Abstract
Obesity is a major public health concern, and complementary research strategies have been directed toward the identification of the underlying causative gene mutations that affect the normal pathways and networks that regulate energy balance. Here, we describe an autosomal-recessive morbid-obesity syndrome and identify the disease-causing gene defect. The average body mass index of affected family members was 48.7 (range = 36.7-61.0), and all had features of the metabolic syndrome. Homozygosity mapping localized the disease locus to a region in 3q29; we designated this region the morbid obesity 1 (MO1) locus. Sequence analysis identified a homozygous nonsense mutation in CEP19, the gene encoding the ciliary protein CEP19, in all affected family members. CEP19 is highly conserved in vertebrates and invertebrates, is expressed in multiple tissues, and localizes to the centrosome and primary cilia. Homozygous Cep19-knockout mice were morbidly obese, hyperphagic, glucose intolerant, and insulin resistant. Thus, loss of the ciliary protein CEP19 in humans and mice causes morbid obesity and defines a target for investigating the molecular pathogenesis of this disease and potential treatments for obesity and malnutrition.
Original language | English |
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Pages (from-to) | 1061-1071 |
Number of pages | 11 |
Journal | American Journal of Human Genetics |
Volume | 93 |
Issue number | 6 |
DOIs | |
State | Published - 5 Dec 2013 |
Externally published | Yes |
Bibliographical note
Funding Information:We thank all the family members who participated in this study. J.A.M. was supported in part by a National Institutes of Health (NIH) grant (5R01DK071298), B.D.D. was supported by a March of Dimes award and by an NIH grant (5 R01 HD069647), and M.A.G. received financial support through an American Heart Association grant (10SDG4470014). J.A.M. would like to thank A. Cederbaum, C. Mobbs, and D. Leroith for their thoughtful and critical advice throughout these studies. A.S. thanks A. Ahronhiem for his generous advice and fruitful discussions of the mouse research.
Funding
We thank all the family members who participated in this study. J.A.M. was supported in part by a National Institutes of Health (NIH) grant (5R01DK071298), B.D.D. was supported by a March of Dimes award and by an NIH grant (5 R01 HD069647), and M.A.G. received financial support through an American Heart Association grant (10SDG4470014). J.A.M. would like to thank A. Cederbaum, C. Mobbs, and D. Leroith for their thoughtful and critical advice throughout these studies. A.S. thanks A. Ahronhiem for his generous advice and fruitful discussions of the mouse research.
Funders | Funder number |
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National Institutes of Health | 5R01DK071298 |
National Institute of Child Health and Human Development | R01HD069647 |
March of Dimes Foundation | 5 R01 HD069647 |
American Heart Association | 10SDG4470014 |