PMID- 24508446 OWN - NLM STAT- MEDLINE DCOM- 20141125 LR - 20140325 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 51 DP - 2014 Jun 3 TI - Genexgenexgender interaction of BDNF and COMT genotypes associated with panic disorder. PG - 119-25 LID - S0278-5846(14)00028-1 [pii] LID - 10.1016/j.pnpbp.2014.01.020 [doi] AB - Genetic and gender differences are among the factors that have a role in the etiology of panic disorder (PD). It is thought that PD is related to neurotransmitter pathways, such as brain-derived neurotrophic factor (BDNF) and catechol-O-methyltransferase (COMT), both of which are involved in the regulation of the monoamine mechanism. We examined the interactions of BDNF, COMT and gender differences in terms of personality characteristics in PD. The subjects were 470 patients (178 men, 292 women) with a DSM-IV diagnosis of PD, and 458 healthy controls (195 men, 263 women). The subjects were further clinically characterized using the Revised NEO Personality Inventory (NEO-PI-R) and State-Trait Anxiety Inventory (STAI). COMT Val158Met polymorphisms (rs4680) and BDNF Val66Met (rs6265) polymorphisms were genotyped using allelic discrimination by a real-time PCR assay. A multivariate analysis of covariance (MANCOVA) was performed with STAI and NEO-PI-R scores as the dependent factor, gender and genotyping groups (BDNF and COMT) as fixed factors, and the covariate of age in the PD and healthy control groups. Post hoc MANCOVA tests were conducted to evaluate COMT x BDNF interactions. An interaction of BDNF x COMT x gender was confirmed in the PD group by MANCOVA on STAI scores and NEO-PI-R Neuroticism and Extraversion scores, whereas no association of such interactions was observed in the healthy controls. The anxiety sensitivity of the COMT Met+BDNF Val/Val carriers was higher than that of the COMT Val/Val+BDNF Val/Val carriers by post hoc MANCOVA. A significant BDNF x COMT x gender interaction was observed in the PD patients but not in the controls. Our findings partly demonstrated the involvement of a gene x gene x gender interaction in the pathogenesis of PD. CI - Copyright (c) 2014. Published by Elsevier Inc. FAU - Konishi, Yoshiaki AU - Konishi Y AD - Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Brain Science and Animal Model Research Center (BSAM), Mie University, Mie, Japan. FAU - Tanii, Hisashi AU - Tanii H AD - Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Brain Science and Animal Model Research Center (BSAM), Mie University, Mie, Japan. Electronic address: h-tanii@clin.medic.mie-u.ac.jp. FAU - Otowa, Takeshi AU - Otowa T AD - Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Sasaki, Tsukasa AU - Sasaki T AD - Laboratory of Health Education, Graduate School of Education, The University of Tokyo, Tokyo, Japan. FAU - Tochigi, Mamoru AU - Tochigi M AD - Department of Psychiatry, Teikyo University School of Medicine, Tokyo, Japan. FAU - Umekage, Tadashi AU - Umekage T AD - Division for Environment, Health and Safety, The University of Tokyo, Tokyo, Japan. FAU - Motomura, Eishi AU - Motomura E AD - Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Brain Science and Animal Model Research Center (BSAM), Mie University, Mie, Japan. FAU - Shiroyama, Takashi AU - Shiroyama T AD - Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Brain Science and Animal Model Research Center (BSAM), Mie University, Mie, Japan. FAU - Kaiya, Hisanobu AU - Kaiya H AD - Research Center for Panic Disorder, Nagoya Mental Clinic, Aichi, Japan. FAU - Okazaki, Yuji AU - Okazaki Y AD - Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, Japan. FAU - Okada, Motohiro AU - Okada M AD - Department of Psychiatry, Division of Neuroscience, Graduate School of Medicine, Brain Science and Animal Model Research Center (BSAM), Mie University, Mie, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140204 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Brain-Derived Neurotrophic Factor) RN - EC 2.1.1.6 (COMT protein, human) RN - EC 2.1.1.6 (Catechol O-Methyltransferase) SB - IM MH - Adult MH - Analysis of Variance MH - Brain-Derived Neurotrophic Factor/*genetics MH - Catechol O-Methyltransferase/*genetics MH - Female MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Panic Disorder/*genetics MH - Personality Inventory MH - Polymorphism, Genetic/*genetics MH - Psychiatric Status Rating Scales MH - Psychological Tests MH - *Sex Characteristics OTO - NOTNLM OT - BDNF OT - COMT OT - Gender OT - Genexgenexgender interaction OT - Panic disorder EDAT- 2014/02/11 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/02/11 06:00 PHST- 2013/11/08 00:00 [received] PHST- 2014/01/29 00:00 [revised] PHST- 2014/01/29 00:00 [accepted] PHST- 2014/02/11 06:00 [entrez] PHST- 2014/02/11 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0278-5846(14)00028-1 [pii] AID - 10.1016/j.pnpbp.2014.01.020 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2014 Jun 3;51:119-25. doi: 10.1016/j.pnpbp.2014.01.020. Epub 2014 Feb 4.