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Global Translational Medicine                                                    FTO gene and obesity



            generally accepted criteria as follows: Normal weight (BMI   The  cohort included  655 participants:  273  normal
            <25); overweight (BMI ≥25 but <30); obesity degree I   weight (the median BMI = 21.7 [20.1; 23.4] kg/m ) and
                                                                                                        2
                                                                                                            2
            (BMI ≥30 but <35); obesity degree II (BMI ≥35 but <40);   170  obese  (the  median  BMI  =  35.1  [31.8;  37.7]  kg/m )
            and obesity degree III (BMI ≥40).                  individuals. The controls were significantly younger than
                                                               the obese patients (Figure  2). Gender and age variables
            2.3. Genotyping                                    were included as covariates in the case–control association
            TaqMan assays (Thermo Fisher Scientific, USA)      analysis to remove bias from confounding factors.
            for the polymorphic variants of  the FTO  gene       Table 3 presents the analysis results on the BMI
            (rs10852521,   rs11075990,  rs1121980,  rs1421085,  association in the group of patients with the genotypes of
            rs1477196, rs17817449, rs3751812, rs4783819, rs7206790,   various FTO polymorphic variants.
            rs8047395, rs9939609, rs9940128, and rs9941349) were   A significant association of the genotype and the body
            used for genotyping. Real-time PCR was performed   mass index was observed for eight polymorphic variants
            in 25-µL reactions, which consisted of 12.5  µL of the   of the FTO gene: In the carriers of minor homozygotes of
            TaqMan Genotyping Master Mix; 0.625 µL of the TaqMan   polymorphic variants rs11075990, rs1121980, rs1421085,
            genotyping assay mix (×40), which includes a primer and   rs17817449, rs3751812, rs9939609, rs9940128, and
            a probe; 11.25 µL of DNase- and RNase-free water; and   rs9941349, BMI was 1.51 – 1.84 kg/m² higher compared
            20 ng of template DNA. Thermal cycling was performed on   with the carriers of corresponding major homozygotes
            the Bio-Rad CFX96 (Bio-Rad, Germany). The method was   (P = 0.0022 – 0.021).
            applied at the temperature of 95°C for 10 min, 40 cycles
            at 95°C for 15 s, and 60°C for 90  sec. The CFX96TM   Some studies have found not only ethnic but also gender
            Real-Time PCR software (Bio-Rad, Germany) was used   differences in the BMI genotype association. For example,
            to conduct the allelic discrimination method for SNP   a significant association of rs11075990 and rs3751812
                                                                                                            -6
            genotyping.                                        polymorphic variants with BMI in women (P = 2.26 × 10
                                                               and 3.04 × 10 , respectively) and its absence in men was
                                                                          -6
            2.4. Statistical analysis
            Statistical analysis of  the data  was carried out using the   Table 2. Characteristics of the studied population
            standard STATISTICA software package for Windows   Group           BMI         Gender       Age
            (StatSoft Inc., USA). A Pearson’s χ  test was used to analyze    Mean (SD)  Male (n) Female (n)  Mean (SD)
                                       2
            the distribution of genotype frequencies in the groups   Control  21.7 (1.9)  77   196    33.3 (9.7)
            under study. Distribution of corresponding genotypes in
            the groups under study for all analyzed polymorphisms   Pre-obesity  27.3 (1.4)  90  122  38.2 (11.7)
            corresponded  to  the  expected  Hardy-Weinberg    Obesity (degree I)  32.3 (1.4)  34  72  46.9 (9.9)
            distribution.                                      Obesity (degree II)  37.6 (1.4)  9  33  47.9 (9.1)
              Haplotype frequency was estimated using SNPStats   Obesity (degree III)  43.6 (3.2)  3  19  53.1 (6.3)
            software . Linkage disequilibrium (LD) analysis and   Total       26.9 (6.0)  213  442    38.5 (11.8)
                   [19]
            LD-heatmap generation were carried out using the R   BMI: Body mass index; SD: Standard deviation
            package Gaston .
                        [20]
              To assess the effect of polymorphisms with respect to
            the risk of obesity development, the odds ratio (OR) was
            used taking into account the 95% confidence interval
            (95% CI).
              Multiple linear regression was applied to evaluate
            adjusted associations between the polymorphism alleles
            and the anthropometric indices by adjusting potentially
            important confounders (e.g., gender, age). In this study,
            statistical significance was obtained when P < 0.05.
            3. Results and discussion

            Characteristics of the studied population are shown in
            Table 2.                                           Figure 2. Age distribution by group.


            Volume 2 Issue 2 (2023)                         4                         https://doi.org/10.36922/gtm.352
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