PMID- 34118072 OWN - NLM STAT- MEDLINE DCOM- 20210811 LR - 20221207 IS - 1439-0272 (Electronic) IS - 0303-4569 (Linking) VI - 53 IP - 8 DP - 2021 Sep TI - A comprehensive assessment of genetic variation in serotonin transporter gene (5-HTTLPR+rs25531) and the response to dapoxetine in Chinese patients with premature ejaculation. PG - e14141 LID - 10.1111/and.14141 [doi] AB - This study was to explore whether serotonin transporter gene-linked polymorphic region polymorphisms (5-HTTLPR+rs25531) influence the response to dapoxetine treatment in a Chinese population with premature ejaculation (PE). 112 patients with PE re-enrolled from our previous study received dapoxetine monotherapy. At the endpoint, patients with S'S' had a significant increased risk of nonresponse compared with L' carriers (p < .001). The improvement in S'S' genotype was significantly lower in premature ejaculation profile (PEP) items of 'control over ejaculation' (p = .035) and 'distress related to ejaculation' (p = .017) than that in L' carriers. As to clinical global impression of change (CGIC), results in S'S' subjects showed significantly lower scores (p = .008) and a less satisfaction rate reporting at least 'better' (p = .020) compared with L' carriers. Moreover, our findings suggested that patients with S'S' were more likely to develop adverse effects (AEs) compared with L' carriers (p = .040). This study suggests that PE patients bearing the S'S' genotype have an inferior comprehensive efficacy and safety of dapoxetine treatment, which consist of poorer response in IELTs, less improvement in patient-reported outcome (PRO) measures and greater incidence of AEs, than L' carriers. Variants of triallelic 5-HTTLPR may play a major role as a predictor of treatment response to dapoxetine. CI - (c) 2021 Wiley-VCH GmbH. FAU - Huang, Yuanyuan AU - Huang Y AUID- ORCID: 0000-0002-9715-9661 AD - Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Gao, Jingjing AU - Gao J AD - Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Gao, Pan AU - Gao P AD - Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Peng, Dangwei AU - Peng D AD - Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Dai, Yutian AU - Dai Y AD - Department of Andrology, Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, China. FAU - Jiang, Hui AU - Jiang H AD - Department of Andrology, Peking University Third Hospital, Beijing, China. AD - Department of Human Sperm Bank, Peking University Third Hospital, Beijing, China. FAU - Zhang, Xiansheng AU - Zhang X AUID- ORCID: 0000-0001-6003-5182 AD - Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, China. LA - eng GR - 82071637/National Natural Science Foundation of China/ PT - Journal Article DEP - 20210612 PL - Germany TA - Andrologia JT - Andrologia JID - 0423506 RN - 0 (Benzylamines) RN - 0 (Naphthalenes) RN - 0 (SLC6A4 protein, human) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 0 (Serotonin Uptake Inhibitors) RN - GB2433A4M3 (dapoxetine) SB - IM MH - Benzylamines MH - China MH - Ejaculation MH - Humans MH - Male MH - Naphthalenes MH - Polymorphism, Genetic MH - *Premature Ejaculation/drug therapy/genetics MH - *Serotonin Plasma Membrane Transport Proteins/genetics MH - Selective Serotonin Reuptake Inhibitors/therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - dapoxetine OT - polymorphism OT - premature ejaculation OT - serotonin transporter EDAT- 2021/06/13 06:00 MHDA- 2021/08/12 06:00 CRDT- 2021/06/12 12:13 PHST- 2021/05/13 00:00 [revised] PHST- 2021/02/02 00:00 [received] PHST- 2021/05/21 00:00 [accepted] PHST- 2021/06/13 06:00 [pubmed] PHST- 2021/08/12 06:00 [medline] PHST- 2021/06/12 12:13 [entrez] AID - 10.1111/and.14141 [doi] PST - ppublish SO - Andrologia. 2021 Sep;53(8):e14141. doi: 10.1111/and.14141. Epub 2021 Jun 12.