesenchyme forkhead 1) 19p13.3 Xq21.1 8q-ter 5q34-q35 11q23.2 8p12 6q23.1 13q14.11 6q25.1 4q27 8q21 3q26.1-q26.2 Xq26.3 4p16.3 Xq28 16q24.1 4p15.2-p15.1 11p15.4 16p13.3-p13.2 19q13.12 20q13.13 Xq21.2 Xq21.1-q21.2 1q41-q44 9p13.2 8q22.2 1p34.3 4q32 5q35.3 15q21 8q12.1 D–G DF DFN3 DGAT1 DRD1 DRD2 EIF4EBP1 ENPP1 ESD ESR1 FABP2 FABP4 FBS FGF13 FGFR3 FMR1 FOXC2 OBESITY RESEARCH Vol. 12 No. 3 March 2004 435 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. (continued) Gene or locus FPL FPLD FSHR GCGR GCK GH1 GHRH GHRHR GHRL GLO1 GNAS1 GNB3 GPC3 GPC4 GPD1 GPR24 GYPA GYS1 Name Location familial partial lipodystrophy, non-Dunnigan (PPARGC1) familial partial lipodystrophy, Dunnigan (LMNA) follicle stimulating hormone receptor glucagon receptor glucokinase (hexokinase 4, maturity onset diabetes of the young 2) growth hormone 1 growth hormone releasing hormone growth hormone releasing hormone receptor ghrelin precursor glyoxalase I GNAS complex locus guanine nucleotide binding protein (G protein), beta polypeptide 3 glypican 3 glypican 4 glycerol-3-phosphate dehydrogenase 1 (soluble) G protein-coupled receptor 24 glycophorin A (includes MN blood group) glycogen synthase 1 (muscle) 4p15.1 1q23.1 2p21 17pter 7p13 17q24.2 20q11.2 7p14 3p25.3 6p21.2 20q13.32 12p13.31 Xq26.2 Xq26.1 12q13.2 22q13.3 4q31.1 19q13.33 hypocretin (orexin) neuropeptide precursor huntingtin (Huntington disease) high mobility group AT-hook 2 histamine receptor H1 hydroxysteroid (11-beta) dehydrogenase 1 hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 1 heat shock 70kDa protein 1B 5-hydroxytryptamine (serotonin) receptor 1B 5-hydroxytryptamine (serotonin) receptor 2A 5-hydroxytryptamine (serotonin) receptor 2C intercellular adhesion molecule 1 (CD54), human rhinovirus receptor insulin-like growth factor 1 (somatomedin C) insulin-like growth factor 1 receptor insulin-like growth factor 2 (somatomedin A) immunoglobulin heavy constant delta immunoglobulin kappa constant interleukin 1 receptor antagonist interleukin 6 (interferon, beta 2) interleukin 6 receptor insulin insulin receptor imprinted in Prader-Willi syndrome insulin resistance syndromes insulin receptor substrate 1 insulin receptor substrate 2 ISL1 transcription factor, LIM/homeodomain, (islet-1) Kell blood group 17q21 4p16.3 12q15 3p25 1q32-q41 1p11.2 6p21.31 6q14.1 13q14.11 Xq24 19p13.2 12q23.3 15q26.3 11p15.5 14q32.33 2p11.2 2q14.2 7p15.3 1q22 11p15.5 19p13.3 15q11.2 19p13.2 2q36.3 13q33.3 5q11.2 7q35 H–K HCRT HD HMGA2 HRH1 HSD11B1 HSD3B1 HSPA1B HTR1B HTR2A HTR2C ICAM1 IGF1 IGF1R IGF2 IGHD IGKC IL1RN IL6 IL6R INS INSR IPW IRS IRS1 IRS2 ISL1 KEL 436 OBESITY RESEARCH Vol. 12 No. 3 March 2004 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. (continued) Gene or locus Name Location L–O LDLR LEP LEPR LHB LIPC LIPE LMNA LPIN1 LPL MACS2 MAGEL2 MAPK8IP1 MC3R MC4R MC5R MEHMO MGRN1 MKKS MKRN3 MRXS11 MRXS7 MT1A MT1B MYO9A NCOA3 NDN NHLH2 NOS3 NPY NPY5R NR0B2 NR3C1 ORM1 low density lipoprotein receptor (familial hypercholesterolemia) leptin (obesity homolog, mouse) leptin receptor luteinizing hormone beta polypeptide lipase, hepatic lipase, hormone-sensitive lamin A/C lipin 1 lipoprotein lipase SAH family member, acyl-CoA synthetase for fatty acids MAGE-like 2 mitogen-activated protein kinase 8 interacting protein 1 melanocortin 3 receptor melanocortin 4 receptor melanocortin 5 receptor mental retardation, epileptic seizures, hypogonadism and genitalism, microcephaly and obesity syndrome mahogunin, ring finger 1 McKusick-Kaufman syndrome makorin, ring finger protein, 3 (also referred to before as ZNF127) mental retardation, X-linked, syndromic 11 mental retardation, X-linked, syndromic 7 metallothionein 1A (functional) metallothionein 1B (functional) myosin IXA nuclear receptor coactivator 3 necdin homolog (mouse) nescient helix loop helix 2 nitric oxide synthase 3 (endothelial cell) neuropeptide Y neuropeptide Y receptor Y5 nuclear receptor subfamily 0, group B, member 2 nuclear receptor subfamily 3, group C, member 1 (glucocorticoid receptor) (also referred to before as GRL) orosomucoid 1 19p13.2 7q32.2 1p31.3 19q13.32 15q21.3 19q13.31 1q23.1 2p21 8p21.3 16p12.3 15q11.2 11p11.2 20q13.2 18q21.32 18p11.21 Xp22.13-p21.1 proprotein convertase subtilisin/kexin type 1 phosphogluconate dehydrogenase progesterone receptor PHD finger protein 6 perilipin pro-melanin-concentrating hormone phosphomannomutase 2 phenylethanolamine N-methyltransferase 5q15 1p36.22 11q22.2 Xq26.3 15q26 12q23.3 16p13.2 17q21.2 16p13.3 20p12.2 15q11.2 Xq26-q27 Xp11.3-q22.1 16q13 16q13 15q22.33 20q13.13 15q11.2 1p13.1 7q36.1 7p15.3 4q32.2 1p35.3 5q31 9q33.1 P–R PCSK1 PGD PGR PHF6 PLIN PMCH PMM2 PNMT OBESITY RESEARCH Vol. 12 No. 3 March 2004 437 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. (continued) Gene or locus POMC PON2 PPARA PPARG PPARGC1 PPCD PPP1R3A PPY PRKAB2 PRKAR1A PRKCQ PROP1 PTPN1 PTPRB PWCR PWCR1 PWLS PWLSX PWS RETN Name Location proopiomelanocortin (adrenocorticotropin/beta-lipotropin/alpha-melanocyte stimulating hormone/beta-melanocyte stimulating hormone/beta-endorphin) paraoxonase 2 peroxisome proliferative activated receptor, alpha peroxisome proliferative activated receptor, gamma peroxisome proliferative activated receptor, gamma, coactivator 1 posterior polymorphous corneal dystrophy (VSX1) protein phosphatase 1, regulatory (inhibitor) subunit 3A (glycogen and sarcoplasmic reticulum binding subunit, skeletal muscle) pancreatic polypeptide protein kinase, AMP-activated, beta 2 non-catalytic subunit protein kinase, cAMP-dependent, regulatory, type I, alpha (tissue specific extinguisher 1) protein kinase C, theta prophet of Pit1, paired-like homeodomain transcription factor protein tyrosine phosphatase, non-receptor type 1 protein tyrosine phosphatase, receptor type, B Prader-Willi syndrome chromosome region Prader-Willi syndrome chromosome region 1 Prader-Willi-Like Syndrome (chr6) Prader-Willi-Like Syndrome, X-linked Prader-Willi syndrome chromosome region resistin (also referred to before as FIZZ3) 2p24.1 SA hypertension-associated homolog (rat) scavenger receptor class B, member 1 (also referred to before as CD36L1) syndecan 1 serine (or cysteine) proteinase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 1 Simpson-Golabi-Behmel syndrome, type 1 (GPC3) Simpson-Golabi-Behmel syndrome, type 2 single-minded homolog 1 (Drosophila) solute carrier family 2 (facilitated glucose transporter), member 2 solute carrier family 6 (neurotransmitter transporter, GABA), member 1 solute carrier family 6 (neurotransmitter transporter, dopamine), member 3 small nuclear ribonucleoprotein polypeptide N sorbin and SH3 domain containing 1 (also referred to before as SH3D5) secreted protein, acidic, cysteine-rich (osteonectin) sterol regulatory element binding transcription factor 1 signal transducer and activator of transcription 5A serine/threonine kinase 25 (STE20 homolog, yeast) T-box 3 (ulnar mammary syndrome) transcription factor 1, hepatic; LF-B1, hepatic nuclear factor (HNF1), albumin proximal factor transcription factor 8 (represses interleukin 2 expression) transforming growth factor, beta 1 (Camurati-Engelmann disease) 16p13.11 12q24.31 2p24.1 7q22.1 7q21.3 22q13.31 3p25.2 4p15.31 20p11.21 7q31.2 17q21 1q12 17q24.3 10p15.1 5q35.3 20q13.1-q13.2 12q15-q21 15q11-q12 15q11.2 6q16.2-q14 Xq23-q25 15q11-q13 19p13.3 S–T SAH SCARB1 SDC1 SERPINE1 SGBS1 SGBS2 SIM1 SLC2A2 SLC6A1 SLC6A3 SNRPN SORBS1 SPARC SREBF1 STAT5A STK25 TBX3 TCF1 TCF8 TGFB1 438 OBESITY RESEARCH Vol. 12 No. 3 March 2004 Xq26.2 Xp22 6q16.3 3q26.31 3p25-p24 5p15.33 15q12 10q24.1 5q33.1 17p11.2 17q11.2 2q37.3 12q24.21 12q24.31 10p11.23 19q13.31 The Human Obesity Gene Map: The 2003 Update, Snyder et al. Appendix. (continued) Gene or locus TH THRB THRS TNF TNFRSF1B TNRC11 TUB Name Location tyrosine hydroxylase thyroid hormone receptor, beta [erythroblastic leukemia viral (v-erb-a) oncogene homolog 2, avian] thyroid hormone resistance syndrome (THRB) tumor necrosis factor (TNF superfamily, member 2) tumor necrosis factor receptor superfamily, member 1B trinucleotide repeat containing 11 (THR-associated protein, 230kDa subunit) tubby homolog (mouse) 11p15.5 3p24.1 uncoupling protein 1 (mitochondrial, proton carrier) uncoupling protein 2 (mitochondrial, proton carrier) uncoupling protein 3 (mitochondrial, proton carrier) ulnar mammary syndrome (TBX3) vitamin D (1,25-dihydroxyvitamin D3) receptor VGF nerve growth factor inducible visual system homeobox 1 homolog, CHX10-like (zebrafish) WAGR Syndrome Wilms tumor 1 Wilson-Turner X-linked mental retardation syndrome 4q31.1 11q13.3 11q13.3 12q24.21 12q13.11 7q22 20p11.21 11p13 11p13 Xq21.2-q22 3p24.1 6p21.3 1p36.21 Xq13.1 11p15.5 U–Z UCP1 UCP2 UCP3 UMS VDR VGF VSX1 WAGRS WT1 WTS OBESITY RESEARCH Vol. 12 No. 3 March 2004 439
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