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Association between brain-derived neurotrophic factor Val66Met gene polymorphism and progressive brain volume changes in schizophrenia
Journal article   Open access   Peer reviewed

Association between brain-derived neurotrophic factor Val66Met gene polymorphism and progressive brain volume changes in schizophrenia

Beng-Choon Ho, Nancy C Andreasen, Jeffrey D Dawson and Thomas H Wassink
The American journal of psychiatry, Vol.164(12), pp.1890-1899
12/2007
DOI: 10.1176/appi.ajp.2007.05111903
PMCID: PMC3062255
PMID: 18056245
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3062255View
Open Access

Abstract

Factors underlying progressive brain volume changes in schizophrenia remain poorly understood. The authors investigated whether a gene polymorphism influencing neuroplasticity may contribute to longitudinal brain volume alterations. High-resolution magnetic resonance (MR) images of the whole brain were obtained for 119 patients with recent-onset schizophrenia spectrum disorders. Changes in brain volumes over an average of 3 years were compared between brain-derived neurotrophic factor (BDNF) val66met genotype groupings. Exploratory analyses were conducted to examine relationships between antipsychotic treatment and brain volume changes as well as the effects of BDNF genotype on changes in cognition and symptoms. Significant genotype effects were observed on within-subject changes in volumes of frontal lobe gray matter, lateral ventricles, and sulcal CSF. Met allele carriers had significantly greater reductions in frontal gray matter volume, with reciprocal volume increases in the lateral ventricles and sulcal (especially frontal and temporal) CSF than Val homozygous patients. Independent of BDNF genotype, more antipsychotic exposure between MRI scans correlated with greater volume reductions in frontal gray matter, particularly among patients who were initially treatment naive. There were no statistically significant genotype effects on within-subject changes in cognition or symptoms. BDNF(Met) variant may be one of several factors affecting progressive brain volume changes in schizophrenia.
Brain-Derived Neurotrophic Factor - genetics Humans Atrophy - pathology Male Schizophrenia - pathology Schizophrenic Psychology Genetic Variation Neuronal Plasticity - genetics Schizophrenia - genetics Antipsychotic Agents - therapeutic use Magnetic Resonance Imaging - statistics & numerical data Adult Female Cognition Disorders - psychology Severity of Illness Index Genotype Neuropsychological Tests Cognition Disorders - diagnosis Brain - pathology Polymorphism, Genetic - genetics Valine - genetics Schizophrenia - drug therapy Longitudinal Studies Frontal Lobe - pathology Methionine - genetics

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