Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-7-6
pubmed:abstractText
Recent studies have shown that selective serotonin reuptake inhibitors (SSRIs) have circadian properties, suggesting that the antidepressive action of SSRIs may also be attributable to circadian mechanisms. Another study reported an association between clock gene (CLOCK) and improvements in insomnia symptoms from SSRIs treatment. Therefore, we examined the association between CLOCK and the efficacy of fluvoxamine treatment in 121 patients with Japanese major depressive disorder (MDD). The MDD patients in this study had scores of 12 or higher on the 17 items of the Structured Interview Guide for Hamilton Rating Scale for Depression (SIGH-D). We defined a therapeutic response as a decrease of more than a 50% in baseline SIGH-D within 8 weeks, and clinical remission as a SIGH-D score of less than seven at 8 weeks. We selected three tagging SNPs in CLOCK for the subsequent statistical association analysis. We detected a significant association between rs3736544, a synonymous polymorphism in exon 20, and the fluvoxamine therapeutic response in MDD in the allele/genotype-wise analyses. In addition, remission with fluvoxamine was also significantly associated with rs3736544. These associations remained significant after Bonferroni correction. Moreover, haplotype analysis findings supported these significant associations, which appeared to be due mainly to rs3736544, in the fluvoxamine therapeutic remission. Our results indicate that CLOCK genotype may be a predictor of fluvoxamine treatment response in Japanese MDD. However, our sample size was small, and a replication study using larger samples may be required for conclusive results.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1559-1174
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
53-7
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:19347611-Adult, pubmed-meshheading:19347611-Asian Continental Ancestry Group, pubmed-meshheading:19347611-Biological Clocks, pubmed-meshheading:19347611-CLOCK Proteins, pubmed-meshheading:19347611-Circadian Rhythm, pubmed-meshheading:19347611-Depressive Disorder, Major, pubmed-meshheading:19347611-Female, pubmed-meshheading:19347611-Fluvoxamine, pubmed-meshheading:19347611-Genetic Variation, pubmed-meshheading:19347611-Genotype, pubmed-meshheading:19347611-Humans, pubmed-meshheading:19347611-Male, pubmed-meshheading:19347611-Middle Aged, pubmed-meshheading:19347611-Polymorphism, Single Nucleotide, pubmed-meshheading:19347611-Psychiatric Status Rating Scales, pubmed-meshheading:19347611-Serotonin Uptake Inhibitors, pubmed-meshheading:19347611-Trans-Activators, pubmed-meshheading:19347611-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
CLOCK may predict the response to fluvoxamine treatment in Japanese major depressive disorder patients.
pubmed:affiliation
Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, 470-1192, Japan. tarok@fujita-hu.ac.jp
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't