Scherk Harald, Gruber Oliver, Menzel Patrick, Schneider-Axmann Thomas, Kemmer Claudia, Usher Juliana, Reith Wolfgang, Meyer Jobst, Falkai Peter
AMEOS Klinikum Osnabrück, Knollstr. 31, 49088, Osnabrück, Germany.
Eur Arch Psychiatry Clin Neurosci. 2009 Jun;259(4):212-7. doi: 10.1007/s00406-008-0853-4. Epub 2009 Feb 17.
Functional imaging studies in healthy individuals revealed an association between 5-HTTLPR genotype and neuronal activity in the amygdala. The aim of this study was firstly to investigate a possible overall impact of the 5-HTTLPR on amygdala volume in patients with bipolar disorder and healthy individuals and secondly to test a diagnosis specific influence of the 5-HTTLPR on amygdala volume.
We performed a region of interest analysis of amygdala volume in 37 patients with bipolar I disorder and 37 healthy control subjects. The 5-HTTLPR genotype of each proband was determined and the subjects were separated according to 5-HTTLPR genotype and for statistical analyses the groups SS and SL were combined and compared with the group LL.
This study shows that carriers of the short allele (SL or SS) of the 5-HTTLPR polymorphism exhibit a relatively increased volume of the right amygdala compared to homozygous L-allele carriers irrespective of diagnosis status. However, further analyses with the factors genotype and diagnosis were not able to reproduce this result.
The present findings are consistent with the view that the 5-HTTLPR polymorphism might modulate neuronal size or number in the amygdala. It would be worthwhile investigating the relationship between serotonin transporter function and amygdala function and volume in further studies.
对健康个体的功能成像研究显示5-羟色胺转运体基因连锁多态性区域(5-HTTLPR)基因型与杏仁核的神经元活动之间存在关联。本研究的目的首先是调查5-HTTLPR对双相情感障碍患者和健康个体杏仁核体积可能产生的总体影响,其次是测试5-HTTLPR对杏仁核体积的诊断特异性影响。
我们对37例双相I型障碍患者和37名健康对照者的杏仁核体积进行了感兴趣区域分析。确定了每个先证者的5-HTTLPR基因型,并根据5-HTTLPR基因型对受试者进行分组,为了进行统计分析,将SS和SL组合并并与LL组进行比较。
本研究表明,无论诊断状态如何,5-HTTLPR多态性短等位基因(SL或SS)携带者与纯合L等位基因携带者相比,右侧杏仁核体积相对增大。然而,对基因型和诊断因素的进一步分析未能重现这一结果。
目前的研究结果与以下观点一致,即5-HTTLPR多态性可能调节杏仁核中的神经元大小或数量。在进一步的研究中,研究5-羟色胺转运体功能与杏仁核功能及体积之间的关系将是值得的。