a Mental Health Institute of The Second Xiangya Hospital, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province , Central South University , Changsha , P.R. China.
b Department of Psychiatry , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , P.R. China.
Int J Psychiatry Clin Pract. 2018 Nov;22(4):304-309. doi: 10.1080/13651501.2017.1406121. Epub 2018 Apr 27.
Previous studies have implicated norepinephrine transporter gene (NET) polymorphisms in the etiology of major depressive disorder (MDD). A functional NET T-182C polymorphism (rs2242446) in the promoter region and a synonymous polymorphisms G1287A in the exon 9 (rs5569) were associated with MDD in different populations. However, few studies have focused on the relationship between these polymorphisms and MDD patients with suicidality. The objective of the present study was to examine whether the two polymorphisms are associated with MDD patients with suicidality in the Han Chinese population. Two hundred and sixty-three suicidal depressed patients and 241 non-suicidal depressed patients who met DSM-IV criteria for MDD were recruited from our hospital. Three hundred and three unrelated, age- and sex-matched healthy control subjects participated in this case-control study. Suicidality was assessed using Mini International Neuropsychiatric Interview (MINI) and the Hamilton rating scale for depression (HAMD). Genotypes of T-182C polymorphism (rs2242446) and G1287A (rs5569) were screened by polymerase chain reaction. No statistical significant differences between patients and controls were found for any of the analysed polymorphisms, either in the genotype or allele distribution. Our results suggest that the investigated polymorphisms are not major susceptibility factors in the etiology of MDD with suicidality. However, the results must be verified in larger samples and different ethnicities.
先前的研究表明去甲肾上腺素转运体基因(NET)多态性与重度抑郁症(MDD)的病因有关。启动子区域的功能性 NET T-182C 多态性(rs2242446)和外显子 9 中的同义多态性 G1287A(rs5569)与不同人群中的 MDD 相关。然而,很少有研究关注这些多态性与有自杀倾向的 MDD 患者之间的关系。本研究的目的是探讨这两种多态性是否与汉族 MDD 患者的自杀倾向有关。
从我院招募了 263 名有自杀倾向的抑郁症患者和 241 名无自杀倾向的抑郁症患者,这些患者均符合 DSM-IV 重度抑郁症的诊断标准。303 名无关的、年龄和性别匹配的健康对照者参与了这项病例对照研究。使用 Mini 国际神经精神访谈(MINI)和汉密尔顿抑郁量表(HAMD)评估自杀倾向。通过聚合酶链反应筛选 T-182C 多态性(rs2242446)和 G1287A(rs5569)的基因型。
在任何分析的多态性的基因型或等位基因分布中,患者和对照组之间均无统计学显著差异。
我们的结果表明,所研究的多态性不是有自杀倾向的 MDD 发病的主要易感因素。然而,这些结果必须在更大的样本和不同的种族中进行验证。