PMID- 17460549 OWN - NLM STAT- MEDLINE DCOM- 20070518 LR - 20220309 IS - 1744-6872 (Print) IS - 1744-6872 (Linking) VI - 17 IP - 3 DP - 2007 Mar TI - A splice site polymorphism in the G-protein beta subunit influences antidepressant efficacy in depression. PG - 207-15 AB - OBJECTIVE: Recent evidence suggests that signalling cascades located downstream of monoamine receptors are altered following antidepressant treatment. Our objective was to investigate whether genetic polymorphisms in genes involved in these signalling cascades influenced antidepressant efficacy. METHODS: Polymorphisms in the G-protein beta subunit GNB3, the cAMP response element binding protein 1 gene (CREB1), the brain derived neurotrophic factor (BDNF) and CREB binding protein (CREBBP) were studied in well characterised unipolar (n=166) and early onset (n=102) depressive populations and correlated with treatment response. RESULTS: The GNB3 C825T polymorphism, which results in a 41 amino acid deletion, was significantly associated with lack of remission (OR=0.18, P=0.02) and lack of response (OR=0.26, P=0.03) following 2nd switch treatment. A cytosine deletion 16 base pairs from the start of exon 8 in CREB1 was found more frequently in remitters and responders to 2nd switch antidepressant drug therapy, although these differences failed to reach significance. Polymorphisms detected BDNF (G196A) and CREBBP (T651 C) did not appear to influence antidepressant response. CONCLUSIONS: These results suggest that inheritance of the GNB3C825T allele may significantly influence antidepressant response and emphasises the potential importance of polymorphisms in genes in signalling cascades activated by commonly prescribed antidepressants. FAU - Wilkie, Murray J V AU - Wilkie MJ AD - Biomedical Research Centre, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK. FAU - Smith, Daniel AU - Smith D FAU - Reid, Ian C AU - Reid IC FAU - Day, Richard K AU - Day RK FAU - Matthews, Keith AU - Matthews K FAU - Wolf, Charles Roland AU - Wolf CR FAU - Blackwood, Douglas AU - Blackwood D FAU - Smith, Gillian AU - Smith G LA - eng GR - G9810900/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pharmacogenet Genomics JT - Pharmacogenetics and genomics JID - 101231005 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (CREB1 protein, human) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (G-protein beta3 subunit) RN - 0 (GTP-Binding Protein beta Subunits) RN - 0 (RNA Splice Sites) RN - EC 2.3.1.48 (CREB-Binding Protein) RN - EC 2.3.1.48 (CREBBP protein, human) RN - EC 3.6.5.1 (Heterotrimeric GTP-Binding Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antidepressive Agents/*therapeutic use MH - Brain-Derived Neurotrophic Factor/genetics MH - CREB-Binding Protein/genetics MH - Cyclic AMP Response Element-Binding Protein/genetics MH - Depression/*drug therapy/*genetics MH - Female MH - GTP-Binding Protein beta Subunits/*genetics MH - Genotype MH - Heterotrimeric GTP-Binding Proteins/genetics MH - Humans MH - Male MH - Middle Aged MH - *Polymorphism, Genetic MH - RNA Splice Sites/*genetics MH - Treatment Outcome EDAT- 2007/04/27 09:00 MHDA- 2007/05/19 09:00 CRDT- 2007/04/27 09:00 PHST- 2007/04/27 09:00 [pubmed] PHST- 2007/05/19 09:00 [medline] PHST- 2007/04/27 09:00 [entrez] AID - 01213011-200703000-00005 [pii] AID - 10.1097/FPC.0b013e32801a3be6 [doi] PST - ppublish SO - Pharmacogenet Genomics. 2007 Mar;17(3):207-15. doi: 10.1097/FPC.0b013e32801a3be6.