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Common genetic variants at the MC4R locus are associated with obesity, but not with dietary energy intake or colorectal cancer in the Scottish population

Abstract

Background:

Common single-nucleotide polymorphism (SNP) variants around the melanocortin 4 receptor (MC4R) gene have recently been associated with obesity risk and insulin resistance. Obesity is a known risk factor for colorectal cancer (CRC) and we hypothesized that there might be a common inherited genetic component.

Methods and Results:

Four of the variants reported earlier were genotyped and tested for association with body mass index (BMI), waist circumference (WC), dietary energy intake (DEI) and CRC. Using a case–control genetic association study, we replicated the association with BMI (P=0.0001, additive genetic effect=0.37 kg/m2) and WC (P=0.005, additive genetic effect=0.70 cm) using over 3800 individuals. However, there was no association between these variants and CRC risk. Rare (highly penetrant) variants within the MC4R gene have been shown to influence eating behaviour and hyperphagia. We hypothesized that the newly identified common variants might also influence hyperphagia. Using DEI data recorded from a validated food frequency questionnaire, we found no significant genetic association between MC4R SNPs and DEI.

Conclusions:

As the MC4R locus explains only 0.28% of the BMI and 0.14% of the WC phenotypic variance in the Scottish population, most of the genetic contribution to obesity remains to be identified.

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References

  1. Grant I, Fischbacher C, Whyte B . Obesity in Scotland: an epidemiology briefing. ScotPHO reports and papers 2007, http://www.scotpho.org.uk/home/Publications/scotphoreports/pub_obesityinscotland.asp.

  2. Chinn S, Rona RJ . Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974–94. BMJ 2001; 322: 24–26.

    Article  CAS  Google Scholar 

  3. Wardle J, Carnell S, Haworth CM, Plomin R . Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am J Clin Nutr 2008; 87: 398–404.

    Article  CAS  Google Scholar 

  4. Tang W, Hong Y, Province MA, Rich SS, Hopkins PN, Arnett DK et al. Familial Clustering for Features of the Metabolic Syndrome: The National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study. Diabetes Care 2006; 29: 631–636.

    Article  Google Scholar 

  5. Farooqi IS, Keogh JM, Yeo GS, Lank EJ, Cheetham T, O’Rahilly S . Clinical spectrum of obesity and mutations in the melanocortin 4 receptor gene. N Engl J Med 2003; 348: 1085–1095.

    Article  CAS  Google Scholar 

  6. Farooqi IS, Wangensteen T, Collins S, Kimber W, Matarese G, Keogh JM et al. Clinical and molecular genetic spectrum of congenital deficiency of the leptin receptor. N Engl J Med 2007; 356: 237–247.

    Article  CAS  Google Scholar 

  7. Chambers JC, Elliott P, Zabaneh D, Zhang W, Li Y, Froguel P et al. Common genetic variation near MC4R is associated with waist circumference and insulin resistance. Nat Genet 2008; 40: 716–718.

    Article  CAS  Google Scholar 

  8. Loos RJ, Lindgren CM, Li S, Wheeler E, Zhao JH, Prokopenko I et al. Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat Genet 2008; 40: 768–775.

    Article  CAS  Google Scholar 

  9. Dina C, Meyre D, Gallina S, Durand E, Korner A, Jacobson P et al. Variation in FTO contributes to childhood obesity and severe adult obesity. Nat Genet 2007; 39: 724–726.

    Article  CAS  Google Scholar 

  10. Frayling TM, Timpson NJ, Weedon MN, Zeggini E, Freathy RM, Lindgren CM et al. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity. Science 2007; 316: 889–894.

    Article  CAS  Google Scholar 

  11. Calle EE, Kaaks R . Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 2004; 4: 579–591.

    Article  CAS  Google Scholar 

  12. Renehan AG, Roberts DL, Dive C . Obesity and cancer: pathophysiological and biological mechanisms. Arch Physiol Biochem 2008; 114: 71–83.

    Article  CAS  Google Scholar 

  13. Seow A, Yuan JM, Koh WP, Lee HP, Yu MC . Diabetes mellitus and risk of colorectal cancer in the Singapore Chinese Health Study. J Natl Cancer Inst 2006; 98: 135–138.

    Article  Google Scholar 

  14. Tenesa A, Farrington SM, Prendergast JG, Porteous ME, Walker M, Haq N et al. Genome-wide association scan identifies a colorectal cancer susceptibility locus on 11q23 and replicates risk loci at 8q24 and 18q21. Nat Genet 2008; 40: 631–637.

    Article  CAS  Google Scholar 

  15. Theodoratou E, Kyle J, Cetnarskyj R, Farrington SM, Tenesa A, Barnetson R et al. Dietary flavonoids and the risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev 2007; 16: 684–693.

    Article  CAS  Google Scholar 

  16. Masson LF, McNeill G, Tomany JO, Simpson JA, Peace HS, Wei L et al. Statistical approaches for assessing the relative validity of a food-frequency questionnaire: use of correlation coefficients and the kappa statistic. Public Health Nutr 2003; 6: 313–321.

    Article  CAS  Google Scholar 

  17. Tenesa A, Visscher PM, Carothers AD, Knott SA . Mapping quantitative trait loci using linkage disequilibrium: marker- versus trait-based methods. Behav Genet 2005; 35: 219–228.

    Article  Google Scholar 

  18. Branson R, Potoczna N, Kral JG, Lentes KU, Hoehe MR, Horber FF . Binge eating as a major phenotype of melanocortin 4 receptor gene mutations. N Engl J Med 2003; 348: 1096–1103.

    Article  CAS  Google Scholar 

  19. Benzinou M, Creemers JW, Choquet H, Lobbens S, Dina C, Durand E et al. Common nonsynonymous variants in PCSK1 confer risk of obesity. Nat Genet 2008; 40: 943–945.

    Article  CAS  Google Scholar 

  20. Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M . Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. The Lancet 2008; 371: 569–578.

    Article  Google Scholar 

  21. Pischon T, Lahmann PH, Boeing H, Friedenreich C, Norat T, Tjonneland A et al. Body size and risk of colon and rectal cancer in the European Prospective Investigation Into Cancer and Nutrition (EPIC). J Natl Cancer Inst 2006; 98: 920–931.

    Article  Google Scholar 

  22. Moore LL, Bradlee ML, Singer MR, Splansky GL, Proctor MH, Ellison RC et al. BMI and waist circumference as predictors of lifetime colon cancer risk in Framingham Study adults. Int J Obes Relat Metab Disord 2004; 28: 559–567.

    Article  CAS  Google Scholar 

  23. Bodmer W, Bonilla C . Common and rare variants in multifactorial susceptibility to common diseases. Nat Genet 2008; 40: 695–701.

    Article  CAS  Google Scholar 

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Acknowledgements

We are grateful to all participants in these studies and to nursing and administrative staff on the COGS and SOCCS studies. We also thank departments in central Scottish NHS, including Cancer Registry, Scottish Cancer Intelligence Unit of ISD and the Family Practitioner Committee. This study was funded by grants from Cancer Research UK (C348/A3758 and -A8896, C48/A6361); Medical Research Council (G0000657-53203); Scottish Executive Chief Scientist's Office (K/OPR/2/2/D333, CZB/4/449); and Centre Grant from CORE as part of the Digestive Cancer Campaign (http://www.corecharity.org.uk).

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Tenesa, A., Campbell, H., Theodoratou, E. et al. Common genetic variants at the MC4R locus are associated with obesity, but not with dietary energy intake or colorectal cancer in the Scottish population. Int J Obes 33, 284–288 (2009). https://doi.org/10.1038/ijo.2008.257

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