A genomewide association study points to multiple loci that predict antidepressant drug treatment outcome in depression

Simple item page
dc.contributor.authorIsing, M.
dc.contributor.authorLucae, S.
dc.contributor.authorBinder, E.
dc.contributor.authorBettecken, T.
dc.contributor.authorUhr, M.
dc.contributor.authorRipke, S.
dc.contributor.authorKohli, M.
dc.contributor.authorHennings, J.
dc.contributor.authorHorstmann, S.
dc.contributor.authorMenke, A.
dc.contributor.authorBondy, B.
dc.contributor.authorRepprecht, R.
dc.contributor.authorDomschke, K.
dc.contributor.authorBaune, B.
dc.contributor.authorArolt, V.
dc.contributor.authorRush, A.
dc.contributor.authorHolsboer, F.
dc.contributor.authorMuller-Myhsok, B.
dc.date.issued2009
dc.description.abstract<h4>Context</h4>The efficacy of antidepressant drug treatment in depression is unsatisfactory; 1 in 3 patients does not fully recover even after several treatment trials. Genetic factors and clinical characteristics contribute to the failure of a favorable treatment outcome.<h4>Objective</h4>To identify genetic and clinical determinants of antidepressant drug treatment outcome in depression.<h4>Design</h4>Genomewide pharmacogenetic association study with 2 independent replication samples.<h4>Setting</h4>We performed a genomewide association study in patients from the Munich Antidepressant Response Signature (MARS) project and in pooled DNA from an independent German replication sample. A set of 328 single-nucleotide polymorphisms highly related to outcome in both genomewide association studies was genotyped in a sample of the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study.<h4>Participants</h4>A total of 339 inpatients with a depressive episode (MARS sample), a further 361 inpatients with depression (German replication sample), and 832 outpatients with major depression (STAR*D sample).<h4>Main outcome measures</h4>We generated a multilocus genetic variable that described the individual number of alleles of the selected single nucleotide polymorphisms associated with beneficial treatment outcome in the MARS sample ("response" alleles) to evaluate additive genetic effects on antidepressant drug treatment outcome.<h4>Results</h4>Multilocus analysis revealed a significant contribution of a binary variable that categorized patients as carriers of a high vs low number of response alleles in the prediction of antidepressant drug treatment outcome in both samples (MARS and STAR*D). In addition, we observed that patients with a comorbid anxiety disorder combined with a low number of response alleles showed the least favorable outcome.<h4>Conclusion</h4>These results demonstrate the importance of multiple genetic factors combined with clinical features in the prediction of antidepressant drug treatment outcome, which underscores the multifactorial nature of this trait.
dc.description.statementofresponsibilityMarcus Ising, Susanne Lucae, Elisabeth B. Binder, Thomas Bettecken, Manfred Uhr, Stephan Ripke, Martin A. Kohli, Johannes M. Hennings, Sonja Horstmann, Stefan Kloiber, Andreas Menke, Brigitta Bondy, Rainer Rupprecht, Katharina Domschke, Bernhard T. Baune, Volker Arolt, A. John Rush, Florian Holsboer, Bertram Müller-Myhsok
dc.identifier.citationArchives of General Psychiatry, 2009; 66(9):966-975
dc.identifier.doi10.1001/archgenpsychiatry.2009.95
dc.identifier.issn0003-990X
dc.identifier.issn1538-3636
dc.identifier.orcidBaune, B. [0000-0001-6548-426X]
dc.identifier.urihttp://hdl.handle.net/2440/65739
dc.language.isoen
dc.publisherAmer Medical Assoc
dc.rights©2009 American Medical Association. All rights reserved.
dc.source.urihttps://doi.org/10.1001/archgenpsychiatry.2009.95
dc.subjectHumans
dc.subjectAntidepressive Agents
dc.subjectGenetic Markers
dc.subjectTreatment Outcome
dc.subjectHospitalization
dc.subjectChromosome Mapping
dc.subjectDepressive Disorder
dc.subjectDepressive Disorder, Major
dc.subjectPharmacogenetics
dc.subjectGenotype
dc.subjectPolymorphism, Single Nucleotide
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectGermany
dc.subjectFemale
dc.subjectMale
dc.subjectGenome-Wide Association Study
dc.titleA genomewide association study points to multiple loci that predict antidepressant drug treatment outcome in depression
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Psychiatry publications