Zusammenfassung
Obwohl die Erblichkeit der Ausprägung des Körpergewichts hoch ist, konnten molekulargenetische Faktoren bislang nur einen kleinen Anteil davon erklären. Es wurden wenige monogene Formen der Adipositas identifiziert, bei denen der Ausfall eines einzelnen Genproduktes bereits zu einer extremen Adipositas führt. So haben funktionell relevante Mutationen im Leptin - oder Leptinrezeptorgen einen monogenen Effekt hinsichtlich der Entwicklung einer Adipositas. Sie finden sich nur bei wenigen Familien weltweit. Funktionell relevante Mutationen im Melanokortin-4-Rezeptorgen (MC4R) finden sich dagegen bei bis zu 6% der extrem adipösen Kinder und Jugendlichen sowie Erwachsenen
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Blüher, S. et al. (2013). Ätiologie. In: Wirth, A., Hauner, H. (eds) Adipositas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22855-1_3
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