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Evaluation of the Genetic Association Between Adult Obesity and Neuropsychiatric Disease

Stahel, P (author)
Nahmias, A (author)
Sud, SK (author)
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Lee, SJ (author)
Pucci, A (author)
Yousseif, A (author)
Youseff, A (author)
Jackson, T (author)
Urbach, DR (author)
Okrainec, A (author)
Allard, JP (author)
Sockalingam, S (author)
Yao, T (author)
Barua, M (author)
Jiao, H (author)
Karolinska Institutet
Magi, R (author)
Bassett, AS (author)
Paterson, AD (author)
Dahlman, I (author)
Karolinska Institutet
Batterham, RL (author)
Dash, S (author)
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 (creator_code:org_t)
2019-09-10
2019
English.
In: Diabetes. - : American Diabetes Association. - 1939-327X .- 0012-1797. ; 68:12, s. 2235-2246
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Extreme obesity (EO) (BMI >50 kg/m2) is frequently associated with neuropsychiatric disease (NPD). As both EO and NPD are heritable central nervous system disorders, we assessed the prevalence of protein-truncating variants (PTVs) and copy number variants (CNVs) in genes/regions previously implicated in NPD in adults with EO (n = 149) referred for weight loss/bariatric surgery. We also assessed the prevalence of CNVs in patients referred to University College London Hospital (UCLH) with EO (n = 218) and obesity (O) (BMI 35–50 kg/m2; n = 374) and a Swedish cohort of participants from the community with predominantly O (n = 161). The prevalence of variants was compared with control subjects in the Exome Aggregation Consortium/Genome Aggregation Database. In the discovery cohort (high NPD prevalence: 77%), the cumulative PTV/CNV allele frequency (AF) was 7.7% vs. 2.6% in control subjects (odds ratio [OR] 3.1 [95% CI 2–4.1]; P < 0.0001). In the UCLH EO cohort (intermediate NPD prevalence: 47%), CNV AF (1.8% vs. 0.9% in control subjects; OR 1.95 [95% CI 0.96–3.93]; P = 0.06) was lower than the discovery cohort. CNV AF was not increased in the UCLH O cohort (0.8%). No CNVs were identified in the Swedish cohort with no NPD. These findings suggest that PTV/CNVs, in genes/regions previously associated with NPD, may contribute to NPD in patients with EO.

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