Clinical research

Impulsive trait of patients with different subtypes of anorexia nervosa and its association with 5-hydroxytryptamine transporter gene-linked polymorphic region polymorphism

  • Li MEI ,
  • Jing ZHANG ,
  • Qing KANG ,
  • Cheng LIAN ,
  • Su-fang PENG ,
  • Shun-ying YU ,
  • Jue CHEN
Expand
  • 1.Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
    2.Department of Psychiatry, Shanghai Huangpu Mental Health Center, Shanghai 200023, China
    3.Department of Genetics, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
CHEN Jue, E-mail: chenjue2088@163.com.

Online published: 2021-01-28

Supported by

National Natural Science Foundation of China(81771461);Important Disease Joint Research Project of Xuhui District Health and Family Planning Commission of Shanghai(XHLHGG201808);Shanghai Health System Important Weak Discipline Construction Plan(2019ZB0201);Project of Shanghai Clinical Research Center for Mental Health(19MC1911100)

Abstract

Objective

·To explore the impulsive trait of patients with different subtypes of anorexia nervosa (AN) and its relationship with 5-hydroxytryptamine transporter gene-linked polymorphic region (5-HTTLPR) polymorphism.

Methods

·The patients with AN treated in the Clinical Psychosomatic Ward and Psychological Counseling Clinic of Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine from July 2013 to July 2018 were selected, including 76 patients with restricting type (AN-R group) and 81 patients with binge/pursing type (AN-BP group). The general situations, clinical characteristics and impulsive traits of the two groups were analyzed by General Situation Questionnaire, Eating Disorder Examination Questionnaire 6.0 (EDE-Q 6.0) and Barratt Impulsivity Scale 11th Version (BIS-11), respectively. Quantitative real-time PCR was used to detect the 5-HTTLPR polymorphism of the two groups, and genotyping was performed.

Results

·Compared with AN-R group, the total score of EDE-Q 6.0 and its four subscales, the total score of BIS-11 and its three dimensions in AN-BP group were increased (all P<0.05). However, there was no significant difference in the distribution of 5-HTTLPR genotype and allele frequencies between the two groups. At the same time, there was no significant difference in the total score of BIS-11 and its three dimensions among AN patients with three 5-HTTLPR genotypes (S/S, S/L, L/L).

Conclusion

·AN-BP patients have more obviously impulsive traits than AN-R patients, but there is no correlation between two disease subtypes or impulsive traits and 5-HTTLPT polymorphism.

Cite this article

Li MEI , Jing ZHANG , Qing KANG , Cheng LIAN , Su-fang PENG , Shun-ying YU , Jue CHEN . Impulsive trait of patients with different subtypes of anorexia nervosa and its association with 5-hydroxytryptamine transporter gene-linked polymorphic region polymorphism[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2021 , 41(12) : 1656 -1660 . DOI: 10.3969/j.issn.1674-8115.2021.12.016

References

1 陈珏. 进食障碍[M]. 北京: 人民卫生出版社, 2013: 2.
2 Peat C, Mitchell JE, Hoek HW, et al. Validity and utility of subtyping anorexia nervosa[J]. Int J Eat Disord, 2009, 42(7): 590-594.
3 Steward T, Mestre-Bach G, Vintró-Alcaraz C, et al. Delay discounting of reward and impulsivity in eating disorders: from anorexia nervosa to binge eating disorder[J]. Eur Eat Disord Rev, 2017, 25(6): 601-606.
4 Manchia M, Carpiniello B, Valtorta F, et al. Serotonin dysfunction, aggressive behavior, and mental illness: exploring the link using a dimensional approach[J]. ACS Chem Neurosci, 2017, 8(5): 961-972.
5 Riva G. Neurobiology of anorexia nervosa: serotonin dysfunctions link self-starvation with body image disturbances through an impaired body memory[J]. Front Hum Neurosci, 2016, 10: 600.
6 Murdoch JD, Speed WC, Pakstis AJ, et al. Worldwide population variation and haplotype analysis at the serotonin transporter gene SLC6A4 and implications for association studies[J]. Biol Psychiatry, 2013, 74(12): 879-889.
7 Lesch KP, Bengel D, Heils A, et al. Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region[J]. Science, 1996, 274(5292): 1527-1531.
8 Nomura M, Kaneko M, Okuma Y, et al. Involvement of serotonin transporter gene polymorphisms (5-HTT) in impulsive behavior in the Japanese population[J]. PLoS One, 2015, 10(3): e0119743.
9 Abou Al Hassan S, Cutinha D, Mattar L. The impact of COMT, BDNF and 5-HTT brain-genes on the development of anorexia nervosa: a systematic review[J]. Eat Weight Disord, 2021, 26(5): 1323-1344.
10 古练, 陈珏, 黄悦, 等. 进食障碍检查自评问卷6.0中文版在女性进食障碍患者中应用的效度和信度[J]. 中国心理卫生杂志, 2017, 31(5): 350-355.
11 周亮, 肖水源, 何晓燕, 等. BIS-11中文版的信度与效度检验[J]. 中国临床心理学杂志, 2006, 14(4): 343-344, 342.
12 廖雪梅, 陈超, 张大荣, 等. 神经性厌食不同亚型女性患者的临床特征及影响因素[J]. 中国心理卫生杂志, 2019, 33(7): 514-518.
13 Marzola E, Panero M, Cavallo F, et al. Body shape in inpatients with severe anorexia nervosa[J]. Eur Psychiatry, 2020, 63(1): e2.
14 Lavender JM, Goodman EL, Culbert KM, et al. Facets of impulsivity and compulsivity in women with anorexia nervosa[J]. Eur Eat Disord Rev, 2017, 25(4): 309-313.
15 王钰萍, 刘强, 陈珏, 等. 进食障碍患者核心症状的影响因素[J]. 临床精神医学杂志, 2018, 28(2): 88-92.
16 Tamiya H, Ouchi A, Chen R, et al. Neurocognitive impairments are more severe in the binge-eating/purging anorexia nervosa subtype than in the restricting subtype[J]. Front Psychiatry, 2018, 9: 138.
17 Atiye M, Miettunen J, Raevuori-Helkamaa A. A meta-analysis of temperament in eating disorders[J]. Eur Eat Disord Rev, 2015, 23(2): 89-99.
18 Matsushita S, Suzuki K, Murayama M, et al. Serotonin transporter regulatory region polymorphism is associated with anorexia nervosa[J]. Am J Med Genet B Neuropsychiatr Genet, 2004, 128B(1): 114-117.
19 Chen J, Kang Q, Jiang W, et al. The 5-HTTLPR confers susceptibility to anorexia nervosa in Han Chinese: evidence from a case-control and family-based study[J]. PLoS One, 2015, 10(3): e0119378.
20 Sundaramurthy D, Pieri LF, Gape H, et al. Analysis of the serotonin transporter gene linked polymorphism (5-HTTLPR) in anorexia nervosa[J]. Am J Med Genet, 2000, 96(1): 53-55.
21 Rybakowski F, Slopien A, Dmitrzak-Weglarz M, et al. The 5-HT2A -1438 A/G and 5-HTTLPR polymorphisms and personality dimensions in adolescent anorexia nervosa: association study[J]. Neuropsychobiology, 2006, 53(1): 33-39.
22 Martásková D, Slachtová L, Kemlink D, et al. Polymorphisms in serotonin-related genes in anorexia nervosa. The first study in Czech population and meta-analyses with previously performed studies[J]. Folia Biol (Praha), 2009, 55(5): 192-197.
23 Jiménez-Trevi?o L, Saiz PA, García-Portilla MP, et al. 5-HTTLPR-brain-derived neurotrophic factor (BDNF) gene interactions and early adverse life events effect on impulsivity in suicide attempters[J]. World J Biol Psychiatry, 2019, 20(2): 137-149.
24 陈珏, 禹顺英, 贾秀珍, 等. 神经性厌食患者5-羟色胺2A受体基因多态性与人格特性的关联研究[J]. 中国神经精神疾病杂志, 2012, 38(8): 459-463.
25 Hu XZ, Lipsky RH, Zhu GS, et al. Serotonin transporter promoter gain-of-function genotypes are linked to obsessive-compulsive disorder[J]. Am J Hum Genet, 2006, 78(5): 815-826.
26 Steiger H, Richardson J, Schmitz N, et al. Association of trait-defined, eating-disorder sub-phenotypes with (biallelic and triallelic) 5-HTTLPR variations[J]. J Psychiatr Res, 2009, 43(13): 1086-1094.
Outlines

/