Anorexia nervosa is a serious earing disorder characterized by extreme
weight loss and abnormalities of the neuroendocrine and immune system
s. To determine the potential role of rumor necrosis factor-alpha (TNF
-alpha), interleukin-6 (IL-6), and transforming growth factor-beta (TG
F-beta) in anorexia nervosa, serum concentrations of these cytokines w
ere measured in patients with anorexia nervosa during starvation and a
fter weight gain. Serum IL-6 and TGF-beta concentrations were both sig
nificantly elevated during starvation and returned to levels comparabl
e to those of normal-weight controls by the end of therapy. In contras
t serum TNF-alpha levels were undetectable in all patients and control
s. Cytokines may play previously unsuspected roles in anorexia nervosa
and its complications.