PMID- 18056245 OWN - NLM STAT- MEDLINE DCOM- 20080125 LR - 20211020 IS - 0002-953X (Print) IS - 1535-7228 (Electronic) IS - 0002-953X (Linking) VI - 164 IP - 12 DP - 2007 Dec TI - Association between brain-derived neurotrophic factor Val66Met gene polymorphism and progressive brain volume changes in schizophrenia. PG - 1890-9 AB - OBJECTIVE: Factors underlying progressive brain volume changes in schizophrenia remain poorly understood. The authors investigated whether a gene polymorphism influencing neuroplasticity may contribute to longitudinal brain volume alterations. METHOD: High-resolution magnetic resonance (MR) images of the whole brain were obtained for 119 patients with recent-onset schizophrenia spectrum disorders. Changes in brain volumes over an average of 3 years were compared between brain-derived neurotrophic factor (BDNF) val66met genotype groupings. Exploratory analyses were conducted to examine relationships between antipsychotic treatment and brain volume changes as well as the effects of BDNF genotype on changes in cognition and symptoms. RESULTS: Significant genotype effects were observed on within-subject changes in volumes of frontal lobe gray matter, lateral ventricles, and sulcal CSF. Met allele carriers had significantly greater reductions in frontal gray matter volume, with reciprocal volume increases in the lateral ventricles and sulcal (especially frontal and temporal) CSF than Val homozygous patients. Independent of BDNF genotype, more antipsychotic exposure between MRI scans correlated with greater volume reductions in frontal gray matter, particularly among patients who were initially treatment naive. There were no statistically significant genotype effects on within-subject changes in cognition or symptoms. CONCLUSIONS: BDNF(Met) variant may be one of several factors affecting progressive brain volume changes in schizophrenia. FAU - Ho, Beng-Choon AU - Ho BC AD - Department of Psychiatry, University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA. beng-ho@uiowa.edu FAU - Andreasen, Nancy C AU - Andreasen NC FAU - Dawson, Jeffrey D AU - Dawson JD FAU - Wassink, Thomas H AU - Wassink TH LA - eng GR - MH 43271/MH/NIMH NIH HHS/United States GR - MH 31593/MH/NIMH NIH HHS/United States GR - K23 MH068380/MH/NIMH NIH HHS/United States GR - MH 40856/MH/NIMH NIH HHS/United States GR - R01 MH040856/MH/NIMH NIH HHS/United States GR - K23 MH068380-01A2/MH/NIMH NIH HHS/United States GR - R01 MH031593/MH/NIMH NIH HHS/United States GR - R37 MH031593/MH/NIMH NIH HHS/United States GR - MH 68380/MH/NIMH NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Am J Psychiatry JT - The American journal of psychiatry JID - 0370512 RN - 0 (Antipsychotic Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Antipsychotic Agents/therapeutic use MH - Atrophy/pathology MH - Brain/*pathology MH - Brain-Derived Neurotrophic Factor/*genetics MH - Cognition Disorders/diagnosis/psychology MH - Female MH - Frontal Lobe/pathology MH - *Genetic Variation MH - Genotype MH - Humans MH - Longitudinal Studies MH - Magnetic Resonance Imaging/statistics & numerical data MH - Male MH - Methionine/genetics MH - Neuronal Plasticity/genetics MH - Neuropsychological Tests MH - Polymorphism, Genetic/*genetics MH - Schizophrenia/drug therapy/*genetics/*pathology MH - Schizophrenic Psychology MH - Severity of Illness Index MH - Valine/genetics PMC - PMC3062255 MID - NIHMS68120 EDAT- 2007/12/07 09:00 MHDA- 2008/01/26 09:00 PMCR- 2011/03/22 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/01/26 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] PHST- 2011/03/22 00:00 [pmc-release] AID - 164/12/1890 [pii] AID - 10.1176/appi.ajp.2007.05111903 [doi] PST - ppublish SO - Am J Psychiatry. 2007 Dec;164(12):1890-9. doi: 10.1176/appi.ajp.2007.05111903.