Genetic Explanation of Anorexia Nervosa

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  • Created by: Rachie S
  • Created on: 07-02-17 15:19
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  • Genes Explaining Anorexia
    • Epoxide Hydrolase 2 (EPHX2)
      • EPHX2 produces an enzyme that metabolises cholesterol
        • Anorexics seem to have higher cholesterol levels than expected considering they are malnourished
        • The disorder may be caused by disruption in how the body processes cholesterol
          • Could affect mood and eating behaviour
      • Comparisons of women with and without anorexia showed significant difference in EPHX2
        • The disorder may be caused by disruption in how the body processes cholesterol
          • Could affect mood and eating behaviour
    • There is a genetic underpinning to anorexia on chromosome 1
      • Suggesting there is some genetic susceptibilities
    • Research into the genetic explanation involve twin studies
      • Concordance rates in MZ and DZ twins are compared
        • A higher concordance rate in MZ twins would suggest genetic links
        • DZ- dizygotic (non identical)
        • MZ- monozygotic (identical)
    • There is not one gene responsible for anorexia, but a number of genes and genetic markers
    • First degree relatives of young women with anorexia nervosa
      • Are over ten times more likely than average to have the disorder themselves
    • Some key features are heritable- transmissible from parent to offspring
      • A preoccupation with weight
      • Binge eating
      • A strong desire to be thin
      • Dissatisfaction with one's body
    • Grice et al 2002
      • Initial findings did not show any significant genetic evidence until they focused on a subgroup of 37 families where at least 2 relatives had been diagnosed with anorexia
        • In this sample there was strong evidence for a susceptibility on chromosome 1
          • Similar markers were found in afflicted pairs
      • Followed 192 families where 1 member had been diagnosed with anorexia and at least 1 other member had received an eating disorder diagnosis
    • Scott-Van Zeeland et al 2013
      • Found a specific genetic link when comparing 152 different genes in a sample of women with & a group without anorexia
      • There were significant differences in and around the EPHX2 gene
        • The gene produces the enzyme which metabolises cholesterol
        • The disruption to cholesterol processing could affect mood and eating behaviours

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