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Original Article
Neuropsychopharmacology (2002) 26 789-793.10.1038/S0893-133X(01)00417-1

Association between a Polymorphism of the 5-HT2C Receptor and Weight Loss in Teenage Girls

Lars Westberg1 BSc, Jessica Bah1 BSc, Maria Råstam2 MD, Ph.D, Christopher Gillberg2 MD, Ph.D, Elisabet Wentz2 MD, Ph.D, Jonas Melke MSc1, Monika Hellstrand1 BSc and Elias Eriksson1 Ph.D
1Departments of Pharmacology, Go¨teborg University, Go¨teborg, Sweden
2Child and Adolescent Psychiatry, Go¨teborg University, Go¨teborg, Sweden

Correspondence: Dr Lars Westberg, Department of Pharmacology, Göteborg University, P.O.B. 431, SE 405 30 Göteborg, Sweden, Tel.: +46-31-773 3413, fax: +46-31-821085, E-mail: lars.westberg@pharm.gu.se

ABSTRACT

Receptors of the 5-HT2C subtype are assumed to be involved in the influence of serotonin on food intake. A polymorphism in the coding region of the gene for this receptor, resulting in a cysteine to serine substitution, has been reported. Fifty-seven somatically healthy teenage girls displaying weight loss and 91 normal-weight girls of the same age, all recruited by means of a population-based screening study, were compared with respect to this polymorphism. Subjects in the weight loss group displayed a higher frequency of the serine allele than those in the comparison group (23.7% vs. 7.7%, p = .0001). Seventy-two percent of the weight loss girls fulfilled the diagnostic criteria of anorexia nervosa, whereas 28% did not; when these two groups were separately analyzed, both differed significantly from controls with respect to serine allele frequency. The results support the notion that the studied gene may be involved in the regulation of food intake in young women.

Keywords: Anorexia nervosa; Eating disorder; Serotonin; 5-HT2C receptor; Genetics; Polymorphism
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