Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Research Article
  • Published:

Allelic variation of serotonin transporter expression is associated with depression in Parkinson's disease

Abstract

Idiopathic Parkinson's disease (PD) is a common neurodegenerative disorder with prominent motor symptoms. However, depression is common in PD, affecting about 40% of PD patients. Since there is extensive evidence of degeneration of serotonin (5HT) neurons and loss of the 5HT transporter (5HTT) in PD, we assessed whether a functional polymorphism in the promoter of the 5HTT gene (5HTT gene-linked polymorphic region, 5HTTLPR), which determines high or low 5HT uptake, is associated with depressive symptomatology in PD patients. We found that patients with the short allele of the 5HTTLPR had significantly higher scores on the Hamilton Depression Scale. A functional promoter polymorphism of the monoamine oxidase A (MAOA) gene showed no association. Thus, the 5HTTLPR but not the MAOA gene promoter-associated polymorphism may be a risk factor for depression in PD patients, while neither polymorphism increases the risk for development of Parkinson's disease itself.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Kruger R et al. Increased susceptibility to sporadic Parkinson's disease by a certain combined alpha-synuclein/apolipoprotein E genotype Ann Neurol 1999 45: 611–617

    Article  CAS  Google Scholar 

  2. Cummings JL . Depression and Parkinson's disease: a review Am J Psychiatry 1992 149: 443–454

    Article  CAS  Google Scholar 

  3. Mayberg HS et al. Selective hypometabolism in the inferior frontal lobe in depressed patients with Parkinson's disease Ann Neurol 1990 28: 57–64

    Article  CAS  Google Scholar 

  4. Starkstein SE, Preziosi TJ, Bolduc PL, Robinson RG . Depression in Parkinson's disease J Nerv Ment Dis 1990 178: 27–31

    Article  CAS  Google Scholar 

  5. D'Amato RJ et al. Aminergic systems in Alzheimer's disease and Parkinson's disease Ann Neurol 1987 22: 229–236

    Article  CAS  Google Scholar 

  6. Halliday GM et al. Neuropathology of immunohistochemically identified brainstem neurons in Parkinson's disease Ann Neurol 1990 27: 373–385

    Article  CAS  Google Scholar 

  7. Ohama E, Ikuta F . Parkinson's disease: distribution of Lewy bodies and monoamine neuron system Acta Neuropathol (Berl) 1976 34: 311–319

    Article  CAS  Google Scholar 

  8. Cash R, Raisman R, Ploska A, Agid Y . High and low affinity [3H]imipramine binding sites in control and parkinsonian brains Eur J Pharmacol 1985 117: 71–80

    Article  CAS  Google Scholar 

  9. Raisman R, Cash R, Agid Y . Parkinson's disease: decreased density of 3H-imipramine and 3H-paroxetine binding sites in putamen Neurology 1986 36: 556–560

    Article  CAS  Google Scholar 

  10. Lesch KP et al. Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region Science 1996 274: 1527–1531

    Article  CAS  Google Scholar 

  11. Little KY et al. Cocaine, ethanol, and genotype effects on human midbrain serotonin transporter binding sites and mRNA levels Am J Psychiatry 1998 155: 207–213

    Article  CAS  Google Scholar 

  12. Heinz A et al. A relationship between serotonin transporter genotype and in vivo protein expression and alcohol neurotoxicity Biol Psychiatry 2000 47: 643–649

    Article  CAS  Google Scholar 

  13. Lesch KP . In: Briley M, Sulser F (eds). Molecular Genetics of Mental Disorders Martin Dunitz, London 2000

    Google Scholar 

  14. Deckert J et al. Excess of high activity monoamine oxidase A gene promoter alleles in female patients with panic disorder Hum Mol Genet 1999 8: 621–624

    Article  CAS  Google Scholar 

  15. Kirov G et al. A functional polymorphism in the promoter of monoamine oxidase A gene and bipolar affective disorder Int J Neuropsychopharmacol 1999 2: 293–298

    Article  CAS  Google Scholar 

  16. Kunugi H et al. A functional polymorphism in the promoter region of monoamine oxidase-A gene and mood disorders Mol Psychiatry 1999 4: 393–395

    Article  CAS  Google Scholar 

  17. Menza MA, Palermo B, DiPaola R, Sage JI, Ricketts MH . Depression and anxiety in Parkinson's disease: possible effect of genetic variation in the serotonin transporter J Geriatr Psychiatry Neurol 1999 12: 49–52

    Article  CAS  Google Scholar 

  18. Ricketts MH et al. Association of a serotonin transporter gene promoter polymorphism with harm avoidance behaviour in an elderly population Psychiatr Genet 1998 8: 41–44

    Article  CAS  Google Scholar 

  19. Smeraldi E et al. Polymorphism within the promoter of the serotonin transporter gene and antidepressant efficacy of fluvoxamine Mol Psychiatry 1998 3: 508–511

    Article  CAS  Google Scholar 

  20. Zanardi R, Benedetti F, Di Bella D, Catalano M, Smeraldi E . Efficacy of paroxetine in depression is influenced by a functional polymorphism within the promoter of the serotonin transporter gene J Clin Psychopharmacol 2000 20: 105–107

    Article  CAS  Google Scholar 

  21. Starkstein SE, Mayberg HS, Leiguarda R, Preziosi TJ, Robinson RG . A prospective longitudinal study of depression, cognitive decline, and physical impairments in patients with Parkinson's disease J Neurol Neurosurg Psychiatry 1992 55: 377–382

    Article  CAS  Google Scholar 

  22. Fahn S, Elton R . In: Recent Developments in Parkinson's Disease MacMillan: Florham Park, NJ 1987 pp 153–163

Download references

Acknowledgements

We thank M Schad and S Jatzke for excellent technical assistance. We thank Dr A Spahn, Statistics and Computing Center of the University of Würzburg, for performing the statistical analysis. This study was supported by the Federal Ministry of Education and Research (German/Israeli Cooperation in Neuroscience, 01 GA 9802/5). The Department of Psychiatry at the University of Würzburg is a ‘National Parkinson Foundation Center of Excellence Research Laboratory’.

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mössner, R., Henneberg, A., Schmitt, A. et al. Allelic variation of serotonin transporter expression is associated with depression in Parkinson's disease. Mol Psychiatry 6, 350–352 (2001). https://doi.org/10.1038/sj.mp.4000849

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.mp.4000849

Keywords

This article is cited by

Search

Quick links