Obesity is a multifactorial trait with evidence of a genetic component. Obe
sity is very common in all westernized countries, including Finland, where
10% of the adult population has a body mass index of 32 kg/m(2) or more. He
re we report results from a three-stage genome-wide scan of obesity in 188
affected subjects (body mass index, greater than or equal to 32 kg/m(2)) fr
om 87 Finnish families. Initially, 374 markers with an average density of 1
0 centimorgans were genotyped. The strongest evidence for linkage to obesit
y was detected on chromosome Xq24, with the marker DXS6804 providing a maxi
mum likelihood score (MLS) 3.14 in a model-free a-point sibpair analysis. F
ine-mapping in an extended sample set of 367 affected subjects from 166 fam
ilies yielded a multipoint MLS of 3.48 over this X-chromosomal region. The
Xq24 region contains a plausible candidate gene, seratonin 20 receptor, var
iants of which have been shown to predispose to obesity and type II diabete
s in mice. Another chromosomal region also provided suggestive evidence of
linkage, an area on 18q21, flanking the melanocortin-4-receptor, where a X-
point MLS of 2.42 with marker D18S1155 was obtained with a set of 367 affec
ted subjects. In conclusion, our results in this Finnish study sample sugge
st that a locus on chromosome Xq24 influences the risk of obesity.