Ignore the role of environmental factors in causing anorexia, the environment must play a role because the concordance rates for MZ twins were not 100%
If genes can explain anorexia, it may be something about the disorder itself that is similar or the same between relatives rather than other features such as depression
Grice et al followed 192 families where one member had received a diagnosis, and found a genetic link on chromosome 1 in multiple family members, with first degree relatives being 7 times more likely to have an eating disorder
The EPHX2 gene codes for an enzyme which regulates cholesterol metabolism, serotonin levels, and parts of the brain for eating such as the hypothalamus and amygdala
The ITPR3 gene codes for a protein involved in detecting the taste of food such as bitterness and sweetness, and if faulty could mean they are unable to use food as a motivator to eat
The individual may inherit a vulnerability to the disorder (e.g. through particular genes) but the development of the disorder is due to psycho-social stressors