Allelic variation in the serotonin transporter promoter affects neuromodulatory effects of a selective serotonin transporter reuptake inhibitor (SSRI)

Antidepressant efficacy of selective serotonin reuptake inhibitors (SSRIs) has been shown to depend on functional polymorphisms within the promoter region of the serotonin transporter gene (5-HTTLPR). This gene gives rise to a biallelic polymorphism designated long (l) and short (s). Homozygosity fo...

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Veröffentlicht in:Psychopharmacologia 2003-03, Vol.166 (3), p.294-297
Hauptverfasser: EICHHAMMER, Peter, LANGGUTH, Berthold, WIEGAND, Rainer, KHARRAZ, Alexander, FRICK, Ulrich, HAJAK, Göran
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container_end_page 297
container_issue 3
container_start_page 294
container_title Psychopharmacologia
container_volume 166
creator EICHHAMMER, Peter
LANGGUTH, Berthold
WIEGAND, Rainer
KHARRAZ, Alexander
FRICK, Ulrich
HAJAK, Göran
description Antidepressant efficacy of selective serotonin reuptake inhibitors (SSRIs) has been shown to depend on functional polymorphisms within the promoter region of the serotonin transporter gene (5-HTTLPR). This gene gives rise to a biallelic polymorphism designated long (l) and short (s). Homozygosity for the long variant (ll-genotype) is associated with a two times more efficient 5-HT uptake compared to the s/l- or s/s-genotype. Paired pulse transcranial magnetic stimulation is a feasible tool in detecting changes of motor cortex excitability induced by SSRIs. Our study aimed to measure neuromodulatory effects of SSRIs on cortical excitability in healthy volunteers characterized by distinct genotypes of the 5-HTTLPR. Cortical excitability was determined in eight genetically defined subjects pre- and post-ingestion of 60 mg citalopram. Subjects with the ll-genotype of the 5-HTTLPR showed a significant enhancement of a particular component of motor cortex excitability (intracortical inhibition) as compared to volunteers without the ll-genotype. Distinct neuromodulatory effects after intake of citalopram based on allelic variations of the 5-HTTLPR may explain variable response of patients treated with SSRIs.
doi_str_mv 10.1007/s00213-002-1370-1
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Distinct neuromodulatory effects after intake of citalopram based on allelic variations of the 5-HTTLPR may explain variable response of patients treated with SSRIs.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12563545</pmid><doi>10.1007/s00213-002-1370-1</doi><tpages>4</tpages></addata></record>
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subjects Adult
Alleles
Biological and medical sciences
Carrier Proteins - genetics
Citalopram - blood
Citalopram - pharmacology
Electrophysiology
Genotype
Humans
Magnetic Resonance Imaging
Medical sciences
Membrane Glycoproteins - genetics
Membrane Transport Proteins
Motor Cortex - anatomy & histology
Motor Cortex - drug effects
Nerve Tissue Proteins
Nervous System - drug effects
Neuropharmacology
Pharmacology. Drug treatments
Polymorphism, Genetic - genetics
Promoter Regions, Genetic - genetics
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Reflex, Startle - drug effects
Serotonin Plasma Membrane Transport Proteins
Serotonin Uptake Inhibitors - blood
Serotonin Uptake Inhibitors - pharmacology
title Allelic variation in the serotonin transporter promoter affects neuromodulatory effects of a selective serotonin transporter reuptake inhibitor (SSRI)
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