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Obesity could be contagious


Obesity could be caused by a virus in some people, says a study published in last month's International Journal of Obesity (2000; 24: 989-96).

Human adenovirus-36 (Ad-36) may be responsible for fat accumulation in up to 30% of obese people. In the study, obese individuals with these viral antibodies also had lower cholesterol and triglyceride levels.

Dr Nikhil Dhuranda is one of the doctors behind the research. He originally injected mice and chickens with Ad-36 and found that 60-70% of the animals became clinically obese. On screening 500 people in the United States, he discovered that 30% of obese individuals carried the antibodies.


A virus may be responsible for obesity in up to 30% of people(CORCIOLANI/VOLLER ERNST/S.O.A PHOTO AGENCY)

"This is the first time a human virus has been associated with obesity," says Dhuranda. He originally thought that there might be a viral link to obesity when he heard that a viral epidemic killed poultry in his native India. The virus killed thousands of chickens, yet they were still carrying excess body fat. The United States did not allow Dhuranda to import the virus that was isolated in Bombay when he moved to America. He therefore began looking for a human viral marker. After screening 52 obese people for antibodies to the virus, he found over 40% had it. They were also the heaviest of the patients.

John Foreyt is an obesity expert at Baylor College of Medicine in the United States. He says, "The latest results do not indicate that all obesity is caused by viruses, but they strongly suggest that infection plays an important role."

Adenoviruses are already known to cause colds, diarrhoea, and eye infections. Dhuranda says, "This virus is probably associated with diarrhoea in humans, and may be spread by unhygienic practices just like any other pathogens that have an oral-faecal route. The ideal solution would be some sort of vaccine, but this at least five years away."

Dhuranda emphasises that much more research remains to be done into the subject. Ad-36 could either cause obesity or be one factor in the disease. It is also still unclear as to why the cholesterol and triglyceride levels are "paradoxically low" in those carrying antibodies to the virus.

Jenny Blythe, Clegg scholar


studentBMJ 2000;08:303-346 September ISSN 0966-6494



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