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  • Population Study Article
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Association of obesity and menarche SNPs and interaction with environmental factors on precocious puberty

Abstract

Background

Obesity is an important cause for the precocious or early puberty. However, the association between obesity-related loci and the risk of precocious puberty as well as the effect of gene-environment interaction are unclear, especially in the Chinese children population.

Methods

This was a case-control study using baseline data from two cohorts and hospital cases in China. 15 SNPs loci and several environmental factors were included in the analysis of 1201 participants. Chi-square test and logistic regression were used to analyze the association between SNPs and precocious puberty. Additionally, exploratory factor analysis was conducted on 13 environmental variables, and then to explore their interaction with genes on precocious puberty.

Results

The effect allele C of rs571312, and G of rs12970134 MC4R were associated with precocious puberty in girls with obesity. Regarding the gene-environment interaction, we found that when girls were in the high socioeconomic status, the rs571312 (OR: 3.996; 95% CI: 1.694–9.423) and rs12970134 (OR: 3.529; 95% CI: 1.452–8.573) risk genotypes had a greater effect on precocious puberty.

Conclusions

The obesity risk gene polymorphisms MC4R rs571312 and rs12970134 were associated with precocious puberty in Chinese girls with obesity, and girls with risk genotypes and high socioeconomic status should be given extra attention.

Impact

  • This is the first study that identified the association between rs571312 and rs12970134 of MC4R gene and precocious puberty in Chinese children.

  • We found that when girls were in the high socioeconomic status, the risk genotypes of rs571312 and rs12970134 had a greater effect on precocious puberty.

  • The results of this study have great public health implications. It is recommended that girls who are in high socioeconomic status and have a high genetic risk for early sexual maturity should closely monitor their pubertal development and consider early intervention strategies.

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Fig. 1: The interaction between environmental factors and SNPs on precocious puberty in girls, overall and stratified by weight status.

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Data availability

The raw data reported in this paper has been deposited in the Genome Variation Map in National Genomics Data Center, China National Center for Bioinformation / Beijing Institute of Genomics, Chinese Academy of Sciences, under accession number GVM000377 that can be publicly accessible at http://bigd.big.ac.cn/gvm/getProjectDetail?project= GVM000377.

References

  1. Abreu, A. P. & Kaiser, U. B. Pubertal development and regulation. Lancet Diabetes Endocrinol. 4, 254–264 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Brix, N. et al. Timing of puberty in boys and girls: a population-based study. Paediatr. Perinat. Epidemiol. 33, 70–78 (2019).

    Article  PubMed  Google Scholar 

  3. Lee, M. H., Kim, S. H., Oh, M., Lee, K. W. & Park, M. J. Age at menarche in Korean adolescents: trends and influencing factors. Reprod. Health 13, 121 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Meng, X., Li, S., Duan, W., Sun, Y. & Jia, C. Secular trend of age at menarche in Chinese adolescents born from 1973 to 2004. Pediatrics 140, e20170085 (2017).

    Article  PubMed  Google Scholar 

  5. Liu, Y. et al. Prevalence of precocious puberty among Chinese children: a school population-based study. Endocrine 72, 573–581 (2021).

    Article  CAS  PubMed  Google Scholar 

  6. Zhang, Y. et al. The prevalence of precocious puberty among children in Qufu City, Shandong Province, China, a population-based study. Front. Endocrinol. 13, 910119 (2022).

    Article  Google Scholar 

  7. Berkey, C. S., Frazier, A. L., Gardner, J. D. & Colditz, G. A. Adolescence and breast carcinoma risk. Cancer 85, 2400–2409 (1999).

    Article  CAS  PubMed  Google Scholar 

  8. Day, F. R., Elks, C. E., Murray, A., Ong, K. K. & Perry, J. R. B. Puberty timing associated with diabetes, cardiovascular disease and also diverse health outcomes in men and women: the UK Biobank study. Sci. Rep. 5, 11208 (2015).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Graber, J. A. Pubertal timing and the development of psychopathology in adolescence and beyond. Horm. Behav. 64, 262–269 (2013).

    Article  PubMed  Google Scholar 

  10. Elks, C. E. et al. Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies. Nat. Genet. 42, 1077–1085 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Day, F. R. et al. Shared genetic aetiology of puberty timing between sexes and with health-related outcomes. Nat. Commun. 6, 8842 (2015).

    Article  CAS  PubMed  Google Scholar 

  12. Ong, K. K. et al. Genetic variation in LIN28B is associated with the timing of puberty. Nat. Genet. 41, 729–733 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Karapanou, O. & Papadimitriou, A. Determinants of menarche. Reprod. Biol. Endocrin. 8, 115 (2010).

    Article  Google Scholar 

  14. Fujimura, Y., Sekine, M. & Yamada, M. The relationship between quality of life and pubertal timing in adolescence: the Toyama birth cohort study, Japan. J. Adolesc. Health 65, 790–798 (2019).

    Article  PubMed  Google Scholar 

  15. Sun, Y., Fang, J., Wan, Y., Su, P. & Tao, F. Role of polygenic risk in susceptibility to accelerated pubertal onset following chronic stress exposure. Eur. J. Endocrinol. 181, 129–137 (2019).

    Article  CAS  PubMed  Google Scholar 

  16. Chen, C. et al. Investigating the relationship between precocious puberty and obesity: a cross-sectional study in Shanghai, China. BMJ Open 7, e014004 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  17. Chen, Y.-C. et al. Assessing causality between childhood adiposity and early puberty: a bidirectional Mendelian randomization and longitudinal study. Metabolism 100, 153961 (2019).

    Article  CAS  PubMed  Google Scholar 

  18. Gavela-Pérez, T., Garcés, C., Navarro-Sánchez, P., López Villanueva, L. & Soriano-Guillén, L. Earlier menarcheal age in Spanish girls is related with an increase in body mass index between pre-pubertal school age and adolescence. Pediatr. Obes. 10, 410–415 (2015).

    Article  PubMed  Google Scholar 

  19. Busch, A. S., Højgaard, B., Hagen, C. P. & Teilmann, G. Obesity is associated with earlier pubertal onset in boys. J. Clin. Endocrinol. Metab. 105, dgz222 (2020).

    Article  PubMed  Google Scholar 

  20. Lee, J. M. et al. Timing of puberty in overweight versus obese boys. Pediatrics 137, e20150164 (2016).

    Article  PubMed  Google Scholar 

  21. Li, D. et al. Obesity-related genetic polymorphisms are associated with the risk of early puberty in Han Chinese girls. Clin. Endocrinol. 96, 319–327 (2022).

    Article  CAS  Google Scholar 

  22. Jiang, Y. et al. Interaction effects of FTO rs9939609 polymorphism and lifestyle factors on obesity indices in early adolescence. Obes. Res. Clin. Pract. 13, 352–357 (2019).

    Article  PubMed  Google Scholar 

  23. Wei, B. L. et al. The MC4R SNPs, their haplotypes and gene-environment interactions on the risk of obesity. Mol. Med. 26, 77 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  24. Hu, Y. et al. Exposure to antibiotics and precocious puberty in children: a school-based cross-sectional study in China. Environ. Res. 212, 113365 (2022).

    Article  CAS  PubMed  Google Scholar 

  25. Yu, T. et al. Effects of childhood obesity and related genetic factors on precocious puberty: protocol for a multi-center prospective cohort study. BMC Pediatr. 22, 310 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  26. Cole, T. J. & Lobstein, T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr. Obes. 7, 284–294 (2012).

    Article  CAS  PubMed  Google Scholar 

  27. Marshall, W. A. & Tanner, J. M. Variations in pattern of pubertal changes in girls. Arch. Dis. Child. 44, 291–303 (1969).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Marshall, W. A. & Tanner, J. M. Variations in the pattern of pubertal changes in boys. Arch. Dis. Child. 45, 13–23 (1970).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Cheuiche, A. V., da Silveira, L. G., de Paula, L. C. P., Lucena, I. R. S. & Silveiro, S. P. Diagnosis and management of precocious sexual maturation: an updated review. Eur. J. Pediatr. 180, 3073–3087 (2021).

    Article  PubMed  Google Scholar 

  30. Chen, C. et al. Association between dietary patterns and precocious puberty in children: a population-based study. Int. J. Endocrinol. 2018, 4528704 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  31. Akiyama, M. et al. Genome-wide association study identifies 112 new loci for body mass index in the Japanese population. Nat. Genet. 49, 1458–1467 (2017).

    Article  CAS  PubMed  Google Scholar 

  32. Locke, A. E. et al. Genetic studies of body mass index yield new insights for obesity biology. Nature 518, 197–206 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Perry, J. R. et al. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche. Nature 514, 92–97 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Purcell, S. et al. Plink: PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 81, 559–575 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Gong, W. et al. Effects of gene-environment interaction on obesity among Chinese adults born in the early 1960s. Genes 12, 270 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Farooqi, I. S. et al. Clinical spectrum of obesity and mutations in the melanocortin 4 receptor gene. N. Engl. J. Med. 348, 1085–1095 (2003).

    Article  CAS  PubMed  Google Scholar 

  37. Lotta, L. A. et al. Human gain-of-function MC4R variants show signaling bias and protect against obesity. Cell 177, 597–607.e9 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Speliotes, E. K. et al. Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index. Nat. Genet. 42, 937–948 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Wen, W. et al. Meta-analysis identifies common variants associated with body mass index in East Asians. Nat. Genet. 44, 307–311 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Cousminer, D. L. et al. Genome-wide association study of sexual maturation in males and females highlights a role for body mass and menarche loci in male puberty. Hum. Mol. Genet. 23, 4452–4464 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Karim, A., Qaisar, R. & Hussain, M. A. Growth and socio-economic status, influence on the age at menarche in school going girls. J. Adolesc. 86, 40–53 (2021).

    Article  PubMed  Google Scholar 

  42. Hiatt, R. A. et al. Childhood socioeconomic status and menarche: a prospective study. J. Adolesc. Health 69, 33–40 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  43. Oelkers, L. et al. Socioeconomic status is related to pubertal development in a German cohort. Horm. Res. Paediatr. 93, 548–557 (2020).

    Article  CAS  PubMed  Google Scholar 

  44. Cheng, M. et al. The influence of socioeconomic status on menarcheal age among Chinese school-age girls in Tianjin, China. Eur. J. Pediatr. 180, 825–832 (2021).

    Article  PubMed  Google Scholar 

  45. Cerutti, J., Lussier, A. A., Zhu, Y., Liu, J. & Dunn, E. C. Associations between indicators of socioeconomic position and DNA methylation: a scoping review. Clin. Epigenetics 13, 221 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Gao, L. et al. MC4R single nucleotide polymorphisms were associated with metabolically healthy and unhealthy obesity in Chinese northern Han populations. Int. J. Endocrinol. 2019, 4328909 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  47. Rasmussen, L. et al. The impact of lifestyle, diet and physical activity on epigenetic changes in the offspring-a systematic review. Nutrients 13, 2821 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We would like to express our sincere gratitude to all the staff, as well as all the study participants, their teachers and parents who participated in this study.

Funding

This study was supported by National Natural Science Foundation of China [82173534, 81872637].

Author information

Authors and Affiliations

Authors

Contributions

S.L., C.L. and H.K. performed study design and supervision. P.X., T.Y., J.L., J.T. and C.C. collected the data. P.X., J.L., J.T. and Y.C. carried out the data analyses and interpretation. P.X., J.L. and Y.C. drafted the manuscript. S.L. revised the manuscript. All authors have read and approved the final manuscript.

Corresponding author

Correspondence to Shijian Liu.

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The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this study.

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Xue, P., Lin, J., Tang, J. et al. Association of obesity and menarche SNPs and interaction with environmental factors on precocious puberty. Pediatr Res (2024). https://doi.org/10.1038/s41390-024-03168-6

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