Anorexia nervosa has been particularly linked to a disturbed or altered serotonin
system. Serotonin is a neurotransmitter in the brain that affects how messages
are sent from the brain to the body and may also influence a person feeling's.
High levels of serotonin in areas in the brain with the 5HT1A receptor have
been associated with anxiety and mood control. Starvation might be a natural
body response to reduce tryptophan and steroid hormone metabolism, which might
be in turn responsible for reducing serotonin levels. It is believed that reduced
serotonin levels help in controlling anxiety though it is only a hypothesis.
However, at the 5HT2A receptor the serotonin activity has been found to be reduced.
According to some studies a dysfunction in part of the brain called hypothalamus
may also have a role to play in this disorder. The root cause of anorexia nervosa
has not been established and a clear picture will emerge only when new technologies
enable scientists and doctors to better understand the functioning of different
areas in the human brain.