Fol. Biol. 2009, 55, 192-197

https://doi.org/10.14712/fb2009055050192

Polymorphisms in Serotonin-Related Genes in Anorexia Nervosa. The First Study in Czech Population and Meta-analyses with Previously Performed Studies

D. Martásková1, L. Šlachtová2, D. Kemlink3, D. Záhoráková2, Hana Papežová1

1Charles University in Prague, First Faculty of Medicine, Department of Psychiatry, Prague, Czech Republic
2Charles University in Prague, First Faculty of Medicine, Department of Pediatrics and Adolescent Medicine, Prague, Czech Republic
3Charles University in Prague, First Faculty of Medicine, Department of Neurology, Prague, Czech Republic

Received March 2009
Accepted April 2009

Anorexia nervosa is a serious psychiatric disorder characterized by the inability to maintain normal body weight. The frequently studied polymorphisms in the serotonin 5-HT2A receptor gene (-1438A/G) and in serotonin transporter 5-HTT gene (LPR, VNTR) have led to controversial results in different populations. The aim of the study was to address association of the above-mentioned polymorphisms with anorexia nervosa in the Czech population. We genotyped a well-defined group of 75 patients with anorexia nervosa (average age of 25.39 years, SD 6.18; average BMI 14.65 (SD 1.38)). The control group consisted of 65 Caucasian healthy females (average age 25.76 years, SD 5.12; average BMI 20.69, SD 1.85). The 5-HT2A receptor -1438A/G polymorphism analysis showed a trend for the association with odds ratios for risk allele A being in the same direction. In combination with a previously published Polish cohort, the allelic test reached a suggestive borderline (P = 0.0362, χ2 statistics, 1 df). In meta-analysis which included all published results for allelic tests, the resulting P value was highly significant (0.0003, χ2 statistics, 1 df). Using quantitative association of 5-HTR2A polymorphism with BMI in the Czech sample, a borderline association (P = 0.055) was observed. In 5-HTT, LPR polymorphism analysis, unlike in 5-HT2A, neither allelic nor quantitative association with BMI for the bi-allelic 5-HTT marker was observed. Results of this study support previous reports of a significant role of the A allele (-1438A/G, 5-HT2A receptor) as a risk factor in anorexia nervosa.

Funding

This study was supported by grants GAUK 27/2006 and IGA MZ NS/10045-4. D. K. was supported from the Czech Ministry of Education, research program MSM 0021620849.

References

37 live references