1. Consensus paper of the WFSBP Task Force on Genetics: Genetics, epigenetics and gene expression markers of major depressive disorder and antidepressant response
- Author
-
Florence Thibaut, Ladislav Hosák, David A. Collier, Lynn Le Delisi, Alejo Corrales, Rainald Mössner, Jorge Ospina-Duque, Stephan Claes, David St Clair, Michael Conlon O'Donovan, Markus M. Nöthen, Frank Bellivier, Carla Gallo, Amanda Lisoway, Alessandro Serretti, Isabelle Massat, Julien Mendlewicz, James Jl Kennedy, Laura Mandelli, Marion Leboyer, Ole Mors, Sven Cichon, Dan Rujescu, Yongyong Shi, Wolfgang Maier, Ina Giegling, Chiara Fabbri, Manuel Marquez, Pierandrea Muglia, Michael Gill, Peter Propping, Fabbri, Chiara, Hosak, Ladislav, Mössner, Rainald, Giegling, Ina, Mandelli, Laura, Bellivier, Frank, Claes, Stephan, Collier, David A., Corrales, Alejo, Delisi, Lynn E., Gallo, Carla, Gill, Michael, Kennedy, James L., Leboyer, Marion, Lisoway, Amanda, Maier, Wolfgang, Marquez, Miguel, Massat, Isabelle, Mors, Ole, Muglia, Pierandrea, Nöthen, Markus M., O’Donovan, Michael C., Ospina-Duque, Jorge, Propping, Peter, Shi, Yongyong, St Clair, David, Thibaut, Florence, Cichon, Sven, Mendlewicz, Julien, Rujescu, Dan, and Serretti, Alessandro
- Subjects
Genetic Markers ,Consensus ,Disease ,Pharmacology ,Biology ,Bioinformatics ,transcriptomics-proteomic ,Epigenesis, Genetic ,genetics-epigenetic ,03 medical and health sciences ,0302 clinical medicine ,Journal Article ,medicine ,Major depression ,Humans ,Epigenetics ,Pathological ,Biological Psychiatry ,Randomized Controlled Trials as Topic ,Depressive Disorder, Major ,antidepressant ,Neuronal Plasticity ,medicine.disease ,Antidepressive Agents ,030227 psychiatry ,Psychiatry and Mental health ,Major depressive disorder ,Antidepressant ,FKBP5 ,Transcriptome ,030217 neurology & neurosurgery ,Glucocorticoid ,Pharmacogenetics ,medicine.drug - Abstract
Major depressive disorder (MDD) is a heritable disease with a heavy personal and socio-economic burden. Antidepressants of different classes are prescribed to treat MDD, but reliable and reproducible markers of efficacy are not available for clinical use. Further complicating treatment, the diagnosis of MDD is not guided by objective criteria, resulting in the risk of under- or overtreatment. A number of markers of MDD and antidepressant response have been investigated at the genetic, epigenetic, gene expression and protein levels. Polymorphisms in genes involved in antidepressant metabolism (cytochrome P450 isoenzymes), antidepressant transport (ABCB1), glucocorticoid signalling (FKBP5) and serotonin neurotransmission (SLC6A4 and HTR2A) were among those included in the first pharmacogenetic assays that have been tested for clinical applicability. The results of these investigations were encouraging when examining patient-outcome improvement. Furthermore, a nine-serum biomarker panel (including BDNF, cortisol and soluble TNF-α receptor type II) showed good sensitivity and specificity in differentiating between MDD and healthy controls. These first diagnostic and response-predictive tests for MDD provided a source of optimism for future clinical applications. However, such findings should be considered very carefully because their benefit/cost ratio and clinical indications were not clearly demonstrated. Future tests may include combinations of different types of biomarkers and be specific for MDD subtypes or pathological dimensions.
- Published
- 2016
- Full Text
- View/download PDF