Association of catecholamine-O-methyltransferase and 5-HTTLPR genotype with eating disorder-related behavior and attitudes in females with eating disorders
Abstract:We found associations between the COMT and the 5-HTTLPR polymorphisms and specific clinical, behavioral and attitudinal traits of eating disorders. These polymorphisms may predispose their carriers to exhibit certain symptoms of eating disorders or confer a general risk for more severe forms of these disorders.
“…A few studies examining the association between EDs and 5-HTTLPR were excluded because they were not in case-control design. [36][37][38] The proportions of alleles and genotypes of control samples in all included studies were consistent with the Hardy-Weinberg equilibrium. First, the percentage of the S allele was compared between patients with AN and controls in seven studies (see Fig.…”
“…A few studies examining the association between EDs and 5-HTTLPR were excluded because they were not in case-control design. [36][37][38] The proportions of alleles and genotypes of control samples in all included studies were consistent with the Hardy-Weinberg equilibrium. First, the percentage of the S allele was compared between patients with AN and controls in seven studies (see Fig.…”
“…Of these, eight studies included AN samples [24][25][26][27][28][29][30][31] and seven included BN samples. 22,24,27,28,[32][33][34] Three additional studies have been included, two being performed on samples of eating disorder patients (AN and BN considered together) 23,35 and one being performed on a sample of BED patients. 36 The methodological quality of the included studies according to the Newcastle-Ottawa scale 12 is shown in Table 2.…”
Section: Resultsmentioning
confidence: 99%
“…27 Random effects indicated a mild association (Z 5 2.14, p 5 .03), the between-study heterogeneity remaining significant (v 2 5 33.78, df 5 13, p 5 .001, I 2 5 62%). In a third sensitivity analysis we removed all the studies plausibly contributing to between-study heterogeneity: the studies with virtual controls, 28,31,34,35 the study on BED 36 and the study performed on Japanese population. 27 Random effects indicated no association (Z 5 1.25, p 5 .21), the between-study heterogeneity remaining significant (v 2 5 23.07, df 5 8, p 5 .003, I 2 5 65%).…”
Section: Prevalence Of 5-httlpr S-containing Genotype Versus L/l Genomentioning
confidence: 99%
“…We firstly performed a meta-analysis including all the studies on AN, all the studies on BN and three additional studies, two in which AN and BN were considered together 23,35 and one performed on a sample of BED patients. 36 Each of the three studies in which AN and BN samples were both present and separately analyzed 24,27,28 was considered as two separated studies.…”
Section: Prevalence Of 5-httlpr S-containing Genotype Versus L/l Genomentioning
To be carrier of the 5-HTTLPR S allele seem to represent a risk factor for eating disorders, especially for AN. However, considering the reported high between-study heterogeneity, future studies should focus on more homogeneous endophenotype.
“…[82][83][84] Interestingly, shared genetic variance between negative emotionality and both body dissatisfaction and weight preoccupation were limited. 67 Drive for thinness is associated with potentially biologically plausible mechanisms, where elevated levels are associated with carriers of the deletion polymorphism of the serotonin transporter promoter 5-HTTLPR 85 and has been a valuable covariate in linkage analyses. 86 In women recovered from bulimia-type AN, [ 18 F]altanserin binding potential and drive for thinness were negatively correlated in several cortical regions, suggesting that altered 5-HT neuronal system activity persisted.…”
Objective: To explore how genetic epidemiology has informed the identification of endophenotypes and how endophenotypes may inform future classification of eating disorders.Method: Literature review and synthesis.Results: Although a number of endoand subphenotypes have been suggested for eating disorders, few reach the rigorous definitions developed for candidate endophenotypes.
Conclusion:Further study of endophenotypes and subphenotypes for eating disorders may assist with developing a more homogenous classification system that more closely reflects underlying biological mechanisms, and provides a clearer focus for the development of coherent models and treatments. V V C 2007 by Wiley Periodicals, Inc.
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