PMID- 22642961 OWN - NLM STAT- MEDLINE DCOM- 20130121 LR - 20221207 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 39 IP - 1 DP - 2012 Oct 1 TI - The role of brain-derived neurotrophic factor (BDNF) gene variants in antipsychotic response and antipsychotic-induced weight gain. PG - 96-101 LID - 10.1016/j.pnpbp.2012.05.014 [doi] AB - BACKGROUND: Brain-derived neurotrophic factor (BDNF) has extensive effects on the nervous system including cell survival, differentiation, neuronal growth and maintenance, as well as cell death. Moreover, it promotes synaptic plasticity and interacts with dopaminergic and serotonergic neurons, suggesting an important role on the alteration of brain function with antipsychotic medications and induced weight gain in schizophrenia patients. The differential effects of BDNF gene variants could lead to changes in brain circuitry that would in turn cause variable response to antipsychotic medication. Therefore, we hypothesized that genetic variation in this candidate gene helps in explaining the inter-individual variation observed in antipsychotic drug treatment with respect to response and induced weight gain. METHOD: We examined four single-nucleotide polymorphisms across the BDNF gene, including Val66Met (rs6265). Prospective BPRS change scores and weight change after six weeks were obtained from a total of 257 schizophrenia patients of European ancestry. RESULTS: The markers rs11030104 and Val66Met were associated with antipsychotic response (P=0.04; 0.007, respectively). On the other hand, marker rs1519480 was associated with weight gain (P=0.04). Moreover, a two-marker haplotype across rs6265 and rs1519480 was associated with weight change (P=0.001). Results with Val66Met in response, and results with rs6265-rs1519480 haplotypes remained significant at the modified Bonferroni corrected alpha of 0.017. CONCLUSION: BDNF genetic variants might play an important role in predicting antipsychotic response and antipsychotic-induced weight gain. However, replication in larger and independent samples is required. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Zai, Gwyneth C M AU - Zai GC AD - Neurogenetics Section, Centre for Addiction and Mental Health, Toronto, ON M5T 1R8, Canada. gwyneth_zai@camh.net FAU - Zai, Clement C H AU - Zai CC FAU - Chowdhury, Nabilah I AU - Chowdhury NI FAU - Tiwari, Arun K AU - Tiwari AK FAU - Souza, Renan P AU - Souza RP FAU - Lieberman, Jeffrey A AU - Lieberman JA FAU - Meltzer, Herbert Y AU - Meltzer HY FAU - Potkin, Steven G AU - Potkin SG FAU - Muller, Daniel J AU - Muller DJ FAU - Kennedy, James L AU - Kennedy JL LA - eng GR - MOP 115097/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20120527 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Antipsychotic Agents) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adolescent MH - Adult MH - Antipsychotic Agents/*adverse effects/therapeutic use MH - Brain-Derived Neurotrophic Factor/*genetics MH - Clinical Trials as Topic MH - Female MH - Genotype MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide/*genetics/physiology MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Schizophrenia/drug therapy/*genetics MH - Treatment Outcome MH - Weight Gain/drug effects/*genetics/physiology MH - White People/genetics EDAT- 2012/05/31 06:00 MHDA- 2013/01/23 06:00 CRDT- 2012/05/31 06:00 PHST- 2012/02/29 00:00 [received] PHST- 2012/05/17 00:00 [revised] PHST- 2012/05/19 00:00 [accepted] PHST- 2012/05/31 06:00 [entrez] PHST- 2012/05/31 06:00 [pubmed] PHST- 2013/01/23 06:00 [medline] AID - S0278-5846(12)00116-9 [pii] AID - 10.1016/j.pnpbp.2012.05.014 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2012 Oct 1;39(1):96-101. doi: 10.1016/j.pnpbp.2012.05.014. Epub 2012 May 27.