Genotyping method and frequency of single nucleotide polymorphism rs12970134 near melanocortin-4 receptor genotypes in Hanoi preschool chidren population

ISSN: 1859-2171  
e-ISSN: 2615-9562  
TNU Journal of Science and Technology  
225(05): 38 - 44  
GENOTYPING METHOD AND FREQUENCY OF SINGLE NUCLEOTIDE  
POLYMORPHISM RS12970134 NEAR MELANOCORTIN-4 RECEPTOR  
GENOTYPES IN HANOI PRESCHOOL CHIDREN POPULATION  
Nguyen Thi Trung Thu, Le Thi Tuyet*  
Hanoi National University of Education  
ABSTRACT  
Melanocortin-4 receptor is part of the central melanocortinergic system and plays critical roles in central  
regulation of food intake, energy homeostasis and body weight, so that this gene is related to obesity  
and insulin resistance including single nucleotide polymorphism rs12970134. Thus, this study aimed to  
find out a protocol for genotyping rs12970134 near Melanocortin-4 receptor by AS-PCR method,  
analyzing the genotype and allele ratios of this single nucleotide polymorphism in 200 3-5 years old  
children in Hanoi, Vietnam (50% boys). This protocol used the forward primers including 5’-  
tcttaccaaacaaagcatgtg-3’ to detect allele G, and 5’-tcttaccaaacaaagcatgta-3’ to detect allele A; and the  
reverse primer 5’-gtcattcccactaccacctg-3’. The optimized PCR protocol was that 94oC for 3 min and 34  
cycles of denaturation at 94oC for 30 sec, primer annealing at 54oC for 40 sec, primer extension at 72oC  
for 30 sec, final extension at 72oC for 8 min, stopped by chilling at 4oC. The 208 bp PCR products were  
detected on Redsafe-stained 2.5% agarose gel. The results were verified by using the sequencing  
method. In the entire samples, the GG genotype was the largest (57.5%), and the AA genotype was the  
lowest (4%). The frequencies of the G and A alleles were 0.77 and 0.23, respectively.  
Key words: Melanocortin-4 receptor; single nucleotide polymorphism; rs12970134; AS-PCR  
method; preschool children.  
Received: 09/02/2020; Revised: 27/4/2020; Published: 28/4/2020  
PHƯƠNG PHÁP PHÂN TÍCH KIỂU GEN VÀ TẦN SỐ ALEN CỦA ĐA HÌNH  
NUCLEOTIDE ĐƠN RS12970134 GẦN THỤ THỂ MELANOCORTIN-4  
Ở TRẺ MẦM NON TẠI NỘI  
Nguyễn Thị Trung Thu, Lê Thị Tuyết*  
Trường Đại học Sư phạm Hà Nội  
TÓM TẮT  
Thụ thể Melanocortin-4 có liên quan đến bệnh béo phì, kháng insulin do đóng vai trò quan trọng  
trong việc điều hòa lượng thức ăn ăn vào, cân bằng nội môi và khối lượng cơ thể. Mục tiêu của  
nghiên cứu này là xây dựng được phương pháp AS-PCR phân tích kiểu gen của đa hình nucleotide  
đơn rs12970134 gần thụ thể Melanocortin-4 và xác định tỉ lệ alen của đa hình nucleotide đơn này  
ở trẻ em 3-5 tuổi tại Hà Nội. Nghiên cứu đã thiết kế được các đoạn mồi để xác định alen của đa  
hình nucleotide đơn rs12970314 gồm mồi xuôi phát hiện alen G: 5'-tcttaccaaacaaagcatgtg-3', phát  
hiện alen A: 5'-tcttaccaaacaaagcatgta-3'; và mồi ngược: 5'-gtcattcccactaccacctg-3'. Chu trình nhiệt  
của phản ứng PCR được tối ưu hóa là: 94oC (3 phút) và 34 chu kỳ: biến tính ở 94oC (30 giây), gắn  
mồi ở 54oC (40 giây), kéo dài ở 72oC (30 giây), bước kéo dài cuối ở 72oC (8 phút), kết thúc ở 4oC.  
Sản phẩm PCR 208 bp được phát hiện trên gel agarose 2,5% nhuộm redsafe. Kiểu gen được kiểm  
tra bằng phương pháp giải trình tự gen. Trong toàn bộ mẫu, tỉ lệ kiểu gen GG là lớn nhất (57,5%)  
và AA là thấp nhất (4%). Tần số của các alen G và A lần lượt là 0,77 và 0,23.  
Từ khóa: Thụ thể Melanocortin-4; đa hình nucleotide đơn; rs12970134; phương pháp AS-PCR;  
trẻ mầm non.  
Ngày nhận bài: 09/02/2020; Ngày hoàn thiện: 27/4/2020; Ngày đăng: 28/4/2020  
* Corresponding author. Email: lttuyet@gmail.com  
38  
http://jst.tnu.edu.vn; Email: jst@tnu.edu.vn  
Nguyen Thi Trung Thu et al.  
TNU Journal of Science and Technology  
225(05): 38 - 44  
1. Introduction  
(Realtime PCR) [5], [8], GeneChip [13].  
However, it is difficult to identify the  
rs12970134 polymorphism in large-size  
samples of Vietnamese population due to the  
limitations of access to equipment, costly  
chemical and biological expenses. Allele  
specific polymerase chain reaction (AS-PCR)  
is a PCR-based method which can be  
employed to detect the known single  
nucleotide polymorphisms (SNPs). The  
specific primers are designed to permit  
amplification by DNA polymerase only if the  
nucleotide at the 3’-end of the primer  
perfectly complements the base at the variant  
or wild-type sequences. After the PCR and  
electrophoresis, the patterns of specific PCR  
products allow the differentiations of the SNP  
to determine whether the genotype was  
homozygous wild type, heterozygous or  
homozygous variant [14]. This method is  
relatively cheaper than other available  
methods. However, in order to create a  
working AS-PCR-based genotyping system, it  
needs to design primers and well optimized  
PCR conditions.  
Melanocortin-4 receptor (MC4R) gene is  
located on chromosome 18q22 [1]. MC4R, a  
G protein-coupled receptor is expressed in the  
developing autonomic and central nervous  
systems [2]. Activation of melanocortin-4-  
receptors (MC4Rs) reduces body fat stores by  
decreasing food intake and increasing energy  
expenditure [1]. Activation of MC4R proteins  
reduces body fat stores by decreasing food  
intake and increasing energy expenditure [1].  
Mutations in the MC4R leads to a reduced  
receptor function found in 24% of extremely  
obese individuals [3]. Previous studies  
demonstrated several MC4R variants and  
common genetic polymorphisms near the  
MC4R gene contributing to different levels of  
obesity [4].  
Recent genome wide scans found common  
variants near MC4R were related to obesity  
and insulin resistance such as rs17782313,  
rs17700633,  
rs12970134,  
rs477181,  
rs502933, and rs4450508. Among these  
variants, rs12970134 (A/G) located 154 kb  
downstream of MC4R has been studied most  
often. Many studies reported the association  
of rs12970134 MC4R variant with several  
obesity-related traits (such as: waist  
circumference, BMI) [4], [5], central obesity  
[6], [7] and insulin resistance [4], polycystic  
ovary syndrome [8], coronary artery disease  
[9]. Whereas some studies revealed  
nonsignificant association between this  
variant and these diseases [10], [11]. This  
may be due to differences in study  
populations (gender, age, race) [4], [12] and  
environmental influence or lifestyle factors  
(energy intake and physical activity).  
Therefore, identifying the genotypes of this  
polymorphism in the Vietnamese population  
and further to study the association between  
rs12970134 with diseases will be of great  
significance to public health care in Vietnam.  
Thus, this study aimed to find out a protocol  
for genotyping rs12970134 near MC4R by  
using AS-PCR and analyze the genotype and  
allele ratio of this SNP in Hanoi preschool  
chidren population.  
2. Research methodology  
2.1. Subjects and data collection  
In this study, 300 preschool children (36-60  
months of age, 150 males and 150 females) in  
Hanoi with normal nutritional status,  
randomly were selected from the subjects of  
project B2018-SPH50 - a cross-sectional  
study identifying Kinh ethnic representing the  
major ethnic of Vietnam.  
Classification of nutrition status of children  
was performed according to WHO 2006  
criteria; normal nutritional status were  
children with Z-score BMI by age and gender  
ranged from -2 to 2.  
There are several approaches to genotype  
rs12970134 near MC4R, including TaqMan™  
39  
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Nguyen Thi Trung Thu et al.  
TNU Journal of Science and Technology  
225(05): 38 - 44  
The exclusion criteria were children with  
acute or chronic diseases such as tuberculosis,  
HIV/AIDS.  
µL master mix Dream Taq Green (containing:  
0.4 mM Dream Taq DNA polymerase, 0.4  
mM 2X Dream Taq Green buffer, 0.4 mM  
dATP, 0.4 mM dCTP, 0.4 mM dGTP, 0.4  
mM dTTP and 4 mM MgCl2), 0.35 µL for  
each primer (concentration 10 pmol), 1.5 µL  
of DNA sample (concentration 37-60 ng/µl)  
in a total volume of 5.5 µL.  
Samples of cheek mucosa cells were taken  
with the consent of parents or official  
guardians. The project was approved by the  
Medical Ethics Council of the Institute of  
Nutrition with Decision No. 343/VDD-QLKH  
on July 27, 2018.  
The gradient PCR method was used to  
determine the annealing temperature. The  
PCR conditions were as follows: 3 min at  
94oC, 34 cycles of 30 sec at 940C, 30 sec at  
52oC/54oC/56oC, 30 sec at 72oC, final  
extension 8 min at 72oC, chilling at 4oC. PCR  
products (208-bp band) were detected on the  
redsafe-stained 2.5% agarose gel by the  
electrophoresis in 0.5X TBE buffer. The  
DNA band was taken by using Geldoc-ItTM  
gel camera. The optimal protocol was  
recruited from the results of trials.  
2.2. DNA extraction method  
DNA was extracted from the sample of the  
cheek mucosa cell by using the GeneJET  
Genomic DNA Purification kit (Thermo,  
USA) according to the manufacturer's  
instructions.  
2.3. Genotyping method  
Protocol of genotyping SNP rs1137101 by AS-  
PCR method included the following steps:  
2.3.1. Design primers  
2.4. Statistical analysis  
Nucleotide sequence of DNA fragments  
containing SNP rs12970134 on NCBI  
database [15] was used to design three of  
PCR primers (including wildtype and mutant  
primers to detect 2 alleles (G or A) and one  
common primer. Designing wildtype and  
mutant primers to identify G or A allele of  
rs12970134 near MC4R gene was based on  
Wangkuhang et al. [16]. Next, last primer was  
designed by using Oligo 7 Primer Analysis  
Software [17] and UCSC In-Silico PCR  
online [18] to choose pairs of primers that  
have homologous melting temperature (Tm)  
and don’t match each other. The melting  
temperature of the primers was approximately  
54°C according to recommendations of the  
above software.  
Genotype and allele frequencies are expressed  
in %. Add the Hardy-Weinberg equation to  
identify allele frequencies.  
3. Results and discussion  
3.1. Optimize the protocol of genotyping  
MC4R rs12970134  
3.1.1. Design the primers  
The results showed 5 oligos used to perform  
the AS-PCR. But all products were so short,  
that we only chose wildtype and mutant  
forward primers. The sequences of wildtype  
and  
forward  
primers  
were  
5’-  
TCTTACCAAACAAAGCATGTG-3’, and  
5’-TCTTACCAAACAAAGCATGTA-3’.  
The sequence of common reverse primer was  
5’- GTCATTCCCACTACCACCTG-3’. The  
theorical PCR product was a 208-bp in length:  
2.3.2. Optimal protocol design for polymerase  
chain reaction  
TCTTACCAAACAAAGCATGT(G/A)caaac  
aaagatttatcagaagggtgcttgttagtacctgtattcaaaggg  
agaactagtcaaacctcaaaggggcaaggccaaccaggacc  
aacctagcagggcaagcatgtctccacactgcctatcttcagat  
gagcatttttttcctttaggcaagtttttcCAGGTGGTAG  
TGGGAATGAC  
To genotype rs12970134 polymorphism using  
AS-PCR, each genotype was determined by  
two independent reactions of A and G alleles.  
The composition of each PCR reaction  
consists of 0.8 µL of nuclease-free water, 2.5  
40  
Nguyen Thi Trung Thu et al.  
TNU Journal of Science and Technology  
225(05): 38 - 44  
3.1.2. Determination of the annealing temperature of the gradient PCR  
Figure 1. Electrophoresis image of gradient PCR products  
Ta: Temperature of annealing, (-): negative control, M: CSL-MDNA-100bp DNA Ladder RTU  
Genotype: 1 (GG), 2 (AG), 3 (AA)  
Figure 1 showed that at Ta = 54oC, the amplified band was the thickest and easy to determine G  
and A alleles. Thus, the optimized PCR protocol was 94oC for 3 min and 34 cycles of  
denaturation at 94oC for 30 sec, primer annealing at 54oC for 40 sec, primer extension at 72oC for  
30 sec, final extension at 72oC for 8 min, stopped by chilling at 4oC.  
3.2. Result of validation  
To validate AS-PCR method, two products of A allele from sample 2 and G allele from sample 1  
were verified by sequencing with reverse primer: 5’- GTCATTCCCACTACCACCTG-3’ (Figure  
2). The obtained sequences from sequencing are single strands and complementary to the single  
PCR product sequence above (3.1.1).  
Genotypes were analyzed by  
AS-PCR method  
Allele A  
Result of sequencing method  
(sample 2)  
Allele G (Sample 1)  
Figure 2. Allele A and G products were validated by sequencing method  
Thus, the genotypes identified by using AS-PCR method were completed in concordance with  
those of the sequencing method. Consequently, we used the optimized AS-PCR protocol to  
genotype 200 samples and the results are presented in Figure 3.  
41  
http://jst.tnu.edu.vn; Email: jst@tnu.edu.vn  
Nguyen Thi Trung Thu et al.  
TNU Journal of Science and Technology  
225(05): 38 - 44  
Figure 3. Electrophoresis image of AS-PCR products with some samples  
(-) : negative control, M: CSL-MDNA-100bp DNA Ladder RTU  
Genotype: 1 (GG), 2 (AG), 3 (AA), 4 (AG), 5 (GG), 6 (AG), 7 (GG), 8 (GG), 9 (GG), 10 (GG), 11 (GG),  
12 (GG), 13 (GG), 14 (GG), 15 (GG), 16 (GG), 17 (AG), 18 (GG).  
3.3. Frequencies of MC4R rs12970134  
polymorphism in Hanoi preschool children  
genotypes in samples of preschool children in  
Hanoi were in the Hardy Weinberg  
distribution (P = 0.265).  
Children were chosen equally by gender (50%  
boy) and age group (3-5 years: 25% (33.5  
years), 25% (3.54 years), 25% (44.5 years),  
25% (4.55 years)). The anthropometric  
indicators of 200 normal children (WHO  
2006 criteria) were represented in our current  
publication [19].  
The frequencies of rs12970134 genotypes in  
different populations varied significantly  
around the world [20]. The heterogeneity of  
the proportions of alleles in different  
populations was influenced by ethnic  
characteristics. According to Marth (2004),  
the history and characteristics of nation  
formation have a great influence on its  
biological characteristics, anthropology, and  
genetic background [21]. In the Hanoi  
primary school children population, the  
frequency of minor A allele was 0.23. This  
result was the same with other populations  
[20]. The ratio of genotypes in our study is  
almost equal to the frequencies in the  
Japanese in Tokyo, Japan (JPT) [20].  
The frequencies of genotypes and alleles of  
MC4R rs12970134 polymorphism among  
these children is shown in Table 1.  
Table 1. Genotype and allele frequencies of  
MC4R rs12970134 polymorphism in Hanoi 3-5  
years old children  
MC4R rs12970134  
Number  
(Frequencies)  
115 (57.5%)  
77 (38.5%)  
8 (4.0%)  
GG  
Genotype  
AG  
AA  
G
The limitation of this study is that the  
genotyping method identifies only one SNP  
genotype for one procedure. Also in this  
study, the frequencies of alleles and  
genotypes were determined only in children  
with normal physical development in Hanoi,  
and not the entire population of Vietnam.  
Further research is required large samples that  
are representative of the entire population, and  
the inclusion of children with nutritional  
disorders, children from different ethnic groups.  
307 (77%)  
93 (23%)  
Allele  
A
P HWE  
0.265  
The data in the table are presented by n (%),  
HWE: Hardy-Weinberg equation, P value were  
from test 2 or Fisher exact.  
In the entire samples, the GG genotype was  
the highest (57.5%), and the AA genotype  
was the lowest (4%). The frequencies of the  
G and A alleles were 0.77 and 0.23,  
respectively. The frequencies of rs12970134  
42  
Nguyen Thi Trung Thu et al.  
TNU Journal of Science and Technology  
225(05): 38 - 44  
circumference and insulin resistance," Nature  
genetics, vol. 40, no. 6, p. 716, 2008.  
4. Conclusions  
This research shows the AS-PCR method for  
genotyping MC4R rs12970134 polymorphism  
in Vietnam’s laboratories. This protocol used  
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the  
forward  
primers  
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tcttaccaaacaaagcatgtg-3’ to detect allele G,  
and 5’-tcttaccaaacaaagcatgta-3’ to detect  
allele A), and the reverse primer (5’-  
gtcattcccactaccacctg-3’). The temperature to  
anneal primer was 540C.  
[6]. L. F. Been et al., "Replication of association  
between  
melanocortin4  
a
common  
receptor  
variant  
gene  
near  
and  
Among children aged 3-5 years in Hanoi, the  
frequency of GG genotype was the highest  
(57.5%) and the frequency of AA genotype  
was the smallest (4%). The method for  
identifying genotypes in this study was  
developed and optimized to ensure data  
accuracy, reduce costs, and can be used in  
many molecular biology laboratories to  
identify the MC4R rs12970134 genotype with  
large sample sizes.  
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Acknowledgments  
The authors would like to thank Laboratory  
Center at Institute for Preventive Medicine  
and Public Health for kindly helps and  
supports. The study was supported by  
Ministry of Education and Training, Vietnam,  
grant no B2018 - SPH50. The research  
protocol was approved by The Ethics  
Committee of the National Institute of  
Nutrition, Vietnam.  
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