Objective: To determine whether genotype at the catechol-O-methyltransferase rs4680, dopamine D2 receptor rs1800497, serotonin receptor 1A rs6295 or serotonin transporter 5-HTTLPR single nucleotide polymorphisms is associated with response to citalopram and escitalopram treatment in patients with major depressive disorder and generalized anxiety disorder.
Methods: Twenty one patients with depression or anxiety who were treated with citalopram or escitalopram for greater than one year, and who stopped the medication for a period of time during which their symptoms returned, and upon re-commencing the medication their symptoms were again reduced, were classified as responders. Patients were assessed using the Sheehan Disability Scale and the Quick Inventory of Depressive Symptomology- self report. The control group consisted of 146 healthy participants. Genotype was determined at each of the candidate genes studied: catechol-O-methyltransferase, dopamine D2 receptor, serotonin receptor 1A and serotonin transporter. Chi squared tests were used to compare genotypic and allele frequencies between responders and controls.
Results: There was no significant difference in genotypic or allele frequencies between responders and controls at each of the genes analyzed.
Conclusions: This pilot study suggests that genotype at the catechol-O-methyltransferase, dopamine D2 receptor, serotonin receptor 1A and serotonin
transporter genes is not associated with response to citalopram and escitalopram treatment in patients with depression and anxiety. A larger sample size, along with a genome-wide scan are needed to identify genetic variants that predict medication response in future patients. / Thesis (Master, Neuroscience Studies) -- Queen's University, 2010-08-31 12:26:21.402
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OKQ.1974/6003 |
| Date | 31 August 2010 |
| Creators | GEDGE, L |
| Contributors | Queen's University (Kingston, Ont.). Theses (Queen's University (Kingston, Ont.)) |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English, English |
| Detected Language | English |
| Type | Thesis |
| Rights | This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner. |
| Relation | Canadian theses |
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