Evidence map›Paper›PMID 24646999›Full record

ArticleNature2014

Obesity-associated variants within FTO form long-range functional connections with IRX3.

Scott Smemo, Juan J Tena, Kyoung-Han Kim, Eric R Gamazon, Noboru J Sakabe, Carlos Gómez-Marín, Ivy Aneas, Flavia L Credidio, Débora R Sobreira, Nora F Wasserman and 15 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Nature, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03766191 (The Relation of Genetic Factors, Food Cues, and Self-Regulation With Excess Consumption and Adiposity in Children), which is not on this map. Cited by 747 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
747citing papers in PubMed, 5 pooled it
68.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03766191 nacompletednot on this mapstarted 2019, after this paper: background citation

The Relation of Genetic Factors, Food Cues, and Self-Regulation With Excess Consumption and Adiposity in Children

TypeinterventionalSponsorTrustees of Dartmouth CollegeRan2019 to 2024Enrolled189ConditionsChildhood ObesityArmsFood Ads, Non-food Ads
3 · Its place in the literature

Who cites it

747 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,274 citations in OpenAlex.

  1. Pooled it
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  10. Synthetic Regulatory Genomics.Annual review of genomics and human genetics · 2026
    Review
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  20. Role ofInternational journal of molecular sciences · 2026
    Article

687 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 10 institutions in 3 countries.

Scott Smemo1] Department of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA [2].
Juan J Tena1] Centro Andaluz de Biología del Desarrollo (CABD), Consejo Superior de Investigaciones Científicas/Universidad Pablo de Olavide, Carretera de Utrera Km1, Sevilla 41013, Spain [2].
Kyoung-Han Kim1] Program in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada [2].
Eric R GamazonSection of Genetic Medicine, Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA.
Noboru J SakabeDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Carlos Gómez-MarínCentro Andaluz de Biología del Desarrollo (CABD), Consejo Superior de Investigaciones Científicas/Universidad Pablo de Olavide, Carretera de Utrera Km1, Sevilla 41013, Spain.
Ivy AneasDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Flavia L CredidioDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Débora R SobreiraDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Nora F WassermanDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Ju Hee LeeProgram in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Vijitha PuviindranProgram in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Davis TamProgram in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Michael ShenDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
Joe Eun SonLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario M5T 3H7, Canada.
Niki Alizadeh VakiliProgram in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Hoon-Ki SungLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario M5T 3H7, Canada.
Silvia NaranjoCentro Andaluz de Biología del Desarrollo (CABD), Consejo Superior de Investigaciones Científicas/Universidad Pablo de Olavide, Carretera de Utrera Km1, Sevilla 41013, Spain.
Rafael D AcemelCentro Andaluz de Biología del Desarrollo (CABD), Consejo Superior de Investigaciones Científicas/Universidad Pablo de Olavide, Carretera de Utrera Km1, Sevilla 41013, Spain.
Miguel ManzanaresCardiovascular Development and Repair Department, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid 28029, Spain.
Andras NagyLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario M5T 3H7, Canada.
Nancy J Cox1] Department of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA [2] Section of Genetic Medicine, Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA.
Chi-Chung HuiProgram in Developmental & Stem Cell Biology, The Hospital for Sick Children, and Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
Jose Luis Gomez-SkarmetaCentro Andaluz de Biología del Desarrollo (CABD), Consejo Superior de Investigaciones Científicas/Universidad Pablo de Olavide, Carretera de Utrera Km1, Sevilla 41013, Spain.
Marcelo A NóbregaDepartment of Human Genetics, University of Chicago, Chicago, Illinois 60637, USA.
University of Chicago · USConsejo Superior de Investigaciones Científicas · ESSickKids Foundation · CAHospital for Sick Children · CAMount Sinai Hospital · CACentro Andaluz de Biología del Desarrollo · ESLunenfeld-Tanenbaum Research Institute · CASpanish National Centre for Cardiovascular Research · ESUniversidad Pablo de Olavide · ESUniversity of Toronto · CA

Funding

TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
Training and education CoreU54AR052646 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MCNALLY, ELIZABETH M, SWEENEY, H LEE · 2005 to 2020
$24.1M
Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 2013 to 2026
$20.9M
MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
Transcriptional Control of Cardiac Conduction System Function by T-box GenesR01HL114010 · NHLBI · UNIVERSITY OF CHICAGO · PI MOSKOWITZ, IVAN PAUL, NOBREGA, MARCELO A. · 2012 to 2016
$2.6M
Harnessing GTEx to Create Transcriptome Knowledge and Inform Disease BiologyR01MH101820 · NIMH · UNIVERSITY OF CHICAGO · PI COX, NANCY J, NICOLAE, DAN LIVIU · 2013 to 2015
$2.3M
Endocardial Pathways Regulated by Tbx20R01HL119967 · NHLBI · UNIVERSITY OF CHICAGO · PI EVANS, SYLVIA M, NOBREGA, MARCELO A. · 2014 to 2017
$2.2M
Functional follow-up of the association between TCF7L2 and T2DR01DK093972 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I, NOBREGA, MARCELO A. · 2012 to 2014
$1.1M
Using the Transcriptome for SNP and Gene AnnotationR01MH090937 · NIMH · UNIVERSITY OF CHICAGO · PI COX, NANCY J, NICOLAE, DAN LIVIU · 2010 to 2012
$825k
CIHRNHLBI NIH HHS HL114010NHLBI NIH HHS HL119967NHLBI NIH HHS R01 HL114010NHLBI NIH HHS R01 HL119967NHLBI NIH HHS T32 HL007381NHLBI NIH HHS T32HL007381NIAMS NIH HHS U54 AR052646NIDDK NIH HHS DK020595NIDDK NIH HHS DK093972NIDDK NIH HHS DK20595NIDDK NIH HHS P30 DK020595NIDDK NIH HHS P60 DK020595NIDDK NIH HHS R01 DK093972NIMH NIH HHS MH090937NIMH NIH HHS MH101820NIMH NIH HHS R01 MH090937NIMH NIH HHS R01 MH101820
6 · The paper itself

Abstract

Genome-wide association studies (GWAS) have reproducibly associated variants within introns of FTO with increased risk for obesity and type 2 diabetes (T2D). Although the molecular mechanisms linking these noncoding variants with obesity are not immediately obvious, subsequent studies in mice demonstrated that FTO expression levels influence body mass and composition phenotypes. However, no direct connection between the obesity-associated variants and FTO expression or function has been made. Here we show that the obesity-associated noncoding sequences within FTO are functionally connected, at megabase distances, with the homeobox gene IRX3. The obesity-associated FTO region directly interacts with the promoters of IRX3 as well as FTO in the human, mouse and zebrafish genomes. Furthermore, long-range enhancers within this region recapitulate aspects of IRX3 expression, suggesting that the obesity-associated interval belongs to the regulatory landscape of IRX3. Consistent with this, obesity-associated single nucleotide polymorphisms are associated with expression of IRX3, but not FTO, in human brains. A direct link between IRX3 expression and regulation of body mass and composition is demonstrated by a reduction in body weight of 25 to 30% in Irx3-deficient mice, primarily through the loss of fat mass and increase in basal metabolic rate with browning of white adipose tissue. Finally, hypothalamic expression of a dominant-negative form of Irx3 reproduces the metabolic phenotypes of Irx3-deficient mice. Our data suggest that IRX3 is a functional long-range target of obesity-associated variants within FTO and represents a novel determinant of body mass and composition.

Indexed as

Adipose TissueAlpha-Ketoglutarate-Dependent Dioxygenase FTOAnimalsBasal MetabolismBody Mass IndexBody WeightBrainDiabetes Mellitus, Type 2DietGenes, DominantHomeodomain ProteinsHumansHypothalamusIntronsMaleMiceAlpha-Ketoglutarate-Dependent Dioxygenase FTOFTO protein, humanFTO protein, mouseHomeodomain ProteinsIRX3 protein, humanIrx3 protein, mouseMixed Function OxygenasesOxo-Acid-LyasesProteinsTranscription Factors

Identifiers

PMID24646999
PMCPMC4113484
OpenAlexW2156714600

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.