Cited by 141Eating Disorders and BehaviorsRegulation of Appetite and ObesityHypothalamic control of reproductive hormones

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Autoantibodies against α-MSH, ACTH, and LHRH in anorexia and bulimia nervosa patients

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Fetissov, Sergueï O., Hallman, Jarmila, Oreland, Lars, af Klinteberg, Britt, Grenbäck, Eva, Hulting, Anna-Lena, Hökfelt, Tomas·2002·Proceedings of the National Academy of Sciences

DOI 10.1073/pnas.222658699PMC PMC139285

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Abstract

The hypothalamic arcuate nucleus is involved in the control of energy intake and expenditure and may participate in the pathogenesis of eating disorders such as anorexia nervosa (AN) and bulimia nervosa (BN). Two systems are of particular interest in this respect, synthesizing alpha-melanocyte-stimulating hormone (alpha-MSH) and synthesizing neuropeptide Y, respectively. We report here that 42 of 57 (74%) AN andor BN patients studied had in their plasma Abs that bind to melanotropes andor corticotropes in the rat pituitary. Among these sera, 8 were found to bind selectively to alpha-MSH-positive neurons and their hypothalamic and extrahypothalamic projections as revealed with immunostaining on rat brain sections. Adsorption of these sera with alpha-MSH peptide abolished this immunostaining. In the pituitary, the immunostaining was blocked by adsorption with alpha-MSH or adrenocorticotropic hormone. Additionally, 3 ANBN sera bound to luteinizing hormone-releasing hormone (LHRH)-positive terminals in the rat median eminence, but only 2 of them were adsorbed with LHRH. In the control subjects, 2 of 13 sera (16%) displayed similar to ANBN staining. These data provide evidence that a significant subpopulation of ANBN patients have autoantibodies that bind to alpha-MSH or adrenocorticotropic hormone, a finding pointing also to involvement of the stress axis. It remains to be established whether these Abs interfere with normal signal transduction in the brain melanocortin circuitryLHRH system andor in other central and peripheral sites relevant to food intake regulation, to what extent such effects are related to andor could be involved in the pathophysiology or clinical presentation of ANBN, and to what extent increased stress is an important factor for production of these autoantibodies.

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Authors: Fetissov, S. O., Hallman, J., Oreland, L., af Klinteberg, B., Grenbäck, E., Hulting, A.-L., & Hökfelt, T.
Affiliations: Departments of Neuroscience and Endocrinology, Karolinska Institute, SE-171 77 Stockholm, Sweden; Department of Neuroscience, Biomedical Center, SE-751 24 Uppsala, Sweden; and Department of Psychology, Stockholm University, SE-106 91 Stockholm, Sweden
Uppsala University (SE)
ORCID: Hökfelt, Tomas
Venue: Proceedings of the National Academy of Sciences
Publisher: National Academy of Sciences
Published: 2002-12-16
Volume: 99
Issue: 26
Pages: 17155-17160
ISSN: 0027-8424 (ISSN-L)
1091-6490
DOI: 10.1073/pnas.222658699
PMC: PMC139285
OpenAlex: W2028553430
Cited by: 140
References: 39
Citations by year: 2026: 5 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 10 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 8 · 2013: 5 · 2012: 3
FWCI: 9.28
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Proceedings of the National Academy of Sciences (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
Keywords: autoantibodies, alpha-melanocyte-stimulating hormone, ACTH, gonadotropin-releasing hormone, anorexia nervosa, bulimia nervosa, eating disorders, hypothalamic arcuate nucleus, melanocortin system, neuropeptide Y, stress axis, pituitary gland, median eminence, food intake regulation
MeSH terms: Adolescent, Adrenocorticotropic Hormone, Adult, alpha-MSH, Animals, Anorexia, Autoantibodies, Bulimia, Female, Humans, Immunohistochemistry, Gonadotropin-Releasing Hormone, Male, Rats, Sprague-Dawley, Rats

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Autoantibodies against α-MSH, ACTH, and LHRH in anorexia and bulimia nervosa patients

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