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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - The role of leptin, melanocortin, and neurotrophin system genes on body weight in anorexia nervosa and bulimia nervosa
AU - Yilmaz, Zeynep
AU - Kaplan, Allan S.
AU - Tiwari, Arun K.
AU - Levitan, Robert D.
AU - Piran, Sara
AU - Bergen, Andrew W.
AU - Kaye, Walter H.
AU - Hakonarson, Hakon
AU - Wang, Kai
AU - Berrettini, Wade H.
AU - Brandt, Harry A.
AU - Bulik, Cynthia M.
AU - Crawford, Steven
AU - Crow, Scott
AU - Fichter, Manfred M.
AU - Halmi, Katherine A.
AU - Johnson, Craig L.
AU - Keel, Pamela K.
AU - Klump, Kelly L.
AU - Magistretti, Pierre
AU - Mitchell, James
AU - Strober, Michael
AU - Thornton, Laura M.
AU - Treasure, Janet
AU - Woodside, D. Blake
AU - Knight, Joanne
AU - Kennedy, James L.
N1 - Copyright © 2014 Elsevier Ltd. All rights reserved.
PY - 2014/8
Y1 - 2014/8
N2 - OBJECTIVE: Although low weight is a key factor contributing to the high mortality in anorexia nervosa (AN), it is unclear how AN patients sustain low weight compared with bulimia nervosa (BN) patients with similar psychopathology. Studies of genes involved in appetite and weight regulation in eating disorders have yielded variable findings, in part due to small sample size and clinical heterogeneity. This study: (1) assessed the role of leptin, melanocortin, and neurotrophin genetic variants in conferring risk for AN and BN; and (2) explored the involvement of these genes in body mass index (BMI) variations within AN and BN.METHOD: Our sample consisted of 745 individuals with AN without a history of BN, 245 individuals with BN without a history of AN, and 321 controls. We genotyped 20 markers with known or putative function among genes selected from leptin, melanocortin, and neurotrophin systems.RESULTS: There were no significant differences in allele frequencies among individuals with AN, BN, and controls. AGRP rs13338499 polymorphism was associated with lowest illness-related BMI in those with AN (p = 0.0013), and NTRK2 rs1042571 was associated with highest BMI in those with BN (p = 0.0018).DISCUSSION: To our knowledge, this is the first study to address the issue of clinical heterogeneity in eating disorder genetic research and to explore the role of known or putatively functional markers in genes regulating appetite and weight in individuals with AN and BN. If replicated, our results may serve as an important first step toward gaining a better understanding of weight regulation in eating disorders.
AB - OBJECTIVE: Although low weight is a key factor contributing to the high mortality in anorexia nervosa (AN), it is unclear how AN patients sustain low weight compared with bulimia nervosa (BN) patients with similar psychopathology. Studies of genes involved in appetite and weight regulation in eating disorders have yielded variable findings, in part due to small sample size and clinical heterogeneity. This study: (1) assessed the role of leptin, melanocortin, and neurotrophin genetic variants in conferring risk for AN and BN; and (2) explored the involvement of these genes in body mass index (BMI) variations within AN and BN.METHOD: Our sample consisted of 745 individuals with AN without a history of BN, 245 individuals with BN without a history of AN, and 321 controls. We genotyped 20 markers with known or putative function among genes selected from leptin, melanocortin, and neurotrophin systems.RESULTS: There were no significant differences in allele frequencies among individuals with AN, BN, and controls. AGRP rs13338499 polymorphism was associated with lowest illness-related BMI in those with AN (p = 0.0013), and NTRK2 rs1042571 was associated with highest BMI in those with BN (p = 0.0018).DISCUSSION: To our knowledge, this is the first study to address the issue of clinical heterogeneity in eating disorder genetic research and to explore the role of known or putatively functional markers in genes regulating appetite and weight in individuals with AN and BN. If replicated, our results may serve as an important first step toward gaining a better understanding of weight regulation in eating disorders.
KW - Adult
KW - Agouti-Related Protein
KW - Anorexia Nervosa
KW - Body Mass Index
KW - Body Weight
KW - Bulimia Nervosa
KW - Case-Control Studies
KW - Female
KW - Genotyping Techniques
KW - Humans
KW - Leptin
KW - Melanocortins
KW - Membrane Glycoproteins
KW - Middle Aged
KW - Nerve Growth Factors
KW - Polymorphism, Single Nucleotide
KW - Protein Kinases
KW - Protein-Tyrosine Kinases
U2 - 10.1016/j.jpsychires.2014.04.005
DO - 10.1016/j.jpsychires.2014.04.005
M3 - Journal article
C2 - 24831852
VL - 55
SP - 77
EP - 86
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
SN - 0022-3956
ER -