Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes
Abstract Achieving remission following initial antidepressant therapy in patients with major depressive disorder (MDD) is an important clinical result. Making predictions based on genetic markers holds promise for improving the remission rate. However, genetic variants found in previous genetic stud...
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2021
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oai:doaj.org-article:cf984e96a1be4c26843a60ae3dc497762021-12-02T13:20:21ZWhole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes10.1038/s41598-021-83887-62045-2322https://doaj.org/article/cf984e96a1be4c26843a60ae3dc497762021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83887-6https://doaj.org/toc/2045-2322Abstract Achieving remission following initial antidepressant therapy in patients with major depressive disorder (MDD) is an important clinical result. Making predictions based on genetic markers holds promise for improving the remission rate. However, genetic variants found in previous genetic studies do not provide robust evidence to aid pharmacogenetic decision-making in clinical settings. Thus, the objective of this study was to perform whole-genome sequencing (WGS) using genomic DNA to identify genetic variants associated with the treatment outcomes of selective serotonin reuptake inhibitors (SSRIs). We performed WGS on 100 patients with MDD who were treated with escitalopram (discovery set: 36 remitted and 64 non-remitted). The findings were applied to an additional 553 patients with MDD who were treated with SSRIs (replication set: 185 remitted and 368 non-remitted). A novel loss-of-function variant (rs3213755) in keratin-associated protein 1–1 (KRTAP1-1) was identified in this study. This rs3213755 variant was significantly associated with remission following antidepressant treatment (p = 0.0184, OR 3.09, 95% confidence interval [CI] 1.22–7.80 in the discovery set; p = 0.00269, OR 1.75, 95% CI 1.22–2.53 in the replication set). Moreover, the expression level of KRTAP1-1 in surgically resected human temporal lobe samples was significantly associated with the rs3213755 genotype. WGS studies on a larger sample size in various ethnic groups are needed to investigate genetic markers useful in the pharmacogenetic prediction of remission following antidepressant treatment.Jong-Ho ParkShinn-Won LimWoojae MyungInho ParkHyeok-Jae JangSeonwoo KimMin-Soo LeeHun Soo ChangDongHo YumYeon-Lim SuhJong-Won KimDoh Kwan KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021) |
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Medicine R Science Q Jong-Ho Park Shinn-Won Lim Woojae Myung Inho Park Hyeok-Jae Jang Seonwoo Kim Min-Soo Lee Hun Soo Chang DongHo Yum Yeon-Lim Suh Jong-Won Kim Doh Kwan Kim Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
description |
Abstract Achieving remission following initial antidepressant therapy in patients with major depressive disorder (MDD) is an important clinical result. Making predictions based on genetic markers holds promise for improving the remission rate. However, genetic variants found in previous genetic studies do not provide robust evidence to aid pharmacogenetic decision-making in clinical settings. Thus, the objective of this study was to perform whole-genome sequencing (WGS) using genomic DNA to identify genetic variants associated with the treatment outcomes of selective serotonin reuptake inhibitors (SSRIs). We performed WGS on 100 patients with MDD who were treated with escitalopram (discovery set: 36 remitted and 64 non-remitted). The findings were applied to an additional 553 patients with MDD who were treated with SSRIs (replication set: 185 remitted and 368 non-remitted). A novel loss-of-function variant (rs3213755) in keratin-associated protein 1–1 (KRTAP1-1) was identified in this study. This rs3213755 variant was significantly associated with remission following antidepressant treatment (p = 0.0184, OR 3.09, 95% confidence interval [CI] 1.22–7.80 in the discovery set; p = 0.00269, OR 1.75, 95% CI 1.22–2.53 in the replication set). Moreover, the expression level of KRTAP1-1 in surgically resected human temporal lobe samples was significantly associated with the rs3213755 genotype. WGS studies on a larger sample size in various ethnic groups are needed to investigate genetic markers useful in the pharmacogenetic prediction of remission following antidepressant treatment. |
format |
article |
author |
Jong-Ho Park Shinn-Won Lim Woojae Myung Inho Park Hyeok-Jae Jang Seonwoo Kim Min-Soo Lee Hun Soo Chang DongHo Yum Yeon-Lim Suh Jong-Won Kim Doh Kwan Kim |
author_facet |
Jong-Ho Park Shinn-Won Lim Woojae Myung Inho Park Hyeok-Jae Jang Seonwoo Kim Min-Soo Lee Hun Soo Chang DongHo Yum Yeon-Lim Suh Jong-Won Kim Doh Kwan Kim |
author_sort |
Jong-Ho Park |
title |
Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
title_short |
Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
title_full |
Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
title_fullStr |
Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
title_full_unstemmed |
Whole-genome sequencing reveals KRTAP1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
title_sort |
whole-genome sequencing reveals krtap1-1 as a novel genetic variant associated with antidepressant treatment outcomes |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/cf984e96a1be4c26843a60ae3dc49776 |
work_keys_str_mv |
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