SSRIs antidepressant activity is influenced by G beta 3 variants

Eur Neuropsychopharmacol. 2003 Mar;13(2):117-22. doi: 10.1016/s0924-977x(02)00154-2.

Abstract

The aim of the present study was to test a possible effect of the G-protein beta3-subunit (Gbeta3) C825T gene variant on the antidepressant activity of selective serotonin reuptake inhibitors (SSRIs) in a sample of major and bipolar depressives, with or without psychotic features. Four hundred and ninety inpatients were treated with fluvoxamine 300 mg/day (n=362) or paroxetine 40 mg/day (n=128) and either placebo or pindolol in a double-blind design for 6 weeks. The severity of depressive symptoms was weekly assessed with the Hamilton Rating Scale for Depression. Gbeta3 allelic variants were determined in each subject using a PCR-based technique. Subjects with Gbeta3 T/T variants showed better response to treatment (P=0.009) and this effect was independent from analyzed demographic and clinical variables. These results confirm preliminary reports and shed further light on the genetics of the response to antidepressant treatments.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Antidepressive Agents / pharmacology
  • Antidepressive Agents / therapeutic use*
  • Depressive Disorder / drug therapy
  • Depressive Disorder / genetics*
  • Female
  • Genetic Variation / drug effects
  • Genetic Variation / physiology*
  • Heterotrimeric GTP-Binding Proteins / genetics
  • Heterotrimeric GTP-Binding Proteins / physiology*
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Genetic / genetics
  • Protein Subunits / genetics
  • Protein Subunits / physiology*
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Selective Serotonin Reuptake Inhibitors / therapeutic use*

Substances

  • Antidepressive Agents
  • G-protein beta3 subunit
  • Protein Subunits
  • Serotonin Uptake Inhibitors
  • Heterotrimeric GTP-Binding Proteins