A novel NR3C2 polymorphism and the increased thyroid-stimulating hormone concentration are associated with venlafaxine treatment outcome in Chinese Han MDD patients

Psychiatry Res. 2020 Feb:284:112690. doi: 10.1016/j.psychres.2019.112690. Epub 2019 Nov 12.

Abstract

Objective: We aimed to study the association among venlafaxine antidepressive outcome, NR3C2 gene polymorphisms and the change of two neuroendocrine hormones during treatment.

Methods: 195 Chinese Han major depressive disorder (MDD) patients were recruited and received a 6-week venlafaxine treatment in this study. Adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH) levels were measured at the beginning and at the end of treatment. Six single-nucleotide polymorphisms (SNPs) (NR3C2: rs1512325, rs1512342, rs2070951; NR3C1: rs6191, rs6196, rs10482614) were selected for high-throughput SNP genotyping. Allele and genotype frequencies of them were compared between remission and non-remission groups.

Results: We found that genotype frequency of the rs1512325 located in the NR3C2 gene was significantly different between remission and non-remission groups respectively (p < 0.05). Meanwhile, the frequency of the rs1512325 C-allele was significantly lower (p < 0.05) in remission group. The TSH concentration significantly increased after venlafaxine treatment in remission group (p < 0.05).

Conclusion: The rs1512325 in NR3C2 gene and TSH concentration may be related to venlafaxine treatment outcome in Chinese Han MDD patients.

Keywords: Antidepressants; NR3C2; Thyroid-stimulating hormone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alleles
  • Antidepressive Agents / pharmacology*
  • Asian People / genetics
  • Depressive Disorder, Major / blood
  • Depressive Disorder, Major / drug therapy*
  • Depressive Disorder, Major / genetics*
  • Female
  • Genotype
  • Humans
  • Male
  • Middle Aged
  • Pharmacogenomic Variants
  • Polymorphism, Single Nucleotide
  • Receptors, Mineralocorticoid / drug effects*
  • Receptors, Mineralocorticoid / genetics
  • Thyrotropin / blood
  • Treatment Outcome
  • Venlafaxine Hydrochloride / pharmacology*

Substances

  • Antidepressive Agents
  • NR3C2 protein, human
  • Receptors, Mineralocorticoid
  • Venlafaxine Hydrochloride
  • Thyrotropin