rs9939609

badMag 5.5

This is a intron variant variant in the FTO gene.

Key Literature Trait Associations

Obesity / BMI

The first obesity-associated variant discovered by GWAS. Each A allele increases BMI by ~0.39 kg/m² (~1.2 kg for average-height person). The FTO locus acts through regulation of IRX3/IRX5 in adipocyte thermogenesis. Homozygous A/A carriers average ~3 kg heavier. Effect can be attenuated by physical activity.

Allele A
OR 1.31
β 0.390
p 1.0e-120
Large GWAS
Allele A
OR
β 0.330
p 4.0e-51
N 249,796
Large GWAS
multi-ancestry
da Silva TER et al. The FTO rs9939609 polymorphism and obesity risk in teens: Evidence-based meta-analysis. Obesity Research & Clinical Practice (2018)
Allele A
OR 1.38
p 1.0e-4
N 15,613
Meta-analysis
multi-ancestry

Type 2 diabetes mellitus

The A allele of rs9939609 is associated with elevated type 2 diabetes risk, largely but not entirely mediated through its effect on BMI. A 2023 meta-analysis of 48 studies (36,051 T2DM cases, 51,266 controls) reported OR=1.30 per A allele (95% CI 1.14–1.48) under the allele contrast model, with stronger effects in homozygotes (OR=1.60). A prospective population-based study (PMID 34414523, n=1,443) further showed the A allele predicts future T2D onset independently (HR=1.35). The T2D association is replicated across multiple ancestries, though residual confounding by adiposity remains an important caveat.

Allele A
OR 1.30
p 5.0e-2
N 87,317
Meta-analysis
multi-ancestry
Allele A
OR
p 3.6e-2
N 1,443
Preliminary work
European

Body fat percentage

Beyond BMI, the A allele of rs9939609 is associated with directly measured increases in body fat percentage. A meta-analysis by Gholamalizadeh et al. (2022) found that A allele carriers had significantly higher body fat percentage compared to TT homozygotes (TT vs. AA: p=0.007; TT vs. AT: p=0.04). This complements findings from the original Frayling et al. study showing the BMI effect reflects a specific increase in fat mass rather than lean body mass, supporting a role for FTO in adipose tissue regulation beyond simple weight gain.

Gholamalizadeh M et al. Does the rs9939609 FTO gene polymorphism affect fat percentage? A meta-analysis. Archives of Physiology and Biochemistry (2022)
Allele A
OR
p 7.0e-3
Meta-analysis
multi-ancestry

Metabolic syndrome

The A allele of rs9939609 is associated with elevated metabolic syndrome risk, particularly in adult populations. A meta-analysis of eight Chinese studies (5,345 cases, 9,523 controls; Wang et al. 2020) found the A allele increased metabolic syndrome risk by 21% per allele (OR=1.21, p<0.001) and 35% under the dominant model (OR=1.35, p<0.001). The effect was significant in adults but not in children/adolescents, and was detected using IDF but not NCEP ATP III diagnostic criteria. The association likely reflects upstream effects on adiposity, insulin resistance, and lipid metabolism.

Polycystic ovary syndrome

The FTO rs9939609 A allele has been associated with polycystic ovary syndrome (PCOS) risk in meta-analytic evidence. A 2024 updated meta-analysis (Stephen et al., 13 studies) found a significant association under the dominant genetic model. The mechanism may be mediated by FTO's role in adiposity and insulin resistance, both of which are pathophysiologically central to PCOS. Evidence is considered moderate given the smaller aggregate sample sizes compared to the obesity/BMI literature, and ancestry specificity has not been fully resolved.

Cancer risk

A meta-analysis by Huang et al. (2017) found that the FTO rs9939609 A allele is significantly associated with increased risk of endometrial and pancreatic cancers, particularly in Asian populations, under homozygote and recessive genetic models. No significant associations were detected for breast, colorectal, or thyroid cancers. The cancer associations are thought to be partly mediated by FTO's effect on obesity, a known endometrial cancer risk factor, though independent effects have not been fully excluded. Evidence is rated low given the absence of large, ancestry-diverse replication datasets.

Allele A
OR
p
Meta-analysis
multi-ancestry

GWAS Catalog Trait Associations (5)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

Research that mentions this SNP (50)

Association of the matrix metalloproteinase 3 (MMP3) single nucleotide polymorphisms with tendinopathies: case-control study in high-level athletes
Case reportNina Briški et al.(2021)· International Orthopaedics

This is a Turkish-language personalized nutrigenetics and epigenetics coaching report for individual Mehmet Efe Yildirim (Report No. 1332, dated 2023-11-21). The report analyzes the individual's genetic polymorphisms related to nutritional metabolism, food sensitivities, detoxification pathways, and other health-related traits, providing personalized dietary and lifestyle recommendations based on cited scientific literature. This is a direct-to-consumer genetic test report, not a peer-reviewed research study.

Traits studied:Alcohol metabolismAnxiety and panic disorderCaffeine sensitivityCholine metabolismCircadian rhythmExercise performanceFolate metabolismFood allergiesGluten sensitivityHistamine sensitivityHomocysteinemiaInflammatory markersLactose intoleranceLiver healthMicrobiota metabolismNFE2L2 pathwayObesity and weight managementOmega-3 metabolismPhase I detoxificationPhase II glutathione transferasePlant sterols metabolismRiboflavin metabolismSelenium metabolismSleep qualityUGT metabolismVitamin A metabolismVitamin B12 metabolismVitamin B6 metabolismVitamin C metabolismVitamin D metabolismVitamin K metabolismZinc metabolism
Differences in brain structure and function in children with the FTO obesity‐risk allele
FunctionalN=93Lugo-Candelas C. et al.(2020)· Obesity Science &amp; Practice

This neuroimaging study examined differences in brain structure and function in 93 children (ages 5-10) without obesity, stratified by FTO rs1421085 genotype. Homozygous C allele carriers (CC, n=15) showed significantly greater grey matter volume in the cerebellum and temporal fusiform gyrus (p=0.017-0.050), increased bilateral cerebellar white matter fibre density and cross-section (peak t=6.34, p FWE=0.037), and increased resting-state functional connectivity between the cerebellum and frontotemporal cortices compared to homozygous T allele carriers (TT, n=47). This is the first study to examine FTO-related brain differences in young children before obesity onset, suggesting the cerebellum may be a key structure in FTO-mediated obesity risk mechanisms.

Traits studied:Brain structure and functionCerebellar volumeFunctional connectivityObesity riskWhite matter connectivity
A Diabetes-Associated Genetic Variant is Associated with Diastolic Dysfunction and Cardiovascular Disease
AssociationN=15,215John Molvin et al.(2020)· ESC Heart Failure

This association study examined 43 diabetes-related SNPs in relation to diastolic dysfunction and cardiovascular disease across two Swedish cohorts. HNF1B rs757210 (T-allele) was the main finding, associated with prevalent diastolic dysfunction in both the discovery cohort (MPP-RES; OR 1.21, P=0.024) and replication cohort (VARA; OR 1.38, P=0.042), and with increased risk of incident CVD (HR 1.05, P=0.042) but not CHF over 30+ years of follow-up.

Traits studied:Cardiovascular diseaseCongestive heart failureDiastolic dysfunctionType 2 diabetes
The FTO Gene and Measured Food Intake in 5‐ to 10‐Year‐Old Children Without Obesity
AssociationN=122Ranzenhofer LM et al.(2019)· Obesity

This observational study examined the association between FTO rs9939609 genotype and food intake in 122 non-obese children (5-10 years old). Each A allele of rs9939609 was significantly associated with approximately 64 additional calories consumed daily (p=0.04), explaining 3% of variance in total caloric intake. The association was stronger in non-African American children (p=0.02) and showed no significant relationships with macronutrient preferences or diet variety.

Traits studied:caloric intakeeating behaviorfood intake
Genetic variation of FTO: rs1421085 T&gt;C, rs8057044 G&gt;A, rs9939609 T&gt;A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
Assessing the causal relationship between obesity and venous thromboembolism through a Mendelian Randomization study
Meta-analysisN=60,139Sara Lindström et al.(2017)· Human Genetics

Mendelian Randomization study examining the causal relationship between obesity (BMI) and venous thromboembolism using 95 BMI-associated SNPs in 7,507 VTE cases and 52,632 European ancestry controls. FTO rs1558902 showed the strongest individual association with VTE (OR 1.07, P = 0.005), and genetically predicted high BMI was significantly associated with increased VTE risk (OR 1.59 per SD increase in BMI, P = 5.8 × 10^-6), providing evidence for a causal relationship between obesity and VTE.

Traits studied:Body mass indexDeep vein thrombosisObesityPulmonary embolismVenous thromboembolism
COX2 and NOS3 gene polymorphisms in women with gestational diabetes
ReviewMaciej Tarnowski et al.(2017)· The Journal of Gene Medicine

This comprehensive review synthesizes literature on gestational diabetes mellitus (GDM), demonstrating its complex multifactorial etiology involving genetic factors (SNPs in GCKR, KCNQ1, MTNR1B, TCF7L2), epigenetic modifications (DNA methylation and microRNA expression), and alterations in microbial composition across multiple body sites. While certain SNP variants are associated with GDM phenotypes globally, genetic predisposition alone does not explain disease development; lifestyle factors can modify epigenetic signatures and microbiota composition to modulate risk. Evidence indicates genes, epigenetic alterations, and microbiota can transfer from mother to offspring with long-term health consequences.

Traits studied:Cardiovascular diseaseFetal macrosomiaGestational diabetes mellitusHyperglycemiaHyperlipidemiaHypoglycemiaImpaired insulin secretionInflammatory conditionsInsulin resistanceMetabolic syndromeObesityPreeclampsiaType 2 diabetes
A multianalytical approach to evaluate the association of 55 SNPs in 28 genes with obesity risk in North Indian adults
AssociationN=792Apurva Srivastava et al.(2017)· American Journal of Human Biology

This cross-sectional study of 792 Latin American subjects examined associations between FTO and IRX3 gene variants with obesity and metabolic disorders. While FTO and IRX3 SNPs were not in linkage disequilibrium, the TT genotype of rs9939609 (FTO) was associated with increased waist circumference (adj-p=0.01), and rs3751723 (IRX3) was associated with body weight excess (OR=1.06, adj-p=0.03). A FTO-IRX3 haplotype (G-A-A-T) was also associated with body weight excess (OR=0.67, p=0.04), suggesting gene-gene interaction effects independent of genetic ancestry.

Traits studied:Body weight excessDyslipidemiaHyperglycemiaHypertensionMetabolic disordersMetabolic syndromeObesityOverweightType 2 diabetes mellitusWaist circumference
The obesity associated FTO gene variant and the risk of adverse pregnancy outcomes: Evidence from the SCOPE study
AssociationN=81Prabha H. Andraweera et al.(2016)· Obesity

This doctoral thesis examines the role of physical activity, physical fitness, and exercise on immunometabolism during pregnancy across six studies in overweight/obese pregnant women. In the genetic analysis (n=81), neonatal birth weight was significantly greater in mothers carrying the CC genotype at rs6567160 and rs17782313 in the MC4R gene, though gestational weight gain was not influenced by maternal FTO or MC4R genotypes.

Traits studied:Gestational weight gainImmunometabolic markersNeonatal birth weightPhysical activityPlacental weightSedentary time
FTO polymorphism, cardiorespiratory fitness, and obesity in Brazilian youth
AssociationN=420Cézane Priscila Reuter et al.(2016)· American Journal of Human Biology

This cross-sectional study of 420 Brazilian children and adolescents (7-17 years) examined the relationship between the rs9939609 FTO polymorphism and obesity outcomes, including cardiorespiratory fitness (CRF) interactions. The AA genotype of rs9939609 was associated with increased obesity risk (OR: 3.21 for BMI, 2.59 for waist circumference), with a significant gene-by-environment interaction: students with low CRF and the AA genotype had substantially higher obesity risk (OR: 4.40 for BMI, 3.54 for waist circumference), while this association was absent in individuals with high CRF.

Traits studied:Body Fat PercentageBody Mass Index (BMI)Cardiorespiratory FitnessObesityOverweightWaist Circumference
Implications of critical PPARγ2, ADIPOQ and FTO gene polymorphisms in type 2 diabetes and obesity-mediated susceptibility to type 2 diabetes in an Indian population
AssociationN=1,036Nagaraja M. Phani et al.(2016)· Molecular Genetics and Genomics

Case-control study of 518 type 2 diabetes cases and 518 controls in a Karnataka (Indian) population examined the association of three SNPs with T2D susceptibility and obesity. PPAR-γ2 rs1801282 and FTO rs9939609 were significantly associated with T2D in the overall sample (OR=1.42, P=0.02 and OR=1.19, P=0.01 respectively), with effects primarily observed in the obese diabetic subgroup. ADIPOQ rs16861194 showed no significant association (OR=1.08, P=0.39). A meta-analysis of 22 studies on PPAR-γ2 and FTO variants in Asian populations confirmed FTO's significant risk association with T2D.

Traits studied:Body mass indexObesityType 2 diabetes
Single nucleotide polymorphism detection using gold nanoprobes and bio‐microfluidic platform with embedded microlenses
MethodsIwona Bernacka‐Wojcik et al.(2015)· Biotechnology and Bioengineering

This methods paper describes the development and optimization of a biomicrofluidic platform coupled with gold nanoprobe colorimetric assays for detecting the FTO rs9939609 SNP associated with obesity risk. The optimized platform achieved 160% improvement in colorimetric discrimination through planar air microlenses and advanced optoelectronic acquisition, enabling SNP genotyping with DNA concentrations as low as 5 ng/mL and 10-fold lower solution volumes than conventional methods.

Traits studied:Obesity
BAC transgenic zebrafish reveal hypothalamic enhancer activity around obesity associated SNP rs9939609 within the human FTO gene
FunctionalSilke Rinkwitz et al.(2015)· genesis

This study used BAC transgenic zebrafish to characterize enhancer activity in the FTO gene region containing obesity-associated SNP rs9939609. The authors created transgenic zebrafish lines with a GFP reporter cassette 1.3 kb upstream of rs9939609 and found hypothalamic and anterior brainstem expression patterns similar to the IRX3 gene, not FTO. This demonstrates that enhancers in FTO intron 1 near rs9939609 regulate IRX3 expression in the developing hypothalamus, not FTO itself.

Traits studied:Obesity
Association of the LINGO2-related SNP rs10968576 with body mass in a cohort of elderly Swedes
AssociationN=949Mathias Rask-Andersen et al.(2015)· Molecular Genetics and Genomics

Association study of 35 GWAS-identified body mass SNPs in 949 elderly Swedish participants (mean age 70-75 years). Significant association found between rs10968576 (LINGO2, intron 4) and BMI with a larger effect size (β = 0.69 kg/m²) than reported in younger populations, suggesting age-specific genetic effects on body mass in the elderly.

Traits studied:Body Mass IndexBody adiposityObesityOverweight
FTO genetic variants and risk of obesity and type 2 diabetes: A meta‐analysis of 28,394 Indians
ReviewN=26,684Senthil K. Vasan et al.(2014)· Obesity

This scoping review examined 18 observational studies (n=26,684) from low- and middle-income countries investigating gene-environment interactions affecting obesity risk. The review found statistically significant associations for 12 individual SNPs including FTO rs1421085, rs9939609, rs10163409, rs3751812, MC4R rs17782313, rs12970134, TMEM18 rs7561317, NEGR1 rs2815752, CARTPT rs2239670, UCP2 rs659366, CLOCK rs1801260, and FLJ33544 rs140133294, though most associations were not replicated across different populations and environmental exposures.

Traits studied:Body fat percentageBody mass index (BMI)ObesityWaist circumferenceWaist-hip ratio
Genetic variation at the CELF1 (CUGBP, elav‐like family member 1 gene) locus is genome‐wide associated with Alzheimer's disease and obesity
ReviewAnke Hinney et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This literature review examines the influence of genetic polymorphisms on obesity development and adaptive responses to physical activity, focusing on five candidate genes: COMT (rs4680, Val158Met), DRD2 (rs1800497 Taq1A and rs1799732), FABP2 (rs1799883, Ala54Thr), FTO (rs9939609, A/T), and UCP1 (rs1800592, A-3826G). The review synthesizes molecular mechanisms, phenotypic associations, and implications for human health and training adaptations, noting that physical activity reduces the FTO genetic effect on obesity risk by 30-80% and that various polymorphisms show differential impacts on body composition and metabolic responses to exercise.

Traits studied:Adipose tissue distributionAthletic performanceBody Mass Index (BMI)Body compositionExercise adaptationFat massMuscle massObesityPhysical activity responseWeight loss
Investigation of genetic risk factors for chronic adult diseases for association with preterm birth
AssociationN=1,792Nadia Falah et al.(2013)· Human Genetics

Case-control study of 673 preterm birth (PTB) cases vs 1,119 controls across four maternal cohorts testing 35 SNPs in cardiovascular, inflammatory, and metabolic disease genes. Found 13 statistically significant associations with PTB (P<0.05), more than expected by chance (binomial P=0.02). Most significant was HLA-DQA1 rs9272346 G allele protective effect in US White mothers (P=0.02, OR=0.65, 95% CI 0.46-0.94), which nominally replicated in Danish cohort (P=0.02, OR=0.85, 95% CI 0.75-0.97) but lost significance after correction for multiple testing.

Traits studied:Cardiovascular diseaseHeight and weightHemostasis and thrombosisHypertensionInflammatory and immunological diseaseLipids and glucose metabolismMyocardial infarctionObesityPreterm birth
Identification of CpG-SNPs associated with type 2 diabetes and differential DNA methylation in human pancreatic islets
AssociationN=84Dayeh TA et al.(2013)· Diabetologia

Of 40 SNPs previously associated with type 2 diabetes, 19 (48%) introduce or remove CpG sites. In 84 human pancreatic islet donors, all 16 analyzed CpG-SNPs showed statistically significant differential DNA methylation (p≤2.3×10⁻⁵). Several CpG-SNPs including rs391300 (SRR), rs5945326 (DUSP9), rs11708067 (ADCY5), rs5015480 (HHEX), rs13266634 (SLC30A8), rs1801214 (WFS1), rs564398 (CDKN2A), and rs2237895 (KCNQ1) were associated with differential gene expression, alternative splicing, or hormone secretion, suggesting DNA methylation-mediated mechanisms linking genetic variants to type 2 diabetes pathogenesis.

Traits studied:Glucagon secretionInsulin contentInsulin secretionType 2 diabetes
Obesity-susceptibility loci and the tails of the pediatric BMI distribution
AssociationN=7,225Jonathan A. Mitchell et al.(2013)· Obesity

This study examined 8 adult obesity-susceptibility loci in 7,225 children aged 2-18 years using quantile regression to assess whether genetic effects on BMI are uniform across the BMI distribution. The authors found that obesity risk alleles (FTO rs3751812, MC4R rs12970134, TMEM18 rs2867125, BDNF rs6265, SEC16B rs10913469, GNPDA2 rs13130484, NRXN3 rs10146997, and TNNI3K rs1514175) were more strongly associated with BMI increases at the upper tail of the distribution (85th-95th percentiles, β=0.06-0.11, p<10^-6) compared to the lower tail, suggesting that standard linear regression approaches may underestimate genetic effects on childhood obesity.

Traits studied:BMIChildhood obesityObesity
Common genetic variants associated with lipid profiles in a Chinese pediatric population
AssociationN=3,503Yue Shen et al.(2013)· Human Genetics

This study tested seven SNPs from European lipid-associated loci in 3,503 Chinese school-age children and found that six SNPs (rs2144300, rs1260333, rs1260326, rs10105606, rs1748195, rs964184) showed significant associations with triglyceride levels (p < 0.05 FDR-corrected), while three SNPs were associated with total cholesterol and four with LDL-cholesterol. Three SNPs (rs1260333 OR=0.82, rs1260326 OR=0.82, rs964184 OR=1.36) showed strong associations with dyslipidemia risk, demonstrating that lipid-susceptibility variants identified in European populations have similar effects in Chinese children.

Traits studied:DyslipidemiaHDL-cholesterolLDL-cholesterolTotal cholesterolTriglycerides
Interactions of several single nucleotide polymorphisms and high body mass index on serum lipid traits
AssociationN=150Rui‐Xing Yin et al.(2013)· BioFactors

A cross-sectional study of 150 Brazilian obese subjects examined associations between three polymorphisms (INSIG2 rs7566605, PCSK9 rs505151, FTO rs9939609) and metabolic syndrome. The INSIG2 rs7566605 G allele showed significant associations with higher systolic blood pressure, diastolic blood pressure, and triglyceride levels (p < 0.05), while no direct associations were found between any polymorphisms and metabolic syndrome prevalence.

Traits studied:Blood pressure (systolic and diastolic)Body mass indexCholesterolMetabolic syndromeObesityTriglyceride levels
Relation of Fat-Mass and Obesity-Associated Gene Polymorphism to Fat Mass Content and Body Mass Index in Obese Children
AssociationN=160Beata Pyrzak et al.(2013)· Advances in Experimental Medicine and Biology

This case-control study investigated the association between the FTO rs9939609 polymorphism and obesity-related measures in 136 obese children (aged 12-18) and 24 healthy controls. FTO rs9939609 was genotyped by allele-specific RT-PCR. AA homozygotes had significantly higher BMI (30.4 vs 28.1, p<0.05) and body fat content (39.0% vs 32.9%, p<0.05) compared to TT carriers. The study confirms the association of the FTO risk allele with increased BMI and adiposity in children, though limited sample size prevented full analysis of metabolic parameters.

Traits studied:AdiposityBody Mass IndexFat mass contentObesity
Impact of FTO genotypes on BMI and weight in polycystic ovary syndrome: a systematic review and meta-analysis
Meta-analysisN=2,548Wojciechowski P. et al.(2012)· Diabetologia

This meta-analysis of eight PCOS cohorts (2,548 women) found that FTO rs9939609 and rs1421085 polymorphisms have significantly greater effects on BMI and body weight in PCOS patients than in the general population. Each additional effect allele increased BMI by 0.19 z-score units (p=2.26×10⁻¹¹) and body weight by 0.20 z-score units (p=1.02×10⁻¹⁰), demonstrating effects more than two times greater than previously reported.

Traits studied:Body mass index (BMI)Body weightCardiovascular diseaseHyperandrogenismInsulin resistanceMetabolic syndromeObesityPolycystic ovary syndrome (PCOS)Type 2 diabetes
Association analysis of 31 common polymorphisms with type 2 diabetes and its related traits in Indian sib pairs
AssociationN=6,178Gupta V. et al.(2012)· Diabetologia

Association analysis of 31 GWAS-confirmed type 2 diabetes SNPs in 3,089 Indian sib pairs (2,528 for quantitative traits, 561 for diabetes) identified significant associations with intermediate traits: CDKAL1 rs7756992, TCF7L2 rs7903146 and rs12255372 with fasting glucose (β=0.009-0.01, p≤0.01); ADAM30 rs2641348, NOTCH2 rs10923931, TCF-2/HNF1B rs757210, and CDKN2A/B rs10811661 with fasting insulin and HOMA-IR (β=±0.05-0.09, p≤0.05); and THADA rs7578597 with type 2 diabetes (OR 1.5, p=0.03).

Traits studied:Fasting glucoseFasting insulinHOMA-beta cell functionHOMA-insulin resistanceType 2 diabetes
Association of the FTO rs9939609 polymorphism with obesity in Roma/Gypsy population
AssociationN=312Soňa Mačeková et al.(2012)· American Journal of Physical Anthropology

This study examines the association of FTO rs9939609 SNP with obesity in a Roma/Gypsy population of 312 individuals from Slovakia. The minor A-allele was significantly associated with increased BMI (OR=1.55, 95% CI: 1.129-2.128, p=0.007), waist circumference, and waist-to-hip ratio, replicating previous findings from European populations despite the Roma population's Asian origins.

Traits studied:Body mass index (BMI)ObesityWaist circumferenceWaist-to-hip ratio
Influences of FTO gene on onset age of adult overweight
AssociationN=658Hao Mei et al.(2012)· Human Genetics

This longitudinal study examined 658 white participants from the Bogalusa Heart Study to investigate FTO gene effects on the onset age of overweight in adults. Using survival analysis on 30 FTO tag SNPs, rs9939609 showed the strongest association with overweight onset age (p=0.004), with genotype AA associated with significantly earlier onset (mean 22.82 years at 50% prevalence) compared to AT (28.96 years) and TT (27.76 years), with odds ratios of 0.52 (AA vs AT) and 0.58 (AA vs TT) for survival beyond age 18.

Traits studied:Age of Onset of OverweightBody Mass Index (BMI)ObesityOverweight
Evaluation of weight loss and adipocytokines levels after two hypocaloric diets with different macronutrient distribution in obese subjects with rs9939609 gene variant
ReviewDaniel Antonio de Luis et al.(2012)· Diabetes/Metabolism Research and Reviews

This is a letter to the editor critiquing methodological errors in a meta-analysis on low-carbohydrate versus balanced diets for weight loss and cardiovascular risk. The authors document multiple protocol violations and data extraction errors in the Naude et al. meta-analysis, including inclusion of studies failing their own fat intake criteria, use of end weight instead of weight change, inconsistent handling of intention-to-treat data, and data transcription discrepancies. The letter argues these errors materially affected the meta-analysis conclusions.

Traits studied:Cardiovascular riskObesityWeight loss
Susceptibility variants for obesity and colorectal cancer risk: The multiethnic cohort and PAGE studies
AssociationN=11,673Unhee Lim et al.(2012)· International Journal of Cancer

This case-control study of 2,033 colorectal cancer cases and 9,640 controls investigated whether BMI and waist size susceptibility variants are associated with colorectal cancer risk. Two obesity SNPs showed significant associations: KCTD15 rs29941 (OR = 0.90, p = 0.01) was protective, while MC4R rs17782313 (OR = 1.12, p = 0.02) increased risk. However, neither association remained significant after multiple comparisons correction, and overall obesity variants showed minimal effects on colorectal cancer.

Traits studied:Body mass index (BMI)Colorectal cancerWaist size
Common polymorphism near the MC4R gene is associated with type 2 diabetes: data from a meta-analysis of 123,373 individuals
Meta-analysisN=123,373Xi B. et al.(2012)· Diabetologia

Meta-analysis of 19 studies (34,195 cases, 89,178 controls) confirmed that the rs17782313 polymorphism near the MC4R gene is associated with type 2 diabetes risk in Europeans and Asians (OR 1.10, 95% CI 1.07-1.13, p=2.83×10⁻¹²). The association remained significant after BMI adjustment (OR 1.06, 95% CI 1.03-1.09, p=2.14×10⁻⁵), suggesting an effect independent of obesity.

Traits studied:BMIInsulin resistanceObesityType 2 diabetes
Association of genetic variation in FTO with risk of obesity and type 2 diabetes with data from 96,551 East and South Asians
Meta-analysisN=96,551Li H. et al.(2012)· Diabetologia

Meta-analysis of 32 populations (96,551 East and South Asians) examining FTO-rs9939609 association with obesity and type 2 diabetes. The minor allele increased obesity risk 1.25-fold/allele (p=9.0×10⁻¹⁹), overweight 1.13-fold/allele (p=1.0×10⁻¹¹), and type 2 diabetes 1.15-fold/allele (p=5.5×10⁻⁸), with similar effect sizes across East and South Asian populations as previously observed in Europeans.

Traits studied:Body fat percentageBody mass indexHip circumferenceObesityOverweightType 2 diabetesWaist circumferenceWaist-hip ratio
Association of RANBP1 haplotype with smooth pursuit eye movement abnormality
ReviewHyun Sub Cheong et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This comprehensive review examines the genomics of schizophrenia and pharmacogenomics of antipsychotic drugs, synthesizing evidence on over 200 genes associated with psychotic disorders. The authors discuss five categories of genes relevant to antipsychotic response: disease-associated genes, mechanism-of-action genes, drug metabolism genes (particularly CYP2D6, CYP2C19, CYP2C9, CYP3A4), drug transporter genes, and pleiotropic genes. The review details pharmacogenomic profiles of 20+ antipsychotic drugs and demonstrates significant ethnic and interindividual variation in drug metabolism phenotypes, with examples including CYP2D6 extensive metabolizers (55.71% of population), intermediate metabolizers (34.7%), poor metabolizers (2.28%), and ultra-rapid metabolizers (7.31%).

Traits studied:Alzheimer diseaseAntipsychotic drug responseAntipsychotic drug side effectsAnxiety disordersBipolar disorderCNS disordersDepressive disorderParkinson's diseasePsychotic disordersSchizoaffective disorderSchizophreniaTardive dyskinesiaVascular dementia
No association of obesity gene FTO with body composition at the age of 6 months. The Generation R Study
AssociationN=703Mook-Kanamori DO et al.(2011)· Journal of Endocrinological Investigation

This study examined the association between the FTO polymorphism rs9939609 and body composition in 6-month-old infants from the Generation R prospective birth cohort study. No significant associations were found between FTO genotype and weight, height, BMI, subcutaneous fat mass (measured by skinfold thickness in 695 children), or body composition measures assessed by DXA (n=216 children). The authors conclude that the lack of association at 6 months suggests the effect of FTO on adiposity increases during childhood rather than manifesting in infancy.

Traits studied:Body compositionBody mass indexFat massObesity
Association of genetic variants for susceptibility to obesity with type 2 diabetes in Japanese individuals
AssociationN=18,264Takeuchi F. et al.(2011)· Diabetologia

Replication study of 14 obesity-associated SNPs from 13 loci in 18,264 Japanese participants, confirming associations at 11 loci including TMEM18 (rs4854344, p=7.1×10⁻⁷ for BMI), FTO, MC4R, BDNF, and others. Six obesity variants also associated with type 2 diabetes after BMI adjustment (OR 1.05-1.17), with FTO showing strong meta-analyzed association in East Asians (OR 1.13, p=7.8×10⁻¹⁰).

Traits studied:Body Mass Index (BMI)ObesityType 2 DiabetesWaist-to-Hip RatioWeight
Variability in Ethanol Biodisposition in Whites Is Modulated by Polymorphisms in the Adh1b and Adh1c Genes
ReviewCarmen Martínez et al.(2010)· Hepatology

A comprehensive review of nutrigenetics and nutrigenomics examining how genetic variants influence individual responses to nutrients and dietary interventions. The paper discusses associations between numerous SNPs (rs9939609 in FTO, rs2287019 in GIPR, rs7903146 in TCF7L2, rs5219 in KCNJ11, and many others) and metabolic traits including obesity, type 2 diabetes, and other chronic diseases, along with epigenetic mechanisms by which phytochemicals (curcumin, resveratrol, lycopene) modulate gene expression. The review synthesizes current evidence for precision nutrition approaches tailored to individual genetic profiles.

Traits studied:Bone density/osteoporosisCaffeine sensitivityCardiovascular diseaseCeliac diseaseCerebrovascular diseaseCoronary heart diseaseDetoxification capacityEating behaviorGlucose homeostasisHistamine intoleranceInflammatory diseasesInsulin resistanceLactose intoleranceLeptin resistanceMetabolic syndromeNickel intoleranceObesityOsteoarthritisOverweightType 2 diabetes
FTO influences on longitudinal BMI over childhood and adulthood and modulation on relationship between birth weight and longitudinal BMI
AssociationN=658Hao Mei et al.(2010)· Human Genetics

This longitudinal study examined FTO gene SNPs in 658 white subjects from childhood to adulthood. While FTO SNPs showed no significant association with birth weight or longitudinal BMI during childhood, three SNPs (rs9939609, rs17820875, and rs860713) were significantly associated with longitudinal BMI in adulthood (P = 5.3×10⁻⁵, 2.0×10⁻⁴, and 0.001, respectively). The study also identified interactions between birth weight and FTO variants, showing that lower birth weight predisposes to higher adult BMI depending on FTO risk genotypes.

Traits studied:Birth weightBody mass index (BMI)Longitudinal BMI changeObesity
A genetic variation in the fat mass‐ and obesity‐associated gene is associated with obesity and newly diagnosed type 2 diabetes in a Chinese population
AssociationN=670Xiangyang Li et al.(2010)· Diabetes/Metabolism Research and Reviews

This study examined the association of FTO rs9939609 variant with obesity and metabolic traits in 670 Chinese children (aged 8-11 years). The rs9939609 A allele was significantly associated with obesity risk (OR = 1.79, 95% CI 1.20-2.67, P = 0.004) and higher BMI, weight, waist-to-hip ratio, and body fat compared to TT genotype carriers.

Traits studied:AdiposityBlood pressureBody mass indexFasting plasma glucoseInsulin resistanceLipid profilesObesityOverweight
Attenuation of the Effect of the FTO rs9939609 Polymorphism on Total and Central Body Fat by Physical Activity in Adolescents
AssociationN=752Ruiz JR et al.(2010)· Archives of Pediatrics &amp; Adolescent Medicine

This cross-sectional study in 752 European adolescents (HELENA Study) examined the FTO rs9939609 polymorphism's association with obesity-related traits and its interaction with physical activity. The A allele was associated with increased BMI (+0.42, p=0.01), body fat percentage (+1.03%, p=0.02), and waist circumference (+0.85 cm, p=0.04). Notably, adolescents meeting physical activity recommendations (≥60 min/day moderate-to-vigorous activity) showed significantly attenuated genetic effects, suggesting physical activity can offset FTO-associated obesity risk.

Traits studied:Body Fat PercentageBody Mass IndexCentral AdiposityObesityWaist Circumference
Is the thrifty genotype hypothesis supported by evidence based on confirmed type 2 diabetes- and obesity-susceptibility variants?
AssociationSoutham L et al.(2009)· Diabetologia

This study tests the thrifty genotype hypothesis by examining 17 confirmed type 2 diabetes susceptibility loci and 13 obesity-susceptibility loci for signatures of positive selection. Using ancestral/derived allele analysis, integrated haplotype scores (iHS), and population differentiation (FST), the authors found limited evidence supporting the thrifty genotype hypothesis. Only rs7901695 at TCF7L2 showed notably elevated FST values (0.579 between JPT+CHB and YRI populations), and FTO showed the strongest selection signal among obesity loci (iHS=1.991).

Traits studied:Body mass index (BMI)ObesityType 2 diabetes
Influence of NOS1 on Verbal Intelligence and Working Memory in Both Patients With Schizophrenia and Healthy Control Subjects
ReviewGary Donohoe et al.(2009)· Archives of General Psychiatry

This comprehensive review synthesizes genomic and pharmacogenomic research in schizophrenia, discussing over 200 candidate genes associated with psychotic disorders, genetic mechanisms including copy number variants and microRNA alterations, and pharmacogenomic factors affecting antipsychotic efficacy and safety. Key genes covered include dopamine receptors (DRD1-5), dysbindin (DTNBP1), DISC1, neurotrophic factors, and metabolic enzymes such as CYP2D6, CYP3A4, and COMT, with emphasis on genotype-phenotype correlations in antipsychotic response and side effects.

Traits studied:Antipsychotic drug response and efficacyAntipsychotic drug safety and side effectsAttention-deficit hyperactivity disorderAutismBipolar disorderCognitive function in schizophreniaMajor depressive disorderMental retardationObsessive-compulsive disorderParkinson's diseasePsychotic disordersSchizophreniaTardive dyskinesia
Combined effects of MC4R and FTO common genetic variants on obesity in European general populations
AssociationN=7,929Stéphane Cauchi et al.(2009)· Journal of Molecular Medicine

This prospective study examined the combined effects of FTO rs1421085 and MC4R rs17782313 obesity risk alleles in two large European cohorts (4,762 Finnish adolescents and 3,167 French adults). Subjects carrying 3-4 risk alleles had a 3-fold increased obesity susceptibility in childhood and 1.8-fold increased risk in adults (OR=1.21, p=0.02), with each additional risk allele increasing fat mass by 0.48% (p=0.001). The effects on type 2 diabetes were mediated through BMI. MC4R showed stronger male-specific effects and FTO effects were accentuated by low physical activity.

Traits studied:Body Mass IndexFat MassObesityType 2 Diabetes
Assessing the effect of interaction between an FTO variant (rs9939609) and physical activity on obesity in 15,925 Swedish and 2,511 Finnish adults
AssociationN=18,436Jonsson A. et al.(2009)· Diabetologia

This study examined the interaction between the FTO rs9939609 variant and physical activity on BMI in 15,925 Swedish and 2,511 Finnish non-diabetic adults. The A allele was associated with increased BMI (0.13 kg/m² in Sweden, 0.43 kg/m² in Finland, p<0.0001), but contrary to previous reports, no significant gene-by-physical activity interaction was observed (p=0.71 in Sweden, p=0.18 in Finland), suggesting physical activity does not substantially modify FTO variant effects on obesity risk.

Traits studied:Body Mass Index (BMI)Obesity
No association of multiple type 2 diabetes loci with type 1 diabetes
AssociationN=15,824Raj SM et al.(2009)· Diabetologia

This case-control and family-based association study tested whether 18 type 2 diabetes susceptibility loci are associated with type 1 diabetes in 7,606 type 1 diabetic cases and 8,218 controls. Only PPARG (rs1801282/Pro12Ala, OR=0.91, p=0.004) and HHEX-IDE (rs1111875, OR=0.94, p=0.003) showed evidence of association with type 1 diabetes. The authors conclude that type 1 and type 2 diabetes do not share a common genetic background, supporting the view that type 1 diabetes is primarily an autoimmune disease.

Traits studied:Type 1 diabetesType 2 diabetes
Use of longitudinal data in genetic studies in the genome‐wide association studies era: summary of Group 14
ReviewN=14,658Kerner B. et al.(2009)· Genetic Epidemiology

This is a summary of Group 14 analyses from the Genetic Analysis Workshop 16 (GAW16) demonstrating the use of longitudinal data from the Framingham Heart Study in genome-wide association studies. Multiple analytical approaches were compared for identifying genetic associations with metabolic and cardiovascular traits including BMI, type 2 diabetes, blood pressure, lipid levels, and coronary heart disease, using various statistical methods such as linear mixed models, growth mixture modeling, and generalized estimating equations.

Traits studied:Body Mass IndexCoronary Artery CalcificationCoronary Heart DiseaseHigh-Density LipoproteinLow-Density LipoproteinMetabolic SyndromeSystolic Blood PressureTriglyceridesType 2 DiabetesWeight
Analysis of FTO gene variants with measures of obesity and glucose homeostasis in the IRAS Family Study
AssociationN=2,028Maria R. Wing et al.(2009)· Human Genetics

Analysis of 27 FTO gene variants in 1,424 Hispanic Americans and 604 African Americans from the Insulin Resistance Atherosclerosis Family Study (IRASFS) found multiple SNPs associated with BMI, waist circumference, and subcutaneous adipose tissue (p-values 0.001-0.05 in Hispanics), confirming FTO's role in overall fat mass rather than visceral fat distribution. Key variants rs9939609, rs8050136, rs1121980, rs1421085, rs17817449, and rs3751812 showed consistent associations with adiposity measures, with effect sizes of 0.3-2.4 kg/m² per allele for BMI in Hispanic Americans.

Traits studied:Acute insulin responseBody mass index (BMI)Disposition indexFasting glucoseFasting insulinInsulin sensitivityObesitySubcutaneous adipose tissue (SAT)Visceral adipose tissue (VAT)Waist circumferenceWaist-hip ratio (WHR)
FTO gene variants are strongly associated with type 2 diabetes in South Asian Indians
AssociationN=3,775Yajnik CS et al.(2009)· Diabetologia

This case-control study of 1453 type 2 diabetes patients and 1361 controls from South Asian Indians found that FTO gene variants rs9939609 and rs7193144 were strongly associated with type 2 diabetes (OR=1.26, 95% CI 1.13-1.40, p=3×10⁻⁵ for rs9939609; OR=1.31 for rs7193144), but showed only weak association with BMI and obesity measures. Unlike in European populations, the T2D association remained significant after adjusting for BMI, suggesting FTO variants influence diabetes risk through mechanisms beyond body mass index in South Asian populations.

Traits studied:Body mass indexFasting plasma glucoseHip circumferenceInsulin resistanceObesityType 2 diabetesWaist circumferenceWaist-hip ratio
Assessing gene–treatment interactions at the FTO and INSIG2 loci on obesity-related traits in the Diabetes Prevention Program
AssociationN=3,548Franks PW et al.(2008)· Diabetologia

In the Diabetes Prevention Program (n=3,548), the FTO rs9939609 minor A allele was associated with higher baseline BMI (p=0.003) but not with changes in obesity traits. The INSIG2 rs7566605 minor C allele was associated with more subcutaneous adiposity at baseline (p=0.04), and CC homozygotes lost 1.7 kg more weight with lifestyle intervention (p=0.02) and showed greater reductions in subcutaneous and visceral adipose areas (p=0.01-0.03) compared to G allele carriers.

Traits studied:AdiposityBody Mass IndexSubcutaneous adipose tissueType 2 diabetesVisceral adipose tissueWaist CircumferenceWeight
Physical Activity and the Association of Common FTO Gene Variants With Body Mass Index and Obesity
AssociationN=704Evadnie Rampersaud et al.(2008)· Archives of Internal Medicine

This study examined 704 Old Order Amish individuals and identified 26 FTO gene variants associated with BMI (P=.04 to <.001), with rs1861868 (0.75 BMI increase per A allele, P<.001) and rs1477196 (0.84 BMI increase per C allele, P<.001) showing the strongest associations. Notably, the study found a significant gene-by-environment interaction where increased physical activity substantially blunted the effects of FTO variants on body weight, suggesting that genetic predisposition to obesity can be mitigated through adequate physical activity.

Traits studied:Body mass indexBody weightFat massObesityOverweightPercentage of body fatWaist circumference
The search for putative unifying genetic factors for components of the metabolic syndrome
AssociationN=16,143Sjögren M. et al.(2008)· Diabetologia

This prospective study of 16,143 individuals from the Malmö Preventive Project (mean follow-up 23 years) investigated whether genetic variants in 26 genes previously associated with type 2 diabetes or metabolic syndrome components could predict future development of metabolic syndrome. Polymorphisms in TCF7L2 (rs7903146, OR 1.10, p=0.00097), FTO (rs9939609, OR 1.08, p=0.0065), WFS1 (rs10010131, OR 1.07, p=0.0078), and IGF2BP2 (rs4402960, OR 1.07, p=0.021) predicted metabolic syndrome development, with TCF7L2, WFS1, and IGF2BP2 acting through hyperglycemia and FTO through obesity. A composite genotype score of 17 polymorphisms predicted metabolic syndrome risk (OR 1.04, p<0.00001), with carriers of ≥19 risk alleles having 51% increased risk compared to carriers of ≤12 alleles.

Traits studied:DyslipidemiaHyperglycemiaHypertensionMetabolic syndromeObesityType 2 diabetes
Association of variants in the fat mass and obesity associated (FTO) gene with polycystic ovary syndrome
AssociationN=1,799Barber TM et al.(2008)· Diabetologia

This case-control study of 463 UK PCOS patients and 1,336 controls demonstrates that FTO variant rs9939609 is significantly associated with polycystic ovary syndrome (PCOS), with an odds ratio of 1.30 per minor allele (p=7.2×10−4). The association was attenuated but remained significant after adjustment for BMI (p=2.9×10−3), suggesting that while obesity mediates much of the FTO effect on PCOS risk, additional genetic mechanisms may be involved. No association was detected between FTO genotype and testosterone or free androgen index levels in either UK PCOS patients or Finnish controls.

Traits studied:ObesityPolycystic ovary syndromeType 2 diabetes mellitus
Genetic analysis of recently identified type 2 diabetes loci in 1,638 unselected patients with type 2 diabetes and 1,858 control participants from a Norwegian population-based cohort (the HUNT study)
AssociationN=3,496Hertel JK et al.(2008)· Diabetologia

This replication study tested newly identified type 2 diabetes susceptibility loci in a Norwegian population-based cohort of 1,638 type 2 diabetes patients and 1,858 controls. The authors confirmed associations for rs10811661 near CDKN2B (OR 1.20, p=0.004), rs9939609 in FTO (OR 1.14, p=0.006), and rs13266634 in SLC30A8 (OR 1.20, p=3.9×10⁻⁴). They found borderline association for rs4402960 in IGFBP2 (OR 1.10, p=0.074) but no support for SNPs near FLJ39370 and PKN2.

Traits studied:BMICholesterolTriacylglycerolType 2 diabetesWHR

Gene information from NCBI Gene. Variant classifications from ClinVar.

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