Anorexia May Have Both Psychiatric, Metabolic Roots

Scientists have identified the first genetic locus for anorexia nervosa and have discovered that the eating disorder may be partially tied to metabolic factors associated with type I diabetes and autoimmune disorders.

A genetic locus refers to the location or “address” on a chromosome whereby a gene for a particular trait is located.

This powerful genetic study was conducted by the Psychiatric Genetics Consortium Eating Disorders Working Group, an international collaboration of researchers at multiple institutions worldwide. It involved a genome-wide analysis of DNA from 3,495 individuals with anorexia nervosa and 10,982 unaffected individuals.

“In the era of team science, we brought over 220 scientists and clinicians together to achieve this large sample size. Without this collaboration we would never have been able to discover that anorexia has both psychiatric and metabolic roots,” said Gerome Breen, Ph.D., of King’s College London.

When certain genetic variations are found to be far more frequent in people with a disorder compared to unaffected people, the variations are said to be “associated” with the disorder. Associated genetic variations can serve as powerful pointers to regions of the human genome where disorder-causing problems reside, according to the National Human Genome Research Institute.

“We identified one genome-wide significant locus for anorexia nervosa on chromosome 12, in a region previously shown to be associated with type I diabetes and autoimmune disorders,” said lead investigator, Cynthia Bulik, Ph.D., FAED, founding director of the University of North Carolina (UNC) Center of Excellence for Eating Disorders and a professor at Karolinska Institutet in Stockholm, Sweden.

“We also calculated genetic correlations — the extent to which various traits and disorders are caused by the same genes,” she said. “Anorexia nervosa was significantly genetically correlated with neuroticism and schizophrenia, supporting the idea that anorexia is indeed a psychiatric illness.”

“But, unexpectedly, we also found strong genetic correlations with various metabolic features including body composition (BMI) and insulin-glucose metabolism. This finding encourages us to look more deeply at how metabolic factors increase the risk for anorexia nervosa.”

The researchers continue to study larger sample sizes and see this as the beginning of a genomic discovery in anorexia nervosa. Viewing anorexia nervosa as both a psychiatric and metabolic condition could ignite interest in developing or repurposing medications for its treatment where currently none exist.

“Working with large data sets allows us to make discoveries that would never be possible in smaller studies,” said Laramie Duncan, PhD, of Stanford University, who served as lead analyst on the project.

Source: University of North Carolina Health Care