Analyzing human knockouts to validate GPR151 as a therapeutic target for reduction of body mass index

Abstract

Novel drug targets for sustained reduction in body mass index (BMI) are needed to curb the epidemic of obesity, which affects 650 million individuals worldwide and is a causal driver of cardiovascular and metabolic disease and mortality. Previous studies reported that the Arg95Ter nonsense variant of GPR151, an orphan G protein-coupled receptor, is associated with reduced BMI and reduced risk of Type 2 Diabetes (T2D). Here, we further investigate GPR151 with the Pakistan Genome Resource (PGR), which is one of the largest exome biobanks of human homozygous loss-of-function carriers (knockouts) in the world. Among PGR participants, we identify eleven GPR151 putative loss-of-function (plof) variants, three of which are present at homozygosity (Arg95Ter, Tyr99Ter, and Phe175LeufsTer7), with a cumulative allele frequency of 2.2%. We confirm these alleles in vitro as loss-of-function. We test if GPR151 plof is associated with BMI, T2D, or other metabolic traits and find that GPR151 deficiency in complete human knockouts is not associated with clinically significant differences in these traits. Relative to Gpr151+/+ mice, Gpr151-/- animals exhibit no difference in body weight on normal chow and higher body weight on a high-fat diet. Together, our findings indicate that GPR151 antagonism is not a compelling therapeutic approach to treatment of obesity.

G protein-coupled receptor 151 regulates glucose metabolism and hepatic gluconeogenesis

“…Recently, a rare nonsynonymous, presumed inactivating, mutation (p.Arg95Ter) in the gene encoding the orphan G-protein coupled receptor 151 (GPR151), a Gα o1 -linked GPCR, was associated with lower odds ratio for T2D, obesity and coronary artery disease 6 and with reduced body-mass index (BMI) [6][7][8] , although another recent study found no significant associations between putative loss-of-function (LOF) GPR151 variants and BMI, T2D, or other metabolic traits 9 .…”