PMID- 28818006 OWN - NLM STAT- MEDLINE DCOM- 20180521 LR - 20180521 IS - 1552-6844 (Electronic) IS - 1545-9683 (Linking) VI - 31 IP - 9 DP - 2017 Sep TI - The Role of the BDNF Val66Met Polymorphism in Recovery of Aphasia After Stroke. PG - 851-857 LID - 10.1177/1545968317723752 [doi] AB - BACKGROUND: Brain-derived neurotrophic factor (BDNF) is assumed to play a role in mediating neuroplasticity after stroke. Carriers of the function-limiting Val66Met (rs6265) single nucleotide polymorphism (SNP) may have a downregulation in BDNF secretion, which may lead to a poorer prognosis after stroke compared to noncarriers in motor learning and motor function recovery. The present study investigates whether this polymorphism may also affect the recovery of poststroke aphasia (ie, language impairment). OBJECTIVE: To study the influence of the BDNF Val66Met polymorphism on the recovery of poststroke aphasia. METHODS: We included 53 patients with poststroke aphasia, all participating in an inpatient rehabilitation program with speech and language therapy. All patients were genotyped for the Val66Met SNP and subdivided into carriers (at least one Met allele) and noncarriers (no Met allele). Primary outcome measures included the improvement over rehabilitation time on the Amsterdam-Nijmegen Everyday Language Test (ANELT) and the Boston Naming Test (BNT). RESULTS: The outcome measures showed a large variability in the improvement scores on both the ANELT and BNT. There was no significant difference between noncarriers and carriers in the primary outcome measures. CONCLUSION: This study investigated the effect of the BDNF Val66Met polymorphism on clinical recovery of poststroke aphasia. In contrast to earlier studies describing a reducing effect of this polymorphism on motor function recovery after stroke, the present study does not support a reduction in language recovery for carriers compared to noncarriers with poststroke aphasia. FAU - de Boer, Riemke G A AU - de Boer RGA AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. FAU - Spielmann, Kerstin AU - Spielmann K AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. FAU - Heijenbrok-Kal, Majanka H AU - Heijenbrok-Kal MH AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. FAU - van der Vliet, Rick AU - van der Vliet R AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. FAU - Ribbers, Gerard M AU - Ribbers GM AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. FAU - van de Sandt-Koenderman, W Mieke E AU - van de Sandt-Koenderman WME AD - 1 Rijndam Rehabilitation, Rotterdam, Netherlands. AD - 2 Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands. LA - eng PT - Journal Article DEP - 20170817 PL - United States TA - Neurorehabil Neural Repair JT - Neurorehabilitation and neural repair JID - 100892086 RN - 0 (Brain-Derived Neurotrophic Factor) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Aphasia/etiology/genetics/rehabilitation MH - Brain-Derived Neurotrophic Factor/*genetics/metabolism MH - Female MH - Follow-Up Studies MH - Genotype MH - Humans MH - Language Tests MH - Male MH - Methionine/genetics MH - Middle Aged MH - Polymorphism, Single Nucleotide/*genetics MH - Recovery of Function/*genetics MH - Retrospective Studies MH - Saliva/metabolism MH - Stroke/*complications MH - *Stroke Rehabilitation MH - Valine/genetics MH - Young Adult OTO - NOTNLM OT - aphasia OT - brain-derived neurotrophic factor OT - neuroplasticity OT - single nucleotide polymorphism OT - stroke EDAT- 2017/08/19 06:00 MHDA- 2018/05/22 06:00 CRDT- 2017/08/19 06:00 PHST- 2017/08/19 06:00 [pubmed] PHST- 2018/05/22 06:00 [medline] PHST- 2017/08/19 06:00 [entrez] AID - 10.1177/1545968317723752 [doi] PST - ppublish SO - Neurorehabil Neural Repair. 2017 Sep;31(9):851-857. doi: 10.1177/1545968317723752. Epub 2017 Aug 17.