Obsessive-compulsive disorder, 5-HTTLPR polymorphism and treatment response

被引:59
作者
Di Bella D. [1 ]
Erzegovesi S. [1 ]
Cavallini M.C. [1 ]
Bellodi L. [1 ]
机构
[1] Fond. Ctr. San Raffaele Monte Tabor, San Raffaele Vita-Salute University, Department Neuropsychiatric Sciences, 20127 Milan
关键词
Fluvoxamine; Pharmacogenetics; Serotonin; Serotonin reuptake inhibitors; Tic disorder;
D O I
10.1038/sj.tpj.6500090
中图分类号
学科分类号
摘要
Recently, a role for a functional polymorphism within the promoter region of the serotonin transporter gene (5-HTTLPR) in conferring susceptibility to Obsessive Compulsive Disorder (OCD) has been suggested. The aim of this study was to test the hypothesis that allelic variation of the 5-HTTLPR could be associated with OCD susceptibility or influence the drug response in OCD. One hundred and eighty-one OCD patients were recruited; 92 patients underwent a standardized treatment with fluvoxamine. No significant differences in allele/genotype distribution of the 5-HTTLPR were found between 191 controls and OCD. No differences in fluvoxamine response in the three genotypes groups in OCD were found, considering Yale-Brown Obsessive Compulsive Scale (YBOCS) total scores. Nevertheless, a significant time per genotype interaction was found for the YBOCS subtotal compulsion scores. Considering patients without tic disorder co-diagnosis, a significant time per genotype, interaction for both YBOCS total scores and compulsion scores was found.
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页码:176 / 181
页数:5
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