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Metabolic syndrome and ADRB3 gene polymorphism in severely obese patients from South Italy

Abstract

Objective:

To evaluate the prevalence of β3-adrenergic receptor (ADRB3) Trp64Arg polymorphism and its relationship with the metabolic syndrome in severe obesity.

Design:

Cross-sectional outpatients study.

Patients and methods:

In 265 (100 men) severely obese non-diabetic subjects and 78 (25 men) healthy volunteers, genomic DNA was isolated from peripheral leukocytes. In obese patients, plasma concentrations of leptin, lipids, glucose and insulin, the homeostasis model assessment index and blood pressure have been measured. The Trp64Arg mutation was identified with the real-time TaqMan method.

Results:

Neither genotype distribution nor allele frequency differed between the two groups. The metabolic syndrome prevalence was 59% in obese subjects, and was higher in men than in women (65 vs 55%: P=0.03). The body mass index (BMI) was related to age tertiles (β=0.08; P<0.001; multiple linear regression) in Trp64Arg-positive obese subjects.

Conclusion:

We confirm the high prevalence of the metabolic syndrome among severely obese subjects. ADRB3 polymorphism was significantly related to insulin resistance only in obese male subjects. Moreover, increased BMI was related to age in obese subjects with the ADRB3 polymorphism.

Sponsorship:

MIUR, COFIN 2004.

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Acknowledgements

This work was supported by grants from the Ministero delĺIstruzione, delĺUniversità e della Ricerca; COFIN 2004.

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Correspondence to F Pasanisi.

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Bracale, R., Pasanisi, F., Labruna, G. et al. Metabolic syndrome and ADRB3 gene polymorphism in severely obese patients from South Italy. Eur J Clin Nutr 61, 1213–1219 (2007). https://doi.org/10.1038/sj.ejcn.1602640

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602640

Keywords

  • severe obesity
  • metabolic syndrome
  • ADRB3 polymorphism

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