Human 5-HT1A receptor C(-1019)G polymorphism and psychopathology
INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY
Authors: Huang, YY; Battistuzzi, C; Oquendo, MA; Harkavy-Friedman, J; Greenhill, L; Zalsman, G; Brodsky, B; Arango, V; Brent, DA; Mann, JJ
Abstract
Dysfunction of the serotonin (5-HT1A) receptor (5-HTR1A) has been implicated in mood disorders, anxiety disorders, psychosis and the action of antidepressants. A common C(-1018)G [C(-1019)G] functional polymorphism in the promoter region of the human 5-HT1A receptor gene has been reported, which may be useful in identifying psychopathology associated with altered function of the human 5-HT1A receptor. We studied the relationship of this polymorphism to psychopathology and 5-HT1A binding in prefrontal cortex. The 5-HT1A receptor genotype for the C(-1019)G polymorphism was typed in 696 unrelated psychiatric subjects, 107 unrelated healthy volunteers, and in post-mortem brain samples from 241 cases. 5-HT1A receptor binding was assayed in post-mortem prefrontal cortex using [H-3]8-OH-DPAT, and specific binding determined by 1 mum 5-HT. An association of genotype distribution and allele frequency of the 5-HTR1A C(-1019)G locus was observed in schizophrenia (x(2) = 9.51, d.f. = 2, p = 0.009; x(2) = 9.52, d.f. = 1, p = 0.002; Armitage's trend test: x(2) = 9.07, d.f. = 1, p = 0.003), in substance use disorder (x(2) = 8.41, d.f.=2, p = 0.015; x(2) = 8.35, d.f.=1, p = 0.004; Armitage's trend test: x(2) = 6.27, d.f.=1, p = 0.0012), and in panic attack (x(2) = 6.31, d.f.=2, p = 0.043; x(2) = 6.14, d.f.=1, p = 0.013; Armitage's trend test: x(2) = 6.27, d.f.=1, p = 0.012). An association of the 5-HTR1A C(-1019)G locus with schizophrenia, substance use disorder, and panic attack was suggested by our results. In post-mortem brain samples, 5-HT1A receptor binding in prefrontal cortex and suicide were not associated with genotype. The relationship does not appear to be explained by binding differences, although we cannot rule out altered receptor affinity and transduction.
Association of Major Depression With Rare Functional Variants in Norepinephrine Transporter and Serotonin(1A) Receptor Genes
AMERICAN JOURNAL OF MEDICAL GENETICS PART B-NEUROPSYCHIATRIC GENETICS
Authors: Haenisch, Britta; Linsel, Karoline; Bruess, Michael; Gilsbach, Ralf; Propping, Peter; Noethen, Markus M.; Rietschel, Marcella; Fimmers, Rolf; Maier, Wolfgang; Zobel, Astrid; Hoefels, Susanne; Guttenthaler, Vera; Goethert, Manfred; Boenisch, Heinz
Abstract
Dysregulations of central noradrenergic and serotonergic neurotransmission have been suggested to contribute to the pathogenesis of neuropsychiatric disorders such as depression. The norepinephrine transporter (NET; SLC6A2) and the serotonin (5-HT)(1A) receptor (5-HT1A receptor; HTR1A) play an important role in central nervous monoaminergic homeostasis. As shown previously, variations in the human NET and 5-HT1A receptor genes can alter noradrenergic and serotonergic signaling in the brain: a single nucleotide polymorphism (SNP) in the coding region of the NET gene resulting in a F528C substitution increased plasma membrane expression of this NET variant, and a SNP in the human 5-HT1A receptor gene leading to the R219L receptor variant almost abolished cellular signal transduction subsequent to receptor activation. The present study aimed at investigating whether these NET and 5-HT1A receptor variants are associated with major depression (MD). The sample comprised 426 patients suffering from unipolar MD as well as 643 healthy control subjects for the variants of the 5-HT1A receptor and the NET. Both SNPs were shown to be associated with MD. In conclusion, our results favor the hypothesis that monoaminergic neurotransmission in general and the F528C NET and R219L 5HT(1A) A receptor variants in particular are involved in the pathogenesis of depression. (C) 2008 Wiley-Liss, Inc.