Evidence map›Paper›PMID 32578125›Full record

ArticleEating and weight disorders : EWD2021

Study of LEP, MRAP2 and POMC genes as potential causes of severe obesity in Brazilian patients.

Ana Carolina Proença da Fonseca, Gabriella Medeiros Abreu, Verônica Marques Zembrzuski, Mario Campos Junior, João Regis Ivar Carneiro, José Firmino Nogueira Neto, Fernanda Cristina C Mattos Magno, Eliane Lopes Rosado, Patrícia Torres Bozza, Giselda Maria Kalil de Cabello and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Association of Mutations in theInternational journal of molecular sciences · 2026
    Pooled it
  2. Review
  3. Article
  4. The miRNomics of antiretroviral therapy-induced obesity.Functional & integrative genomics · 2025
    Review
  5. Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. A Rare Potential Pathogenic Variant in theDiabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Ana Carolina Proença da FonsecaHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil. ana.proenca@ioc.fiocruz.br.ORCID http://orcid.org/0000-0001-6123-0481
Gabriella Medeiros AbreuHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil.
Verônica Marques ZembrzuskiHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil.
Mario Campos JuniorHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil.
João Regis Ivar CarneiroClementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
José Firmino Nogueira NetoDepartment of Pathology and Laboratory, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Fernanda Cristina C Mattos MagnoInstitute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Eliane Lopes RosadoInstitute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Patrícia Torres BozzaLaboratory of Immunopharmacology, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Giselda Maria Kalil de CabelloHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil.
Pedro Hernán CabelloHuman Genetics Laboratory, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 4365 Brasil Avenue, Leônidas Deane Building, Office 611/615, Rio de Janeiro, RJ, 21040-360, Brazil.
Fundação Oswaldo Cruz · BRUniversidade Federal do Rio de Janeiro · BRUniversidade do Estado do Rio de Janeiro · BRUniversidade Unigranrio · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMonogenic forms of obesity are caused by single-gene variants which affect the energy homeostasis by increasing food intake and decreasing energy expenditure. Most of these variants result from disruption of the leptin-melanocortin signaling, which can cause severe early-onset obesity and hyperphagia. These mutation have been identified in genes encoding essential proteins to this pathway, including leptin (LEP), melanocortin 2 receptor accessory proteins 2 (MRAP2) and proopiomelanocortin (POMC). We aimed to investigate the prevalence of LEP, MRAP2 and POMC rare variants in severely obese adults, who developed obesity during childhood. To the best of our knowledge, this is the first study screening rare variants of these genes in patients from Brazil.

methodsA total of 122 Brazilian severely obese patients (BMI ≥ 35 kg/m

resultsSixteen different variants were identified in these genes, of which two were novel. Among them, one previous variant with potentially deleterious effect in MRAP2 (p.Arg125Cys) was found. In addition, two heterozygous mutations in POMC (p.Phe87Leu and p.Arg90Leu) were predicted to impair protein function. We also observed a POMC homozygous 9 bp insertion (p.Gly99_Ala100insSerSerGly) in three patients. No pathogenic variant was observed in LEP.

conclusionOur study described for the first time the prevalence of rare potentially pathogenic MRAP2 and POMC variants in a cohort of Brazilian severely obese adults. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Indexed as

Obesity, MorbidPro-OpiomelanocortinAdaptor Proteins, Signal TransducingAdultBrazilCross-Sectional StudiesHumansLeptinProprotein ConvertasesReceptor, Melanocortin, Type 4Adaptor Proteins, Signal TransducingLeptinMRAP2 protein, humanPro-OpiomelanocortinProprotein ConvertasesReceptor, Melanocortin, Type 4LEPLeptin–melanocortin pathwayMRAP2POMCSevere obesity

Identifiers

PMID32578125
OpenAlexW3036086467

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.