Objective: The body mass index (BMI) measured as weight in relation to height is an important monitor
for obesity and diabetes, with individual variation under control by genetic and environmental factors. In
transcriptome-wide association studies on BMI, the genetic contribution calls for controlling of genetic
confounding that affects both BMI and gene expression. We performed a global gene expression profiling
of BMI on peripheral blood cells using monozygotic twins for efficient handling of genetic make-ups.
Methods: We applied a generalized association method to genome-wide gene expression data on 229 pairs
of monozygotic twins (age 56-80 years) for detecting diverse patterns of correlation between BMI and gene
expression.
Results: We detected seven probes associated with BMI with p<1e-04, among them two probes with p<1e05 (p=2.83e-06 AAK1; p=7.83e-06 LILRA3). In total, the analysis found 1579 probes with nominal p<0.05.
Biological pathway analysis of enriched pathways found 50 KEGG and 45 Reactome pathways
(FDR<0.05). The identified top functional pathways included immune function, JAK-STAT signalling,
insulin signalling and regulation of energy metabolism.
Conclusion: This transcriptome-wide association study using monozygotic twins and generalized
correlation identified differentially expressed genes and a broad spectrum of enriched biological pathways
that may implicate metabolic health.