title: Hippocampal volumes and the brain-derived neurotrophic factor val66met polymorphism in geriatric major depression.
abstract: OBJECTIVE
  structural abnormalities in the hippocampus have been implicated in the pathophysiology of major depressive disorder (MDD). The brain-derived neurotrophic factor (BDNF) val66met polymorphism may contribute to these abnormalities and therefore confer vulnerability to MDD. This study examined whether there is a relationship among BDNF genotype, hippocampal volumes, and MDD in older adults.
  
  
  METHODS
  thirty-three older adults with MDD and 23 psychiatrically normal comparison subjects were studied. Structural magnetic resonance imaging analysis was used to quantify hippocampal volumes. A repeated-measures analysis of covariance examined the relationships among BDNF val66met (val/val, met carrier), diagnosis (depressed, nondepressed), and hippocampal volumes (right, left). Age, gender, education, and whole brain volume were included as covariates.
  
  
  RESULTS
  elderly MDD BDNF val/val homozygotes had significantly higher right hippocampal volumes compared with nondepressed val/val subjects. However, there was no difference between the depressed and healthy nondepressed met carriers. In addition, depressed met carriers had an earlier age of onset of depressive illness than val/val homozygotes, but age of onset did not moderate the relationship between hippocampal volumes and MDD diagnosis.
  
  
  CONCLUSIONS
  these results provide preliminary evidence of a neuroprotective role of the val/val genotype, suggesting that neurotrophic factor production protects against pathophysiological processes triggered by depression in older adults with later age of onset of MDD. The BDNF val66met polymorphism may play a salient role in structural alterations of the hippocampus in older adults with MDD.
authors.affiliation: Weill-Cornell Institute of Geriatric Psychiatry, Weill-Cornell Medical College, White Plains, NY, USA. dok2002@med.cornell.edu
authors.forename: Dora
authors.initials: D
authors.lastname: Kanellopoulos
authors.forename: Faith M
authors.initials: FM
authors.lastname: Gunning
authors.forename: Sarah S
authors.initials: SS
authors.lastname: Morimoto
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Hoptman
authors.forename: Christopher F
authors.initials: CF
authors.lastname: Murphy
authors.forename: Robert E
authors.initials: RE
authors.lastname: Kelly
authors.forename: Charles
authors.initials: C
authors.lastname: Glatt
authors.forename: Kelvin O
authors.initials: KO
authors.lastname: Lim
authors.forename: George S
authors.initials: GS
authors.lastname: Alexopoulos
mesh_terms: D000368:Aged; D000483:Alleles; D001284:Atrophy / Q000473:pathology; D019208:Brain-Derived Neurotrophic Factor / Q000235:genetics*; D003865:Major Depressive Disorder / Q000235:genetics* / Q000473:pathology*; D005260:Female; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006624:Hippocampus / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D020641:Polymorphism, Single Nucleotide
chemical_list: D019208:Brain-Derived Neurotrophic Factor