dc.contributor.author |
Gonda, Xénia |
|
dc.contributor.author |
Petschner, Péter |
|
dc.contributor.author |
Eszlári, Nóra |
|
dc.contributor.author |
Baksa, Dániel |
|
dc.contributor.author |
Édes, Andrea Edit |
|
dc.contributor.author |
Antal, P |
|
dc.contributor.author |
Juhász, Gabriella |
|
dc.contributor.author |
Bagdy, György |
|
dc.date.accessioned |
2019-09-10T16:55:31Z |
|
dc.date.available |
2019-09-10T16:55:31Z |
|
dc.date.issued |
2019 |
|
dc.identifier |
85053737531 |
|
dc.identifier.citation |
journalVolume=194;journalTitle=PHARMACOLOGY & THERAPEUTICS;pagerange=22-43;journalAbbreviatedTitle=PHARMACOL THERAPEUT; |
|
dc.identifier.uri |
http://repo.lib.semmelweis.hu//handle/123456789/7379 |
|
dc.identifier.uri |
doi:10.1016/j.pharmthera.2018.09.002 |
|
dc.description.abstract |
In spite of promising preclinical results there is a decreasing number of new registered medications in major depression. The main reason behind this fact is the lack of confirmation in clinical studies for the assumed, and in animals confirmed, therapeutic results. This suggests low predictive value of animal studies for central nervous system disorders. One solution for identifying new possible targets is the application of genetics and genomics, which may pinpoint new targets based on the effect of genetic variants in humans. The present review summarizes such research focusing on depression and its therapy. The inconsistency between most genetic studies in depression suggests, first of all, a significant role of environmental stress. Furthermore, effect of individual genes and polymorphisms is weak, therefore gene x gene interactions or complete biochemical pathways should be analyzed. Even genes encoding target proteins of currently used antidepressants remain non-significant in genome-wide case control investigations suggesting no main effect in depression, but rather an interaction with stress. The few significant genes in GWASs are related to neurogenesis, neuronal synapse, cell contact and DNA transcription and as being nonspecific for depression are difficult to harvest pharmacologically. Most candidate genes in replicable GxE interactions, on the other hand, are connected to the regulation of stress and the HPA axis and thus could serve as drug targets for a depression subgroups characterized by stress-sensitivity and anxiety while other risk polymorphisms such as those related to prominent cognitive symptoms in depression may help to identify additional subgroups and their distinct treatment. Until these new targets find their way in the therapy, the optimization of current medications can be approached by pharmacogenomics, where metabolizing enzyme polymorphisms remain prominent determinants of therapeutic success. |
|
dc.format.extent |
22-43 |
|
dc.title |
Genetic variants in major depressive disorder: From pathophysiology to therapy |
|
dc.type |
Journal Article |
|
dc.date.updated |
2019-07-31T09:58:29Z |
|
dc.language.rfc3066 |
en |
|
dc.rights.holder |
NULL |
|
dc.identifier.mtmt |
3413351 |
|
dc.identifier.wos |
000457951500002 |
|
dc.identifier.pubmed |
30189291 |
|
dc.contributor.department |
SE/GYTK/GYHATAS/MTA-SE Neuropszichofarmakológiai és Neurokémiai Kutatócsoport |
|
dc.contributor.department |
SE/GYTK/GYHATAS/NAP-2-SE Új Antidepresszív Gyógyszercélpont Kutatócsoport |
|
dc.contributor.department |
SE/AOK/K/Pszichiátriai és Pszichoterápiás Klinika |
|
dc.contributor.department |
SE/GYTK/Gyógyszerhatástani Intézet |
|
dc.contributor.department |
SE/GYTK/GYHATAS/SE-NAP 2 Genetikai Agyi Képalkotó Migrén Kutatócsoport |
|
dc.contributor.department |
SE/GYTK/GYHATAS/MTA-SE-NAP B Genetikai Agyi Képalkotó Migrén Kutató Csoport |
|
dc.contributor.institution |
Semmelweis Egyetem |
|
dc.mtmt.swordnote |
Xenia Gonda and Peter Petschner authors contributed equally to the manuscript.
Funding Agency and Grant Number: NEWMOOD [LSHM-CT-2004-503474, TAMOP-4.2.1.B-09/1/KMR-2010-0001, KT1A_13_NAP-A-II/14, 2017-1.2.1-NKP-2017-00002, KTIA_NAP_13-1-2013-0001, KTIA_NAP_13-2-2015-0001]; MTA-SE Neuropsychopharmacology and Neurochemistry Research Group (Hungarian Academy of Sciences) [OTKA 119866, UNKP-17-3-111-SE-2, UNKP-17-3-IV-SE-3, UNKP-17-4-I-SE-8]; New National Excellence Program of the Ministry of Human Capacities; Janos Bolyai Research Fellowship of the Hungarian Academy of Sciences
Funding text: This work was supported by NEWMOOD (LSHM-CT-2004-503474); TAMOP-4.2.1.B-09/1/KMR-2010-0001; KT1A_13_NAP-A-II/14 and 2017-1.2.1-NKP-2017-00002 (Hungarian Brain Research Program), KTIA_NAP_13-1-2013-0001 (National Development Agency); KTIA_NAP_13-2-2015-0001 (MTA-SE-NAP B Genetic Brain Imaging Migraine Research Group: Hungarian Academy of Sciences, Hungarian National Development Agency, Semmelweis University and the Hungarian Brain Research Program); MTA-SE Neuropsychopharmacology and Neurochemistry Research Group (Hungarian Academy of Sciences); OTKA 119866; the UNKP-16-3, UNKP-17-3-111-SE-2, UNKP-17-3-IV-SE-3 and UNKP-17-4-I-SE-8 by the New National Excellence Program of the Ministry of Human Capacities; and by the BME-Biotechnology FIKP grant of EMMI (BME FIKP-BIO). Xenia Gonda is recipient of the Janos Bolyai Research Fellowship of the Hungarian Academy of Sciences. |
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