Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences & Yunnan Province, Kunming Institute of Zoology, Kunming, China.
Asia Pac Psychiatry. 2013 Dec;5(4):331-5. doi: 10.1111/appy.12100. Epub 2013 Sep 19.
Estrogen plays essential roles in the regulation of food intake, adiposity, and body weight control. The estrogen alpha receptor, encoded by estrogen receptor 1 gene (ESR1), has been implicated with anorexia nervosa (AN). A previous study indicated that the rs2295193 polymorphism in ESR1 may confer a genetic susceptibility to AN.
In a case-control study, we assessed 195 AN probands and 93 healthy controls; 99 trios were studied in a family-based association analysis through genotyping the rs2295193 polymorphism in ESR1. Additionally, we carried out a meta-analysis of the combined sample groups.
There were no significant differences in the genotype or allele frequencies of the rs2295193 polymorphism between the AN and control groups (Ps > 0.05). In the transmission disequilibrium test (TDT) analyses, there was no evidence for biased transmission of the G allele of rs2295193 polymorphism (P = 0.32). In female-only samples, no significant association was observed between the rs2295193 polymorphism and AN in either case-control or transmission disequilibrium test analyses (Ps > 0.05). The meta-analysis revealed that no excess of transmission of the G allele in AN families (pooled odds ratio = 1.10, P = 0.79).
Meta-analytically combined evidence from the present genotyping and the literature showed that rs2295193 polymorphism in ESR1 is not a major genetic susceptibility factor in AN.
雌激素在调节食物摄入、肥胖和体重控制方面起着至关重要的作用。雌激素受体 1 基因(ESR1)编码的雌激素受体α在神经性厌食症(AN)中起作用。先前的研究表明,ESR1 中的 rs2295193 多态性可能与 AN 具有遗传易感性。
在病例对照研究中,我们评估了 195 名 AN 患者和 93 名健康对照者;通过对 ESR1 中的 rs2295193 多态性进行基因分型,对 99 个三核苷酸进行了基于家族的关联分析。此外,我们对合并样本组进行了荟萃分析。
AN 组和对照组之间 rs2295193 多态性的基因型或等位基因频率无显著差异(P>0.05)。在传递不平衡测试(TDT)分析中,没有证据表明 rs2295193 多态性的 G 等位基因传递存在偏倚(P=0.32)。在仅女性样本中,rs2295193 多态性与 AN 之间在病例对照或传递不平衡测试分析中均无显著关联(P>0.05)。荟萃分析显示,AN 家族中 G 等位基因的传递没有过多(合并优势比=1.10,P=0.79)。
本研究的基因分型和文献的荟萃分析综合证据表明,ESR1 中的 rs2295193 多态性不是 AN 的主要遗传易感性因素。