Genetic differences in body fat shape men and women's health risks

September 28, 2020

New research is revealing how genetic differences in the fat in men's and women's bodies affect the diseases each sex is likely to get.

University of Virginia researchers Mete Civelek, PhD, Warren Anderson, PhD, and their collaborators have determined that differences in fat storage and formation in men and women strongly affect the activity of 162 different genes found in fat tissue. Further, 13 of the genes come in variants that have different effects in men and women.

Some of those genes identified have already been connected with conditions such as type 2 diabetes and cardiovascular disease. The findings help explain the differing health risks men and women face, and they set the stage for better, more targeted treatments.

"Obesity is associated with a number of health risks, and how men and women store excess calories as fat makes a difference in how they have different susceptibilities to common diseases," said Civelek, of UVA's Department of Biomedical Engineering, a joint program of UVA's School of Medicine and School of Engineering. "We studied people of different ethnicities and health conditions, and we found a group of genes that are different in their abundance between men and women independent of ethnicity or health status."

Fat Genes

One of the great challenges of genetic research is the tremendous volume of information it produces. Previous studies had identified thousands of genes found in fat that appeared to behave differently based on sex, but Civelek and his collaborators found "robust" differences in only 162. This was based on the researchers' analysis of approximately 3,000 human samples collected from geographically and ethnically diverse populations.

"By combining a variety of data resources, we were able to identify specific genes that could be targeted to elicit distinct therapeutic outcomes in men and women." said Anderson, a member of Civelek's lab.

Digging deeper, the researchers identified six specific genes that were particularly influential in terms of regulating the activity of fat tissue. "We can now focus on these six genes as potential therapeutic targets," Civelek said.

The findings are particularly notable because there has been much research into sex differences in fat tissue in terms of its distribution (pear shaped vs. apple shaped bodies, for example) and other aspects, but the important genetic contributions have remained relatively unexplored.

"We believe our findings will be beneficial in precision medicine efforts to find drug targets that can help with specific problems that men and women face," Civelek said. "For example, men are more prone to cardiovascular disorders and women to obesity. The fat genes we identified could contribute to the severity of those illnesses and how men and women respond to treatment differently."
Findings Published

The researchers have published their findings in the scientific journal Genome Research. The research team consisted of Anderson, Joon Yuhl Soh, Sarah E. Innis, Alexis Dimanche, Lijiang Ma, Carl D. Langefeld, Mary E. Comeau, Swapan K. Das, Eric E. Schadt, Johan L.M. Bjorkegren and Civelek.

The research was supported by the National Institutes of Health, grants T32 DK007646 and T32 HL007284; the NIH's National Institute of Diabetes and Digestive and Kidney Diseases, grants R01 DK118287, R01 DK090111 and R01 DK118243; the American Diabetes Association, grant 1-19-IBS-105; and American Heart Association Postdoctoral Fellowship No. 18POST33990082.

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University of Virginia Health System

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