Excess of high activity monoamine oxidase A gene promoter alleles in female patients with panic disorder.

Abstract:

:A genetic contribution to the pathogenesis of panic disorder has been demonstrated by clinical genetic studies. Molecular genetic studies have focused on candidate genes suggested by the molecular mechanisms implied in the action of drugs utilized for therapy or in challenge tests. One class of drugs effective in the treatment of panic disorder is represented by monoamine oxidase A inhibitors. Therefore, the monoamine oxidase A gene on chromosome X is a prime candidate gene. In the present study we investigated a novel repeat polymorphism in the promoter of the monoamine oxidase A gene for association with panic disorder in two independent samples (German sample, n = 80; Italian sample, n = 129). Two alleles (3 and 4 repeats) were most common and constituted >97% of the observed alleles. Functional characterization in a luciferase assay demonstrated that the longer alleles (3a, 4 and 5) were more active than allele 3. Among females of both the German and the Italian samples of panic disorder patients (combined, n = 209) the longer alleles (3a, 4 and 5) were significantly more frequent than among females of the corresponding control samples (combined, n = 190, chi2 = 10.27, df = 1, P = 0.001). Together with the observation that inhibition of monoamine oxidase A is clinically effective in the treatment of panic disorder these findings suggest that increased monoamine oxidase A activity is a risk factor for panic disorder in female patients.

journal_name

Hum Mol Genet

journal_title

Human molecular genetics

authors

Deckert J,Catalano M,Syagailo YV,Bosi M,Okladnova O,Di Bella D,Nöthen MM,Maffei P,Franke P,Fritze J,Maier W,Propping P,Beckmann H,Bellodi L,Lesch KP

doi

10.1093/hmg/8.4.621

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

621-4

issue

4

eissn

0964-6906

issn

1460-2083

pii

ddc070

journal_volume

8

pub_type

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