PMID- 24731781 OWN - NLM STAT- MEDLINE DCOM- 20150528 LR - 20221207 IS - 1545-7214 (Electronic) IS - 1064-7481 (Linking) VI - 22 IP - 10 DP - 2014 Oct TI - Association of BDNF promoter methylation and genotype with suicidal ideation in elderly Koreans. PG - 989-96 LID - S1064-7481(14)00081-5 [pii] LID - 10.1016/j.jagp.2014.02.011 [doi] AB - OBJECTIVES: Brain-derived neurotrophic factor (BDNF) has been considered a risk factor for suicidal behavior in adult populations. BDNF secretion is influenced by epigenetic (DNA promoter methylation) and genetic (val66met polymorphism) profiles. We investigated the independent and interactive effects of BDNF methylation status and val66met polymorphisms on late-life suicidal ideation. METHODS: In total, 732 Korean community residents aged 65+ years were evaluated; of 639 without suicidal ideation, 579 (90.6%) were followed up 2 years later. The prevalence and incidence of suicidal ideation were ascertained using the Geriatric Mental State Schedule. Sociodemographic and clinical covariates included age, sex, education, depressive symptoms, cognitive function, and disability. The independent effects of BDNF methylation status on the prevalence and incidence of suicidal ideation were investigated using multivariate logistic regression models. The two-way interactions of BDNF methylation status and val66met polymorphism on suicidal ideation were assessed using the same models. RESULTS: Higher BDNF methylation status was significantly associated with both prevalence and incidence of suicidal ideation, independent of potential covariates. No significant methylation-genotype interaction was found. CONCLUSIONS: The BDNF hypothesis and the epigenetic origin of the suicidal behavior were supported, even in old age. BDNF promoter methylation status may be useful as a biological marker for suicidality in late life. CI - Copyright (c) 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. FAU - Kim, Jae-Min AU - Kim JM AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Kang, Hee-Ju AU - Kang HJ AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Bae, Kyung-Yeol AU - Bae KY AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Kim, Sung-Wan AU - Kim SW AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Shin, Il-Seon AU - Shin IS AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. FAU - Kim, Hye-Ran AU - Kim HR AD - Brain Korea 21 Project, Center for Biomedical Human Resources, Chonnam National University Medical School, Gwangju, Korea. FAU - Shin, Myung-Geun AU - Shin MG AD - Department of Laboratory Medicine, Chonnam National University Medical School, Gwangju, Korea. FAU - Yoon, Jin-Sang AU - Yoon JS AD - Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. Electronic address: jsyoon@chonnam.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140304 PL - England TA - Am J Geriatr Psychiatry JT - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JID - 9309609 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Aged MH - Asian People/*genetics MH - Brain-Derived Neurotrophic Factor/*genetics MH - DNA Methylation/*genetics MH - Female MH - Genetic Predisposition to Disease/genetics MH - Genotype MH - Humans MH - Korea MH - Male MH - Polymorphism, Single Nucleotide/genetics MH - Promoter Regions, Genetic/*genetics MH - *Suicidal Ideation OTO - NOTNLM OT - BDNF OT - DNA methylation OT - Suicidality OT - aged OT - epigenetics EDAT- 2014/04/16 06:00 MHDA- 2015/05/29 06:00 CRDT- 2014/04/16 06:00 PHST- 2013/12/08 00:00 [received] PHST- 2014/02/24 00:00 [revised] PHST- 2014/02/27 00:00 [accepted] PHST- 2014/04/16 06:00 [entrez] PHST- 2014/04/16 06:00 [pubmed] PHST- 2015/05/29 06:00 [medline] AID - S1064-7481(14)00081-5 [pii] AID - 10.1016/j.jagp.2014.02.011 [doi] PST - ppublish SO - Am J Geriatr Psychiatry. 2014 Oct;22(10):989-96. doi: 10.1016/j.jagp.2014.02.011. Epub 2014 Mar 4.