A Common Variant in the FTO Gene Is Associated with Body Mass Index and Predisposes to Childhood and Adult Obesity
Open accessAbstract
Obesity is a serious international health problem that increases the risk of several common diseases. The genetic factors predisposing to obesity are poorly understood. A genome-wide search for type 2 diabetesâsusceptibility genes identified a common variant in the FTO (fat mass and obesity associated) gene that predisposes to diabetes through an effect on body mass index (BMI). An additive association of the variant with BMI was replicated in 13 cohorts with 38,759 participants. The 16% of adults who are homozygous for the risk allele weighed about 3 kilograms more and had 1.67-fold increased odds of obesity when compared with those not inheriting a risk allele. This association was observed from age 7 years upward and reflects a specific increase in fat mass.
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The FTO gene influences hypothalamic regulation of appetite and energy expenditure by modulating leptin and melanocortin signaling pathways.
“Key genes, such as the fat mass and obesity-associated gene (FTO), influence hypothalamic regulation of appetite and energy expenditure by modulating leptin and melanocortin signaling pathways [22].”
From Obesity: Clinical Impact, Pathophysiology, Complications, and Modern Innovations in Therapeutic Strategies (2025) · cites this paper as [22]
The paper reports that FTO variation is associated with BMI and obesity, and that FTO expression is highest in the brain (passages indexed under Abstract; page unavailable). It does not establish hypothalamic regulation of appetite or energy expenditure through leptin and melanocortin signaling. Instead, it describes FTO as having an unknown function in an unknown pathway and calls for further work to identify the mechanism. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe 16% of sedentary adults homozygous for the risk allele AA in rs9939609 in the FTO gene weighed about 3 kg more and had 1.67-fold increased odds of obesity compared with those not inheriting a risk allele.
“The 16% of sedentary adults who are homozygous for the risk allele of AA in rs9939609 in the fat mass and obesity-associated (FTO) gene weighed ~3 kg more and had 1.67-fold increased odds of obesity when compared with those not inheriting a risk allele (191).”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [191]
Similar results were also obtained using a genetic risk score based solely on the SNP in the FTO gene.
“Secondly, similar results were also obtained using a genetic risk score based solely on the SNP in the FTO gene, which is a gene that has been found to be associated with BMI in numerous studies, where none of the cohorts used in the present study were included [34–36].”
From Causal relationship between obesity and serum testosterone status in men: A bi-directional mendelian randomization analysis (2017) · cites this paper as [34]
Variants at the four BMI loci have also been associated with childhood BMI.
“Variants at these four loci have also been associated with childhood BMI18–20”
From Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies (2010) · cites this paper as [18]
Four novel loci for menarche were previously identified by GWA studies for adult BMI: rs9939609 (in/near FTO, P=3.1×10−8), rs633715 (SEC16B, P=2.1×10−8), rs2002675 (TRA2B, ETV5, P=1.2×10−9) and rs2947411 (TMEM18, P=1.7×10−8).
“Four novel loci for menarche were previously identified by GWA studies for adult BMI18–20; these were rs9939609 (in/near FTO, P=3.1×10−8), rs633715 (SEC16B, P=2.1×10−8), rs2002675 (TRA2B, ETV5, P=1.2×10−9) and rs2947411 (TMEM18, P=1.7×10−8).”
From Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies (2010) · cites this paper as [18]
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- Authors
- Frayling, T. M., Timpson, N. J., Weedon, M. N., Zeggini, E., Freathy, R. M., Lindgren, C. M., Perry, J. R. B., Elliott, K. S., Lango, H., Rayner, N. W., Shields, B., Harries, L. W., Barrett, J. C., Ellard, S., Groves, C. J., Knight, B., Patch, A.-M., Ness, A. R., Ebrahim, S., Lawlor, D. A., Ring, S. M., Ben-Shlomo, Y., Jarvelin, M.-R., Sovio, U., Bennett, A. J., Melzer, D., Ferrucci, L., Loos, R. J. F., Barroso, I., Wareham, N. J., Karpe, F., Owen, K. R., Cardon, L. R., Walker, M., Hitman, G. A., Palmer, C. N. A., Doney, A. S. F., Morris, A. D., Smith, G. D., Hattersley, A. T., & McCarthy, M. I.
- Affiliations
- Centre for Human Genetics (GB)
- Genetics of Complex Traits, Institute of Biomedical and Clinical Science, Peninsula Medical School, Magdalen Road, Exeter, UK.
- National Health Service (GB)
- National Institutes of Health (US)
- Corresponding author
- Frayling, Timothy M.
- Timpson, Nicholas J.
- Weedon, Michael N.
- Zeggini, Eleftheria
- Hattersley, Andrew T.
- McCarthy, Mark I.
- ORCID
- Frayling, Timothy M.
- Timpson, Nicholas J.
- Weedon, Michael N.
- Zeggini, Eleftheria
- Freathy, Rachel M.
- Lindgren, Cecilia M.
- Perry, John R. B.
- Elliott, Katherine S.
- Rayner, Nigel W.
- Shields, Beverley
- Harries, Lorna W.
- Barrett, Jeffrey C.
- Ellard, Sian
- Knight, Bridget
- Patch, Ann-Marie
- Ebrahim, Shah
- Lawlor, Debbie A.
- Ring, Susan M.
- Sovio, Ulla
- Bennett, Amanda J.
- Melzer, David
- Ferrucci, Luigi
- Loos, Ruth J. F.
- Wareham, Nicholas J.
- Karpe, Fredrik
- Owen, Katharine R.
- Walker, Mark
- Hitman, Graham A.
- Doney, Alex S. F.
- Morris, Andrew D.
- Smith, George Davey
- Hattersley, Andrew T.
- McCarthy, Mark I.
- Venue
- Science
- Published
- 2007-05-11
- Volume
- 316
- Issue
- 5826
- Pages
- 889-894
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC2646098
- OpenAlex
- W2097660065
- Cited by
- 4,531
- References
- 14
- Citations by year
- 2026: 105 · 2025: 154 · 2024: 194 · 2023: 168 · 2022: 196 · 2021: 209 · 2020: 218 · 2019: 180 · 2018: 231 · 2017: 214 · 2016: 236 · 2015: 225 · 2014: 270 · 2013: 315 · 2012: 278
- FWCI
- 191.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Wellcome Trust (079557, 090532)
- National Institutes of Health (Z99 AG999999)
- Medical Research Council (G0000934, G0600705)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Physical Performance
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Keywords
- FTO, fat mass and obesity-associated gene, single nucleotide polymorphisms, body mass index, obesity predisposition, childhood obesity, adult obesity, type 2 diabetes risk, genetic association, fat mass, risk alleles
- MeSH terms
- Adipose Tissue, Adolescent, Adult, Aged, Alleles, Birth Weight, Child, Diabetes Mellitus, Type 2, Female, United Kingdom, Homozygote, Humans, Infant, Newborn, Male, Middle Aged, Obesity, Cohort Studies, Body Mass Index, Case-Control Studies, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Overweight
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