Serotonin-1A receptor CC genotype is associated with persistent depression related to interferon-alpha in hepatitis C
Amanda Galvão-de Almeida1, Lucas C Quarantini2, Amanda Guindalini Tartaglioni3
1Department of Neurosciences and Mental Health, Medical School, Universidade Federal da Bahia, Bahia, Brazil; Department of Psychiatry and Laboratório Interdisciplinar de Neurociências Clínicas (LiNC), Medical School, Universidade Federal de São Paulo, São Paulo, Brazil.
Objective:
The aim of this study is to investigate the development of depression during interferon-alpha (IFN-α) therapy and the variations in the expression of the serotonin receptor (5-HTR) and transporter (5-HTT) in hepatitis C patients.
Method:
Hepatitis C patients (n=277) were given the Mini International Neuropsychiatric Interview at the end of IFN-α therapy. Three polymorphisms were genotyped: the serotonin transporter repeat length polymorphic region [5-HTT gene-linked polymorphic region (5-HTTLPR)], as well as SNPs rs25531 and rs6295, located within the 5-HTTLPR and the transcriptional control region of the 5-HTR1A gene, respectively.
Results:
The diagnosis of current depression, which was associated with IFN-α-related depression (P<.001), demonstrated a statistically significant association with the CC genotype of the 5-HTR1A gene (odds ratio=5.57, 95% confidence interval=1.61-19.24, P=.007).
Conclusions:
Persistent depression may represent a more specific type of IFN-α-related psychopathology. Future studies need to investigate the genetic risk factors for vulnerability associated with persistent depression. Limitations, such as the study's cross-sectional design, small sample size and retrospective assessment of IFN-α-induced depression diagnosis, must be taken into account while interpreting the results found in this study.
Related Concept Videos
G-protein Coupled Receptors
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Hepatitis
Inhibitors of Viral Protein Synthesis
Depressive Disorders: Etiology
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...


