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基因与中国本地汉族人群对5-羟色胺再摄取抑制剂(SNRIs)的临床反应相关。

Gene Is Associated With Clinical Response to SNRIs in a Local Chinese Han Population.

作者信息

Shan Xiao-Xiao, Qiu Yan, Xie Wei-Wei, Wu Ren-Rong, Yu Yan, Wu Hai-Shan, Li Le-Hua

机构信息

Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, China.

Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders, Chinese National Technology Institute on Mental Disorders, Human Key Laboratory of Psychiatry and Mental Health, Changsha, China.

出版信息

Front Pharmacol. 2019 Jul 4;10:761. doi: 10.3389/fphar.2019.00761. eCollection 2019.

Abstract

The relation between the () gene and major depressive disorder (MDD) has been studied in a local Chinese Han population. MDD is associated with the rs2032582 () and rs1128503 () single-nucleotide polymorphisms (SNPs) of but not with rs1045642, rs2032583, rs2235040, and rs2235015. This study aims to explore the potential correlations of therapeutic responses with selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) in a local Chinese Han population. The study population included 292 patients with MDD. All patients were assessed at baseline and at first, second, fourth, and sixth weeks according to the 17-item Hamilton Rating Scale for Depression (HAM-D17) to determine their therapeutic responses to SSRIs and SNRIs. In the SSRI therapy group, the genotype or allele distribution of six SNPs was not significantly different between responders and nonresponders. In the SNRI therapy group, only rs2032583 was associated with a therapeutic response to SNRIs. The C allele of the rs2032583 polymorphism was negatively correlated with therapeutic responses according to logistic regression analysis. The not be associated with therapeutic responses to SSRIs but not with SNRIs. The TT genotype of rs2032583 could be a predictive factor of improved treatment responses to SNRIs in the Chinese population. These findings should be replicated in future studies with larger patient groups.

摘要

已在当地中国汉族人群中研究了()基因与重度抑郁症(MDD)之间的关系。MDD与()的rs2032582和rs1128503单核苷酸多态性(SNP)相关,但与rs1045642、rs2032583、rs2235040和rs2235015无关。本研究旨在探讨在当地中国汉族人群中,治疗反应与选择性5-羟色胺再摄取抑制剂(SSRI)和5-羟色胺-去甲肾上腺素再摄取抑制剂(SNRI)之间的潜在相关性。研究人群包括292例MDD患者。根据17项汉密尔顿抑郁评定量表(HAM-D17)在基线、第1、2、4和6周对所有患者进行评估,以确定他们对SSRI和SNRI的治疗反应。在SSRI治疗组中,6个SNP的基因型或等位基因分布在反应者和无反应者之间无显著差异。在SNRI治疗组中,只有rs2032583与对SNRI的治疗反应相关。根据逻辑回归分析,rs2032583多态性的C等位基因与治疗反应呈负相关。()与对SSRI的治疗反应无关,但与对SNRI的治疗反应无关。rs2032583的TT基因型可能是中国人群中对SNRI治疗反应改善的预测因素。这些发现应在未来更大患者群体的研究中得到重复验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/6620233/5a9668c4809c/fphar-10-00761-g001.jpg

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