New kids on the block : the functions of obesity genes identified by GWAS - John Speakman

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New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
New kids on the block : the functions
of obesity genes identified by GWAS

John Speakman
Institute of Genetics and Developmental biology
Chinese Academy of Sciences
Beijing, China
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
Twin and family studies suggest that 65% of the variation
in body fatness is genetic

But these studies don’t
tell us which genes are
involved

Genome Wide Association Studies (GWAS)
are an attempt to find these genes
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
GWAS studies link polymorphic variation (SNPs) in the
     genome to a phenotype of interest

LOD score
                                               Manhatten plot

            Position along chromosome
                                        Note: GWAS identifies SNPs
                                                not genes
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
GWAS :
Body mass index
5 studies with >50,000 subjects

So far identified about 40 SNPs
linked to BMI

Largest study c 250,000 subjects
(Speliotes et al 2010 Nature
Genetics 42: 937-948)
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
BUT

BMI is not a very good
phenotype to characterise
Body fatness

Romero-Corral et al (2008)
Int. J. Obesity 32: 959-966

   GWAS based on CT scan estimates of fatness
      Fox et al (2012)
      Plos Genetics
      8:e102695

      Confirms only 8 of
      these SNPs
      (n = 10557)
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
SNP          Location   Nearest gene

rs9939609    Intronic   FTO      FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
SNP          Location   Nearest gene

rs9939609    Intronic   FTO     FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
rs9816226 Intronic              ETV5 ETS variant gene 5

 ETS family member

 All ETS family members share 85 AA DNA binding domain

 Act as transcription factors

 ETV5 has strong known links to several cancers

 Highly expressed in the Hypothalamus

 Expression is related to nutritional status

 Mechanism of action unknown
New kids on the block : the functions of obesity genes identified by GWAS - John Speakman
SNP          Location   Nearest gene

rs9939609    Intronic   FTO      FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
rs 9969309 intronic FTO

Original name Fused TOes from deletion mutation in mice

First gene linked to obesity by GWAS
(Frayling et al 2007 Science 316: 889-894)
Renamed FaT mass and Obesity associated

Largest effect size of all GWAS genes (gene dose 1.5 kg/at risk alelle)

                        FTO protein is an oxoglutarate
                        dependent DNA/RNA demethylase
                        (Gerken et al 2007 Science 318: 1469-
                        1472)

                        Expressed in brain (plus many other
                        tissues)
CONFUSING effects – mice and humans

    HUMANS
 In humans the ‘at risk’ A- alelle is associated with > FOOD
 INTAKE (500-1250 kJ/day) but it is NOT linked to energy
 expenditure

 (Speakman et al 2008: Obesity 16: 1961-1965)
 Since verified in at least 10 independent studies

      MICE
In mice KO of the FTO gene appears to affect body composition via effects
on energy EXPENDITURE not food intake

Fischer et al (2009) Nature 458 894-898
Since verified in 2 other studies
(also lots of other effects on growth)
Potential resolution (??)
Although gene variants are intronic in FTO their main effect may be on
expression of next gene along IRX-3 (Smemo et al 2014: Nature eprint)

                                      Intronic FTO snp is more closely
                                      linked to gene expression of
                                      IRX-3 than FTO
     IRX-3     FTO
IRX-3 KO mice are leaner and protected from HFD induced obesity

IRX-3 is a transcription factor in the brain
IRX-3 KO mouse (Smemo et al 2014)

                                                        IRX-3 KO mouse –
                                                        obese phenotype

                                                        ?Effects on food intake
                                                        /expenditure unclear

Emphasizes that even though SNP is intronic, its effect may be in a different gene
SNP          Location   Nearest gene

rs9939609    Intronic   FTO      FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
rs2815752        IG          NEGR1 Neuronal growth regulator 1

 Widely found in the brain – particularly hippocampus

 Function not exactly clear : Neurite outgrowth
                              cell-cell adhesion
                              synaptogenesis

SNP is linked to food intake in humans

Gene expression co-localises with 2 populations of neurons
in the hypothalamus

1) Arginine-vasopressin/oxytocin neurons (in supraoptic
   nucleus and paraventricular nucleus)
2) Neurons in the Ventromedial nucleus and Arcuate
   nucleus (responsive to feeding state)
NEGR-1

From Speakman (2013)
Human heredity 75: 57-79
NEGR1 KO mouse has a body weight phenotype      (KO is lighter)
 Lee et al 2012 Plos One 7: e41537

BUT this is entirely due to differences in lean tissue mass NOT fat mass

Contrasts situation in humans where SNP effect is on fat mass (CT
study)
Impact on energy expenditure – due entirely to lower lean mass in the KO
More recently suggested to have functions
outside the brain

1) It is linked to adipogenesis. Expression of gene 2x up during
   adipogenesis. siRNA knockdown inhibits adipogenesis
   (Bernhard et al 2013 Diabetologia 56: 311-322.)

1) Gene is at the hub of an expression network in adipose tissue
   (Walley et al 2012 International journal of obesity 36: 137-147)
Total picture
may include
both central and
peripheral
effects

From Speakman (2013)
Human heredity 75: 57-79
SNP          Location   Nearest gene

rs9939609    Intronic   FTO      FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
rs2867125                  IG                     TMEM18 Trans-membrane protein 18

                                                          Transmembrane protein
                                                          Located predominantly on nuclear
                                                          membrane

                                                          3 trans-membrane domains

                                                          Long N and C terminal ends
                                                             C-terminus binds DNA

   From Almen et al (2010) BMC medical genomics

  Dimerisation increases specificity of binding
RAT                                            MOUSE

Highly expressed in the brain – but levels unresponsive to nutritional status

Expressed in many other tissues – may have peripheral and central functions
From Speakman (2013)
Human heredity 75: 57-79
SNP          Location   Nearest gene

rs9939609    Intronic   FTO      FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
rs7498665     Exonic        SH2B1 Src-homology 2B adaptor protein 1

 Exonic - SNP leads to alanine to therionine substitution
           at AA 484 of 767 AA protein

 Known component of leptin signalling pathway
Leptin-JAK-STAT pathway
(adapted from Morris and Rui
      2009 AJP 297: E1247-1259)

          SH2B1

            SH2B1

            Enhances activity of JAK2

            Enhances recruitment of
            STAT to JAK

            Enhances leptin signal
            Promoting satiety
SH2B1 KO mouse is highly susceptible to obesity
   (Ren et al 2005 Cell metabolism 2: 95-104)

   Mouse has 60% greater food intake
   (plus greater energy expenditure)

SH2B1 also has peripheral impacts on insulin signalling and glucose homeostasis
SNP          Location   Nearest gene

rs9939609    Intronic   FTO     FaT mass and Obesity associated

rs2815752      IG       NEGR1 Neuronal growth regulator 1

rs2867125      IG       TMEM18 Trans-membrane protein 18

rs9816226    Intronic   ETV5 ETS variant gene 5

rs2112347      IG       POC5/FLJ35779 Centrosomal protein

rs10968576   Intronic   LINGO

rs7498665    Exonic     SH2B1 Src-homology 2B adaptor protein 1

rs2287019    Intronic   GIPR Gastric inhibitory polypeptide receptor
rs2287019       Intronic          GIPR Gastric inhibitory polypeptide receptor

  GIP – 1970 40AA peptide from duodenum gastric inhibitory polypeptide

  Now recognised as an incretin hormone stimulating insulin release
  (Glucose-dependent insulinotrophic polypeptide)

  Large receptor population in the pancreas mediating incretin effect

  Receptors also on adipose tissue and in the brain. In these locations
  appears related to body weight control

 Direct infusion of GIP in humans stimulates appetite and reduces
 energy expenditure
 (Daousi et al 2009 Clinical endocrinology 71: 195-201)
In mice knocking out the
GIPR globally leads to a
protection from high fat
Diet induced obesity
Global KO               added back to adipocytes     added back to beta cells

Adding back expression of GIPR to either adipoctes or beta cells removes the
protection effect of the global KO

Mechanisms unknown..
From Speakman (2013)
Human heredity 75: 57-79
Summary

1. There is much that we don’t understand about how the
   main genes identified by GWAS affect obesity

2. The nearest gene to a GWAS SNP may not necessarily
   be the affected gene (cf FTO versus INX-3)

3. Effects of the genes in mice may be different from the
   effects in humans

4. Although they are almost all expressed in the brain
   they may also have significant peripheral expression
   and functions
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