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Monoamine oxidase: A gene polymorphism, tryptophan hydroxylase gene polymorphism and antidepressant response to fluvoxamine in Japanese patients with major depressive disorder.

Abstract
Monoamine oxidase A (MAOA) and tryptophan hydroxylase (TPH) are the staple enzymes in the metabolism of serotonin (5-HT). The genetic polymorphisms of these two enzymes might individually alter the production, release, reuptake or degradation of 5-HT during the treatment of selective serotonin reuptake inhibitors (SSRIs), leading to the individual differences in the antidepressant effects of SSRIs. The authors investigated whether a functional polymorphism in the MAOA gene promoter (MAOA-VNTR) and a TPH gene polymorphism in intron 7 (TPH-A218C) were associated with the antidepressant response to fluvoxamine in 66 Japanese patients with major depressive disorder during a 6-week study with a specific dosage plan. Fifty-four patients completed the study. The present study fails to demonstrate that the genetic polymorphisms of MAOA-VNTR and TPH-A218C affect the antidepressant effect of fluvoxamine in Japanese patients with major depressive disorder.
AuthorsKeizo Yoshida, Shingo Naito, Hitoshi Takahashi, Kazuhiro Sato, Kenichi Ito, Mitsuhiro Kamata, Hisashi Higuchi, Tetsuo Shimizu, Kunihiko Itoh, Kazuyuki Inoue, Takehiko Tezuka, Toshio Suzuki, Tadashi Ohkubo, Kazunobu Sugawara, Koichi Otani
JournalProgress in neuro-psychopharmacology & biological psychiatry (Prog Neuropsychopharmacol Biol Psychiatry) Vol. 26 Issue 7-8 Pg. 1279-83 (Dec 2002) ISSN: 0278-5846 [Print] England
PMID12502014 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antidepressive Agents, Second-Generation
  • Tryptophan Hydroxylase
  • Monoamine Oxidase
  • Fluvoxamine
Topics
  • Adult
  • Aged
  • Antidepressive Agents, Second-Generation (pharmacology)
  • Depressive Disorder (drug therapy, genetics, psychology)
  • Female
  • Fluvoxamine (pharmacology)
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Monoamine Oxidase (genetics, pharmacology)
  • Polymorphism, Genetic
  • Promoter Regions, Genetic (genetics)
  • Treatment Outcome
  • Tryptophan Hydroxylase (genetics, pharmacology)

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