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Anorexia and Undereating

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Animal Models of Eating Disorders

Part of the book series: Neuromethods ((NM,volume 161))

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Abstract

Anorexia nervosa is a severe psychiatric disorder characterized by food restriction and high mortality rate. Research has identified consistently changes in brain monoamine neurotransmitter systems, some of which persist after recovery. There is also a host of neuroendocrine alterations during the course of illness, and it has been hypothesized that state-related changes in stress, gut, and sex hormone expression may contribute to the pathophysiology of anorexia nervosa. Recent human brain imaging research on the reward circuitry has helped us to better understand this illness. Those studies provide empiric evidence to develop models that center around the role of dopamine during development and maintenance of anorexia nervosa and integrate the neuroendocrine system and its interaction with reward processing. Those new models together with advanced basic science research provide hope that we will find treatments that can target directly the disease mechanism of anorexia nervosa and treat the disorder more effectively.

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References

  1. American Psychiatric Association (2013) Desk reference to the diagnostic criteria from DSM-5. American Psychiatric Publishing, Washington, DC

    Google Scholar 

  2. Arcelus J, Mitchell AJ, Wales J, Nielsen S (2011) Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry 68(7):724–731

    Article  Google Scholar 

  3. Bulik CM (2005) Exploring the gene-environment nexus in eating disorders. J Psychiatry Neurosci 30(5):335–339

    PubMed  PubMed Central  Google Scholar 

  4. Kaye WH, Frank GK, Bailer UF, Henry SE (2005) Neurobiology of anorexia nervosa: clinical implications of alterations of the function of serotonin and other neuronal systems. Int J Eat Disord 37(Suppl):S15–S19; discussion S20-S21

    Article  Google Scholar 

  5. Frank GK (2015) Advances from neuroimaging studies in eating disorders. CNS Spectr 23:1–10

    Google Scholar 

  6. Frank GK (2016) The perfect storm – a bio-psycho-social risk model for developing and maintaining eating disorders. Front Behav Neurosci 10:44

    Article  Google Scholar 

  7. Lee MC, Schiffman SS, Pappas TN (1994) Role of neuropeptides in the regulation of feeding behavior: a review of cholecystokinin, bombesin, neuropeptide Y, and galanin. Neurosci Biobehav Rev 18(3):313–323

    Article  CAS  Google Scholar 

  8. Stockhorst U, Antov MI (2015) Modulation of fear extinction by stress, stress hormones and estradiol: a review. Front Behav Neurosci 9:359

    PubMed  Google Scholar 

  9. Monteleone P, Maj M (2013) Dysfunctions of leptin, ghrelin, BDNF and endocannabinoids in eating disorders: beyond the homeostatic control of food intake. Psychoneuroendocrinology 38(3):312–330

    Article  CAS  Google Scholar 

  10. Monteleone AM et al (2018) Neuroendocrinology and brain imaging of reward in eating disorders: a possible key to the treatment of anorexia nervosa and bulimia nervosa. Prog Neuropsychopharmacol Biol Psychiatry 80(Pt B):132–142

    Article  CAS  Google Scholar 

  11. Dalton B et al (2019) Systematic review of in vitro cytokine production in eating disorders. Mol Cell Endocrinol 497:110308

    Article  CAS  Google Scholar 

  12. Frank GK (2015) Advances from neuroimaging studies in eating disorders. CNS Spectr 20(4):391–400

    Article  Google Scholar 

  13. Garcia-Garcia I et al (2013) Neural responses to visual food cues: insights from functional magnetic resonance imaging. Eur Eat Disord Rev 21(2):89–98

    Article  CAS  Google Scholar 

  14. Kaye WH et al (2013) Does a shared neurobiology for foods and drugs of abuse contribute to extremes of food ingestion in anorexia and bulimia nervosa? Biol Psychiatry 73(9):836–842

    Article  Google Scholar 

  15. Oinio V et al (2017) Dopaminergic modulation of reward-guided decision making in alcohol-preferring AA rats. Behav Brain Res 326:87–95

    Article  CAS  Google Scholar 

  16. Kelley AE (2004) Ventral striatal control of appetitive motivation: role in ingestive behavior and reward-related learning. Neurosci Biobehav Rev 27(8):765–776

    Article  Google Scholar 

  17. O'Doherty JP, Dayan P, Friston K, Critchley H, Dolan RJ (2003) Temporal difference models and reward-related learning in the human brain. Neuron 38(2):329–337

    Article  CAS  Google Scholar 

  18. Frank GK et al (2012) Anorexia nervosa and obesity are associated with opposite brain reward response. Neuropsychopharmacology 37(9):2031–2046

    Article  CAS  Google Scholar 

  19. DeGuzman M, Shott ME, Yang TT, Riederer J, Frank GKW (2017) Association of elevated reward prediction error response with weight gain in adolescent anorexia nervosa. Am J Psychiatry 174(6):557–565

    Article  Google Scholar 

  20. Frank GKW et al (2018) Association of brain reward learning response with harm avoidance, weight gain, and hypothalamic effective connectivity in adolescent anorexia nervosa. JAMA Psychiat 75(10):1071–1080

    Article  Google Scholar 

  21. Izquierdo A, Brigman JL, Radke AK, Rudebeck PH, Holmes A (2017) The neural basis of reversal learning: an updated perspective. Neuroscience 345:12–26

    Article  CAS  Google Scholar 

  22. Foerde K, Steinglass JE (2017) Decreased feedback learning in anorexia nervosa persists after weight restoration. Int J Eat Disord 50(4):415–423

    Article  Google Scholar 

  23. Allen PJ, Jimerson DC, Kanarek RB, Kocsis B (2017) Impaired reversal learning in an animal model of anorexia nervosa. Physiol Behav 179:313–318

    Article  CAS  Google Scholar 

  24. Frank GK (2014) Could dopamine agonists aid in drug development for anorexia nervosa? Front Nutr 1:19

    Article  Google Scholar 

  25. Frank GK et al (2017) The partial dopamine D2 receptor agonist aripiprazole is associated with weight gain in adolescent anorexia nervosa. Int J Eat Disord 50(4):447–450

    Article  Google Scholar 

  26. Frank GKW, DeGuzman MC, Shott ME (2019) Motivation to eat and not to eat - the psycho-biological conflict in anorexia nervosa. Physiol Behav 206:185–190

    Article  CAS  Google Scholar 

  27. Welch AC, Katzka WR, Dulawa SC (2018) Assessing activity-based anorexia in mice. J Vis Exp 14(135)

    Google Scholar 

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Correspondence to Guido K. W. Frank .

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Frank, G.K.W. (2021). Anorexia and Undereating. In: Avena, N.M. (eds) Animal Models of Eating Disorders. Neuromethods, vol 161. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0924-8_14

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  • DOI: https://doi.org/10.1007/978-1-0716-0924-8_14

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  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-0716-0923-1

  • Online ISBN: 978-1-0716-0924-8

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