C-Reactive Protein Gene Variants in Depressive Symptoms & Antidepressants Efficacy

• 발행기관: 대한신경정신의학회
• 저자명: Xinxin Li Ning Sun Chunxia Yang Zhifen Liu Xinrong Li Kerang Zhang
• 간행물 정보: 『Psychiatry Investigation』제16권 제12호, 940~947쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2019.12.31

영문 초록

Objective: Although the pathogenesis of depression remains unclear, C-reactive protein (CRP) levels are commonly elevated in depressed patients. Thus, CRP single-nucleotide polymorphisms (SNPs) that influence CRP levels may be associated with depression. In the present study, we explored whether CRP SNPs are related to depressive symptoms and antidepressants efficacy in Han Chinese patients. Methods: We analyzed data from 440 patients with first-episode depression. We obtained genome CRP SNPs, scores of the 17-item Hamilton Rating Scale for Depression 17 (HAMD17) and its four-factor at baseline and after 6 weeks. Quantitative trait analysis was performed using UNPHASED software and curative effects were analyzed using SPSS software. Results: Male patients with SNP rs1800947G exhibited lower insomnia scores and rs2794521CC exhibited lower scores of anxiety/ physical symptoms, total HAMD17 score. Female patients with rs2794521TT exhibited higher scores of insomnia and lower antidepressants efficacy. Conclusion: CRP SNPs rs1800947 and rs2794521 may be associated with depressive symptoms in patients with depression in a sex-specific fashion. Furthermore, rs2794521 may be a predictor of the efficacy of antidepressants in female patients.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Depression Single-nucleotide polymorphism Antidepressant C-reactive protein 6-week follow-up