[acb-diabetics] The thrifty gene is a liability

Tue Jan 4 00:54:57 GMT 2011

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This article originally posted 23 December, 2010 and appeared in
<http://www.diabetesincontrol.com/diabetes-in-control-newsletters/diet>
Diet,  <http://www.diabetesincontrol.com/topics/obesity> Obesity,
<http://www.diabetesincontrol.com/topics/type-2-diabetes> Type 2 Diabetes,
<http://www.diabetesincontrol.com/diabetes-in-control-newsletters/553> Issue
553 

The Thrifty Gene as a Liability

In addition to fast food, desk jobs, and inertia, there is one more thing to
blame for unwanted pounds -- our genome, which has apparently not caught up
with the fact that we no longer live in the Stone Age.... 

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That is one conclusion drawn by researchers at the Salk Institute for
Biological Studies, who recently showed that mice lacking a gene regulating
energy balance are protected from weight gain, even on a high fat diet.
These findings have implications for the worldwide obesity epidemic and its
consequences such as Type 2 diabetes. 

In a recent published paper, a team led by Marc Montminy, M.D., Ph.D,
professor in the Clayton Foundation Laboratories for Peptide Biology,
reports that a gene known as CRTC3 decreases energy expenditure by fat
cells. "Ideas about obesity are based on concepts of feast or famine," said
Montminy. "As humans, we developed ways of coping with famine by expressing
genes like CRTC3 to slow the rate of fat burning. Individuals with these
active 'thrifty genes' had an advantage: they could survive long periods
without food." 

The idea that mammals harbor genes that slow fat burning was proposed in the
60's, before any genome was sequenced. Some theorized that such thrifty
genes provided a survival advantage to our hunter-gatherer ancestors, who
often went a long time between meals and needed to hold on to their fat
depots. In 2010, however, those genes have become a liability.

To analyze its role in fat metabolism, the researchers engineered mice
lacking the CRTC3 gene and put them on diets of varying fat composition.
Normal and CRTC3 gene "knockout" mice appeared similar when fed a moderate
fat diet. But when fed the mouse version of the Philly cheese steak diet,
only the normal mice became obese. "The CRTC3 knockout mice were leaner and
protected from obesity," reports Montminy. "They also had about twice as
many brown fat cells than did normal mice."

To appreciate this finding, keep in mind that not all fat cells are "bad."
When you deplore your waistline, what you are deploring is white fat tissue
(also called WAT, for "white adipose tissue"), which serves as a fat storage
depot around the midsection and hips. However, a second type of fat, known
as brown fat (BAT), is downright desirable.

"Brown fat is very different from white fat," says Youngsup Song, Ph.D., a
postdoctoral fellow in the Montminy lab and the study's first author. "Brown
fat tissue burns fat that has accumulated in white fat tissue to generate
heat as a way to maintain body temperature."

In fact, some evidence suggests that humans with a genetic propensity to
leanness have more brown fat cells than do "ample" individuals. As desirable
as that trait may seem in a "super-size me" world, those folks likely had a
pretty tough time in the Paleolithic era.

Although the researchers found that CRTC3 loss also perturbs how all fat
cells respond to brain signals controlling energy expenditure, they remain
particularly intrigued by the brown fat connection. "CRTC3 could be a switch
controlling the number of brown fat cells," says Montminy. "That is key,
because if you could make more brown adipocytes, you could potentially
control obesity."

To explore how relevant these studies are to humans, Montminy asked
clinicians at Cedars-Sinai Medical Center in Los Angeles to search databases
of patient genetic information for a particularly interesting human CRTC3
gene mutation, which appeared to represent a more potent form of the normal
gene.

Since mice lacking CRTC3 resist obesity, the researchers reasoned that
people carrying a revved-up version of the gene might show the opposite
tendency. Indeed genetic testing of two groups of Mexican American patients
revealed that individuals harboring the active CRTC3 mutation showed
increased incidence of obesity.

"This is an example in which findings from rodent research led to a novel
discovery in humans," says Mark Goodarzi, M.D., Ph.D., an endocrinologist at
Cedars-Sinai and collaborator in the study. "Not all Mexican American
individuals with the variant will develop obesity, but those carrying it are
at higher risk." Interestingly, non-Hispanic Caucasians carrying the variant
do not show increased obesity, a difference likely related to environmental
or lifestyle factors.

Overall this study illustrates an important principle: that what is
genetically advantageous in one cultural or historic context may not be in
another. In fact, Montminy does not view obesity as an aberration or a
"disease." "Storing fat in adipose tissue is a normal response. A lot people
are obese but do not develop Type 2 diabetes," he says, suggesting that
genes like CRTC3 could serve as diagnostic tools as well as drug targets. "A
goal is to go to your doc and learn whether you have the risk factors to
progress to diabetes."

Nature, December 16, 2010 

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