High allelic burden of four obesity SNPs is associated with poorer weight loss outcomes following gastric bypass surgery

Genome-wide association and linkage studies have identified multiple susceptibility loci for obesity. We hypothesized that such loci may affect weight loss outcomes following dietary or surgical weight loss interventions. A total of 1,001 white individuals with extreme obesity (BMI >35 kg/m(2)) who underwent a preoperative diet/behavioral weight loss intervention and Roux-en-Y gastric bypass surgery were genotyped for single-nucleotide polymorphisms (SNPs) in or near the fat mass and obesity-associated (FTO), insulin induced gene 2 (INSIG2), melanocortin 4 receptor (MC4R), and proprotein convertase subtilisin/kexin type 1 (PCSK1) obesity genes. Association analysis was performed using recessive and additive models with pre- and postoperative weight loss data. An increasing number of obesity SNP alleles or homozygous SNP genotypes was associated with increased BMI (P < 0.0006) and excess body weight (P < 0.0004). No association between the amounts of weight lost from a short-term dietary intervention and any individual obesity SNP or cumulative number of obesity SNP alleles or homozygous SNP genotypes was observed. Linear mixed regression analysis revealed significant differences in postoperative weight loss trajectories across groups with low, intermediate, and high numbers of obesity SNP alleles or numbers of homozygous SNP genotypes (P < 0.0001). Initial BMI interacted with genotype to influence weight loss with initial BMI <50 kg/m(2), with evidence of a dosage effect, which was not present in individuals with initial BMI ≥50 kg/m(2). Differences in metabolic rate, binge eating behavior, and other clinical parameters were not associated with genotype. These data suggest that response to a surgical weight loss intervention is influenced by genetic susceptibility and BMI.

Progress at NIST toward absolute frequency standards using stored ions

Experiments directed toward the realization of frequency standards of high accuracy using stored ions are briefly summarized. In one experiment, an RF oscillator is locked to a nuclear spin-flip hyperfine transition (frequency approximately 3.03x10(8) Hz) in (9 )Be(+) ions that are stored in a Penning trap and sympathetically laser-cooled. Stability is better than 3x10(-12)tau(-(1/2)) and uncertainty in Doppler shifts is estimated to be less than 5x10(-15). In a second experiment, a stable laser is used to probe an electric quadrupole transition (frequency approximately 1.07x10(15) Hz) in a single laser-cooled (199)Hg(+) ion stored in a Paul trap. The measured Q value of this transition is approximately 10(13). Future possible experiments are discussed.