Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México, México.
División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco, México.
Brain Behav. 2019 Jul;9(7):e01286. doi: 10.1002/brb3.1286. Epub 2019 Jun 14.
The 5-HTR2A gene has been implicated as candidate gene for eating disorders. The aim of the present study was to analyze the association of rs6311 and rs6313 polymorphisms of 5-HTR2A gene with eating disorders in Mexican population, and to evaluate if the polymorphisms of 5-HTR2A gene were associated with comorbidities in eating behavior.
We conducted a case-control analysis with 460 subjects. We included 168 patients with eating disorders and 292 controls; two polymorphisms of 5-HTR2A gene were genotyped. We assessed the association by allele, genotype, and inheritance models. Psychiatric comorbidities were analyzed by genotype in patients with eating disorders.
We found an association between rs6311 and eating disorders in a Mexican population by allele (OR = 8.09; 95% CI = 5.99-11.03; p = 2.2e-16) and genotype (OR = 76.14; 95% CI = 35.61-177.18; p = 2.2e-16). Individuals who carried GG genotype showed increased risk for suicide attempted (OR = 2.14; CI = 1.10-4.26; p = 0.035) as comorbidity associated with eating disorders. No positive associations were observed for rs6313 polymorphism.
Our results showed an association of rs6311 (A1438G) polymorphism of 5-HTR2A gene with eating disorders, and these polymorphic variants could increase the risk of psychiatric comorbidities. However, more studies are required to replicate the results and to reach to a conclusive association between eating disorders and rs6311.
5-HTR2A 基因已被认为是进食障碍的候选基因。本研究旨在分析 5-HTR2A 基因 rs6311 和 rs6313 多态性与墨西哥人群进食障碍的关联,并评估 5-HTR2A 基因多态性是否与进食行为的共病有关。
我们进行了一项病例对照分析,共纳入 460 名受试者。其中包括 168 名进食障碍患者和 292 名对照者;我们对 5-HTR2A 基因的两个多态性进行了基因分型。我们通过等位基因、基因型和遗传模型评估了相关性。在进食障碍患者中,我们通过基因型评估了精神共病情况。
我们发现 rs6311 与墨西哥人群的进食障碍存在关联,表现为等位基因(OR=8.09;95%CI=5.99-11.03;p=2.2e-16)和基因型(OR=76.14;95%CI=35.61-177.18;p=2.2e-16)。携带 GG 基因型的个体自杀未遂的风险增加(OR=2.14;CI=1.10-4.26;p=0.035),这是与进食障碍相关的共病。rs6313 多态性未观察到阳性关联。
我们的结果显示,5-HTR2A 基因 rs6311(A1438G)多态性与进食障碍相关,这些多态性变异可能增加精神共病的风险。然而,需要更多的研究来复制这些结果,并得出进食障碍与 rs6311 之间存在关联的结论。