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KMID : 1038820210240030306
Pediatric Gastroenterology, Hepatology & Nutrition
2021 Volume.24 No. 3 p.306 ~ p.315
The Relationship of Leptin (+19) AG, Leptin (2548) GA, and Leptin Receptor Gln223Arg Gene Polymorphisms with Obesity and Metabolic Syndrome in Obese Children and Adolescents
Bilge Serap

Yilmaz Resul
Karaslan Erhan
Ozer Samet
Ates Omer
Ensari Emel
Demir Osman
Abstract
Purpose: Obesity is defined as the abnormal or excessive accumulation of fat over acceptable limits. Leptin is a metabolic hormone present in the circulation in amounts proportional to fat mass. Leptin reduces food intake and increases energy expenditure, thus regulating body weight and homeostasis. Various polymorphisms are present in the leptin gene and its receptor. These polymorphisms may be associated with obesity. This study aimed to show the association of leptin (+19) AG, leptin (2548) GA, and Gln223Arg leptin receptor polymorphisms with obesity and metabolic syndrome in Turkish children aged 6?17 years, and to conduct further investigations regarding the genetic etiology of obesity.

Methods: A total of 174 patients diagnosed with obesity and 150 healthy children who were treated at Tokat Gaziosmanpa?a Medical School Hospital between September 2014 and March 2015 were included in this study. The ages of the children were between 6 and 17 years, and anthropometric and laboratory results were recorded. Genotyping of leptin (+19) AG, leptin (2548) GA, and leptin receptor Gln223Arg polymorphisms was performed by polymerase chain reaction.

Results: An association between leptin receptor Gln223Arg gene polymorphism and obesity was detected.

Conclusion: Further studies are needed to determine the role of genetic etiologies and to indicate the role of leptin signal transmission impairment in the pathogenesis of obesity. We hope that gene therapy can soon provide a solution for obesity.
KEYWORD
Leptin, Obesity, Metabolic syndrome, Polymorphism, Polymerase chain reaction
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