Pattarachotanant N, Sritharathikhun T, Suttirat S, Tencomnao T
Graduate Program in Clinical Biochemistry and Molecular Medicine, Department of Clinical Chemistry, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Genet Mol Res. 2010 Mar 30;9(1):565-72. doi: 10.4238/vol9-1gmr757.
Several lines of evidence suggest that the dopaminergic system is involved in the pathophysiology of major depressive disorder (MDD). Since the dopamine transporter (DAT1, also known as SLC6A3), mediates the active reuptake of dopamine from the synapses and thereby plays a vital role in the regulation of dopaminergic neurotransmission, we looked for a possible association between the C/T single nucleotide polymorphism in intron 14 of the DAT1 gene (also referred to as rs40184) and MDD in a northeastern Thai population. One hundred and seventy-eight patients with MDD and 205 unrelated healthy controls were included in our study. Genotyping was performed using our newly established polymerase chain reaction-restriction fragment length polymorphism technique. We found no significant differences in genotype distributions, allele frequencies and allele carrier frequencies when comparing the two groups. Although not significant, we observed more carriers of the C allele (CC+CT genotypes) in healthy controls than in patients with MDD (chi(2) = 3.20, degrees of freedom = 1, P = 0.073, odds ratio = 0.53 [95% confidence interval = 0.28-1.01]). We also detected significant differences in the allele frequencies of rs40184 between healthy subjects of Asian ancestry and those of both Caucasian and African ancestry. We concluded that there is a tendency towards an association between the homozygous TT genotype of the rs40184 single nucleotide polymorphism and an increased risk for MDD in this northeastern Thai population. Possibly, with more samples, this tendency will be confirmed.
多条证据表明多巴胺能系统参与了重度抑郁症(MDD)的病理生理过程。由于多巴胺转运体(DAT1,也称为SLC6A3)介导突触中多巴胺的主动再摄取,从而在多巴胺能神经传递的调节中发挥重要作用,我们在泰国东北部人群中研究了DAT1基因第14内含子中的C/T单核苷酸多态性(也称为rs40184)与MDD之间可能存在的关联。我们的研究纳入了178例MDD患者和205名无亲缘关系的健康对照。采用我们新建立的聚合酶链反应-限制性片段长度多态性技术进行基因分型。比较两组时,我们发现基因型分布、等位基因频率和等位基因携带者频率没有显著差异。虽然差异不显著,但我们观察到健康对照中C等位基因(CC+CT基因型)携带者比MDD患者更多(卡方=3.20,自由度=1,P=0.073,优势比=0.53[95%置信区间=0.28-1.01])。我们还检测到亚洲血统健康受试者与白种人和非洲血统健康受试者之间rs40184的等位基因频率存在显著差异。我们得出结论,在泰国东北部人群中,rs40184单核苷酸多态性的纯合TT基因型与MDD风险增加之间存在关联趋势。可能样本量增加后,这种趋势将得到证实。