Obesitas dan hubungannya dengan polimorfisme gena promoter 5-HT2A, tekanan darah, profil lipid, kadar glukosa, dan malondialdehid

https://doi.org/10.22146/ijcn.17772

Pramudji Hastuti(1*), Nur Anisah(2), Johan Iswara Siagian(3), Kautsar Prastudia Eko Binuko(4), Aidil Adhla(5)

(1) Bagian Biokimia Fakultas Kedokteran Universitas Gadjah Mada
(2) Bagian Histologi dan Biologi Sel Fakultas Kedokteran Universitas Gadjah Mada
(3) Fakultas Kedokteran Universitas Gadjah Mada
(4) Fakultas Kedokteran Universitas Gadjah Mada
(5) Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Obesity among adults has risen significantly in the world-cutting across all ages, racial and ethnic groups and gender. The 5-HT 2A receptor is crucially involved in regulation of body weight and the appetite. Disturbances in the distribution and or gene regulation of the postsynaptic 5-HT2A receptor are implicated in the pathophysiology of conditions such as obesity, coronary heart disease, high blood pressure, diabetes, stroke dan some cancers.

Objective: To test the association between obesity with polymorphism of promoter -1438G→A 5-HT2A receptors gene, blood pressure, lipid profiles, levels of blood glucose and malondialdehyde (MDA).

Method: This cross-sectional study included thirty six unrelated obese young people (BMI ≥ 30) recruited from populations in Yogyakarta and 36 controls with age matched with BMI ≤ 25. Statistical differences between blood pressure, lipid profiles, glucose and MDA levels were assessed by t-test and genotypes by Chi square test.

Results: There were no significant difference in blood pressure lipid profile, level of glucose and MDA in obese group compared with control (p>0,05). Allele A and G frequency in obese group 25% and 75% respectively, and controls 22.2% and 77.8% respectively, and no significant difference in all two groups, but G allele had higher risk to obese than A allele.

Conclusion: These data indicated G allele was mild risk factor for obesity.


Keywords


obesitas; tekanan darah; profil lipid; reseptor 5-HT2A

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References

Erritzoe D, Frokjaer VG, Arfan H, Haugbol S, Pinborg H, Svarer C, Paulson OB, Knudsen GM. Overweight associated with increased serotonin 2A receptor binding in humans, is being overweight all in the brain?. Neurobiol Res SNM’s 53rd Annual Meeting; 2006 June 3-7; San Diego, AS.

Furukawa S, Fujita T, Shimabukuro M, Iwaki M, Yamada Y, Nakajima Y, Nakayama O, Makishima M, Matsuda M, Iichiro S. Increased oxidatives stress in obesity and its impact on metabolic syndrome. J CLin Invest 2004; 114(12): 1752-61.

Yang W, Kelly T, He J. Genetic epidemiology of obesity. Epid Rev Adv 2007; 29(1): 49-61.

Hossain P, Bisher K, Meguid El Nahas. Obesity and diabetes mellitus in the developing world- a growing chellenge. New England J Med 2007; 356: 213-15.

Leibel RL. Energy in, energy out, and the effects of obesity-related genes. New England J Med 2008; 359(24): 2603-04.

Chaouloff F, Coupry I, Baudrie V. Cortical [3H] ketanserin binding and 5-HT2A receptor-mediated behavior responses in obese Zucker rats. Pharmacol Biochem Behav 1995; 50(2): 309-12.

Audenaert K, Laere KV, Dumont F, Vervaet M, Goethals I, Slegers G, Mertens J, van Heeringen C, Dierckx RA. Decreased 5-HT2a receptor binding in patients with anorexia nervosa. J Nucl Med 2002; 44(2): 163-9.

Haahr MT, Erritzoe D, Lindqvist D, Baare W, Hojgaard L, Almdal T, Knudsen GM. Obesity is associated with increased odd rasiotical 5-HT2A receptor binding and decreased serotonin transporter binding in humans: a pilot study. NeuroImage 2008; 41(2): T152.

Park S, Harrold JA, Widdowson PS, Williams G. Increased binding at 5-HT(1A), 5-HT(1B), and 5-HT(2A) receptor and 5-HT transporters in diit-induced obese rats. Brain-Res 1999; 847(1): 90-7.

Hemimi NS, Abd El Salam MM, Mahmoud Khalil M, El Din Ahmad HMG. Association between 5-HT recept odd rasio gene promoter polymorphism and obesity. The FACEB Journal 2010; 24(1): 502-1.

Madiyono B, Moeslichan S, Sastroasmoro S, Budiman I, Purwanto SH. Dasar-dasar metodologi penelitian klinis, Ed.4. Sastroasmoro S, Ismail S, editor. Yogyakarta: CV Sagung Seto; 2011.

Rosmond R, Bouchard C, Bjorntorp P. 5-HT2A receptor gene promoter polymorphysm in relation to abdominal obesity and cortisol. Obesity research 2002; 10: 585-9.

Mohn A, Ctino M, Cappana R, Giannini C, Marcovecchio, Chiarelli F. Increased oxidative stress in prepubertal severily obese children: effect of a diitary restriction-weight loss program. J Clin Endocrinol & Metabol 2005; 90(5): 2653-58.

Ying S, Liu XM, Sun YM, Pan SH. Genetic polymorphism c.1438A>G of the 5-HT2A recept odd ratio is associated with abdominal obesity in Chinese Northern Han population. Mol Biol Rep 2009; 36(1): 91-9.

Santos JL, Ochoa MC, Patino A, Azcona C, Martinez JA, Marti A. No evidence of association between the serotonin 2A receptor -1438G/A promoter polymorphism and childhood obesity in a Spanish population: a case- parent study and a matched case-control study. Nutr Neurosci 2005; 8(4): 207-11.

Herbeth B, Aubry R, Fumeronf, Aubert R, Cailotto F, Siest G, Visvikis-Siest S. Polymorphism of the 5-HT2A receptor gene and food intakes in children and adolescents: the stanislas family study. Am J Clin Nutr 2005; 82(2): 467-70.

Nonogaki K, Nozue K, Oka Y. Increased hypothalamic 5-HT2A receptor gene expression and effects of pharmacologic 5-HT2A receptor inactivation in obese ay mice. Biochem Biophys Res Commun 2006; 351(4): 1078-82.

Aubert R, Betoulle D, Herbeth B, Siest G, Fumeron F. 5-HT2A receptor gene polymorphism is associated with food and alcohol intake in obese people. Intern J Obes 2000; 24(7): 920-4.

Ricca V, Nacmias B, Cellini E, Di Bernardo M, Rotella CM, Sorbi S. 5-HT2A receptor gene polymorphism and eating disorders. Neurosci Lett 2002; 323(2): 105-8.



DOI: https://doi.org/10.22146/ijcn.17772

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