Haplosufficiency of the melanocortin-4 receptor gene in individuals with deletions of 18q

@article{Cody1999HaplosufficiencyOT,
  title={Haplosufficiency of the melanocortin-4 receptor gene in individuals with deletions of 18q},
  author={Jannine DeMars Cody and Xavier T. Reveles and Daniel E Hale and Donna M. Lehman and Hilary Coon and Robin J. Leach},
  journal={Human Genetics},
  year={1999},
  volume={105},
  pages={424-427}
}
The melanocortin-4 receptor (MC4R) is a seven, transmembrane G-protein-coupled receptor whose ligand, α-melanocyte-stimulating hormone (α-MSH), is a post-translational derivative of pro-opiomelanocortin (POMC). The regulatory pathway, of which MC4R is a part, has become an area of intense interest because of its potential role in obesity. Three studies have identified individuals with dominantly inherited obesity segregating with mutations in the MC4R gene. It has been hypothesized that the… 
Poor Cell Surface Expression of Human Melanocortin-4 Receptor Mutations Associated with Obesity*
TLDR
The pharmacological data provide a basis to estimate the quantitative effect of MC4R mutations for the development of obesity.
Haploinsufficiency of the melanocortin-4 receptor: part of a thrifty genotype?
  • R. Cone
  • Biology
    The Journal of clinical investigation
  • 2000
TLDR
To be maintained in the gene pool, such alleles would have to promote survival in times of famine to a greater extent than they might compromise health and reproductive efficiency, even if, as proposed originally, they were to promote diabetes directly.
Melanocortin-4 Receptor Deficiency Phenotype with an Interstitial 18q Deletion: A Case Report of Severe Childhood Obesity and Tall Stature
TLDR
The case of a four-and-a-half-year-old boy with an interstitial deletion involving the long arm of chromosome 18 encompassing the melanocortin-4 receptor (MC4R) gene, which presents with tall stature and hyperphagia within his first 18 months of life leading to significant obesity, supports haploinsufficiency of MC4-R.
Clinical and Functional Relevance of Melanocortin-4 Receptor Variants in Obese German Children
TLDR
In the data set of childhood obesity in central Germany, there were no major significant phenotypic differences between obese children with and without MC4R mutations, and the diagnosis of genetically caused obesity due to MC 4R mutation should be made with caution.
Deletion of the MC4R gene in a 9-year-old obese boy.
TLDR
The case emphasizes both the role of the MC4R gene in obesity as well as the importance of looking for chromosomal microdeletions/duplications as a cause of obesity in children with minor anomalies or developmental delay.
Prevalence of mutations and functional analyses of melanocortin 4 receptor variants identified among 750 men with juvenile-onset obesity.
TLDR
Variation in this gene is the most common known specific genetic cause of obesity among Scandinavian men, and a carrier frequency of 2.5% of pathogenic mutations in the MC4R gene in a population-based study of obese men is shown.
Melanocortin-4 receptor gene: case-control study and transmission disequilibrium test confirm that functionally relevant mutations are compatible with a major gene effect for extreme obesity.
TLDR
The hypothesis that missense, nonsense, and frameshift mutations found in the obese study group represent major gene effects for obesity is supported.
Cell Surface Expression of the Melanocortin-4 Receptor Is Dependent on a C-terminal Di-isoleucine Sequence at Codons 316/317*
TLDR
The results further implicate the C-terminal di-isoleucines in cell surface expression of MC4R and suggest that mutations of residues 316 or 317 would predictMC4R hypofunction.
Pharmacological characterization of canine melancortin-4 receptor and its natural variant V213F.
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