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没有遗传多态性与生活应激事件对抗抑郁治疗结果的相互作用。

No interactions between genetic polymorphisms and stressful life events on outcome of antidepressant treatment.

机构信息

Department of Psychiatry, University Hospital of Copenhagen, Rigshospitalet, Denmark.

出版信息

Eur Neuropsychopharmacol. 2010 May;20(5):327-35. doi: 10.1016/j.euroneuro.2009.11.004.

Abstract

Genetic polymorphisms seem to influence the response on antidepressant treatment and moderate the impact of stress on depression. The present study aimed to assess, whether allelic variants and stressful life events interact on the clinical outcome of depression. In a sample of 290 systematically recruited patients diagnosed with a single depressive episode according to ICD-10, we assessed the outcome of antidepressant treatment and the presence of stressful life events in a 6-month period preceding onset of depression by means of structured interviews. Further, we genotyped nine polymorphisms in the genes encoding the serotonin transporter, brain derived neurotrophic factor, catechol-O-methyltransferase, angiotensin converting enzyme, tryptophan hydroxylase, and the serotonin receptors 1A, 2A, and 2C. We found no evidence that the effects of the genetic polymorphisms on treatment outcome were dependent on stressful life events experienced by the individual prior to onset of depression.

摘要

遗传多态性似乎会影响抗抑郁治疗的效果,并调节压力对抑郁的影响。本研究旨在评估等位基因变异和生活应激事件是否会相互作用,从而影响抑郁的临床转归。在一个根据 ICD-10 诊断为单次抑郁发作的 290 例系统性招募患者的样本中,我们通过结构访谈评估了抗抑郁治疗的结果以及在抑郁发作前 6 个月内生活应激事件的发生情况。此外,我们对编码 5-羟色胺转运体、脑源性神经营养因子、儿茶酚-O-甲基转移酶、血管紧张素转换酶、色氨酸羟化酶以及 5-羟色胺受体 1A、2A 和 2C 的基因中的 9 个基因多态性进行了基因分型。我们没有发现证据表明,个体在抑郁发作前经历的生活应激事件会影响遗传多态性对治疗结果的影响。

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