PMID- 17375136 OWN - NLM STAT- MEDLINE DCOM- 20080214 LR - 20150813 IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 32 IP - 12 DP - 2007 Dec TI - A large case-control study of common functional SLC6A4 and BDNF variants in obsessive-compulsive disorder. PG - 2543-51 AB - Both serotonin transporter (SLC6A4) and brain-derived neurotrophic factor (BDNF) genes have shown positive associations with obsessive-compulsive disorder (OCD) and some other psychiatric disorders, but these results have not been consistently replicated. To explore the hypothesis that this variability might result from the effects of differing combinations of overlooked variants within SLC6A4 together with small OCD and control sample sizes, we studied three common functional polymorphisms (5-HTTLPR, STin2, and the newly discovered SNP, rs25531) in the largest sample size of OCD patients (N=347) and controls (N=749) ever investigated. During methods development, we found evidence for potential SLC6A4 genotyping problems with earlier methodology, a third possible contributor to variability in earlier studies. A fourth possible explanation might be SLC6A4 x BDNF interactions, which prompted us to investigate combined genotypes of BDNF V66M with the three SLC6A4 loci. Except for a nominal association with rs25531 alone, which did not survive correction for multiple comparisons, we found no evidence for any of these other variants being associated alone or together with OCD, and we therefore also examined clinical OCD subtypes within the sample to evaluate clinical heterogeneity. Subgroups based on the age of OCD onset, gender, familiality, factor analysis-derived symptom dimensions, or comorbidity with other psychiatric disorders failed to identify SLC6A4- or BDNF-associated phenotypes, with one exception of overall number of comorbid anxiety disorders being significantly associated with 5-HTTLPR/rs25531. We conclude that despite their attractiveness as candidate genes in OCD, our data provide no support for association in this large OCD patient sample and point toward the need to examine other genes as candidates for risk determinants in OCD. FAU - Wendland, Jens R AU - Wendland JR AD - Laboratory of Clinical Science, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA. wendlandj@mail.nih.gov FAU - Kruse, Matthew R AU - Kruse MR FAU - Cromer, Kiara R AU - Cromer KR FAU - Murphy, Dennis L AU - Murphy DL LA - eng GR - Intramural NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20070321 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (SLC6A4 protein, human) RN - 0 (Serotonin Plasma Membrane Transport Proteins) SB - IM EIN - Neuropsychopharmacology. 2008 May;33(6):1476. Cromer, Kiara C [corrected to Cromer, Kiara R] MH - Age of Onset MH - Brain-Derived Neurotrophic Factor/*genetics MH - Case-Control Studies MH - Female MH - Gene Frequency/physiology MH - Genotype MH - Humans MH - Linkage Disequilibrium MH - Male MH - Obsessive-Compulsive Disorder/*genetics MH - Polymorphism, Single Nucleotide/*genetics MH - Psychiatric Status Rating Scales MH - Serotonin Plasma Membrane Transport Proteins/*genetics EDAT- 2007/03/22 09:00 MHDA- 2008/02/15 09:00 CRDT- 2007/03/22 09:00 PHST- 2007/03/22 09:00 [pubmed] PHST- 2008/02/15 09:00 [medline] PHST- 2007/03/22 09:00 [entrez] AID - 1301394 [pii] AID - 10.1038/sj.npp.1301394 [doi] PST - ppublish SO - Neuropsychopharmacology. 2007 Dec;32(12):2543-51. doi: 10.1038/sj.npp.1301394. Epub 2007 Mar 21.