Obesity-related Single Nucleotide Polymorphisms FTO and GHSR Genes and the Postprandial Feeling of Fullness in Filipino Adults
Jacus S. Nacis*, Ma. Julia Golloso-Gubat, Vanessa Joy A. Timoteo,
Edward Vincent J. Magtibay, Mildred A. Udarbe, and Noelle Lyn C. Santos
Nutrition Research and Development Group, Food and Nutrition Research Institute,
Department of Science and Technology, Taguig City, Metro Manila 1631 Philippines
*Corresponding author: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Obesity-related single nucleotide polymorphisms (SNPs) may impact the control of energy intake and eating behavior. However, the effect size of those individual SNPs is not yet fully elucidated. Intervention studies using a standardized test meal coupled with a validated visual analogue scale (VAS) is important in understanding the influence of SNPs in the subjective feeling of appetite. This study aimed to assess the influence of obesity-related SNPs on appetite responses of Filipino adults following consumption of equicaloric breakfast meals. In an intervention study, thirty-four apparently healthy Filipino adults were genotyped for SNPs in the fat mass and obesity-associated gene (FTO) and growth hormone secretagogue receptor (GHSR). A validated VAS was used to capture the pre- and post-prandial feeling of the appetite of the study participants. Analysis of covariance (ANCOVA) was used to determine the differences between the subjective ratings of appetite (hunger, fullness, desire to eat, and prospective consumption) relative to the genotype of the study participants. The mean rating of fullness was 5.6% lower in carriers of the risk-allele A for FTO rs9939609 and 16.6% higher in carriers of the risk-allele A for GHSR rs572169. The levels of fullness after a meal is significantly influenced by the obesity-related SNPs FTO rs9939609 and GHSR rs572169 after controlling for age, sex, height, weight, BMI, and baseline appetite scores of the study participants. Our result implies that genetic polymorphisms might pose control of subsequent food intake.
INTRODUCTION
According to the World Health Organization (WHO 2018), in 2016, a total of more than 650 million adults were obese worldwide. The worldwide obesity prevalence has gone triple since 1975 and it continues to pose serious debilitating clinical conditions (WHO 2018).
In the Philippines, the Food and Nutrition Research Institute (DOST-FNRI) reported that in 2013, three in every 10 adults were overweight and obese. Obesity as classified by either BMI, waist circumference (WC), or waist-hip ratio (WHR) is found to be high in prevalence (DOST-FNRI 2015). As such, the problem of overweight and obesity has been one of the key issues being addressed by the Philippine Plan of Action for Nutrition 2017-2022 – along with stunting and wasting among children, deficiencies in vitamin A, iron, and iodine, hunger and . . . . . read more
REFERENCES
ALONSO R, FARIAS M, ALVAREZ V, CUEVAS A. 2016. Chapter 7 – The genetics of obesity. Translational Cardiometabolic Genomic Medicine. Academic Press. p. 161-177.
BAESSLER A, HASINOFF MJ, FISCHER M, REINHARD W, SONNENBERG GE, OLIVIER M, ERDMANN J, SCHUNKERT H, DOERING A, JACOB HJ, COMUZZIE AG, KISSEBAH AH, KWITEK AE. 2005. Genetic linkage association of the growth hormone secretagogue receptor (ghrelin receptor) gene in human obesity. Diabetes 54(1): 259-267.
BIENERTOVÁ-VAŠKU J, BIENERT P, FOREJT M, TOMANDL J, BRÁZDOVÁ Z, VAŠKU A. 2010. Genotype x nutrient association of common polymorphisms in obesity-related genes with food preferences and time structure of energy intake. Brit J Nutr 103(3): 352-359.
CECIL JE, TAVENDALE R, WATT P, HETHERINGTON MM, PALMER COLIN NA. 2008. An obesity-associated FTO gene variant and increased energy intake in children. N Engl J Med 359: 2558-66.
CHEN C-Y, AKASAWA A, FUJIMIYA M, LEE S-D, INUI A. 2009. Ghrelin gene products and the regulation of food intake and gut motility. Pharmacol Rev 61(4): 430-481.
CHOQUET H, MEYRE D. 2011. Genetics of obesity: what we have learned? Current Genomics 12(3): 169-179.
DE KROM M, VAN DER SCHOUW YT, HENDRIKS J, OPHOFF RA, VAN GILS CH, STOLK RP, GROBBEE DE, ADAN R. 2007. Common genetic variations in CCK, leptin, and leptin receptor genes are associated with specific human eating patterns. Diabetes 56(1): 276-280.
DEN HOED M, SMEETS AJPG, VELDHORST MAB, NIEUWENHUIZEN AG, BOUWMAN FG, HEIDEMA AG, MARIMAN ECM, WESTERTERP-PLANTENGA MS, WERTERTERP KR. 2008. SNP analyses of postprandial responses in (an)orexigenic hormones and feelings of hunger reveal long-term physiological adaptation to facilitate homeostasis. Int J Obes (Lond) 32(12): 1790-98.
[DOST-FNRI] Department of Science and Technology - Food and Nutrition Research Institute. 1997. The Philippine Food Composition Tables 1997. FNRI, DOST Compound, Bicutan, Taguig City, Metro Manila, Philippines.
[DOST-FNRI] Department of Science and Technology - Food and Nutrition Research Institute. 2015. Philippine Nutrition Facts and Figures 2013. FNRI, DOST Compound, Bicutan, Taguig City, Metro Manila, Philippines.
DOUGKAS A, YAQOOB P, GIVENS DI, REYNOLDS CK. 2013. The impact of obesity-related SNP on appetite and energy intake. Brit J Nutr 110(6): 1151-56.
[EIU] Economist Intelligence Unit. 2017. Tackling obesity in ASEAN: Prevalence, impact, and guidance on interventions. p. 19-20.
FLINT A, RABEN A, BLUNDELL JE, ASTRUP A. 2000. Reproducibility, power, and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes 24: 38-48.
FRAYLING TM, TIMPSON NJ, WEEDON MN, ZEGGINI E, FREATHY RM, LINDGREN C, PERRY JRB, ELLIOTT KS, LANGO H, RAYNER NW, SHIELDS B, HARRIES LW, BARRETT JC, ELLARD S, GROVES CJ, KNIGHT B, PATCH A, NESS AR, EBRAHIM S, LAWLOR DA, RING SM, BEN-SHLOMO Y, JARVELIN M-R, SOVIO U, BENNETT AJ, MELZER D, FERRUCCI L, LOOS RJF, BARROSO I, WAREHAM NJ, KARPE F, OWEN KR, CARDON LR, WALKER M, HITMAN GA, PALMER CNA, DONEY ASF, MORRIS AD, SMITH GD, THE WELLCOME TRUST CASE CONTROL CONSORTIUM, HATTERSLEY AT, MAC CARTHY MI. 2007. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity. Science 316(5826): 889-894.
HUANG T, QI Q, LI Y, HU FB, BRAY GA, SACKS FM, WILLIAMSON DA, QI L. 2014. FTO genotype, dietary protein, and change in appetite: the Preventing Overweight Using Novel Dietary Strategies trial. Am J Clin Nutr 99(5): 1126-30.
KADOUH HC, ACOSTA A. 2016. Current paradigms in the etiology of obesity. Tech Gastrointest Endosc 19 (1).
KARRA E, O’DALY OG, CHOUDHURY AI, YOUSSEIF A, MILLERSHIP S, NEARY MT, SCOTT WR, CHANDARANA K, MANNING S, HESS ME, IWAKURA H, AKAMIZU T, MILLET Q, GELEGEN C, DREW ME, RAHMAN S, EMMANUEL JJ, WILLIAMS SCR, RÜTHER UU, BRÜNING JC, WITHERS DJ, ZELAYA FO, BETTERHAM RL. 2013. A link between FTO, ghrelin, and impaired brain-food cue responsivity. J Clin Invest 123(8): 3539-51.
KISSEBAH AH, SONNENBERG GE, MYKLEBUST J, GOLDSTEIN M, BROMAN K, JAMES RG, MARKS JA, KRAKOWER GR, JACOB HJ, WEBER J, MARTIN L, BLANGERO J, COMUZZIE AG. 2000. Quantitative trait loci on chromosome 3 and 17 influence phenotypes of the metabolic syndrome. Proc Natl Acad Sci USA 97(26): 14478-83.
KONTTINEN H, LLEWELLYN C, WARDLE J, SILVENTOINEN K, JOENSUU A, MÄNNISTO S, SALOMAA V, JOUSILAHTI P, KAPRIO J, PEROLA M, HAUKKALA A. 2015. Appetitive traits as behavioural pathways in genetic susceptibility to obesity: a population-based cross-sectional study. Sci Rep-UK 5.
LI H, KILPELÄINEN TO, LIU C, ZHU J, LIU Y, HU C, YANG Z, ZHANG W, BAO W, CHA S, WU Y, YANG T, SEKINE A, CHOI BY, YAJNIK CS, ZHOU D, TAKEUCHI F, YAMAMOTO K, CHAN JC, MANI KR, BEEN LF, IMAMURA M, NAKASHIMA E, LEE N, FUJISAWA T, KARASAWA S, WEN W, JOGLEKAR CV, LU W, CHANG Y, XIANG Y, GAO Y, LIU S, SONG Y, KWAK SH, SHIN HD, PARK KS, FALL CHD, KIM JY, SHAM PC, LAM KSL, ZHENG W, SHU X, DENG H, IKEGAMI H, KRISHNAVENI GV, SANGHERA DK, CHUANG L, LIU L, HU R, KIM Y, DAIMON M, HOTTA K, JIA W, KOONER JS, CHAMBERS JS, CHANDAK GR, MA RC, MAEDA S, DORAJOO R, YOKOTA M, TAKAYANAGI R, KATO N, LIN X, LOOS RJF. 2012. Association of genetic variation in FTO with risk of obesity and type 2 diabetes with data from 96,551 East and South Asians. Diabetologia 55(4): 891-995.
LIVINGSTONE KM, CELIS-MORALES C, LARA J, ASHOR AW, LOVEGROVE JA, MARTINEZ JA, SARIS WH, GIBNEY M, MANIOS Y, TRACZYK I, DREVON CA, DANIEL H, GIBNEY ER, BRENNAN L, BOUWMAN J, GRIMALDI KA, MATHERS JC, FOOD4ME. 2015. Associations between FTO genotype and total energy and macronutrient intake in adults: a systematic review and meta-analysis. Obes Rev 16(8): 666-678.
MACKAY H, CHARBONNEAU VR, ST-ONGE V, MURRAY E, WATTS A, WELLMAN MK, ABIZAID A. 2016. Rats with truncated ghrelin receptor (GHSR) do not respond to ghrelin, and show reduced intake of palatable, high-calorie food. Physiol Behav 163: 88-96.
NAKAZATO M, MURAKAMI N, DATE Y, KOJIMA M, MATSUO H, KANGAWA K, MATSUKURA S. 2001. A role of ghrelin in the central regulation of feeding. Nature 409(6817): 194-198.
NEEL JV. 1962. Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? Am J Hum Genet 14(4): 353-362.
[NNC] National Nutrition Council. 2017. Philippine Plan of Action for Nutrition 2017-2022 Executive Summary. Retrieved from http://www.nnc.gov.pg/downloads/philippine-plan-of-action-for-nutrition-ppan?download-998:ppan2017-2022-executive-summary on 19 Mar 2018.
QI L, KRAFT P, HUNTER DJ, HU FB. 2008. The common obesity variant near MC4R gene is associated with higher intakes of total energy and dietary fat, weight change and diabetes risk in women. Hum Mol Genet 17(22): 3502-08.
QI Q, KILPELÄINEN TO, DOWNER MK, TANAKA T, SMITH CE, SLUJIS I, SONESTEDT E, CHU AY, RENSTRÖM F, LIN X, ÄNGQUIST LH, HUANG J, LIU Z, LI Y, ASIF ALI M, XU M, AHLUWALIA TS, BOER JMA, CHEN P, DAIMON M, ERIKSSON J, PEROLA M, FRIEDLANDER Y, GAO Y-T, HEPPE DHM, HOLLOWAY JW, HOUSTON DK, KANONI S, KIM Y-M, LAAKSONEN MA, JÄÄSKELÄINEN T, LEE NR, LEHTIMÄKI T, LEMAITRE RN, LU W, LUBEN RN, MANICHAIKUL A, MÄNNISTÖ S, MARQUES-VIDAL P, MONDA KL, NGWA JS, PERUSSE L, VAN ROOJI FJA, XIANG Y-B, WEN W, WOJCZYNSKI MK, ZHU J, BORECKI IB, BOUCHARD C, CAI Q, COOPER C, DEDOUSSIS GV, DELOUKAS P, FERRUCCI L, FOROUHI NG, HANSEN T, CHRISTIANSEN L, HOFMAN A, JOHANSSON I, JØRGENSEN T, KARASAWA S, KHAW K-T, KIM M-K, KRISTIANSSON K, LI H, LIN X, LIU Y, LOHMAN KK, LONG J, MIKKILÄ V, MOZAFFARIAN D, NORTH K, PEDERSEN O, RAITAKARI O, RISSANEN H, TUOMILEHTO J, VAN DER SCHOUW YT, UITTERLINDEN AG, CAROLA ZILLIKENS S, FRANCO OH, TAI ES, SHU XO, SISCOVICK DS, TOFT U, VERSCHUREN WMM, VOLLENWEIDER P, WAREHAM NJ, WITTEMAN JCM, ZHENG W, RIDKER PM, KANG JH, LIANG L, JENSEN MK, CURHAN GC, PASQUALE LR, HUNTER DJ, MOHLKE KL, UUSITUPA M, CUPPLES LA, RANKINEN T, ORHO-MELANDER M, WANG T, CHASMAN DI, FRANKS PW, SØRENSEN TIA, HU FB, LOOS RJF, NETTLETON JA, QI L. 2014. FTO genetic variants, dietary intake and body mass index: insights from 177 330 individuals. Hum Mol Genet 23(25): 6961-72.
RACETE SB, DEUSINGER SS, DEUSINGER RH. 2003. Obesity: Overview of the prevalence, etiology, and treatment. Phys Ther 83(3): 276-288.
REES SD, ISLAM M, HYDRIE MZ, CHAUDHARY B, BELLARY S, HASHMI S, O’HARE JP, KUMAR S, SANGHERA DK, CHATURVEDI N, BARNETT AH, SHERA AS, WEEDON MN, BASIT A, FRAYLING TM, KELLY MA, JAFAR TH. 2011. An FTO variant is associated with Type 2 diabetes in South Asian populations after accounting for body mass index and waist circumference. Diabet Med 28(6): 673-680.
ROLLS ET. 2007. Understanding the mechanisms of food intake and obesity. Obes Rev 8: 67-72.
SCUTERI A, SANNA S, CHEN W-M, UDA M, ALBAI G, STRAIT J, NAJJAR S, NAGAJARA R, ORRÚ M, USALA G, DEI M, LAI S, MASCHIO A, BUSONERO F, MULAS A, EHRET GB, FINK AA, WEDER AB, COOPER RS, GALAN P, CHAKRAVARTI A, SCHLESSINGER D, CAO A, LAKATTA E, ABECASIS GR. 2007. Genome-wide association scan shows genetic variants in the FTO gene are associated with obesity-related traits. PLoS Genet 3(7): e115.
TIMPSON NJ, EMMETT PM, FRAYLING TM, ROGERS I, HATTERSLEY AT, MCCARTHY MI, DAVEY SMITH G. 2008. The fat mass- and obesity-associated locus and dietary intake in children. Am J Clin Nutr 88(4): 971-978.
[WHO] World Health Organization. 2018. Media Centre Obesity and Overweight. Retrieved from www.who.int/mediacentre/factsheets/fs311/en/ on 19 Mar 2018.