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神经营养性酪氨酸激酶受体 2 型(NTRK2)基因与双相 I 障碍患者对心境稳定剂治疗反应的相关性。

Neurotrophic tyrosine kinase receptor type 2 (NTRK2) gene associated with treatment response to mood stabilizers in patients with bipolar I disorder.

机构信息

Department of Psychiatry, Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 600 South Wan Ping Road, Shanghai 200030, People's Republic of China.

出版信息

J Mol Neurosci. 2013 Jun;50(2):305-10. doi: 10.1007/s12031-013-9956-0. Epub 2013 Jan 15.

Abstract

There is increasing evidence supporting the relationship between bipolar disorder (BP) and neurotrophin. The present study investigated the relationship between neurotrophic tyrosine kinase receptor type 2 (NTRK2) gene polymorphisms and bipolar I disorder (BP I) susceptibility and treatment response to mood stabilizers (lithium or valproate). Two-hundred eighty-four patients who met the DSM-IV criteria for BP I and 295 matched healthy controls were enrolled into this study. TaqMan® SNP genotyping assays were applied to genotype three NTRK2 gene polymorphisms (rs2769605, rs1565445, rs1387923). Our study showed a significant allelic association between NTRK2 gene polymorphism rs2769605 and treatment response to mood stabilizers in BP I patients (t = -2.53, P = 0.01). However, no significant association between NTRK2 gene polymorphisms and BP I susceptibility was observed after correcting for multiple comparisons. The results suggest that the NTRK2 gene polymorphism likely plays an essential role in treatment response to mood stabilizers in Han Chinese BP I patients.

摘要

越来越多的证据支持双相障碍(BP)与神经营养因子之间的关系。本研究调查了神经营养酪氨酸激酶受体 2 型(NTRK2)基因多态性与双相 I 型障碍(BP I)易感性以及对心境稳定剂(锂或丙戊酸盐)治疗反应之间的关系。284 名符合 DSM-IV 双相 I 型标准的患者和 295 名匹配的健康对照者被纳入本研究。应用 TaqMan® SNP 基因分型检测方法对三个 NTRK2 基因多态性(rs2769605、rs1565445、rs1387923)进行基因分型。我们的研究显示,NTRK2 基因多态性 rs2769605 与 BP I 患者对心境稳定剂的治疗反应之间存在显著的等位基因关联(t = -2.53,P = 0.01)。然而,在进行多次比较校正后,未观察到 NTRK2 基因多态性与 BP I 易感性之间存在显著关联。结果表明,NTRK2 基因多态性可能在汉族 BP I 患者对心境稳定剂的治疗反应中起重要作用。

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