PMID- 23957567 OWN - NLM STAT- MEDLINE DCOM- 20141121 LR - 20180816 IS - 1600-0447 (Electronic) IS - 0001-690X (Linking) VI - 129 IP - 5 DP - 2014 May TI - Val66Met polymorphism and serum brain-derived neurotrophic factor in bipolar disorder: an open-label trial. PG - 393-400 LID - 10.1111/acps.12192 [doi] AB - OBJECTIVE: Brain-derived neurotrophic factor (BDNF) is consistently associated with acute mood episodes in bipolar disorder, but there is a lack of longitudinal data to support this hypothesis. In this 16-week open-label clinical trial, we tested the predictive role of BDNF Val66Met polymorphism on serum BDNF levels and the relationship of serum BDNF and clinical response in people with bipolar disorder during an acute illness episode. METHOD: Sixty-four people with bipolar disorder who were medication-free at baseline and in an acute mood episode were recruited. They were matched with 64 healthy controls. Clinical evaluation, serum BDNF, and BDNF Val66Met polymorphism were determined at baseline, and change in serum BDNF was assessed in patients at weeks 2, 4, 8 and 16. RESULTS: There were no differences between patients and controls in serum BDNF or in frequencies of the BDNF Val66Met polymorphism genotype at baseline. The multivariable model showed that Met carriers had a significantly different change in BDNF levels compared with Val homozygotes. Not achieving a complete remission was also associated with lower prospectively assessed BDNF levels. CONCLUSION: This study provides the first longitudinal evidence that both the BDNF Val66Met polymorphism and remission status predict change in circulating BDNF levels. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Grande, I AU - Grande I AD - Bipolar Disorders Unit, IDIBAPS, CIBERSAM, Clinical Institute of Neurosciences, Hospital Clinic, University of Barcelona, Barcelona, Spain. FAU - Magalhaes, P V S AU - Magalhaes PV FAU - Chendo, I AU - Chendo I FAU - Stertz, L AU - Stertz L FAU - Fries, G R AU - Fries GR FAU - Cereser, K M AU - Cereser KM FAU - Cunha, A B M AU - Cunha AB FAU - Goi, P AU - Goi P FAU - Kunz, M AU - Kunz M FAU - Udina, M AU - Udina M FAU - Martin-Santos, R AU - Martin-Santos R FAU - Frey, B N AU - Frey BN FAU - Vieta, E AU - Vieta E FAU - Kapczinski, F AU - Kapczinski F LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130820 PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Psychotropic Drugs) RN - 7171WSG8A2 (BDNF protein, human) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Affect/physiology MH - *Affective Symptoms/blood/diagnosis/genetics MH - Amino Acid Substitution/genetics MH - Biomarkers/blood MH - *Bipolar Disorder/blood/diagnosis/drug therapy/genetics/psychology MH - *Brain-Derived Neurotrophic Factor/blood/genetics MH - Brazil MH - Drug Monitoring/methods MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Methionine/genetics MH - Neuronal Plasticity MH - Patient Acuity MH - Polymorphism, Genetic MH - Psychiatric Status Rating Scales MH - Psychotropic Drugs/*pharmacology MH - Valine/genetics OTO - NOTNLM OT - biomarkers OT - bipolar disorder OT - brain-derived neurotrophic factor OT - quetiapine OT - treatment response EDAT- 2013/08/21 06:00 MHDA- 2014/12/15 06:00 CRDT- 2013/08/21 06:00 PHST- 2013/07/11 00:00 [accepted] PHST- 2013/08/21 06:00 [entrez] PHST- 2013/08/21 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 10.1111/acps.12192 [doi] PST - ppublish SO - Acta Psychiatr Scand. 2014 May;129(5):393-400. doi: 10.1111/acps.12192. Epub 2013 Aug 20.