FTO genotype is associated with phenotypic variability of body mass index

Abstract
A meta-analysis of genome-wide association studies of phenotypic variation for height and body mass index in human populations using 170,000 samples shows that one single nucleotide polymorphism at the FTO locus, which is associated with obesity, is also associated with phenotypic variation. Genome-wide association studies have successfully detected thousands of single nucleotide polymorphisms (SNPs) associated with complex traits in human populations. These studies tested the associations between SNPs and a phenotype — a disease or quantitative trait — expressed as a mean of the trait. This study is different, testing for associations between SNPs and variations of the phenotype, using more than 100,000 samples on height and body mass index in human populations. The authors find that one SNP at the FTO locus, which is known to be associated with obesity, is also associated with phenotypic variability. These results demonstrate that it is possible to find genetic variants that associate with variability and that between-person variability in obesity can partly be explained by genotype at the FTO locus. However, most genetic variants are not associated with phenotypic variance, or their effects on variability are very small. There is evidence across several species for genetic control of phenotypic variation of complex traits1,2,3,4, such that the variance among phenotypes is genotype dependent. Understanding genetic control of variability is important in evolutionary biology, agricultural selection programmes and human medicine, yet for complex traits, no individual genetic variants associated with variance, as opposed to the mean, have been identified. Here we perform a meta-analysis of genome-wide association studies of phenotypic variation using ∼170,000 samples on height and body mass index (BMI) in human populations. We report evidence that the single nucleotide polymorphism (SNP) rs7202116 at the FTO gene locus, which is known to be associated with obesity (as measured by mean BMI for each rs7202116 genotype)5,6,7, is also associated with phenotypic variability. We show that the results are not due to scale effects or other artefacts, and find no other experiment-wise significant evidence for effects on variability, either at loci other than FTO for BMI or at any locus for height. The difference in variance for BMI among individuals with opposite homozygous genotypes at the FTO locus is approximately 7%, corresponding to a difference of ∼0.5 kilograms in the standard deviation of weight. Our results indicate that genetic variants can be discovered that are associated with variability, and that between-person variability in obesity can partly be explained by the genotype at the FTO locus. The results are consistent with reported FTO by environment interactions for BMI8, possibly mediated by DNA methylation9,10. Our BMI results for other SNPs and our height results for all SNPs suggest that most genetic variants, including those that influence mean height or mean BMI, are not associated with phenotypic variance, or that their effects on variability are too small to detect even with samples sizes greater than 100,000.