Impact of GNB3, ADRB3, UCP2, and PPAR${\gamma}$-Pro12Ala polymorphisms on Boiogito response in obese subjects : A randomized, double-blind, placebo-controlled trial

방기황기탕의 유전자 다형성에 따른 비만 치료 효과 : 무작위 배정, 이중 맹검, 위약-대조군 임상시험

  • Park, Jung-Hyun (Dept. of Oriental Rehabilitation, Gangnam Korean Hospital, Kyung-Hee University) ;
  • Bose, Shambhunath (Institute of Medical Research, College of Medicine, Dong-Guk University) ;
  • Lim, Chi-Yeon (Dept. of Medicine, Graduate School, Dong-Guk University) ;
  • Kim, Ho-Jun (Dept. of Oriental Rehabilitation, College of Oriental Medicine, Dong-Guk University)
  • 박정현 (강남경희한방병원 한방재활의학과) ;
  • ;
  • 임지연 (동국대학교 의학대학원) ;
  • 김호준 (동국대학교 한방재활의학과)
  • Received : 2012.12.10
  • Accepted : 2012.12.22
  • Published : 2012.12.30

Abstract

Objectives: The aim of the study was to investigate the efficacy of Boiogito for obesity. We examined the efficacy of Boiogito for obese patients and we expected the reaction of Boiogito would vary according to the single nucleotide polymorphism(SNPs). Methods: 111 subjects(body mass index${\geq}25m/kg^2$) were recruited and randomized to receive Boiogito(n=55) or Placebo(n=56) for 8weeks. Anthropometric factors, serum lipid profile, glucose, blood pressure(BP), pulse rate, resting metabolic rate and Korean version of obesity-related quality of life(KOQOL) scale measured at baseline and 8weeks. SNPs(${\beta}3$-adrenergic receptor(ADRB3), G protein ${\beta}3$(GNB3), peroxisome proliferator activated receptor gamma 2 gene(PPAR-${\gamma}2$), uncoupling protein(UCP2)) were conducted at baseline. Adverse reactions and safety outcome variables were also checked during trials. Results: Both groups showed significant improvement on obesity after treatment. Boiogito group decreased triglyceride than did control group and improved KOQOL. Boiogito showed a significant higher efficacy in C/T and T/T genotype of GNB3 gene / in Trp64 and Arg64 genotype of ADRB3 gene / in D/D genotype of UCP2 gene / in Pro/Pro genotype of PPAR-${\gamma}$ gene. Conclusions: Boiogito promoted obesity indexes without severe adverse reactions and proved its safety. Pharmacogenetical studies of Boiogito on obesity could be a effective method for the individualized treatment and prevention of obesity.

Keywords

References

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