PMID- 23440468 OWN - NLM STAT- MEDLINE DCOM- 20130912 LR - 20211021 IS - 1471-2970 (Electronic) IS - 0962-8436 (Print) IS - 0962-8436 (Linking) VI - 368 IP - 1615 DP - 2013 TI - Anxiety and affective disorder comorbidity related to serotonin and other neurotransmitter systems: obsessive-compulsive disorder as an example of overlapping clinical and genetic heterogeneity. PG - 20120435 LID - 10.1098/rstb.2012.0435 [doi] LID - 20120435 AB - Individuals with obsessive-compulsive disorder (OCD) have also been shown to have comorbid lifetime diagnoses of major depressive disorder (MDD; rates greater than 70%), bipolar disorder (rates greater than 10%) and other anxiety disorders (e.g. panic disorder, post-traumatic stress disorder (PTSD)). In addition, overlap exists in some common genetic variants (e.g. the serotonin transporter gene (SLC6A4), the brain-derived neurotrophic factor (BDNF) gene), and rare variants in genes/chromosomal abnormalities (e.g. the 22q11 microdeletion syndrome) found across the affective/anxiety disorder spectrums. OCD has been proposed as a possible independent entity for DSM-5, but by others thought best retained as an anxiety disorder subtype (its current designation in DSM-IV), and yet by others considered best in the affective disorder spectrum. This review focuses on OCD, a well-studied but still puzzling heterogeneous disorder, regarding alterations in serotonergic, dopaminergic and glutamatergic neurotransmission in addition to other systems involved, and how related genes may be involved in the comorbidity of anxiety and affective disorders. OCD resembles disorders such as depression, in which gene x gene interactions, gene x environment interactions and stress elements coalesce to yield OC symptoms and, in some individuals, full-blown OCD with multiple comorbid disorders. FAU - Murphy, Dennis L AU - Murphy DL AD - Laboratory of Clinical Science, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Moya, Pablo R AU - Moya PR FAU - Fox, Meredith A AU - Fox MA FAU - Rubenstein, Liza M AU - Rubenstein LM FAU - Wendland, Jens R AU - Wendland JR FAU - Timpano, Kiara R AU - Timpano KR LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review DEP - 20130225 PL - England TA - Philos Trans R Soc Lond B Biol Sci JT - Philosophical transactions of the Royal Society of London. Series B, Biological sciences JID - 7503623 RN - 0 (Excitatory Amino Acid Transporter 3) RN - 0 (Receptors, Serotonin, 5-HT1) RN - 0 (SLC1A1 protein, human) RN - 0 (SLC6A4 protein, human) RN - 0 (Serotonin Plasma Membrane Transport Proteins) SB - IM MH - Animals MH - Chromosome Deletion MH - Chromosomes, Human, Pair 22/genetics/metabolism MH - Comorbidity MH - Diagnostic and Statistical Manual of Mental Disorders MH - Excitatory Amino Acid Transporter 3/genetics/metabolism MH - Gene-Environment Interaction MH - *Genetic Heterogeneity MH - Humans MH - Mood Disorders/epidemiology/*genetics MH - Obsessive-Compulsive Disorder/epidemiology/*genetics/pathology MH - Receptors, Serotonin, 5-HT1/metabolism MH - Serotonin Plasma Membrane Transport Proteins/genetics/metabolism MH - Synaptic Transmission PMC - PMC3638387 EDAT- 2013/02/27 06:00 MHDA- 2013/09/13 06:00 PMCR- 2014/04/05 CRDT- 2013/02/27 06:00 PHST- 2013/02/27 06:00 [entrez] PHST- 2013/02/27 06:00 [pubmed] PHST- 2013/09/13 06:00 [medline] PHST- 2014/04/05 00:00 [pmc-release] AID - rstb.2012.0435 [pii] AID - rstb20120435 [pii] AID - 10.1098/rstb.2012.0435 [doi] PST - epublish SO - Philos Trans R Soc Lond B Biol Sci. 2013 Feb 25;368(1615):20120435. doi: 10.1098/rstb.2012.0435. Print 2013.