Abstract
Background
The DLK1 human gene encodes for the transmembrane EGF-like repeat-containing protein DLK1, which acts as a modulator of adipogenesis. A role for DLK1 in energy metabolism and lipid homeostasis has been suggested and DLK1 gene variants have been related to pubertal development.
Objective
The aim of this study was to uncover DLK1 SNPs in a cohort of children and analyze their relationship with anthropometric and biochemical variables.
Methods
Our population-based sample comprises 1237 healthy 6-to-8-year-old Caucasian children. The presence of five DLK1 SNPs (rs1802710, rs876374, rs7155375, rs57098752, and rs7149242) was analyzed by Real-Time PCR, using predesigned TaqMan™ Genotyping Assays.
Results
We observed that the SNPs rs1802710 and rs876374 were associated with BMI, and the prevalence of these two SNPs was different in normal-weight children compared to children with obesity. Related to biochemical variables, we found a significant association of the SNPs rs1802710, rs876374, and rs57098752 and their combination with Apo-B plasma concentrations after adjusting by BMI and sex. The SNPs rs1802710 and rs57098752 were also significantly associated with plasma levels of LDL-C and HDL-C, respectively.
Conclusion
Our study reveals that DLK1 gene variants may influence both body weight and lipid homeostasis, affecting particularly to the Apo-B biology, in children.
Impact
-
DLK1 polymorphisms are associated with BMI and with lipid levels, independently of BMI, early in life.
-
Our data add to the existing literature the evidence that DLK1 gene variants impact on lipid metabolism.
-
The confirmation at the population level that DLK1 genetic variants are associated with anthropometric and lipid variables sustains the role of DLK1 in obesity and related disorders and should lead to further studies aimed at clarifying this effect.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 14 print issues and online access
$259.00 per year
only $18.50 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout


Similar content being viewed by others
Data availability
The datasets analysed during the current study are available from the corresponding author on reasonable request and with permission of the Jiménez Díaz Foundation Clinical Research Ethics Committee.
References
Gubina, E., Ruiz-Hidalgo, M. J., Baladrón, V. & Laborda, J. Assignment of DLK1 to human chromosome band 14q32 by in situ hybridization. Cytogenet. Genome Res. 84, 206–207 (1999).
Laborda, J. The role of the epidermal growth factor-like protein dlk in cell differentiation. Histol. Histopathol. 15, 119–129 (2000).
Smas, C. M. & Sul, H. S. Pref-1, a protein containing EGF-like repeats, inhibits adipocyte differentiation. Cell 73, 725–734 (1993).
Garcés, C., Ruiz-Hidalgo, M. J., Bonvini, E., Goldstein, J. & Laborda, J. Adipocyte differentiation is modulated by secreted delta-like (dlk) variants and requires the expression of membrane-associated dlk. Differentiation 64, 103–114 (1999).
Nueda, M. L., Baladron, V., Sanchez-Solana, B., Ballesteros, M. A. & Laborda, J. The EGF-like protein dlk1 inhibits notch signaling and potentiates adipogenesis of mesenchymal cells. J. Mol. Biol. 367, 1281–1293 (2006).
Moon, Y. S. et al. Mice lacking paternally expressed Pref-1/Dlk1 display growth retardation and accelerated adiposity. Mol. Cell. Biol. 22, 5585–5592 (2002).
Lee, K. et al. Inhibition of adipogenesis and development of glucose intolerance by soluble preadipocyte factor–1 (Pref-1). J. Clin. Investig. 111, 453–461 (2003).
Kavalkova, P. et al. Serum preadipocyte factor-1 concentrations in females with obesity and type 2 diabetes mellitus: the influence of very low calorie diet, acute hyperinsulinemia, and fenofibrate treatment. Horm. Metab. Res. 45, 820–826 (2013).
Lee, S. H. et al. Serum preadipocyte factor 1 concentrations and risk of developing diabetes: a nested case-control study. Diabet. Med. 33, 631–638 (2016).
Jensen, C. H. et al. The imprinted gene Delta like non-canonical notch ligand 1 (Dlk1) associates with obesity and triggers insulin resistance through inhibition of skeletal muscle glucose uptake. E-Bio Med. 46, 368–380 (2019).
Hermida, C. et al. The serum levels of the EGF‐like homeotic protein dlk1 correlate with different metabolic parameters in two hormonally different children populations in Spain. Clin. Endocrinol. 69, 216–224 (2008).
Palumbo, S. et al. Circulating levels of DLK1 and glucose homeostasis in girls with obesity: a pilot study. Front. Endocrinol. 9, 1033179 (2022).
Wermter, A. K. et al. Preferential reciprocal transfer of paternal/maternal DLK1 alleles to obese children: first evidence of polar overdominance in humans. Eur. J. Hum. Genet. 16, 1126–1134 (2008).
Day, F. R. et al. Genomic analyses identify hundreds of variants associated with age at menarche and support a role for puberty timing in cancer risk. Nat. Genet. 49, 834–841 (2017).
Montenegro, L. R. et al. Novel genetic and biochemical findings of DLK1 in children with central precocious puberty: a Brazilian–Spanish Study. J. Clin. Endocrinol. Metab. 105, 3165–3172 (2020).
Rodríguez-Artalejo, F. et al. Four provinces study: objectives and design. Rev. Esp. Cardiol. 52, 319–326 (1999).
Cole, T. J., Bellizzi, M. C., Flegal, K. M. & Dietz, W. H. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243 (2000).
Nueda, M. L. et al. The novel gene EGFL9/Dlk2, highly homologous to Dlk1, functions as a modulator of adipogenesis. J. Mol. Biol. 367, 1270–1280 (2007).
Traustadóttir, G. Á. et al. The imprinted gene Delta like non-canonical Notch ligand 1 (Dlk1) is conserved in mammals, and serves a growth modulatory role during tissue development and regeneration through Notch dependent and independent mechanisms. Cytokine Growth Factor. Rev. 46, 17–27 (2019).
Virtue, S. & Vidal-Puig, A. Adipose tissue expandability, lipotoxicity and the metabolic syndrome-an allostatic perspective. Biochim. Biophys. Acta 1801, 338–349 (2010).
White, U. Adipose tissue expansion in obesity, health, and disease. Front. Cell Dev. Biol. 11 (2023).
Freedman, D. S. et al. Relation of BMI to fat and fat-free mass among children and adolescents. Int. J. Obes. 29, 1–8 (2004).
Sakers, A., De Siqueira, M. K., Seale, P. & Villanueva, C. J. Adipose-tissue plasticity in health and disease. Cell 185, 419–446 (2022).
Baladrón, V. et al. The EGF-like homeotic protein dlk affects cell growth and interacts with growth-modulating molecules in the yeast two-hybrid system. BBRC 291, 193–204 (2002).
D’Aniello, F., et al. The role of DLK1 deficiency in central precocious puberty and association with metabolic dysregulation. Horm. Res. Paediatr, 1-11 (2024).
Peters, J. The role of genomic imprinting in biology and disease: an expanding view. Nat. Rev. Genet. 15, 517–530 (2014).
Saltiel, A. R. & Kahn, C. R. Insulin signalling and the regulation of glucose and lipid metabolism. Nature 414, 799–806 (2001).
Huang, Y. et al. A pref-1-controlled non-inflammatory mechanism of insulin resistance. iScience 19, 106923 (2023).
Lu, X. et al. Effects of adipose tissue-specific knockout of delta-like non-canonical notch ligand 1 on lipid metabolism in mice. Int. J. Mol. Sci. 25, 132 (2023).
Shi, Q., et al. Notch signaling pathway in cancer: from mechanistic insights to targeted therapies. Signal. Transduct. Target. Ther. 9 (2024).
Bi, P. & Kuang, S. Notch signaling as a novel regulator of metabolism. Trends Endocrinol. Metab. 26, 248–255 (2015).
Chen, L. et al. Delta-like 1/Fetal antigen-1 (DLK1/FA1) is a novel regulator of chondrogenic cell differentiation via inhibition of the AKT kinase-dependent pathway. J. Biol. Chem. 286, 32140–32149 (2011).
Lee, S. H., Lee, J. & Im, S. The cellular function of SCAP in metabolic signaling. Exp. Mol. Med. 52, 724–729 (2020).
Savova, M., Mihaylova, L., Tews, D., Wabitsch, M. & Georgiev, M. Targeting PI3K/AKT signaling pathway in obesity. Biomed. Pharmacother. 159, 114244 (2023).
Acknowledgements
This article is dedicated to the late Prof. Manuel de Oya as the warmest homage to his memory. Prof. de Oya designed the Four Province Study. This study has been funded by Instituto de Salud Carlos III (ISCIII) through the project FIS-PI22/00498 and co-funded by the European Union. Olga Pomares is recipient of a research contract from Carlos III Institute of Health (pFIS).
Author information
Authors and Affiliations
Contributions
Conception and design: C.G.; Acquisition of data: O.P., C.V-V., I.P.-N., F.J.M.-M., A.P.-R., and I.M.F.; Analysis and interpretation of data: O.P., J.L., and C.G.; Original draft preparation: C.G.; Critical revision: O.P., J.L., C.V-V., I.P.-N., F.J.M-M., A.P.-R., I.M.-F. and L.S.-G. All authors have read and agreed to the published version of the manuscript.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Informed consent
Written informed consent to participate in this study was provided by the participant’s legal guardian/next of kin.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Pomares, O., Laborda, J., Vales-Villamarín, C. et al. Association of DLK1 SNPs with body mass index and plasma lipid levels in children. Pediatr Res 98, 1731–1736 (2025). https://doi.org/10.1038/s41390-025-04005-0
Received:
Revised:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41390-025-04005-0


