The Neurobiology of Binge-eating Disorder Compared with Obesity: Implications for Differential Therapeutics.

The Neurobiology of Binge-eating Disorder Compared with Obesity: Implications for Differential Therapeutics.
Clin Ther. 2020 Nov 27;:
Authors: Boswell RG, Potenza MN, Grilo CM
Abstract
PURPOSE: Emerging work indicates divergence in the neurobiologies of binge-eating disorder (BED) and obesity despite their frequent co-occurrence. This review highlights specific distinguishing aspects of BED, including elevated impulsivity and compulsivity possibly involving the mesocorticolimbic dopamine system, and discusses implications for differential therapeutics for BED.
METHODS: This narrative review describes epidemiologic, clinical, genetic, and preclinical differences between BED and obesity. Subsequently, this review discusses human neuroimaging work reporting differences in executive functioning, reward processing, and emotion reactivity in BED compared with obesity. Finally, on the basis of the neurobiology of BED, this review identifies existing and new therapeutic agents that may be most promising given their specific targets based on putative mechanisms of action relevant specifically to BED.
FINDINGS: BED is characterized by elevated impulsivity and compulsivity compared with obesity, which is reflected in divergent neurobiological characteristics and effective pharmacotherapies. Therapeutic agents that influence both reward and executive function systems may be especially effective for BED.
IMPLICATIONS: Grea...

Source: Clinical Therapeutics - November 27, 2020 Category: Drugs & Pharmacology Authors: Boswell RG, Potenza MN, Grilo CM Tags: Clin Ther Source Type: research