“…These proteins are the main ECM component in adipose tissue and their excessive accumulation in obesity is the main cause of tissue fibrosis, rigidity, and finally insulin resistance. A total of 12 GWAS-reported loci were grouped into this category after the search ( ADIPOQ , APOE , CBLN4 , COL4A1 , COL6A5 , CTSS , F12 , F13A1 , FRAS1 , ITIH4 , SGCZ, and SSPN ) [ 64 , 65 , 66 , 69 , 70 , 71 , 73 , 78 , 79 , 80 , 84 , 85 , 86 , 87 , 89 , 92 , 93 , 94 , 95 , 96 ]. From these, it highlights structural collagen components such as COL4A1 , COL6A5 and other types of structural ECM components such as FRAS1 , SGCZ, and SSPN , for which SNPs and CNVs have been directly associated with higher risk of obesity or increased anthropometry measurements in diverse ethnic populations (at genome-wide significance levels P < 5 × 10 e−8 ) [ 62 , 67 , 68 , 72 , 74 , 75 ].…”