Skip to main content
Log in

Association of ghrelin receptor gene polymorphism with bulimia nervosa in a Japanese population

  • Published:
Journal of Neural Transmission Aims and scope Submit manuscript

Summary.

Eating disorders (EDs) have a highly heterogeneous etiology and multiple genetic factors might contribute to their pathogenesis. Ghrelin, a novel growth hormone-releasing peptide, enhances appetite and increases food intake, and human ghrelin plasma levels are inversely correlated with body mass index. In the present study, we examined the 171T/C polymorphism of the ghrelin receptor (growth hormone secretagogue receptor, GHSR) gene in patients diagnosed with EDs, because the subjects having ghrelin gene polymorphism (Leu72Met) was not detected in a Japanese population, previously. In addition, β3 adrenergic receptor gene polymorphism (Try64Arg) and cholecystokinin (CCK)-A receptor (R) gene polymorphism (−81A/G, −128G/T), which are both associated with obesity, were investigated. The subjects consisted of 228 Japanese patients with EDs [96 anorexia nervosa (AN), 116 bulimia nervosa (BN) and 16 not otherwise specified (NOS)]. The age- and gender-matched control group consisted of 284 unrelated Japanese subjects. The frequency of the CC type of the GHSR gene was significantly higher in BN subjects than in control subjects (χ2 = 4.47, p = 0.035, odds ratio = 2.05, Bonferroni correction: p = 0.070), while the frequency in AN subjects was not different from that in controls. The distribution of neither β3 adrenergic receptor gene nor CCK-AR polymorphism differed between EDs and control subjects. Therefore, the CC type of GHSR gene polymorphism (171T/C) is a risk factor for BN, but not for AN.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • InstitutionalAuthorNameAmerican Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders EditionNumber4 American Psychiatric Press Washington, DC

    Google Scholar 

  • H Ariyasu K Takay T Tagami Y Ogawa K Hosoda T Akamizu M Suda T Koh K Natsui S Toyooka G Shirakami T Usui A Shimatsu K Doi H Hosoda M Kojima K Kangawa K Nakao (2001) ArticleTitleStomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans J Clin Endocrinol Metab 86 4753–4758 Occurrence Handle11600536 Occurrence Handle1:CAS:528:DC%2BD3MXptVars70%3D Occurrence Handle10.1210/jc.86.10.4753

    Article  PubMed  CAS  Google Scholar 

  • A Asakawa A Inui T Kaga H Yuzuriha T Nagata N Ueno S Makino M Fujimiya A Niijima A Fujino M Kasuga (2001) ArticleTitleGhrelin is an appetite-stimulatory signal from stomach with structural resemblance to motilin Gastroenterology 120 337–345 Occurrence Handle11159873 Occurrence Handle1:CAS:528:DC%2BD3MXhtlKlt7Y%3D Occurrence Handle10.1053/gast.2001.22158

    Article  PubMed  CAS  Google Scholar 

  • A Baessler MJ Hasinoff M Fischer W Reinghard GE Sonnenberg M Olivier J Erdmann H Schunkert A Doering HJ Jacob AG Commuzzie AH Kissebah AE Kwitek (2005) ArticleTitleGenetic linkage and association of the growth hormone secretagogue receptor (ghrelin receptor) gene in human obesity Diabetes 54 259–267 Occurrence Handle15616037 Occurrence Handle1:CAS:528:DC%2BD2MXhtVWis7w%3D

    PubMed  CAS  Google Scholar 

  • A Funakoshi K Miyasaka H Matsumoto S Yamamori S Takiguchi K Kataoka Y Takata K Matsusue A Kono H Shimokata (2000) ArticleTitleGene structure of human cholecystokinin (CCK) type-A receptor: body fat content is related to CCK type-A receptor gene promoter polymorphism FEBS Lett 466 264–266 Occurrence Handle10682840 Occurrence Handle1:CAS:528:DC%2BD3cXhtlCitbw%3D Occurrence Handle10.1016/S0014-5793(00)01080-2

    Article  PubMed  CAS  Google Scholar 

  • DM Garner MP Olmsted Y Bohr PE Garfinkel (1982) ArticleTitleThe eating attitudes test: psychometric features and clinical correlates Psychol Med 12 871–878 Occurrence Handle6961471 Occurrence Handle1:STN:280:DyaL3s7hvVWkug%3D%3D Occurrence Handle10.1017/S0033291700049163

    Article  PubMed  CAS  Google Scholar 

  • A Hinney A Hoch F Geller H Schäfer W Siegfried H Goldschmidt H Remschmidt J Hebebrand (2002) ArticleTitleGhrelin gene: identification of missense variants and a frameshift mutation in extremely obese children and adolescents and healthy normal weight students J Clin Endocrinol Metab 87 2716–2719 Occurrence Handle12050239 Occurrence Handle1:CAS:528:DC%2BD38XkvFaktLs%3D Occurrence Handle10.1210/jc.87.6.2716

    Article  PubMed  CAS  Google Scholar 

  • M Koda F Ando N Niino H Shimokata K Miyasaka A Funakoshi (2004) ArticleTitleAssociation of cholecystokinin 1 receptor and β3-adrenergic receptor polymorphisms with midlife weight gain Obesity Res 8 1212–1216

    Google Scholar 

  • H Koizumi K Hashimoto K Itoh M Nakazato E Himizu S Ohgake K Koike N Okamura S Matsushita K Suzuki M Murayama S Higuchi M Iyo (2004) ArticleTitleAssociation between the brain-derived neurotrophic factor 196GA polymorphism and eating disorders Am J Med Genet 127B 125–127 Occurrence Handle10.1002/ajmg.b.20153 Occurrence Handle15108194

    Article  PubMed  Google Scholar 

  • M Kojima H Hosoda Y Date M Nakazato K Kangawa (1999) ArticleTitleGhrelin is a growth-hormone releasing acylated peptide from stomach Nature 402 656–660 Occurrence Handle10604470 Occurrence Handle1:CAS:528:DC%2BD3cXjs1Ki Occurrence Handle10.1038/45230

    Article  PubMed  CAS  Google Scholar 

  • S Matsushita T Nakamura N Nishiguchi S Higuchi (2002) ArticleTitleAssociation of serotonin transporter regulatory region polymorphism and abnormal eating behaviors Mol Psychiat 7 538–540 Occurrence Handle1:CAS:528:DC%2BD38XlsFWrsbw%3D Occurrence Handle10.1038/sj.mp.4001028

    Article  CAS  Google Scholar 

  • S Matsushita K Suzuki M Murayama N Nishiguchi A Hishimoto A Takeda O Shirakawa S Higuchi (2004) ArticleTitleSerotonin transporter regulatory region polymorphism is associated with anorexia nervosa Am J Med Genet 128B 114–117 Occurrence Handle10.1002/ajmg.b.30022 Occurrence Handle15211642

    Article  PubMed  Google Scholar 

  • K Miyasaka Y Yoshida S Matsushita S Higuchi K Maruyama N Niino F Ando H Shimokata S Ohta A Funakoshi (2004a) ArticleTitleAssociation of cholecystokinin-A receptor gene polymorphism with alcohol dependence in a Japanese population Alco and Alco 39 25–28 Occurrence Handle1:CAS:528:DC%2BD2cXns1Kq

    CAS  Google Scholar 

  • K Miyasaka Y Yoshida S Matsushita S Higuchi O Shirakawa H Shimokata A Funakoshi (2004b) ArticleTitleAssociation of cholecystokinin-A receptor gene polymorphisms and panic disorder in Japanese Am J Med Genet 127B 78–80 Occurrence Handle10.1002/ajmg.b.20160

    Article  Google Scholar 

  • M Nakazato N Murakami Y Date M Kojima H Matsuo K Kangawa S Matsukura (2001) ArticleTitleA role for ghrelin in the central regulation of feeding Nature 409 194–198 Occurrence Handle11196643 Occurrence Handle1:CAS:528:DC%2BD3MXlvFSmsg%3D%3D Occurrence Handle10.1038/35051587

    Article  PubMed  CAS  Google Scholar 

  • N Nishiguchi S Matsushita K Suzuki M Murayama O Shirakawa S Higuchi (2001) ArticleTitleAssociation between 5HT2A receptor gene promoter region polymorphism and eating disorders in Japanese patients Biol Psychiatry 50 123–128 Occurrence Handle11526993 Occurrence Handle1:CAS:528:DC%2BD3MXlslCnsLw%3D Occurrence Handle10.1016/S0006-3223(00)01107-0

    Article  PubMed  CAS  Google Scholar 

  • B Otto U Cuntz E Fruehauf R Wawarta C Folwaczny RL Riepl MI Heiman P Lehnert M Fiochter M Tschöp (2001) ArticleTitleWeight gain decreases elevated plasma ghrelin concentrations of patients with anorexia nervosa Eur J Endocrin 145 R5–R9 Occurrence Handle1:CAS:528:DC%2BD3MXosV2gs74%3D

    CAS  Google Scholar 

  • H Shimokata Y Yamada M Nakagawa R Okubo T Saido A Funakoshi K Miyasaka S Ohta G Tsujimoto M Tanaka F Ando N Niino (2000) ArticleTitleDistribution of geriatric disease-related genotypes in the National Institute for Longevity Sciences, Longitudinal Study of Aging (NILS-LSA) J Epidem 10 IssueID[Suppl] 46–55

    Google Scholar 

  • M Tanaka T Naruo D Yasuhara Y Tatebe N Nagai T Shiiya M Nakazato S Matsukura S Nozoe (2003) ArticleTitleFasting plasma ghrelin levels in subtypes of anorexia nervosa Psychoneuroendocrinol 28 829–835 Occurrence Handle1:CAS:528:DC%2BD3sXlvVSgur4%3D Occurrence Handle10.1016/S0306-4530(02)00066-5

    Article  CAS  Google Scholar 

  • M Tshöp DL Smiley ML Heiman (2000) ArticleTitleGhrelin induces adiposity in rodents Nature 407 908–913 Occurrence Handle10.1038/35038090

    Article  Google Scholar 

  • O Ukkola E Ravussin P Jacobson L Pérusse T Rankinen M Tschöp ML Heiman AS Leon DC Rao JS Skinner JH Wilmore L Sjöström C Bouchard (2002) ArticleTitleRole of ghrelin polymorphisms in obesity based on three different studies Obes Res 10 781–791 Occurrence Handle10.1038/oby.2002.106

    Article  Google Scholar 

  • O Ukkola E Ravussin P Jacobson EE Snyder M Chagnon L Sjöström C Bouchard (2001) ArticleTitleMutations in the preproghrelin/ghrelin gene associated with obesity in humans J Clin Endocrinol Metab 86 3996–3999 Occurrence Handle11502844 Occurrence Handle1:CAS:528:DC%2BD3MXlvFers7g%3D Occurrence Handle10.1210/jc.86.8.3996

    Article  PubMed  CAS  Google Scholar 

  • T Umekawa T Yoshida N Sakane A Kogure M Kondo H Honjo (1999) ArticleTitleTrp64Arg mutation of β3-adrenoceptor gene deteriorates lipolysis induced by β3-adrenoceptor agonist in human omental adipocytes Diabetes 48 117–120 Occurrence Handle9892231 Occurrence Handle1:CAS:528:DyaK1MXhvFSjsA%3D%3D

    PubMed  CAS  Google Scholar 

  • HJ Wang F Geller A Demplle N Achäuble S Friedel P Lichtner F Fontenla-Horro S Wudy S Hagemann L Gortner K Huse H Remschmidt T Bettechken T Meitinger H Schäfer J Hebebrand A Hinney (2004) ArticleTitleGhrelin receptor gene: identification of several sequence variants in extremely obese children and adolescents, healthy normal-weight and underweight students, and children with short normal stature J Clin Endocrinol Metab 80 157–162 Occurrence Handle10.1210/jc.2003-031395 Occurrence Handle1:CAS:528:DC%2BD2cXmvFeqsw%3D%3D

    Article  CAS  Google Scholar 

  • AM Wren LJ Seal MA Cohen AE Brynes GS Frost KG Murphy WS Dhillo MA Ghatei SR Bloom (2001) ArticleTitleGhrelin enhances appetite and increases food intake in humans J Clin Endocrinol Metab 86 5992–5995 Occurrence Handle11739476 Occurrence Handle1:CAS:528:DC%2BD3MXptVyksLg%3D Occurrence Handle10.1210/jc.86.12.5992

    Article  PubMed  CAS  Google Scholar 

  • AM Wren CJ Small HL Ward KG Murphy CL Dakin S Taheri AR Kennedy GH Robers DG Morgan MA Ghatai SR Bloom (2000) ArticleTitleThe novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion Endocrinology 141 4325–4328 Occurrence Handle11089570 Occurrence Handle1:CAS:528:DC%2BD3cXnslKgsLw%3D Occurrence Handle10.1210/en.141.11.4325

    Article  PubMed  CAS  Google Scholar 

  • T Yoshida N Sakane T Umekawa M Sakai T Takahashi M Kondo (1995) ArticleTitleMutation of β3-adrenergic-receptor gene and response to treatment of obesity The Lancet 346 1433–1434 Occurrence Handle1:STN:280:DyaK28%2FnsFCktQ%3D%3D Occurrence Handle10.1016/S0140-6736(95)92452-3

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miyasaka, K., Hosoya, H., Sekime, A. et al. Association of ghrelin receptor gene polymorphism with bulimia nervosa in a Japanese population. J Neural Transm 113, 1279–1285 (2006). https://doi.org/10.1007/s00702-005-0393-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00702-005-0393-2

Navigation