Lee H-J, Cha J-H, Ham B-J, Han C-S, Kim Y-K, Lee S-H, Ryu S-H, Kang R-H, Choi M-J, Lee M-S
Department of Psychiatry, Korea University College of Medicine, Seoul, Korea.
Pharmacogenomics J. 2004;4(1):29-33. doi: 10.1038/sj.tpj.6500217.
The genes involved in signal transduction are major candidates in association studies on affective disorders and responses to antidepressants. We investigated whether the C825T polymorphism of the beta3 subunit of G protein (GNB3) gene is associated with the symptom severity or treatment response of major depressive disorders (MDDs) in a Korean sample of 106 MDD patients; our study also included 133 healthy controls. Hypertensive subjects were excluded from the study because association between GNB3 variants and hypertension has been reported in previous studies. We found significantly more carriers of the 825T allele in MDD patients than in normal controls (chi(2)=6.37, P=0.012; OR=2.19, 95% CI 1.18-4.05). The T-allele carriers showed higher scores than those with the CC genotype in the baseline total and in some subcategories of the Hamilton Depression Rating Scale (P<0.05). We also found a statistically significant association between T-allele carriers and antidepressant treatment response (P<0.05). These results suggest that the T allele of the C825T polymorphism in the GNB3 gene is associated with MDD. It was also demonstrated that MDD patients bearing the T allele had a severe symptomatology and a better response to antidepressant treatment than patients without the T allele.
参与信号转导的基因是情感障碍及对抗抑郁药反应相关研究中的主要候选基因。我们在106名韩国重度抑郁症(MDD)患者样本中,研究了G蛋白β3亚基(GNB3)基因的C825T多态性是否与重度抑郁症的症状严重程度或治疗反应相关;我们的研究还纳入了133名健康对照。由于先前研究已报道GNB3变体与高血压之间存在关联,因此高血压受试者被排除在研究之外。我们发现,MDD患者中825T等位基因携带者显著多于正常对照(χ² = 6.37,P = 0.012;OR = 2.19,95% CI 1.18 - 4.05)。在汉密尔顿抑郁量表的基线总分及某些子类别中,T等位基因携带者的得分高于CC基因型者(P < 0.05)。我们还发现T等位基因携带者与抗抑郁药治疗反应之间存在统计学显著关联(P < 0.05)。这些结果表明,GNB3基因C825T多态性的T等位基因与MDD相关。研究还表明,携带T等位基因的MDD患者比未携带T等位基因的患者症状更严重,对抗抑郁药治疗的反应更好。