PMID- 22708958 OWN - NLM STAT- MEDLINE DCOM- 20121214 LR - 20120801 IS - 1557-9042 (Electronic) IS - 0897-7151 (Linking) VI - 29 IP - 11 DP - 2012 Jul 20 TI - Brain-derived neurotrophic factor (Val66Met) polymorphism does not influence recovery from a post-traumatic vegetative state: a blinded retrospective multi-centric study. PG - 2050-9 LID - 10.1089/neu.2011.2184 [doi] AB - Brain-derived neurotrophic factor (BDNF) is a neurotrophin that influences neuronal plasticity throughout life. Emergence from a vegetative state (VS) after a traumatic brain injury (TBI) implies that the brain undergoes plastic changes. A common polymorphism in the BDNF gene--BDNF Val66Met (referred to herein as BDNF(Met))--impairs cognitive function in healthy subjects. The aim of this study was to determine whether the BDNF(Met) polymorphism plays a role in the recovery of consciousness and cognitive functions in patients in a VS after a TBI. Fifty-three patients in a VS 1 month after a TBI were included in the study and genotyped for the BDNF(Met) polymorphism. Scores of levels of cognitive functioning (LCF) at 1, 3, 6, and 12 months post-TBI were retrospectively compared in patients without (Val group), and with (Met group), the BDNF(Met) polymorphism. The BDNF(Met) polymorphism was detected in 20 out of the 53 patients. The mean LCF scores in the Val and Met groups were 1.6+/-0.5 and 1.4+/-0.5 at 1 month, 2.3+/-0.7 and 2.5+/-1.2 at 3 months, 3.3+/-1.7 and 3.5+/-1.7 at 6 months, and 4+/-1.9 and 3.9+/-1.8 at 12 months, respectively (p>0.05). The percentages of patients in the Val and Met groups who emerged from the VS were 36.4% and 30% at 3 months, 66.3% and 70% at 6 months, and 70% and 87.5% at 12 months (p>0.05), respectively. These findings provide evidence that the BDNF(Met) polymorphism is not involved in cognitive improvement in patients with a VS following TBI. Future studies should focus on the role of other BDNF polymorphisms in the recovery from a VS. FAU - Bagnato, Sergio AU - Bagnato S AD - Unit for Severe Acquired Brain Injuries, Fondazione Istituto "San Raffaele-G. Giglio " Cefalu, Italy. sergiobagnato@gmail.com FAU - Minafra, Luigi AU - Minafra L FAU - Bravata, Valentina AU - Bravata V FAU - Boccagni, Cristina AU - Boccagni C FAU - Sant'angelo, Antonino AU - Sant'angelo A FAU - Castiglione, Alberto AU - Castiglione A FAU - Andriolo, Maria AU - Andriolo M FAU - Lucca, Lucia Francesca AU - Lucca LF FAU - De Tanti, Antonio AU - De Tanti A FAU - Pistarini, Caterina AU - Pistarini C FAU - Formisano, Rita AU - Formisano R FAU - Dolce, Giuliano AU - Dolce G FAU - Gelfi, Cecilia AU - Gelfi C FAU - Galardi, Giuseppe AU - Galardi G LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - J Neurotrauma JT - Journal of neurotrauma JID - 8811626 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adolescent MH - Adult MH - Brain Injuries/complications/genetics MH - Brain-Derived Neurotrophic Factor/*genetics MH - Female MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Persistent Vegetative State/etiology/*genetics MH - *Polymorphism, Restriction Fragment Length MH - *Polymorphism, Single Nucleotide MH - Recovery of Function/*genetics MH - Retrospective Studies MH - Young Adult EDAT- 2012/06/20 06:00 MHDA- 2012/12/15 06:00 CRDT- 2012/06/20 06:00 PHST- 2012/06/20 06:00 [entrez] PHST- 2012/06/20 06:00 [pubmed] PHST- 2012/12/15 06:00 [medline] AID - 10.1089/neu.2011.2184 [doi] PST - ppublish SO - J Neurotrauma. 2012 Jul 20;29(11):2050-9. doi: 10.1089/neu.2011.2184.