Psychiatry Investig.  2013 Jun;10(2):190-195.

No Association between Serotonin Receptor 2C-759C/T Polymorphism and Weight Change or Treatment Response to Mirtazapine in Korean Depressive Patients

Affiliations
  • 1Department of Psychiatry, College of Medicine, Soonchunhyang University, Cheonan, Republic of Korea.
  • 2Department of Psychiatry, College of Medicine, Korea University, Seoul, Republic of Korea. leeminso@korea.ac.kr
  • 3Depression Center, Korea University, Seoul, Republic of Korea.
  • 4Clinical Research Center for Depression, Korea University, Seoul, Republic of Korea.
  • 5Institute of Human Behavior and Gene, Korea University, Seoul, Republic of Korea.
  • 6Department of Psychiatry, College of Medicine, Kyunghee University, Seoul, Republic of Korea.

Abstract


OBJECTIVE
Activation of one or more serotonin (5-HT) receptors may play a role in mediating the antidepressant effects of serotonergic antidepressants. The serotonin 2C (5HT 2C) receptor is known to be associated with antidepressant action and weight gain. We sought to determine whether the 5-HTR 2C receptor -759C/T polymorphism was associated with weight gain and treatment response to mirtazapine in major depressive disorder (MDD) patients.
METHODS
The 5-HT 2C receptor -759C/T polymorphism was analyzed in 323 MDD patients. All patients were evaluated using the 21-item Hamilton Depression Rating Scale at the beginning of the study and at 1, 2, 4, and 8 weeks of mirtazapine treatment.
RESULTS
There was no significant difference in the 5-HT 2C receptor -759C/T genotype distribution between responder and non-responder groups. The 5-HT 2C receptor -759C/T polymorphism was not associated with weight change over time after mirtazapine administration.
CONCLUSION
The 5-HT 2C receptor -759C/T polymorphism does not appear to be a predictor of treatment response to mirtazapine. This polymorphism was not associated with weight change after 8 weeks of mirtazapine treatment. Further investigation on other polymorphisms of the 5-HT 2C gene is required to determine whether the 5-HT 2C gene influences treatment response and weight change after mirtazapine administration in patients with major depressive disorder.

Keyword

Serotonin 2C receptor; Major depressive disorder; Mirtazapine; Polymorphism

MeSH Terms

Antidepressive Agents
Depression
Depressive Disorder, Major
Genotype
Humans
Mianserin
Negotiating
Receptor, Serotonin, 5-HT2C
Serotonin
Weight Gain
Antidepressive Agents
Mianserin
Receptor, Serotonin, 5-HT2C
Serotonin
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