TY - JOUR PY - 2007// TI - Effect of tryptophan hydroxylase-2 gene variants on suicide risk in major depression JO - Biological psychiatry A1 - Turecki, Gustavo A1 - Benkelfat, Chawki A1 - Alda, Martin A1 - Dumont, M. A1 - Lesage, Alain A1 - Rouleau, Guy A. A1 - Brezo, Jelena A1 - Lopez de Lara, Catalina SP - 72 EP - 80 VL - 62 IS - 1 N2 - BACKGROUND: Suicide and depressive disorders are strongly associated, yet not all depressed patients commit suicide. Genetic factors may partly explain this difference. We investigated whether variation at the tryptophan hydroxylase-2 (TPH2) gene and its 5' upstream region may predispose to suicide in major depressive disorder (MDD) and whether this predisposition is mediated by impulsive-aggressive behaviors (IABs). METHODS: We genotyped 14 single nucleotide polymorphisms (SNPs) in 259 depressed subjects, 114 of which committed suicide while depressed. Phenotypic assessments were carried out by means of proxy-based interviews. Single-marker and haplotype association analyses were conducted. Differences in behavioral and personality traits according to genotypic variation were investigated, as well as genetic and clinical predictors of suicide. RESULTS: We found two upstream and two intronic SNPs associated with suicide. No direct effect of these variants was observed on IABs. However, a slight association with reward dependence scores was found. Controlling for suicide risk factors, two SNPs (rs4448731 and rs4641527) significantly predicted suicide, along with cluster B personality disorders and family history of suicide. CONCLUSIONS: The TPH2 gene and its 5' upstream region variants may be involved in the predisposition to suicide in MDD; however, our findings do not support the role of IABs as mediators.

Language: en

LA - en SN - 0006-3223 UR - http://dx.doi.org/10.1016/j.biopsych.2006.09.008 ID - ref1 ER -