RT Journal Article SR Electronic T1 A common allele in FGF21 associated with preference for sugar consumption lowers body fat in the lower body and increases blood pressure JF bioRxiv FD Cold Spring Harbor Laboratory SP 214700 DO 10.1101/214700 A1 Timothy M. Frayling A1 Robin N. Beaumont A1 Samuel E. Jones A1 Hanieh Yaghootkar A1 Marcus A. Tuke A1 Katherine S. Ruth A1 Francesco Casanova A1 Ben West A1 Jonathan Locke A1 Seth Sharp A1 Yingjie Ji A1 William Thompson A1 Jamie Harrison A1 Cecilia M. Lindgren A1 Niels Grarup A1 Anna Murray A1 Rachel M. Freathy A1 Michael N. Weedon A1 Jessica Tyrrell A1 Andrew R. Wood YR 2017 UL http://biorxiv.org/content/early/2017/11/06/214700.abstract AB Fibroblast Growth Factor 21 (FGF21) is a hormone that induces weight loss in model organisms. These findings have led to trials in humans of FGF21 analogues with some showing weight loss and lipid lowering effects. Recent genetic studies have shown that a common allele in the FGF21 gene alters the balance of macronutrients consumed but there was little evidence of an effect on metabolic traits. We studied a common FGF21 allele (A:rs838133) in 451,099 people from the UK Biobank study. We replicated the association between the A allele and higher percentage carbohydrate intake. We then showed that this allele is more strongly associated with body fat distribution, with less fat in the lower body, and higher blood pressure, than it is with BMI, where there is only nominal evidence of an effect. These human phenotypes of naturally occurring variation in the FGF21 gene will inform decisions about FGF21’s therapeutic potential.