Chen Lina, Lawlor Debbie A, Lewis Sarah J, Yuan Wei, Abdollahi Mohammad R, Timpson Nicholas J, Day Ian N M, Ebrahim Shah, Smith George Davey, Shugart Yin Y
Department of Social Medicine, University of Bristol, Bristol, United Kingdom.
Am J Med Genet B Neuropsychiatr Genet. 2008 Sep 5;147B(6):814-21. doi: 10.1002/ajmg.b.30686.
Depression is common and a major cause of morbidity and mortality and is also known to have serious effects on quality of life. Both clinical and pharmacologic studies have implicated the role of brain-derived neurotrophic factor (BDNF) as a susceptibility locus for the development of mental illness, including depression, bipolar disorder, and schizophrenia. Population-based genetic studies have examined the association between BDNF and a variety of depression outcomes, but the results have not clearly established the role of BDNF in the development of this complex disorder. The aim of this study was to test for associations between two genetic variants in BDNF, Val66Met (rs6265) and -270 C > T, and depression measured in two independent samples. In this analysis we included 3,548 participants from British Women's Heart and Health Study (BWHHS) and 6,836 mothers from Avon Longitudinal Study of Parents and Children (ALSPAC) who had complete data on genotype and depression outcomes. We did not detect any strong evidence of associations between any of the two polymorphisms and indicators of depression in either BWHHS or ALSPAC samples. Further, we carried out a systematic review and meta-analysis of all association studies of these two BDNF polymorphisms and depression. The meta-analysis of Val66Met in depression obtained an overall summary OR of 1.06 (95% CI: 0.89-1.26, P = 0.537) comparing MM with VV genotypes and an OR of 0.97 (95% CI: 0.89-1.05, P = 0.403) comparing MV with VV genotypes. Our findings suggest that BDNF genotype does not exert a major influence on the development of depression.
抑郁症很常见,是发病和死亡的主要原因,而且已知对生活质量有严重影响。临床和药理学研究均表明,脑源性神经营养因子(BDNF)在包括抑郁症、双相情感障碍和精神分裂症在内的精神疾病发生中扮演易感性位点的角色。基于人群的基因研究已考察了BDNF与多种抑郁结局之间的关联,但结果尚未明确证实BDNF在这种复杂疾病发生中的作用。本研究的目的是检测BDNF的两个基因变异Val66Met(rs6265)和 -270 C>T与在两个独立样本中测量的抑郁症之间的关联。在该分析中,我们纳入了来自英国女性心脏与健康研究(BWHHS)的3548名参与者以及来自埃文亲子纵向研究(ALSPAC)的6836名母亲,他们拥有关于基因型和抑郁结局的完整数据。在BWHHS或ALSPAC样本中,我们未检测到任何一个多态性与抑郁指标之间存在关联的有力证据。此外,我们对这两个BDNF多态性与抑郁症的所有关联研究进行了系统评价和荟萃分析。抑郁症中Val66Met的荟萃分析得出,MM与VV基因型比较的总体汇总OR为1.06(95%CI:0.89 - 1.26,P = 0.537),MV与VV基因型比较的OR为0.97(95%CI:0.89 - 1.05,P = 0.403)。我们的研究结果表明,BDNF基因型对抑郁症的发生没有重大影响。