Gallinat J, Müller D J, Bierbrauer J, Rommelspacher H, Juckel G, Wernicke C
Clinic for Psychiatry and Psychotherapy, Charité Medicine Berlin, Campus Charité Mitte, Berlin, Germany.
Pharmacopsychiatry. 2007 Sep;40(5):191-5. doi: 10.1055/s-2007-984464.
Genetic variations of the serotonin transporter-linked polymorphic region (5-HTTLPR) have been implicated in the pathogenesis of several psychiatric disorders. Recent evidence indicates that the biallelic polymorphic region (S and L allele) contains additional variations affecting the mRNA expression.
According to recent preclinical and clinical studies, the loudness dependence of auditory evoked potentials (LD) was investigated as surrogate parameter for the central serotonergic activity in 185 healthy subjects subdivided according to newly identified 5-HTTLPR genotypes.
Individuals homozygous for the L (A) allele showed the lowest LD of all genotypes suggesting a high serotonergic neurotransmission. The other observed genotypes (L (A)/L (G), S/L (A), S/L (G), S/S) had an LD which was similar to each other but higher compared to the L (A)/L (A) genotype.
The data provide a rationale to subdivide the L allele of the 5-HTTLPR into L (A) and L (G) alleles in terms of their serotonin activity as indicated by the LD. The present IN VIVO measurements provide a basis for grouping the L (G) and S alleles for further investigations.
血清素转运体相关多态性区域(5-HTTLPR)的基因变异与多种精神疾病的发病机制有关。最近的证据表明,双等位基因多态性区域(S和L等位基因)包含影响mRNA表达的其他变异。
根据最近的临床前和临床研究,对185名健康受试者的听觉诱发电位响度依赖性(LD)进行了研究,这些受试者根据新确定的5-HTTLPR基因型进行了细分,以此作为中枢血清素能活性的替代参数。
L(A)等位基因纯合个体在所有基因型中表现出最低的LD,表明血清素能神经传递较高。其他观察到的基因型(L(A)/L(G)、S/L(A)、S/L(G)、S/S)的LD彼此相似,但与L(A)/L(A)基因型相比更高。
数据为根据LD所表明的血清素活性将5-HTTLPR的L等位基因细分为L(A)和L(G)等位基因提供了理论依据。目前的体内测量为将L(G)和S等位基因分组进行进一步研究提供了基础。