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Archival Report| Volume 72, ISSUE 8, P663-670, October 15, 2012

Neurotrophic Tyrosine Kinase Polymorphism Impacts White Matter Connections in Patients with Major Depressive Disorder

  • Melissa L. Murphy
    Affiliations
    Integrated Neuroimaging Group, Department of Psychiatry and Institute of Neuroscience, School of Medicine, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland
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  • Angela Carballedo
    Affiliations
    Integrated Neuroimaging Group, Department of Psychiatry and Institute of Neuroscience, School of Medicine, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland

    Centre of Advanced Medical Imaging, St. James's Hospital, Trinity College Dublin, Dublin, Ireland
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  • Andrew J. Fagan
    Affiliations
    Centre of Advanced Medical Imaging, St. James's Hospital, Trinity College Dublin, Dublin, Ireland
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  • Derek Morris
    Affiliations
    Neuropsychiatric Genetics Group, Department of Psychiatry and Institute of Neuroscience, School of Medicine, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland
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  • Ciara Fahey
    Affiliations
    Neuropsychiatric Genetics Group, Department of Psychiatry and Institute of Neuroscience, School of Medicine, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland
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  • James Meaney
    Affiliations
    Centre of Advanced Medical Imaging, St. James's Hospital, Trinity College Dublin, Dublin, Ireland
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  • Thomas Frodl
    Correspondence
    Address correspondence to Thomas Frodl, M.D., M.A., Trinity College Dublin, Department of Psychiatry and Institute of Neuroscience, Dublin 2, Ireland
    Affiliations
    Integrated Neuroimaging Group, Department of Psychiatry and Institute of Neuroscience, School of Medicine, Trinity College Dublin, University of Dublin, College Green, Dublin, Ireland

    Centre of Advanced Medical Imaging, St. James's Hospital, Trinity College Dublin, Dublin, Ireland
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      Background

      Polymorphisms in the brain-derived neurotrophic factor (BDNF) gene and its receptor neurotrophic tyrosine kinase receptor type 2 (NTRK2) have been implicated in mood disorders. The aim of this study was to examine whether the NTRK2 and BDNF polymorphisms impact brain white matter connections in major depressive disorder and whether they may also have an interactive effect with environmental stress in the form of early life adversity.

      Methods

      The study group comprised 45 depressed patients and 45 age- and gender-matched control subjects. High angular resolution diffusion images were obtained and analyzed using tract-based spatial statistics. Analysis of a single nucleotide polymorphism in the BDNF (rs6265/Valine66Methionine) and NTRK2 (rs11140714) genes was performed.

      Results

      An interactive effect was found between NTRK2 and depression diagnosis maximally affecting the cingulum. Depressed patients homozygous for the A allele of NTRK2 showed significantly reduced fractional anisotropy compared with depressed patients with at least one copy of the G allele or control subjects with either the A/A or G carrier genotypes in the left and right corona radiata, left uncinate fasciculus, left inferior fronto-occipital fasciculus, left cerebral peduncle, posterior thalamic radiation, and middle cerebral peduncle. Significantly smaller gray matter volume was seen in frontal lobe regions in patients homozygous for the A allele.

      Conclusions

      Polymorphisms in NTRK2 gene increase risk of architectural changes in several brain regions involved in emotional regulation.

      Key Words

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