Association study in eating disorders: TPH2 associates with anorexia nervosa and self-induced vomiting

M C T Slof-Op 't Landt, I Meulenbelt, M Bartels, E Suchiman, C M Middeldorp, J J Houwing-Duistermaat, J van Trier, E J Onkenhout, J M Vink, C E M van Beijsterveldt, M K Brandys, N Sanders, S Zipfel, W Herzog, B Herpertz-Dahlmann, K Klampfl, C Fleischhaker, A Zeeck, M de Zwaan, S HerpertzS Ehrlich, R A H Adan, S Scherag, A Hinney, J Hebebrand, D I Boomsma, E F van Furth, P E Slagboom, Annemarie van Elburg

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Twin studies suggest that genetic factors play a substantial role in anorexia nervosa (AN) and self-induced vomiting (SV), a key symptom that is shared among different types of eating disorders (EDs). We investigated the association of 25 single nucleotide polymorphisms (SNPs), capturing 71-91% of the common variance in candidate genes, stathmin (STMN1), serotonin receptor 1D (HTR1D), tryptophan hydroxylase 2 (TPH2) and brain-derived neurotrophic factor (BDNF), with AN and EDs characterized by regular SV. The first allele frequencies of all the SNPs were compared between a Dutch case group (182 AN, 149 EDs characterized by SV) and 607 controls. Associations rendering P-values < 0.05 from this initial study were then tested for replication in a meta-analysis with two additional independent ED case-control samples, together providing 887 AN cases, 306 cases with an ED characterized by SV and 1914 controls. A significant effect for the minor C-allele of tryptophan hydroxylase 2 rs1473473 was observed for both AN [odds ratio (OR) = 1.30, 95% CI 1.08-1.57, P < 0.003] and EDs characterized by SV (OR = 1.52, 95% CI 1.28-2.04, P < 0.006). In the combined case group, a dominant effect was observed for rs1473473 (OR = 1.38, 95% CI 1.16-1.64, P < 0.0003). The meta-analysis revealed that the tryptophan hydroxylase 2 polymorphism rs1473473 was associated with a higher risk for AN, EDs characterized by SV and for the combined group.

Original languageEnglish
Article number0
Pages (from-to)236-43
Number of pages8
JournalGenes, Brain, and Behavior
Volume10
Issue number2
DOIs
Publication statusPublished - 2011

Keywords

  • Adolescent
  • Adult
  • Alleles
  • Anorexia Nervosa
  • Body Weight
  • Bulimia Nervosa
  • Case-Control Studies
  • DNA
  • Data Interpretation, Statistical
  • Eating Disorders
  • Female
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • Genotype
  • Humans
  • Male
  • Oligonucleotide Array Sequence Analysis
  • Polymorphism, Single Nucleotide
  • Tryptophan Hydroxylase
  • Young Adult

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