Pharmacogenetic Analysis of Genes Implicated in Rodent Models of Antidepressant Response: Association of TREK1 and Treatment Resistance in the STARD Study

Recent rodent models of antidepressant response implicate a novel set of genes in mechanisms of antidepressant action. The authors examined variants in four such genes ( KCNK2 ( TREK1 ), SLC18A2 ( VMAT2 ), S100A10 , and HDAC5 ) for association with remission in a large effectiveness trial of antidep...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 2008-11, Vol.33 (12), p.2810-2819
Hauptverfasser: Perlis, Roy H, Moorjani, Priya, Fagerness, Jesen, Purcell, Shaun, Trivedi, Madhukar H, Fava, Maurizio, Rush, A John, Smoller, Jordan W
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container_title Neuropsychopharmacology (New York, N.Y.)
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creator Perlis, Roy H
Moorjani, Priya
Fagerness, Jesen
Purcell, Shaun
Trivedi, Madhukar H
Fava, Maurizio
Rush, A John
Smoller, Jordan W
description Recent rodent models of antidepressant response implicate a novel set of genes in mechanisms of antidepressant action. The authors examined variants in four such genes ( KCNK2 ( TREK1 ), SLC18A2 ( VMAT2 ), S100A10 , and HDAC5 ) for association with remission in a large effectiveness trial of antidepressant treatments. Subjects were drawn from the Sequenced Treatment Alternatives to Relieve Depression (STAR * D) study, a multicenter, prospective, effectiveness trial in major depressive disorder (MDD). Outpatients with nonpsychotic MDD were initially treated with citalopram for up to 14 weeks; those who did not remit with citalopram were sequentially randomized to a series of next-step treatments, each for up to 12 weeks. Single-nucleotide polymorphisms in four genes were examined for association with remission, defined as a clinician-rated Quick Inventory of Depressive Symptomatology (QIDS-C 16 ) score ⩽5. Of 1554 participants for whom DNA was available, 565 (36%) reached remission with citalopram treatment. No association with any of the four genes was identified. However, among the 751 who entered next-step treatment, variants in KCNK2 were associated with treatment response (Bonferroni-corrected, gene-based empirical p
doi_str_mv 10.1038/npp.2008.6
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subjects Antidepressants
Behavioral Sciences
Biological Psychology
Brain research
Genes
Medicine
Medicine & Public Health
Mental depression
Neurosciences
original-article
Pharmacotherapy
Psychiatry
title Pharmacogenetic Analysis of Genes Implicated in Rodent Models of Antidepressant Response: Association of TREK1 and Treatment Resistance in the STARD Study
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