5-羟色胺转运体基因多态性与脑卒中后抑郁的关系Association between polymorphisms of 5-HT transporter gene and post-stroke depression
曹金霞,耿德勤,姜建东,刘莉,姜玉龙,孙德锦
摘要(Abstract):
目的探讨5-羟色胺转运体基因启动子区域多态性(5-HTTLPR)与中国汉族人群脑卒中后抑郁(PSD)的关系。方法应用PCR技术,比较96例PSD、97例脑卒中后非PSD及60名健康对照组上述位点基因型及等位基因频率。结果 PSD组5-HTTLPR多态的S/S基因型频率和S等位基因频率显著高于脑卒中非PSD组和健康对照组(均P<0.05),S等位基因与PSD呈正关联(比值比OR=1.76,P<0.01,95%CI:1.15~2.69)。结论 5-HTTLPR S/S基因型和S等位基因可能为脑卒中后抑郁的易患因素。
关键词(KeyWords): 5-羟色胺转运体;脑卒中后抑郁;基因多态性
基金项目(Foundation):
作者(Author): 曹金霞,耿德勤,姜建东,刘莉,姜玉龙,孙德锦
参考文献(References):
- [1]Hackett ML,Anderson CS.Frequency of depression afterstroke:a systematic review of observational studies[J].Stroke,2005,36(6):2 296-2 301.
- [2]Hackett ML,Anderson CS,House AO.Management of de-pression after stroke:a systematic review of pharmacologicaltherapies[J].Stroke,2005,36(5):1 092-1 097.
- [3]Ramasubbu R,Tobias R,Bech-Hansen NT.Extended evalua-tion of serotonin transporter gene functional polymorphisms insubjects with post-stroke depression[J].Can J Psychiatr,2008,53(3):197-201.
- [4]Ramasubbu R,Tobias R,Buchan AM,et al.Serotonin trans-porter gene promoter region polymorphism associated withpoststroke major depression[J].J Neuropsychiatry Clin Neu-rosci,2006,18(1):96-99.
- [5]Kohen R,Cain KC,Mitchell PH,et al.Association of seroto-nin transporter gene polymorphisms with poststroke depression[J].Arch Gen Psychiatry,2008,65(11):296-302.
- [6]Karg K,Burmeister M,Shedden K,et al.The serotonin trans-porter promoter variant(5-HTTLPR),stress,and depressionmeta-analysis revisited:evidence of genetic moderation[J].Arch Gen Psychiatry,2011,68(5):444-454.
- [7]Lesch KP,Bengel D,Heils A,et al.Association of anxiety re-lated traits with a polymorphism in the serotonin transportergene regulatory region[J].Science,1996,274(5292):1 527-1531.
- [8]龙洁,刘永珍,蔡焯基,等.卒中后抑郁状态的发生率及相关因素研究[J].中华神经科杂志,2001,34(3):145-148.
- [9]崔超巍,王萱.5-羟色胺运载体基因多态性与脑卒中后抑郁的相关性[J].中国实用医刊,2011,38(9):31-33.