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. 2024 Jul 26;13(3):214–225. doi: 10.7762/cnr.2024.13.3.214

Table 1. A review of studies that examined the effect of interaction between MC4R rs17782313 and diets.

Authors Article title Type of study Genetic polymorphism type Population, gender, disease Age, body mass index Association Main outcome
Khodarahmi et al. [13] (2022) The Role of Dietary Glycemic Index and Glycemic Load in Mediating Genetic Susceptibility via MC4R s17782313 Genotypes to Affect Cardiometabolic Risk Factors among Apparently Healthy Obese Individuals Cross-sectional rs17782313 (CC) 287 males and females, healthy 20–50 ≥ 30 kg/m2 Negative ↓Basal metabolic rate and high-density lipoprotein cholesterol
↑Low-density lipoprotein cholesterol
Alizadeh et al. [14] (2022) Interaction of MC4R rs17782313 Variants and Dietary Carbohydrate Quantity and Quality on Basal Metabolic Rate and General and Central Obesity in Overweight/Obese Women: A Cross-Sectional Study Cross-sectional rs17782313 (CC & TC) 282 females, healthy 18–56 ≥ 25 kg/m2 Negative ↑Waist circumference and body mass index
Adamska-Patruno et al. [15] (2021) An Association Between Diet and MC4R Genetic Polymorphism, in Relation to Obesity and Metabolic Parameters-A Cross Sectional Population-Based Study Cross-sectional rs17782313 (CC) 1,549, males and females, type 2 diabetes 18–79 > 25 kg/m2 Negative ↓Subcutaneous fat content (SAT)
↑Body mass index, body fat content, visceral fat content (VAT), and VAT/SAT ratios
Mohammadi et al. [16] (2020) The Interaction Between Dietary Non-Enzymatic Antioxidant Capacity (NEAC) With Variants of Melanocortin-4 Receptor (MC4R) 18q21.23-rs17782313 Locus on Hypothalamic Hormones and Cardio-Metabolic Risk Factors in Obese Individuals From Iran Cross-sectional rs17782313 (CC) 287 males and females, healthy 20–50 ≥ 30 kg/m2 Positive & negative ↓High-density lipoprotein cholesterol, quantitative insulin sensitivity check index, insulin, serum glucose, α-melanocyte stimulating hormone, and triglyceride
ElhamKia et al. [17] (2022) The Interaction Between Dietary Total Antioxidant Capacity and MC4R Gene and HOMA-IR in Metabolically Healthy and Unhealthy Overweight and Obese Women Cross-sectional rs17782313 (CC & TC) 237 females, healthy 18–50, 25–40 kg/m2 Not significant No significant associations were found with lipid profile and metabolic parameters.
Khodarahmi et al. [18] (2020) Dietary Quality Indices Modifies the Effects of Melanocortin-4 Receptor (MC4R) rs17782313 Polymorphism on Cardiometabolic Risk Factors and Hypothalamic Hormones in Obese Adults Cross-sectional rs17782313 (CC & TC) 188 males and females, healthy 20–50 ≥ 30 kg/m2 Positive ↓Low-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, and serum glucose levels
Zarei et al. [19] (2022) The Interaction Between Alternative Healthy Eating Index and MC4R rs17782313 Gene Variants on Central and General Obesity Indices in Women: A Cross‐Sectional Study Cross-sectional rs17782313 (CC) 291 females, healthy 18–48 ≥ 25 kg/m2 Positive ↓Visceral fat area, fat mass, body mass index, and hip circumference
Khodarahmi et al. [20] (2020) Melanocortin-4 Receptor (MC4R) rs17782313 Polymorphism Interacts With Dietary Approach to Stop Hypertension (DASH) and Mediterranean Dietary Score (MDS) to Affect Hypothalamic Hormones and Cardio-Metabolic risk Factors Among Obese Individuals Cross-sectional rs17782313 (CC) 288 males and females, healthy 20–50 ≥ 30 kg/m2 Positive ↓Systolic blood pressure, atherogenic index of plasma, serum glucose, and triglyceride levels
Ortega-Azorín et al. [21] (2012) Associations of the FTO rs9939609 and the MC4R rs17782313 Polymorphisms With Type 2 Diabetes Are Modulated by Diet, Being Higher When Adherence to the Mediterranean Diet Pattern Is Low Case-control rs17782313 (CC) 7,052, male and female mean BMI 29.9 kg/m2 Mean age 70, type 2 diabetes Positive The MC4R rs17782313 interacted with the Mediterranean diet in its relation to type 2 diabetes.
Koochakpoor et al. [22] (2016) Effect of Interactions of Polymorphisms in the Melanocortin‐4 Receptor Gene With Dietary Factors on the Risk of Obesity and Type 2 Diabetes Systematic review rs17782313 (CC) Not clear, male and female Not clear, type 2 diabetes Positive Mediterranean diet interacted with MC4R rs17782313 on the risk of type 2 diabetes.
Rasaei et al. [23] (2023) Investigation the Interaction of Dietary Fat Quality Indices and the MC4R Gene in Metabolically Healthy and Unhealthy Overweight and Obese Women Cross-sectional rs17782313 (CC) 279 females, healthy 18–68, 25–40 kg/m2 Negative ↑Homeostatic model assessment for insulin resistance index
Aoun et al. [24] (2022) The Interaction Between Genetic Polymorphisms in FTO, MC4R and MTHFR Genes and Adherence to the Mediterranean Diet in Relation to Obesity Cross-sectional rs17782313 (CC & TC) 392 males and females, healthy Not clear No significant No significant association with waist circumference, waist-hip ratio, and body mass index
Mohammadi et al. [25] (2020) Dietary Patterns Interact With the Variations of 18q21. 23 rs17782313 Locus on the Regulation of Hypothalamic-Pituitary Axis Hormones and Cardio-Metabolic Risk Factors in Obesity Cross-sectional rs17782313 (CC) 288 males and females, healthy 20–50 ≥ 30 kg/m2 Negative ↑Systolic blood pressure and agouti-related protein levels
Hosseininasab et al. [9] (2022) Are There Any Interactions Between Modified Nordic-Style Diet Score and MC4R Polymorphism on Cardiovascular Risk Factors Among Overweight and Obese Women? Cross-sectional rs17782313 (CC & TC) 282 females, healthy 18–48 ≥ 25 kg/m2 Positive ↓Visceral fat level, total cholesterol, and low-density lipoprotein cholesterol levels
Yarizadeh et al. [10] (2021) The Interaction Between the Dietary Inflammatory Index and MC4R Gene Variants on Cardiovascular Risk Factors Cross-sectional rs17782313 (CC) 266 females, healthy 18–56, 25–45 kg/m2 Positive ↑Higher high-density lipoprotein cholesterol levels
↓Low-density lipoprotein cholesterol and triglyceride levels
Yarizadeh et al. [26] (2020) The Interaction Between Dietary Approaches to Stop Hypertension and MC4R Gene Variant in Predicting Cardiovascular Risk Factors Cross-sectional rs17782313 (CC) 266 females, healthy 18–50, 25–40 kg/m2 Positive ↓Systolic blood pressure and diastolic blood pressure