학술논문

Whole-genome association analysis of treatment response in obsessive-compulsive disorder.
Document Type
article
Source
Molecular psychiatry. 21(2)
Subject
Humans
Genetic Predisposition to Disease
Membrane Proteins
Serotonin Uptake Inhibitors
Treatment Outcome
Obsessive-Compulsive Disorder
Linkage Disequilibrium
Polymorphism
Single Nucleotide
Adolescent
Adult
Aged
Middle Aged
Child
Female
Male
Genetic Variation
Genome-Wide Association Study
Self Report
Polymorphism
Single Nucleotide
Psychiatry
Biological Sciences
Medical and Health Sciences
Psychology and Cognitive Sciences
Language
Abstract
Up to 30% of patients with obsessive-compulsive disorder (OCD) exhibit an inadequate response to serotonin reuptake inhibitors (SRIs). To date, genetic predictors of OCD treatment response have not been systematically investigated using genome-wide association study (GWAS). To identify specific genetic variations potentially influencing SRI response, we conducted a GWAS study in 804 OCD patients with information on SRI response. SRI response was classified as 'response' (n=514) or 'non-response' (n=290), based on self-report. We used the more powerful Quasi-Likelihood Score Test (the MQLS test) to conduct a genome-wide association test correcting for relatedness, and then used an adjusted logistic model to evaluate the effect size of the variants in probands. The top single-nucleotide polymorphism (SNP) was rs17162912 (P=1.76 × 10(-8)), which is near the DISP1 gene on 1q41-q42, a microdeletion region implicated in neurological development. The other six SNPs showing suggestive evidence of association (P