PMID- 22990943 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20211021 IS - 1740-634X (Electronic) IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 38 IP - 3 DP - 2013 Feb TI - Candidate genes expression profile associated with antidepressants response in the GENDEP study: differentiating between baseline 'predictors' and longitudinal 'targets'. PG - 377-85 LID - 10.1038/npp.2012.191 [doi] AB - To improve the 'personalized-medicine' approach to the treatment of depression, we need to identify biomarkers that, assessed before starting treatment, predict future response to antidepressants ('predictors'), as well as biomarkers that are targeted by antidepressants and change longitudinally during the treatment ('targets'). In this study, we tested the leukocyte mRNA expression levels of genes belonging to glucocorticoid receptor (GR) function (FKBP-4, FKBP-5, and GR), inflammation (interleukin (IL)-1alpha, IL-1beta, IL-4, IL-6, IL-7, IL-8, IL-10, macrophage inhibiting factor (MIF), and tumor necrosis factor (TNF)-alpha), and neuroplasticity (brain-derived neurotrophic factor (BDNF), p11 and VGF), in healthy controls (n=34) and depressed patients (n=74), before and after 8 weeks of treatment with escitalopram or nortriptyline, as part of the Genome-based Therapeutic Drugs for Depression study. Non-responders had higher baseline mRNA levels of IL-1beta (+33%), MIF (+48%), and TNF-alpha (+39%). Antidepressants reduced the levels of IL-1beta (-6%) and MIF (-24%), and increased the levels of GR (+5%) and p11 (+8%), but these changes were not associated with treatment response. In contrast, successful antidepressant response was associated with a reduction in the levels of IL-6 (-9%) and of FKBP5 (-11%), and with an increase in the levels of BDNF (+48%) and VGF (+20%)-that is, response was associated with changes in genes that did not predict, at the baseline, the response. Our findings indicate a dissociation between 'predictors' and 'targets' of antidepressant responders. Indeed, while higher levels of proinflammatory cytokines predict lack of future response to antidepressants, changes in inflammation associated with antidepressant response are not reflected by all cytokines at the same time. In contrast, modulation of the GR complex and of neuroplasticity is needed to observe a therapeutic antidepressant effect. FAU - Cattaneo, Annamaria AU - Cattaneo A AD - Department of Biomedical Sciences and Biotechnology, Genetic and Biology Section, University of Brescia, Brescia, Italy. FAU - Gennarelli, Massimo AU - Gennarelli M FAU - Uher, Rudolf AU - Uher R FAU - Breen, Gerome AU - Breen G FAU - Farmer, Anne AU - Farmer A FAU - Aitchison, Katherine J AU - Aitchison KJ FAU - Craig, Ian W AU - Craig IW FAU - Anacker, Christoph AU - Anacker C FAU - Zunsztain, Patricia A AU - Zunsztain PA FAU - McGuffin, Peter AU - McGuffin P FAU - Pariante, Carmine M AU - Pariante CM LA - eng GR - MR/J002739/1/MRC_/Medical Research Council/United Kingdom GR - G108/603/MRC_/Medical Research Council/United Kingdom PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120919 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 0 (Antidepressive Agents) RN - 0 (Interleukin-1beta) RN - 0 (Macrophage Migration-Inhibitory Factors) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 5.3.- (Intramolecular Oxidoreductases) RN - EC 5.3.2.1 (MIF protein, human) SB - IM MH - Adult MH - Aged MH - Antidepressive Agents/*administration & dosage MH - Depressive Disorder/drug therapy/*genetics/metabolism MH - Drug Delivery Systems/*methods MH - Female MH - Genetic Association Studies/*methods MH - Genome-Wide Association Study/*methods MH - Humans MH - Interleukin-1beta/biosynthesis/genetics MH - Intramolecular Oxidoreductases/biosynthesis/genetics MH - Longitudinal Studies MH - Macrophage Migration-Inhibitory Factors/biosynthesis/genetics MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Transcriptome/drug effects/*genetics MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/biosynthesis/genetics PMC - PMC3547188 EDAT- 2012/09/20 06:00 MHDA- 2013/10/18 06:00 PMCR- 2013/02/01 CRDT- 2012/09/20 06:00 PHST- 2012/09/20 06:00 [entrez] PHST- 2012/09/20 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] PHST- 2013/02/01 00:00 [pmc-release] AID - npp2012191 [pii] AID - 10.1038/npp.2012.191 [doi] PST - ppublish SO - Neuropsychopharmacology. 2013 Feb;38(3):377-85. doi: 10.1038/npp.2012.191. Epub 2012 Sep 19.