MK4MDD

Study Report

Reference
CitationFrodl, 2004 PubMed
Full InfoFrodl, T., Meisenzahl, E.M., Zill, P., Baghai, T., Rujescu, D., Leinsinger, G., Bottlender, R., Schule, C., Zwanzger, P., Engel, R.R. et al. (2004) Reduced hippocampal volumes associated with the long variant of the serotonin transporter polymorphism in major depression. Arch Gen Psychiatry, 61, 177-183.

Study
Hypothesis or Background Substantial evidence supports a role for dysfunction of the serotonin transporter in the pathogenesis of major depression. Several studies have found reciprocal interactions between the serotonergic system and both brain-derived neurotrophic factor and glutamate, which are known to modulate or affect hippocampal morphologic characteristics.
Sample Information40 inpatients with major depression as well as 40 healthy controls
Method DetailMRI; genotyping
Method Keywordsmagnetic resonance imaging (MRI); genotyping
ResultPatients with the L/L homozygous genotype had significantly smaller hippocampal gray matter (left hemisphere: P=.003; right hemisphere: P=.01) and white matter volumes (left hemisphere: P=.001; right hemisphere: P=.002) than controls with this genotype. No significant differences were found between patients and controls with the L/S or S/S genotype. Moreover, patients with the L/L genotype had significantly smaller hippocampal white matter volumes than those with the L/S or S/S genotype (P=.03).
ConclusionsPatients with the L/L homozygous genotype had significantly smaller hippocampal gray matter (left hemisphere: P=.003; right hemisphere: P=.01) and white matter volumes (left hemisphere: P=.001; right hemisphere: P=.002) than controls with this genotype. No significant differences were found between patients and controls with the L/S or S/S genotype. Moreover, patients with the L/L genotype had significantly smaller hippocampal white matter volumes than those with the L/S or S/S genotype (P=.03).

Relationships reported by Frodl, 2004