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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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The 5-HTTLPR polymorphism and eating disorders: a meta-analysis.

Raffaella Calati1, Diana De Ronchi, Maurizio Bellini

  • 1Institute of Psychiatry, University of Bologna, Italy.

The International Journal of Eating Disorders
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PubMed
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Carrying the serotonin transporter gene 5-HTTLPR S allele is linked to a higher risk of eating disorders, particularly anorexia nervosa. Further research on specific endophenotypes is recommended.

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Area of Science:

  • Genetics
  • Psychiatry
  • Molecular Biology

Background:

  • Eating disorders are complex conditions influenced by genetic and environmental factors.
  • The serotonin transporter gene polymorphism, 5-HTTLPR, is a candidate gene implicated in eating disorder susceptibility.
  • Previous research suggests a link between 5-HTTLPR and specific eating disorders like anorexia nervosa and bulimia nervosa.

Purpose of the Study:

  • To conduct a meta-analysis investigating the association between the 5-HTTLPR polymorphism and eating disorders overall (anorexia, bulimia, binge eating disorder).
  • To expand upon existing findings regarding the 5-HTTLPR and anorexia nervosa-bulimia nervosa association.
  • To assess the overall genetic contribution of 5-HTTLPR to the risk of developing eating disorders.

Main Methods:

  • A systematic literature search was performed across PubMed, ISI, and PsycINFO databases up to October 2009.
  • Fifteen relevant studies were included in the meta-analysis.
  • Study quality and publication bias were rigorously assessed using standard methodologies.

Main Results:

  • A significant association was identified between the 5-HTTLPR S allele and an increased risk of eating disorders.
  • This association was particularly pronounced for anorexia nervosa.
  • The S allele appears to be a contributing genetic factor for developing eating disorders.

Conclusions:

  • Carriage of the 5-HTTLPR S allele may represent a risk factor for eating disorders, especially anorexia nervosa.
  • High heterogeneity was observed across studies, suggesting the need for caution in interpretation.
  • Future research should focus on more homogeneous endophenotypes to clarify the precise role of 5-HTTLPR in eating disorders.