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Chunk #22 — Discussion

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Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index.
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A primary goal of human genetic discovery is to improve understanding of the biology of conditions such as obesity42. One particularly interesting finding in this regard is the association between BMI and common variants near GIPR, which may indicate a causal contribution of variation in postprandial insulin secretion to the development of obesity. In most cases, the loci identified by the present study harbor few, if any, annotated genes with clear connections to the biology of weight regulation. This reflects our still limited understanding of the biology of BMI and obesity-related traits and is in striking contrast with the results from equivalent studies of certain other traits (such as autoimmune diseases or lipid levels). Thus, these results suggest that much novel biology remains to be uncovered, and that GWA studies may provide an important entry point. In particular, further examination of the associated loci through a combination of resequencing and fine-mapping to find causal variants, and genomic and experimental studies designed to assign function, could uncover novel insights into the biology of obesity.