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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. Herpertz
  • S. Ehrlich, A. A. van Elburg, R. A. H. Adan, S. Scherag, A. Hinney, J. Hebebrand, D. I. Boomsma, E. F. van Furth, P. E. Slagboom

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
Pages (from-to)236-243
JournalGenes, brain, and behavior
Volume10
Issue number2
DOIs
Publication statusPublished - 2011

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