Abstract
OBJECTIVE: To investigate the association between butyrylcholinesterase (BChE) activities (total and band specific) and body mass index (BMI) in obese and nonobese individuals, considering other variables (anthropometric, biochemical and hormonal) and the leanness process.
SUBJECTS: Obese (BMI≥30 kg/m2; N=181) and nonobese individuals (N=265), classified according to the CHE2 locus phenotypes, with the obese patients being followed-up when submitted to a weight-loss program.
MEASUREMENTS: Anthropometric (weight, height, BMI, waist, waist/hip ratio—WHR, triceps and subscapular skinfolds, percentage of body fat and arterial pressures), hormonal (insulin, estradiol—E2, triiodothyronine—T3 and thyroxine—T4) and biochemical (glucose, total cholesterol, HDL-C, triglycerides, uric acid, urea, creatinine, sodium, potassium and BChE activities) variables.
RESULTS: Although obese CHE2 C5− individuals presented higher mean BChE activities than their CHE2 C5− controls and diminished mean activities with leanness, similar comparisons did not show any difference in the CHE2 C5+ group. Furthermore, the mean serum potassium values of obese individuals were significantly higher in the CHE2 C5+ than in the CHE2 C5− phenotype. The BChE activities were less related to BMI in obese CHE2 C5− individuals than in their controls. In the CHE2 C5− obese group, significant regression coefficients were found between BChE activity variables and BMI (+), ethnic origin (higher in Euro-Brazilians), sex (higher in males), diastolic pressure (−), triceps skinfold (+), total cholesterol (+), T3 (+) and E2 (−). The main findings in the CHE2 C5+ obese group: mean insulin levels decreased with leanness and a significant correlation was detected between the C5 complex activity and creatinine (+), insulin (−) and WHR (−); a significantly higher frequency of weight loss occurred compared to the CHE2 C5− group.
CONCLUSION: In the present study, different relations between obesity and some of the studied variables were found when CHE2 C5+ and CHE2 C5− individuals were compared.
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References
Arpagaus M, Kott M, Vatsis KP, Bartels CF, La Du BN, Lockridge O . Structure of the gene for human butyrylcholinesterase: evidence for a single copy. Biochemistry 1990; 29: 124–131.
Masson P . Molecular heterogeneity of human cholinesterase. In: Massoulié J, Bacou F, Barnard E, Chatonnet A, Doctor BP, Quinn DM. (eds). Cholinesterase: structure, function, mechanisms, genetics and cell biology. American Chemical Society: Washington, DC; 1991.
Souza RLR, Furtado L, Diniz ACP, Silva ACD, Kaiss J, Petzl-Erler ML, Chautard-Freire-Maia EA . Studies on a heterologous complex formed by human butyrylcholinesterase. Biochem Genet 2003; 41: 141–150.
Berry WTC, Cowin PJ, Davies DR . A relationship between body fat and plasma pseudo-cholinesterase. Br J Nutr 1954; 8: 79–82.
Simpson NE . Factors influencing cholinesterase activity in a Brazilian population. Am J Hum Genet 1966; 18: 243–252.
Cucuianu M, Popescu TA, Haragus St . Pseudocholinesterase in obese and hyperlipemic subjects. Clin Chim Acta 1968; 22: 151–155.
Stueber-Odebrecht N, Chautard-Freire-Maia EA, Primo-Parmo SL, Carrenho JMX . Studies on the CHE1 locus of serum cholinesterase and surnames in a sample from Santa Catarina (Southern Brazil). Rev Bras Genet 1985; 8: 535–543.
Brock A, Brock V . Plasma cholinesterase activity in a healthy population group with no occupational exposure to known cholinesterase inhibitors: relative influence of some factors related to normal inter- and intra-individual variations. Scand J Clin Lab Invest 1990; 50: 401–408.
Chautard-Freire-Maia EA, Primo-Parmo SL, Picheth G, Lourenço MAC, Vieira MM . The isozyme C5 of serum cholinesterase and adult weight. Hum Hered 1991; 41: 330–339.
Alcântara VM, Rodrigues LC, Oliveira LC, Chautard-Freire-Maia EA . The variable expression of the C4/5 complex of human butyrylcholinesterase and body mass index. Hum Biol 2003; 75: 47–55.
Alcântara VM, Rodrigues LC, Oliveira LC, Chautard-Freire-Maia EA . Association of the CHE2 locus with body mass index and butyrylcholinesterase activity. Hum Biol 2001; 73: 587–595.
Durnin JVGA, Womersley J . Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr 1974; 32: 77–97.
Van Ros G, Vervoort T . Frequencies of the atypical and C5 variants of serum cholinesterase in Zairians and Belgians. Detection of the C5 variant by agar gel electrophoresis with an acid buffer. Ann Soc Belge Méd Trop 1973; 53: 633–644.
Dietz AA, Rubinstein HM, Lubrano T . Colorimetric determination of serum cholinesterase and its genetic variants by the propionylthiocholine-dithiobis (nitrobenzoic acid) procedure. Clin Chem 1973; 19: 1309–1313.
Evans RT, Wroe J . Is serum cholinesterase activity a predictor of succinylcholine sensitivity? An assessment of four methods. Clin Chem 1978; 24: 1762–1766.
Statsoft, Inc. Statistica for Windows 1996 Computer program manual, Tulsa, 1996. 1 CD ROM.
Kalow W, Gunn DR . Some statistical data on atypical cholinesterase of human serum. Ann Hum Genet 1959; 23: 239–250.
Chu MI, Fontaine P, Kutty KM, Murphy D, Redheendran R . Cholinesterase in serum and low density lipoprotein of hyperlipidaemic patients. Clin Chim Acta 1978; 85: 55–59.
Boman H . Cholinesterase, arylesterase, and lipoprotein parameters in twins. Acta Genet Med Gemellol 1980; 29: 281–287.
Harris H, Hopkinson DA, Robson EB, Whittaker M . Genetical studies on a new variant of serum cholinesterase detected by electrophoresis. Ann Hum Genet 1963; 26: 359–382.
Primo-Parmo SL, Chautard-Freire-Maia EA, Lourenço MAC, Salzano FM, Melo e Freitas MJ . Studies on serum cholinesterase (CHE1 and CHE2) in Brazilian Indians and admixed populations. Rev Bras Genet 1986; 9: 467–478.
Sugimori T . Shortened action of succinylcholine in individuals with cholinesterase C5 isozyme. Can Anaesth Soc J 1986; 33: 321–327.
Alcântara VM, Rodrigues LC, Oliveira LC, Chautard-Freire-Maia EA . Butyrylcholinesterase activity and risk factors for coronary artery disease. Scand J Clin Lab Invest 2002; 62: 1–6.
Antopol W, Tuchman L, Schifrin A . Cholinesterase activity of human sera with special reference to hyperthyroidism. Proc Soc Exp Biol Med 1937; 36: 46–50.
Thompson JC, Whittaker M . Pseudocholinesterase activity in thyroid disease. J Clin Pathol 1965; 18: 811–812.
Scott EM, Weaver DD, Wright RC . Discrimination of phenotypes in human serum cholinesterase deficiency. Am J Hum Genet 1970; 22: 263–269.
Sidell FR, Kaminskis A . Influence of age, sex, and oral contraceptives on human blood cholinesterase activity. Clin Chem 1975; 21: 1393–1395.
Tourtellotte WW, Odell LD . Plasma acetylcholinesterase activity. Am J Obstet Gynec 1950; 60: 1343–1347.
Wetstone HJ, La Motta RV, Middlebrook L, Tennant R, White BV . Studies of cholinesterase activity. IV. Liver function in pregnancy. Am J Obstet Gynec 1958; 76: 480–490.
Shnider SM . Serum cholinesterase activity during pregnancy, labor and the puerperium. Anesthesiology 1965; 26: 335–339.
Robertson GS . Serum cholinesterase deficiency. II: pregnancy. Br J Anaesth 1966; 38: 361–369.
Björntorp P . Obesity and the risk of cardiovascular disease. Ann Clin Res 1985; 17: 3–9.
Bishop ML, Duben-Engelkirk JL, Fody EP . Clinical chemistry: principles, procedures, correlations, 4th edn. Lippincott Williams and Wilkins: Philadelphia; 2000.
Rankinen T, Pérusse L, Weisnagel SJ, Snyder EE, Chagnon YC, Bouchard C . The human obesity gene map: the 2001 update. Obes Res 2002; 10: 196–243.
Acknowledgements
This research was supported by fellowships from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and by grants from CNPq and Fundação da Universidade Federal do Paraná (FUNPAR). We thank the Centro de Hematologia e Hemoterapia do Paraná (HEMEPAR) for donating the blood samples.
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Alcântara, V., Oliveira, L., Réa, R. et al. Butyrylcholinesterase and obesity in individuals with the CHE2 C5+ and CHE2 C5− phenotypes. Int J Obes 27, 1557–1564 (2003). https://doi.org/10.1038/sj.ijo.0802464
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DOI: https://doi.org/10.1038/sj.ijo.0802464