PMID- 28416813 OWN - NLM STAT- MEDLINE DCOM- 20190404 LR - 20230417 IS - 1476-5578 (Electronic) IS - 1359-4184 (Print) IS - 1359-4184 (Linking) VI - 23 IP - 4 DP - 2018 Apr TI - Brain-derived neurotrophic factor Val(66)Met genotype and ovarian steroids interactively modulate working memory-related hippocampal function in women: a multimodal neuroimaging study. PG - 1066-1075 LID - 10.1038/mp.2017.72 [doi] AB - Preclinical evidence suggests that the actions of ovarian steroid hormones and brain-derived neurotrophic factor (BDNF) are highly convergent on brain function. Studies in humanized mice document an interaction between estrus cycle-related changes in estradiol secretion and BDNF Val(66)Met genotype on measures of hippocampal function and anxiety-like behavior. We believe our multimodal imaging data provide the first demonstration in women that the effects of the BDNF Val/Met polymorphism on hippocampal function are selectively modulated by estradiol. In a 6-month pharmacological hormone manipulation protocol, healthy, regularly menstruating, asymptomatic women completed positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) scans while performing the n-back working memory task during three hormone conditions: ovarian suppression induced by the gonadotropin-releasing hormone agonist, leuprolide acetate; leuprolide plus estradiol; and leuprolide plus progesterone. For each of the three hormone conditions, a discovery data set was obtained with oxygen-15 water regional cerebral blood flow PET in 39 healthy women genotyped for BDNF Val(66)Met, and a confirmatory data set was obtained with fMRI in 27 women. Our results, in close agreement across the two imaging platforms, demonstrate an ovarian hormone-by-BDNF interaction on working memory-related hippocampal function (PET: F(2,37)=9.11, P=0.00026 uncorrected, P=0.05, familywise error corrected with small volume correction; fMRI: F(2,25)=5.43, P=0.01, uncorrected) that reflects differential hippocampal recruitment in Met carriers but only in the presence of estradiol. These findings have clinical relevance for understanding the neurobiological basis of individual differences in the cognitive and behavioral effects of ovarian steroids in women, and may provide a neurogenetic framework for understanding neuropsychiatric disorders related to reproductive hormones as well as illnesses with sex differences in disease expression and course. FAU - Wei, S-M AU - Wei SM AD - Section on Integrative Neuroimaging, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. AD - Clinical and Translational Neuroscience Branch, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. FAU - Baller, E B AU - Baller EB AD - Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA. FAU - Kohn, P D AU - Kohn PD AD - Section on Integrative Neuroimaging, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. AD - Clinical and Translational Neuroscience Branch, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. FAU - Kippenhan, J S AU - Kippenhan JS AD - Section on Integrative Neuroimaging, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. AD - Clinical and Translational Neuroscience Branch, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. FAU - Kolachana, B AU - Kolachana B AD - Clinical and Translational Neuroscience Branch, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. FAU - Soldin, S J AU - Soldin SJ AD - Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA. FAU - Rubinow, D R AU - Rubinow DR AD - Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Schmidt, P J AU - Schmidt PJ AD - Section on Behavioral Endocrinology, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. FAU - Berman, K F AU - Berman KF AD - Section on Integrative Neuroimaging, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. AD - Clinical and Translational Neuroscience Branch, National Institute of Mental Health Intramural Research Programs, National Institutes of Health, Bethesda, MD, USA. LA - eng SI - ClinicalTrials.gov/NCT00004571 SI - ClinicalTrials.gov/NCT00001258 SI - ClinicalTrials.gov/NCT00001322 GR - ZIA MH002717/ImNIH/Intramural NIH HHS/United States GR - ZIA MH002717/MH/NIMH NIH HHS/United States GR - Z01 MH002865/ImNIH/Intramural NIH HHS/United States GR - ZIA MH002874/ImNIH/Intramural NIH HHS/United States GR - ZIA MH002874/MH/NIMH NIH HHS/United States GR - Z01 MH002874/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural DEP - 20170418 PL - England TA - Mol Psychiatry JT - Molecular psychiatry JID - 9607835 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Gonadal Steroid Hormones) RN - 0 (Suppositories) RN - 4G7DS2Q64Y (Progesterone) RN - 4TI98Z838E (Estradiol) RN - 7171WSG8A2 (BDNF protein, human) RN - AE28F7PNPL (Methionine) RN - EFY6W0M8TG (Leuprolide) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/*genetics/*metabolism MH - Cerebrovascular Circulation MH - Double-Blind Method MH - Estradiol/administration & dosage/blood MH - Female MH - Gonadal Steroid Hormones/*metabolism MH - Hippocampus/diagnostic imaging/*metabolism MH - Humans MH - Leuprolide/pharmacology MH - Magnetic Resonance Imaging MH - Memory, Short-Term/*physiology MH - Methionine/genetics MH - Middle Aged MH - Multimodal Imaging/methods MH - Neuroimaging/methods MH - Neuropsychological Tests MH - Ovary/metabolism MH - Polymorphism, Single Nucleotide MH - Positron-Emission Tomography MH - Progesterone/administration & dosage/blood MH - Random Allocation MH - Suppositories MH - Valine/genetics PMC - PMC10103851 MID - NIHMS1887138 COIS- CONFLICT OF INTEREST The authors declare no conflict of interest. EDAT- 2017/04/19 06:00 MHDA- 2019/04/05 06:00 PMCR- 2023/04/14 CRDT- 2017/04/19 06:00 PHST- 2016/08/30 00:00 [received] PHST- 2017/01/25 00:00 [revised] PHST- 2017/02/15 00:00 [accepted] PHST- 2017/04/19 06:00 [pubmed] PHST- 2019/04/05 06:00 [medline] PHST- 2017/04/19 06:00 [entrez] PHST- 2023/04/14 00:00 [pmc-release] AID - mp201772 [pii] AID - 10.1038/mp.2017.72 [doi] PST - ppublish SO - Mol Psychiatry. 2018 Apr;23(4):1066-1075. doi: 10.1038/mp.2017.72. Epub 2017 Apr 18.