OBJECTIVE: To clone the human OB gene and to investigate if mutations
in the OB gene are related to juvenile onset obesity in Caucasians. DE
SIGN: Case-cohort study with mutational scanning of the OB gene in an
obese cohort and in a population sample of young Caucasians. SUBJECTS:
An obese cohort of 156 subjects with juvenile onset obesity and a pop
ulation sample of 380 healthy young Caucasians. MEASUREMENTS: Various
anthropometric and biochemical measures of obesity and insulin sensiti
vity and single strand conformation polymorphism scanning and nucleoti
de sequencing. RESULTS: Analysis of the coding region of the OB gene i
n the 536 participants revealed that one obese subject was heterozygou
s for a mutation at codon Phe17Leu and one normal weight subject was h
eterozygous for a mutation at codon Val110Met. The phenotypes of the c
arriers were not different from matched non-mutation carrying subjects
. CONCLUSIONS: Mutations exist in the OB gene among obese as well as l
ean subjects although they are rare. However, it is unlikely that muta
tions in the coding region of the OB gene are a common cause of juveni
le onset obesity among Caucasians.