Influence of obesity-susceptibility loci (MC4R and INSIG2) on the outcome of weight loss and amelioration of co-morbidity in obese patients treated by a gastric-bypass

Bull Soc Sci Med Grand Duche Luxemb. 2011:(2):7-24.

Abstract

Background: Genome-wide association and linkage studies have identified multiple susceptibility loci for obesity.

Objective: We hypothesized that such loci may affect weight loss and comorbidity amelioration outcomes following a gastric-bypass.

Design: A total of 200 obese patients who underwent a gastric bypass surgery were genotyped for single-nucleotide polymorphisms (SNPs) in insulin induced gene 2 (INSIG2) and melanocortin 4 receptor (MC4R) obesity genes.

Results: After a follow-up of 18 month, the patients (192) data of weight excess loss (72%) and co-morbidities (Hypertension -62- and Diabetes -39-) were analyzed and compared. 26 Patients with SNP were found (9 MC4R and 17 INSIG2). No significant differences in weight excess loss and amelioration of comorbidities were revealed.

Conclusions: The data suggest no influence of weight excess loss and amelioration of co-morbidities after gastric-bypass by genetic susceptibility.

MeSH terms

  • Diabetes Mellitus / therapy
  • Female
  • Follow-Up Studies
  • Gastric Bypass
  • Humans
  • Hypertension / complications
  • Hypertension / therapy
  • Intracellular Signaling Peptides and Proteins / genetics*
  • Laparoscopy
  • Male
  • Membrane Proteins / genetics*
  • Mutation
  • Obesity / complications
  • Obesity / surgery*
  • Polymorphism, Single Nucleotide*
  • Receptor, Melanocortin, Type 4 / genetics*
  • Weight Loss*

Substances

  • INSIG2 protein, human
  • Intracellular Signaling Peptides and Proteins
  • Membrane Proteins
  • Receptor, Melanocortin, Type 4