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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Autores principales: 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
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Publicado: Nature Portfolio 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
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