Evidence map›Paper›PMID 40523925›Full record

ArticleInternational journal of obesity (2005)2025

Detecting monogenic obesity: a systematic exome-wide workup of over 500 individuals.

Robert Künzel, Helene Faust, Linnaeus Bundalian, Matthias Blüher, Mariami Jasaszwili, Anna Kirstein, Albrecht Kobelt, Antje Körner, Denny Popp, Eric Wenzel and 6 more

Abstract read
In one paragraph

Article in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

16 authors.

Robert KünzelInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Helene FaustInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Linnaeus BundalianInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Matthias BlüherMedical Department III-Endocrinology, Nephrology, Rheumatology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0003-0208-2065
Mariami JasaszwiliPediatric Research Center, University Hospital for Children and Adolescents, Leipzig, Germany.
Anna KirsteinPediatric Research Center, University Hospital for Children and Adolescents, Leipzig, Germany.
Albrecht KobeltPractice for Human Genetics, Chemnitz Clinic, Diagnostic Center GmbH MVZ, Chemnitz, Germany.
Antje KörnerHelmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-6001-0356
Denny PoppInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Eric WenzelHelmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0003-2814-5634
Rami Abou JamraInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.
Johannes R LemkeInstitute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0002-4435-6610
Torsten SchönebergRudolf Schönheimer Institute of Biochemistry, Medical Faculty, University of Leipzig, Leipzig, Germany.ORCID 0000-0001-5313-0237
Robert SteinHelmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany.
Antje Garten *Pediatric Research Center, University Hospital for Children and Adolescents, Leipzig, Germany.ORCID 0000-0002-5354-287X
Diana Le Duc *Institute of Human Genetics, University of Leipzig Medical Center, Leipzig, Germany. Gabriela-Diana.LeDuc@medizin.uni-leipzig.de.ORCID 0000-0001-7289-2552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesObesity poses a major public health concern. Although BMI heritability is estimated at 40-80%, genetic diagnostics remain challenging. This study aims to (i) assess the diagnostic yield of monogenic obesity in a large patient sample using exome-wide data, (ii) identify predictors to improve genetic testing criteria, and (iii) evaluate whether the identified genes are included in public obesity gene panels. SUBJECTS/

methodsWe reviewed the genetic test results of 521 patients with obesity. 84.7% underwent whole-exome analysis, 15.3% were analyzed using a multi-thousand-gene panel.

resultsMonogenic obesity was diagnosed in 5.8% of patients, while 7.1% carried a potentially obesogenic variant. Diagnostic yield was higher in children (6.3%) and patients with syndromic obesity (7.0%). Surprisingly, diagnostic yield was lower in severe obesity cases. 40% of patients with monogenic obesity carried variants in genes not included in current obesity panels.

conclusionOverall, 12.9% of patients had monogenic obesity or a potentially obesogenic variant. These findings suggest that genetic testing should not be limited to patients with extreme obesity. Current obesity panels miss crucial syndromic genes, demonstrating a need for more comprehensive panels and the superiority of whole-exome sequencing in obesity.

Indexed as

ExomeGenetic TestingObesityAdolescentAdultBody Mass IndexChildChild, PreschoolExome SequencingFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedYoung Adult

Identifiers

PMID40523925
PMCPMC12283394

What Socratic holds

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Registered trials

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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.