Loss-of-Function Mutation in Tryptophan Hydroxylase-2 Identified in Unipolar Major Depression
Open accessAbstract
Dysregulation of central serotonin neurotransmission has been widely suspected as an important contributor to major depression. Here, we identify a (G1463A) single nucleotide polymorphism (SNP) in the rate-limiting enzyme of neuronal serotonin synthesis, human tryptophan hydroxylase-2 (hTPH2). The functional SNP in hTPH2 replaces the highly conserved Arg441 with His, which results in approximately 80% loss of function in serotonin production when hTPH2 is expressed in PC12 cells. Strikingly, SNP analysis in a cohort of 87 patients with unipolar major depression revealed that nine patients carried the mutant (1463A) allele, while among 219 controls, three subjects carried this mutation. In addition, this functional SNP was not found in a cohort of 60 bipolar disorder patients. Identification of a loss-of-function mutation in hTPH2 suggests that defect in brain serotonin synthesis may represent an important risk factor for unipolar major depression.
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Zill et al. and Zhang et al. groups reported genetic modifications that could link TPH2 gene to DD susceptibility.
“In this way, both Zill et al. [232] and Zhang et al. [233] groups reported genetic modifications that could link TPH2 gene to DD susceptibility.”
From Oxidative Stress Implications in the Affective Disorders: Main Biomarkers, Animal Models Relevance, Genetic Perspectives, and Antioxidant Approaches (2016) · cites this paper as [233]
Cites
<tt>BLAT</tt> —The <tt>BLAST</tt> -Like Alignment Tool
Kent, W. J. (2002) · Genome Research · doi:10.1101/gr.229202 · Cited by 8,480 · see citing works
Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene
Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., Mill, J., Martin, J., Braithwaite, A., et al. (2003) · Science · doi:10.1126/science.1083968 · Cited by 8,120 · see citing works
Lesch, K.-P., Bengel, D., Heils, A., Sabol, S. Z., Greenberg, B. D., Petri, S., Benjamin, J., Müller, C. R., Hamer, D. H., & Murphy, D. L. (1996) · Science · doi:10.1126/science.274.5292.1527 · Cited by 5,162 · see citing works
Synthesis of Serotonin by a Second Tryptophan Hydroxylase Isoform
Walther, D. J., Peter, J., Bashammakh, S., Hörtnagl, H., Voits, M., Fink, H., & Bäder, M. (2003) · Science · doi:10.1126/science.1078197 · Cited by 1,576 · see citing works
MONOAMINE OXIDASE: From Genes to Behavior
Shih, J. C., Chen, K., & Ridd, M. J. (1999) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.22.1.197 · Cited by 1,211 · see citing works
The spectrum of behaviors influenced by serotonin
Lucki, I. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00139-5 · Cited by 1,154 · see citing works
An efficient procedure for genotyping single nucleotide polymorphisms
Ye, S. (2001) · Nucleic Acids Research · doi:10.1093/nar/29.17.e88 · Cited by 1,013 · see citing works
Nickerson, D. A. (1997) · Nucleic Acids Research · doi:10.1093/nar/25.14.2745 · Cited by 931 · see citing works
Role of Serotonin in the Paradoxical Calming Effect of Psychostimulants on Hyperactivity
Gainetdinov, R. R., Wetsel, W. C., Jones, S. R., Levin, E. D., Jaber, M., & Caron, M. G. (1999) · Science · doi:10.1126/science.283.5400.397 · Cited by 885 · see citing works
Self-citationTryptophan Hydroxylase-2 Controls Brain Serotonin Synthesis
Zhang, X., Beaulieu, J., Sotnikova, T. D., Gainetdinov, R. R., & Caron, M. G. (2004) · Science · doi:10.1126/science.1097540 · Cited by 683 · see citing works
Self-citationTetrahydropterin-Dependent Amino Acid Hydroxylases
Fitzpatrick, P. F. (1999) · Annual Review of Biochemistry · doi:10.1146/annurev.biochem.68.1.355 · Cited by 514 · see citing works
Lucki, I., Dalvi, A., & Mayorga, A. J. (2001) · Psychopharmacology · doi:10.1007/s002130100694 · Cited by 506 · see citing works
Côté, F., Thévenot, E., Fligny, C., Fromes, Y., Darmon, M. C., Ripoche, M., Bayard, E., Hanoun, N., Saurini, F., Lechat, P. P., et al. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2233056100 · Cited by 483 · see citing works
Mice lacking the norepinephrine transporter are supersensitive to psychostimulants
Xu, F., Gainetdinov, R. R., Wetsel, W. C., Jones, S. R., Bohn, L., Miller, G. W., Wang, Y.-M., & Caron, M. G. (2000) · Nature Neuroscience · doi:10.1038/74839 · Cited by 464 · see citing works
Self-citationMonoamine Transporters: From Genes to Behavior
Gainetdinov, R. R., & Caron, M. G. (2003) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pharmtox.43.050802.112309 · Cited by 394 · see citing works
Self-citationWilliams, C. H. (1974) · Biochemical Pharmacology · doi:10.1016/0006-2952(74)90626-1 · Cited by 314 · see citing works
Pharmacogenetics of Psychotropic Drug Response
Malhotra, A. K., Murphy, G. M., & Kennedy, J. L. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.5.780 · Cited by 298 · see citing works
Pharmacogenetics and the serotonin system: initial studies and future directions
Veenstra-VanderWeele, J. M., Anderson, G. M., & Cook, E. H. (2000) · European Journal of Pharmacology · doi:10.1016/s0014-2999(00)00814-1 · Cited by 289 · see citing works
Gene–environment interaction and the genetics of depression
Lesch, K. (2004) · Journal of Psychiatry and Neuroscience · doi:10.1139/jpn.0420 · Cited by 284 · see citing works
Serotonin-Related Gene Polymorphisms and Central Nervous System Serotonin Function
Williams, R. B., Marchuk, D. A., Gadde, K. M., Barefoot, J. C., Grichnik, K. P., Helms, M. J., Kuhn, C. M., Lewis, J. G., Schanberg, S. M., Stafford‐Smith, M., et al. (2002) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300054 · Cited by 262 · see citing works
Self-citationGenetics of the serotonergic system in suicidal behavior
Arango, V., Huang, Y.-Y., Underwood, M. D., & Mann, J. J. (2003) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(03)00048-7 · Cited by 239 · see citing works
Molecular genetics of autism spectrum disorder
Veenstra-VanderWeele, J. M., & Cook, E. H. (2004) · Molecular Psychiatry · doi:10.1038/sj.mp.4001505 · Cited by 220 · see citing works
Robust and tissue-specific expression of TPH2 versus TPH1 in rat raphe and pineal gland
Patel, P. D., Pontrello, C. G., & Burke, S. (2003) · Biological Psychiatry · doi:10.1016/j.biopsych.2003.09.002 · Cited by 217 · see citing works
Predisposition Locus for Major Depression at Chromosome 12q22-12q23.2
Abkevich, V., Camp, N. J., Hensel, C. H., Neff, C. D., Russell, D. L., Hughes, D. C., Plenk, A. M., Lowry, M. R., Richards, R. L., Carter, C., et al. (2003) · The American Journal of Human Genetics · doi:10.1086/379978 · Cited by 194 · see citing works
Putative mechanisms of action of antidepressant drugs in affective and anxiety disorders and pain.
Blier, P., & Abbott, F. V. (2001) · PubMed Central · Cited by 168 · see citing works
PAHdb 2003: What a locus-specific knowledgebase can do
Scriver, C. R., Hurtubise, M., Konecki, D. S., Phommarinh, M., Prevost, L., Erlandsen, H., Stevens, R. C., Waters, P. J., Ryan, S., McDonald, D. J., et al. (2003) · Human Mutation · doi:10.1002/humu.10200 · Cited by 152 · see citing works
Genetic approaches to the study of anxiety.
Gordon, J., & Hen, R. (2004) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.27.070203.144212 · Cited by 140 · see citing works
Murphy, D. L., Uhl, G. R., Holmes, A., Ren‐Patterson, R. F., Hall, F. S., Sora, I., Detera‐Wadleigh, S. D., & Lesch, K. (2003) · Genes Brain & Behavior · doi:10.1046/j.1601-1848.2003.00049.x · Cited by 129 · see citing works
Pey, A. L., Desviat, L. R., Gámez, A., et al. (2003) · Human Mutation · doi:10.1002/humu.10198 · Cited by 128 · see citing works
Support for the involvement of TPH2 gene in affective disorders
Harvey, M., Shink, É., Tremblay, M., Gagné, B., Raymond, C., Labbé, M., Walther, D. J., Bäder, M., & Barden, N. (2004) · Molecular Psychiatry · doi:10.1038/sj.mp.4001557 · Cited by 118 · see citing works
Genetics of Childhood Disorders: XXIII. ADHD, Part 7: The Serotonin System
Quist, J. F., & Kennedy, J. L. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200102000-00022 · Cited by 94 · see citing works
Time-to-Remission From Geriatric Depression: Psychosocial and Clinical Factors
Bosworth, H. B., McQuoid, D. R., George, L. K., & Steffens, D. C. (2002) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200209000-00008 · Cited by 74 · see citing works
Genetics of Childhood Disorders: III. Genetics and Intelligence
Lombroso, P. J., & Plomin, R. J. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199906000-00030 · Cited by 67 · see citing works
Mouse models of serotonin receptor function: toward a genetic dissection of serotonin systems
Bonasera, S. J., & Tecott, L. H. (2000) · Pharmacology & Therapeutics · doi:10.1016/s0163-7258(00)00087-5 · Cited by 59 · see citing works
High-level expression and deletion mutagenesis of human tryptophan hydroxylase.
Yang, X., & Kaufman, S. (1994) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.91.14.6659 · Cited by 46 · see citing works
Jiang, G. C. ‐., Yohrling, G. J., Schmitt, I. V. J. D., et al. (2000) · Journal of Molecular Biology · doi:10.1006/jmbi.2000.4097 · Cited by 37 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Belmaker, R. H., & Agam, G. (2008) · New England Journal of Medicine · doi:10.1056/nejmra073096 · Cited by 2,166 · see citing works
The ascent of mouse: advances in modelling human depression and anxiety
Cryan, J. F., & Holmes, A. (2005) · Nature Reviews Drug Discovery · doi:10.1038/nrd1825 · Cited by 1,198 · see citing works
The genetics of depression: A review
Levinson, D. F. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.08.024 · Cited by 855 · see citing works
Treatment-resistant depression: therapeutic trends, challenges, and future directions
Al-harbi (2012) · Patient Preference and Adherence · doi:10.2147/ppa.s29716 · Cited by 796 · see citing works
Pathophysiology of depression: do we have any solid evidence of interest to clinicians?
HASLER, G. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00298.x · Cited by 604 · see citing works
Overview of the Genetics of Major Depressive Disorder
Lohoff, F. W. (2010) · Current Psychiatry Reports · doi:10.1007/s11920-010-0150-6 · Cited by 498 · see citing works
Recent developments and current controversies in depression
Ebmeier, K. P., Donaghey, C., & Steele, J. D. (2006) · The Lancet · doi:10.1016/s0140-6736(06)67964-6 · Cited by 434 · see citing works
Savignac, H. M., Kiely, B., Dinan, T. G., & Cryan, J. F. (2014) · Neurogastroenterology & Motility · doi:10.1111/nmo.12427 · Cited by 418 · see citing works
Role of GSK3β in behavioral abnormalities induced by serotonin deficiency
Beaulieu, J.-M., Zhang, X., Rodriguiz, R. M., Sotnikova, T. D., Cools, M. J., Wetsel, W. C., Gainetdinov, R. R., & Caron, M. G. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0711496105 · Cited by 368 · see citing works
Self-citationPoor replication of candidate genes for major depressive disorder using genome-wide association data
Bosker, F. J., Hartman, C. A., Nolte, I. M., Prins, B. P., Terpstra, P., Posthuma, D., van Veen, T., Willemsen, G., DeRijk, R. H., de Geus, E. J., et al. (2011) · Molecular Psychiatry · doi:10.1038/mp.2010.38 · Cited by 309 · see citing works
Is Glycogen Synthase Kinase-3 a Central Modulator in Mood Regulation?
Li, X., & Jope, R. S. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2010.105 · Cited by 294 · see citing works
A regulatory variant of the human tryptophan hydroxylase-2 gene biases amygdala reactivity
Brown, S. M., Peet, E., Manuck, S. B., Williamson, D. E., Dahl, R. E., Ferrell, R. E., & Hariri, A. R. (2005) · Molecular Psychiatry · doi:10.1038/sj.mp.4001716 · Cited by 241 · see citing works
MICHELSEN, K., PRICKAERTS, J., & STEINBUSCH, H. (2008) · Progress in Brain Research · doi:10.1016/s0079-6123(08)00912-6 · Cited by 196 · see citing works
More tryptophan hydroxylase in the brainstem dorsal raphe nucleus in depressed suicides
Boldrini, M., Underwood, M. D., Mann, J. J., & Arango, V. (2005) · Brain Research · doi:10.1016/j.brainres.2005.01.083 · Cited by 174 · see citing works
Altered gene expression of histone deacetylases in mood disorder patients
Hobara, T., Uchida, S., Otsuki, K., Matsubara, T., Funato, H., Matsuo, K., Suetsugi, M., & Watanabe, Y. (2010) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2009.08.015 · Cited by 185 · see citing works
Bach-Mizrachi, H., Underwood, M. D., Tin, A., Ellis, S. P., Mann, J. J., & Arango, V (2008) · Molecular Psychiatry · doi:10.1038/sj.mp.4002143 · Cited by 153 · see citing works
Walitza, S., Renner, T. J., Dempfle, A., Konrad, K., Wewetzer, C., Halbach, A., Herpertz-Dahlmann, B., Remschmidt, H., Smidt, J., Linder, M., et al. (2005) · Molecular Psychiatry · doi:10.1038/sj.mp.4001734 · Cited by 158 · see citing works
Pharmacogenetics of antidepressants
Crisafulli, C., Fabbri, C., Porcelli, S., Drago, A., Spina, E., De Ronchi, D., & Serretti, A. (2011) · Frontiers in Pharmacology · doi:10.3389/fphar.2011.00006 · Cited by 113 · see citing works
Lukić, I., Getselter, D., Koren, O., & Elliott, E. (2019) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2019.00123 · Cited by 102 · see citing works
Balmus, I. M., Ciobica, A., Antioch, I., Dobrin, R., & Timofte, D. (2016) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2016/3975101 · Cited by 103 · see citing works
The current state of play on the molecular genetics of depression
Cohen-Woods, S., Craig, I. W., & McGuffin, P. (2013) · Psychological Medicine · doi:10.1017/s0033291712001286 · Cited by 82 · see citing works
Millard, S. J., Weston-Green, K., & Newell, K. A. (2020) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2020.109908 · Cited by 62 · see citing works
Stoltenberg, S. F., Glass, J. M., Chermack, S. T., Flynn, H. A., Li, S., Weston, M. E., & Burmeister, M. (2006) · Psychiatric Genetics · doi:10.1097/01.ypg.0000176528.30362.34 · Cited by 62 · see citing works
Polymorphism of TPH2 gene rs120074175 is not associated with risk factors of schizophrenia
Barliana, M., Laksono, J., Sumirtanurdin, R., Dania, H., Ramadhani, F., Perwitasari, D., & Abdulah, R. (2019) · Journal of Pharmacy And Bioallied Sciences · doi:10.4103/jpbs.jpbs_216_19 · Cited by 3 · see citing works
- Authors
- Zhang, X., Gainetdinov, R. R., Beaulieu, J.-M., Sotnikova, T. D., Burch, L. H., Williams, R. B., Schwartz, D. A., Krishnan, K. R. R., & Caron, M. G.
- Affiliations
- Duke University (US)
- Corresponding author
- Caron, Marc G.
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2005-01
- Volume
- 45
- Issue
- 1
- Pages
- 11-16
- ISSN
- 0896-6273 (ISSN-L)
- OpenAlex
- W2036744872
- Cited by
- 473
- References
- 37
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 3 · 2023: 14 · 2022: 14 · 2021: 15 · 2020: 18 · 2019: 20 · 2018: 11 · 2017: 13 · 2016: 11 · 2015: 19 · 2014: 14 · 2013: 22 · 2012: 25
- FWCI
- 17.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 3119 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P01 HL36587, P01HL036587)
- National Institute of Mental Health (MH60451, K05-MH79482, P50MH060451)
- National Center for Research Resources (M01 RR 30)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- tryptophan hydroxylase 2, unipolar major depression, loss-of-function mutations, single nucleotide polymorphisms, serotonin synthesis, serotonergic neurotransmission, genetic risk factors, bipolar disorder, PC12 cells
- MeSH terms
- Adult, Amino Acid Sequence, Animals, Arginine, Bipolar Disorder, Brain, Major Depressive Disorder, DNA Mutational Analysis, Female, Gene Frequency, Genetic Testing, Histidine, Humans, Male, Middle Aged, Molecular Sequence Data, Mutation, Serotonin, Tryptophan Hydroxylase, PC12 Cells, Amino Acid Substitution, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Mice, Rats
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