Several lines of evidence support a role for brain-derived neurotrophic factor (BDNF) alterations in the etiology of eating disorders (EDs). BDNF heterozygous knockout mice show alterations in eating behavior, increased body weight and adipocyte hypertrophy. BDNF also regulates the synaptic efficiency through the modulation of key neurotransmitter systems previously known to be involved in ED. These findings, together with the fact that this neurotrophin is expressed in the hypothalamus nuclei associated with weight regulation and feeding control, led us to propose BDNF as a candidate gene for ED. To investigate the possible involvement of this neurotrophin in eating behavior, we screened the BDNF gene in 95 ED patients and identified four sequence variants. Two of them, À374A/T and À256G/A, were found in two patients with anorexia nervosa (AN) and consisted of single-nucleotide mutations within the 5 0 untranslated region (5 0 UTR). The other two polymorphisms resulted in a C to T transition located at the 5 0 UTR of the BDNF gene and an amino-acid substitution within the BDNF precursor protein (Val66Met). We performed a case-control study for these two Single-nucleotide polymorphisms in a sample of 143 ED patients and 112 unrelated controls and found a strong association of restricting AN (ANR) with the Met allele of the Val66Met BDNF polymorphism (2p ¼ 0.002). There was also evidence for a significant effect of this sequence variant on the minimum body mass index (MBMI) (2p ¼ 0.006). These results suggest that the BDNF Met66 variant may be a susceptibility factor to ED, mainly to ANR and low MBMI. Keywords: anorexia; bulimia; brain-derived neurotrophic factor; BDNF; single-nucleotide polymorphism Eating disorders (EDs) are complex and multifactorial, with the involvement of both psychosocial and biological factors. 1-6 A genetic contribution in ED is widely accepted 6-9 and genes involved in eating behavior, weight regulation, satiety and metabolism, as well as those under hormonal control are considered candidate genes for their role in anorexia nervosa (AN) and bulimia nervosa (BN). Among these candidates, we propose brain-derived neurotrophic factor (BDNF), which encodes for a neurotrophic factor with an essential role in neuronal survival and differentiation, and is also involved in synaptic efficiency and neuronal plasticity. 10-13 BDNF maps to 11p13-p14 14 and, although the structure of the coding exon is well known, 15 the genomic organization of the 5 0 noncoding exons has not been described.Several lines of evidence indicate a role of this neurotrophin in eating behavior and suggest that alterations in its function or expression pattern could be considered susceptibility factors to ED. To test this hypothesis we have characterized the genomic structure of the human BDNF gene. BDNF is composed of, at least, four 5 0 nontranslated exons and a single 3 0 coding exon (exon 5; Figure 1b). Since mRNA transcripts were different at their 5 0 ends, we determined the existence of four 5 0 untranslated exons th...