PMID- 30149456 OWN - NLM STAT- MEDLINE DCOM- 20190826 LR - 20200623 IS - 1875-8908 (Electronic) IS - 1387-2877 (Print) IS - 1387-2877 (Linking) VI - 65 IP - 4 DP - 2018 TI - The Influence of the Val66Met Polymorphism of Brain-Derived Neurotrophic Factor on Neurological Function after Traumatic Brain Injury. PG - 1055-1064 LID - 10.3233/JAD-180585 [doi] AB - Functional outcomes after traumatic brain injury (TBI) vary widely across patients with apparently similar injuries. This variability hinders prognosis, therapy, and clinical innovation. Recently, single nucleotide polymorphism (SNPs) that influence outcome after TBI have been identified. These discoveries create opportunities to personalize therapy and stratify clinical trials. Both of these changes would propel clinical innovation in the field. This review focuses on one of most well-characterized of these SNPs, the Val66Met SNP in the brain-derived neurotrophic factor (BDNF) gene. This SNP influences neurological function in healthy subjects as well as TBI patients and patients with similar acute insults to the central nervous system. A host of other patient-specific factors including ethnicity, age, gender, injury severity, and post-injury time point modulate this influence. These interactions confound efforts to define a simple relationship between this SNP and TBI outcomes. The opportunities and challenges associated with personalizing TBI therapy around this SNP and other similar SNPs are discussed in light of these results. FAU - Finan, John D AU - Finan JD AD - Department of Neurosurgery, NorthShore University Health System, Evanston, IL, USA. FAU - Udani, Shreya V AU - Udani SV AD - Department of Neurosurgery, NorthShore University Health System, Evanston, IL, USA. FAU - Patel, Vimal AU - Patel V AD - Department of Neurosurgery, NorthShore University Health System, Evanston, IL, USA. FAU - Bailes, Julian E AU - Bailes JE AD - Department of Neurosurgery, NorthShore University Health System, Evanston, IL, USA. LA - eng GR - R21 NS098129/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) MH - Brain Injuries, Traumatic/*complications/therapy MH - Brain-Derived Neurotrophic Factor/*genetics MH - Humans MH - Nervous System Diseases/*etiology/*genetics MH - Polymorphism, Single Nucleotide/*genetics MH - Precision Medicine/methods PMC - PMC6348870 MID - NIHMS992408 OTO - NOTNLM OT - Brain-derived neurotrophic factor OT - precision medicine OT - single nucleotide polymorphism OT - traumatic brain injury EDAT- 2018/08/29 06:00 MHDA- 2019/08/27 06:00 PMCR- 2019/01/28 CRDT- 2018/08/29 06:00 PHST- 2018/08/29 06:00 [pubmed] PHST- 2019/08/27 06:00 [medline] PHST- 2018/08/29 06:00 [entrez] PHST- 2019/01/28 00:00 [pmc-release] AID - JAD180585 [pii] AID - 10.3233/JAD-180585 [doi] PST - ppublish SO - J Alzheimers Dis. 2018;65(4):1055-1064. doi: 10.3233/JAD-180585.