Depressed Caucasians with Met allele of BDNF Val66Met polymorphism have more deleterious metabolic changes after antidepressant treatment than Val/Val

Author(s):  
Séverine Martin
2018 ◽  
Vol 49 (14) ◽  
pp. 2364-2369
Author(s):  
Séverine Martin ◽  
Romain Colle ◽  
Khalil El Asmar ◽  
Adrien Rigal ◽  
Albane Vievard ◽  
...  

AbstractBackgroundThe brain-derived neurotrophic factor (BDNF) Val66Met polymorphism is associated with response to antidepressant drugs in depressed patients and with metabolic side effects after antipsychotic treatment. This study aims to assess the association between this polymorphism and insulin resistance after antidepressant treatment in depressed patients.MethodsOne hundred forty-eight Caucasian patients with a current unipolar major depressive episode (DSM IV-TR) were genotyped for the BDNF Val66Met polymorphism and assessed at baseline and after 3 and 6 months of antidepressant treatment for the ‘Homoeostasis model assessment of insulin resistance’ (HOMA-IR) index, a valid measure of insulin resistance based on fasting plasma insulinaemia and glycaemia. Because validity assumptions were fulfilled, data were analysed using analysis of variance for repeated measures.ResultsThe 52 (35%) Met carriers and 96 (65%) Val/Val patients were not different at baseline for clinical characteristics and HOMA-IR. A significant Val66Met × time interaction (p= 0.02), a significant time effect (p= 0.03) and a significant Val66Met effect (p= 0.0497) were shown for HOMA-IR. A significant Val66Met × time interaction (p= 0.01) and a significant time effect (p= 0.003) were shown for fasting glycaemia. HOMA-IR and fasting glycaemia changes after antidepressant treatment were significantly higher in Met carrier than in Val/Val patients (HOMA-IR changes: Met: 0.71 ± 3.29v.Val/Val: −0.16 ± 1.34,t= 2.3, df = 146,p= 0.02, glycaemia changes: Met: 0.09 ± 0.30v.Val/Val: 0.02 ± 0.16,t= −2.0, df = 146,p= 0.045).ConclusionsThe Met allele of the Val66Met BDNF polymorphism confers to depressed patients a higher risk of insulin-resistance after antidepressant treatment. These patients could benefit from specific monitoring of metabolism and preventive measures.


2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Angela Shiratsu Yamada ◽  
Flavia Tasmim Techera Antunes ◽  
Camila Ferraz ◽  
Alessandra Hubner de Souza ◽  
Daniel Simon

Abstract Background The Val66Met polymorphism of the brain-derived neurotrophic factor (BDNF) gene is a potential biomarker of vulnerability to pain. Thus, the present study aimed to investigate the association of this polymorphism with clinical and biopsychosocial factors in patients with chronic low back pain (CLBP). Methods A total of 107 individuals with CLBP answered questionnaires that were validated and adapted for the Brazilian population, including the Brief Inventory of Pain, the Central Sensitization Inventory, the Roland Morris Disability Questionnaire, the Tampa Scale for Kinesiophobia, the Pain Catastrophizing Scale, the Survey of Pain Attitude-Brief, and the Hospital Anxiety and Depression Scale. All of the subjects were genotyped for the BDNF Val66Met polymorphism. Results The sample showed moderate scores of disability, central sensitization, and kinesiophobia, in addition to mild anxiety, hopelessness, and ruminant thoughts. No significant association was observed between the Val66Met polymorphism and the variables analyzed. Besides, there was no relationship between the BDNF Val66Met polymorphism with CSI, catastrophization, or disabilities that were generated by CLBP. Conclusion The results showed that the Val66Met polymorphism of the BDNF gene was not associated with clinical and biopsychosocial characteristics of CLBP in the sample studied.


2021 ◽  
Vol 30 ◽  
pp. 102576
Author(s):  
Wei-Chi Li ◽  
Hsiang-Tai Chao ◽  
Ming-Wei Lin ◽  
Horng-Der Shen ◽  
Li-Fen Chen ◽  
...  

2009 ◽  
Vol 150B (3) ◽  
pp. 441-442 ◽  
Author(s):  
O. Kebir ◽  
F. Mouaffak ◽  
M. Chayet ◽  
S. Leroy ◽  
S. Tordjman ◽  
...  

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