A ghrelin gene variant may predict crossover rate from restricting-type anorexia nervosa to other phenotypes of eating disorders: A retrospective survival analysis

Tetsuya Ando, Gen Komaki, Hiroki Nishimura, Tetsuro Naruo, Kenjiro Okabe, Keisuke Kawai, Masato Takii, Takakazu Oka, Naoki Kodama, Chiemi Nakamoto, Toshio Ishikawa, Mari Suzuki-Hotta, Kazunori Minatozaki, Chikara Yamaguchi, Aya Nishizono-Maher, Masaki Kono, Sohei Kajiwara, Hiroyuki Suematsu, Yuichiro Tomita, Shoichi EbanaYuri Okamoto, Katsutaro Nagata, Yoshikatsu Nakai, Masanori Koide, Nobuyuki Kobayashi, Nobuo Kurokawa, Toshihiko Nagata, Nobuo Kiriike, Yoshito Takenaka, Kiyohide Nagamine, Kazuyoshi Ookuma, Shiho Murata

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15 Citations (Scopus)

Abstract

Background: Patients with anorexia nervosa restricting type (AN-R) often develop bulimic symptoms and crossover to AN-binge eating/purging type (AN-BP), or to bulimia nervosa (BN). We have reported earlier that genetic variants of an orexigenic peptide ghrelin are associated with BN. Here, the relationship between a ghrelin gene variant and the rate of change from AN-R to other phenotypes of eating disorders (EDs) was investigated. MethodS: Participants were 165 patients with ED, initially diagnosed as AN-R. The dates of their AN-R onset and changes in diagnosis to other subtypes of ED were investigated retrospectively. Ghrelin gene 3056 T→C SNP (single nucleotide polymorphism) was genotyped. Probability and hazard ratios were analyzed using life table analysis and Cox's proportional hazard regression model, in which the starting point was the time of AN-R onset and the outcome events were the time of (i) onset of binge eating, that is, when patients changed to binge eating AN and BN and (ii) recovery of normal weight, that is, when patients changed to BN or remission. Results: Patients with the TT genotype at 3056 T→C had a higher probability and hazard ratio for recovery of normal weight. The ghrelin SNP was not related with the onset of binge eating. Conclusion: The 3056 T→C SNP of the ghrelin gene is related to the probability and the rate of recovery of normal body weight from restricting-type AN.

Original languageEnglish
Pages (from-to)153-159
Number of pages7
JournalPsychiatric Genetics
Volume20
Issue number4
DOIs
Publication statusPublished - Aug 2010
Externally publishedYes

Keywords

  • Anorexia nervosa
  • bulimia nervosa
  • diagnostic crossover
  • eating disorders
  • genetics
  • ghrelin
  • polymorphism
  • survival analysis

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)
  • Psychiatry and Mental health
  • Biological Psychiatry

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    Ando, T., Komaki, G., Nishimura, H., Naruo, T., Okabe, K., Kawai, K., Takii, M., Oka, T., Kodama, N., Nakamoto, C., Ishikawa, T., Suzuki-Hotta, M., Minatozaki, K., Yamaguchi, C., Nishizono-Maher, A., Kono, M., Kajiwara, S., Suematsu, H., Tomita, Y., ... Murata, S. (2010). A ghrelin gene variant may predict crossover rate from restricting-type anorexia nervosa to other phenotypes of eating disorders: A retrospective survival analysis. Psychiatric Genetics, 20(4), 153-159. https://doi.org/10.1097/YPG.0b013e32833a1f0e