Allelic variation in the serotonin transporter promoter affects neuromodulatory effects of a selective serotonin transporter reuptake inhibitor (SSRI)

Eichhammer, Peter and Langguth, Berthold and Wiegand, Rainer and Kharraz, Alexander and Frick, Ulrich and Hajak, Goeran (2003) Allelic variation in the serotonin transporter promoter affects neuromodulatory effects of a selective serotonin transporter reuptake inhibitor (SSRI). PSYCHOPHARMACOLOGY, 166 (3). pp. 294-297. ISSN 0033-3158

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Abstract

Rationale: Antidepressant efficacy of selective serotonin reuptake inhibitors (SSRIs) has been shown to depend on functional polymorphisms within the promoter region of the serotonin transporter gene (5-HTTLPR). This gene gives rise to a biallelic polymorphism designated long (1) and short (s). Homozygosity for the long variant (11-genotype) is associated with a two times more efficient 5-HT uptake compared to the s/l- or s/sgenotype. Paired pulse transcranial magnetic stimulation is a feasible tool in detecting changes of motor cortex excitability induced by SSRIs. Objective: Our study aimed to measure neuromodulatory effects of SSRIs on cortical excitability in healthy volunteers characterized by distinct genotypes of the 5-HTTLPR. Methods: Cortical excitability was determined in eight genetically defined subjects pre- and post-ingestion of 60 mg citalopram. Results: Subjects with the 11-genotype of the 5-HTTLPR showed a significant enhancement of a particular component of motor cortex excitability (intracortical inhibition) as compared to volunteers without the 11-genotype. Conclusion: Distinct neuromodulatory effects after intake of citalopram based on allelic variations of the 5-HTTLPR may explain variable response of patients treated with SSRIs.

Item Type: Article
Uncontrolled Keywords: TRANSCRANIAL MAGNETIC STIMULATION; MOTOR CORTEX EXCITABILITY; PREFRONTAL CORTEX; BRAIN; CITALOPRAM; GENE; POLYMORPHISM; VARIABILITY; EXPRESSION; DEPRESSION; paired pulse transcranial magnetic stimulation; serotonin gene transporter polymorphism; serotonin transporter reuptake inhibitor; motor cortex excitability
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Sep 2021 06:14
Last Modified: 20 Sep 2021 06:14
URI: https://pred.uni-regensburg.de/id/eprint/39258

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