PMID- 25074447 OWN - NLM STAT- MEDLINE DCOM- 20150811 LR - 20221207 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 232 IP - 3 DP - 2015 Feb TI - The BDNF Val(66)Met polymorphism is associated with escitalopram response in depressed patients. PG - 575-81 LID - 10.1007/s00213-014-3694-z [doi] AB - BACKGROUND: The brain-derived neurotrophic factor (BDNF) gene is a candidate gene in therapeutic responses to antidepressants. The aim of the study was to determine the effects of BDNF allelic variability on responses to escitalopram treatment at 3 weeks after treatment initiation and at a 6-week endpoint. METHODS: We included 187 Caucasian subjects with depression; 153 completed the 6-week study. Clinical evaluation was performed using the Montgomery and Asberg Depression Rating Scale (MADRS) before and after 3-6 weeks of treatment. RESULTS: After 3 weeks of treatment, we saw significantly better treatment responses in the Met carriers and greater antidepressant resistance among the Val/Val homozygotes. Relative to Val/Val homozygous (59.78 %), a significantly greater proportion of subjects Met-carriers (77.94 %) responded to escitalopram treatment (chi (2) = 5.88, p = 0.015). After 6 weeks, we found the same pattern of results but this effect did not reach statistical significance (chi (2) = 2.07, p = 0.15). CONCLUSION: These findings highlight a significant association between the BDNF valine to methionine substitution (Val(66)Met) polymorphism and the treatment response to escitalopram in a Caucasian population of severely depressed inpatients. FAU - El-Hage, Wissam AU - El-Hage W AD - Clinique Psychiatrique Universitaire, Centre Expert Depression Resistante, Fondation FondaMental, CHRU de Tours, 37044, Tours Cedex 9, France, wissam.elhage@univ-tours.fr. FAU - Vourc'h, Patrick AU - Vourc'h P FAU - Gaillard, Philippe AU - Gaillard P FAU - Leger, Julie AU - Leger J FAU - Belzung, Catherine AU - Belzung C FAU - Ibarguen-Vargas, Yadira AU - Ibarguen-Vargas Y FAU - Andres, Christian R AU - Andres CR FAU - Camus, Vincent AU - Camus V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140731 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Serotonin Uptake Inhibitors) RN - 0DHU5B8D6V (Citalopram) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain-Derived Neurotrophic Factor/*genetics MH - Citalopram/administration & dosage/*pharmacology MH - Depressive Disorder, Major/*drug therapy/*genetics MH - Female MH - Humans MH - Male MH - Methionine/genetics MH - Middle Aged MH - Polymorphism, Genetic MH - Selective Serotonin Reuptake Inhibitors/administration & dosage/*pharmacology MH - Treatment Outcome MH - Valine/genetics MH - Young Adult EDAT- 2014/07/31 06:00 MHDA- 2015/08/12 06:00 CRDT- 2014/07/31 06:00 PHST- 2014/02/27 00:00 [received] PHST- 2014/07/12 00:00 [accepted] PHST- 2014/07/31 06:00 [entrez] PHST- 2014/07/31 06:00 [pubmed] PHST- 2015/08/12 06:00 [medline] AID - 10.1007/s00213-014-3694-z [doi] PST - ppublish SO - Psychopharmacology (Berl). 2015 Feb;232(3):575-81. doi: 10.1007/s00213-014-3694-z. Epub 2014 Jul 31.