Genetic polymorphisms of the serotonin transporter are not related with depression in temporal lobe epilepsy caused by hippocampal sclerosis.

Epilepsy Behav

Laboratory of Clinical Neurophysiology, Institute and Department of Psychiatry, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP), Rua Dr. Ovidio Pires de Campos, 785, Cerqueira Cesar, Sao Paulo, SP 05403-010, Brazil. Electronic address:

Published: April 2021

AI Article Synopsis

  • The study investigates the link between serotonin transporter genetic variations (5-HTTLPR and 5-HTTVNTR) and mood disorders in patients suffering from temporal lobe epilepsy related to hippocampal sclerosis (TLE-HS).
  • A total of 119 TLE-HS patients, 146 individuals with major depressive disorder (MDD), and 113 healthy controls were genotyped; results showed no significant differences among groups regarding mood disorders.
  • While the serotonin transporter variants did not associate with depressive disorder in TLE-HS patients, a specific variation (12-allele of 5-HTTVNTR) was linked to family history of epilepsy, indicating its

Article Abstract

Background: Mood disorders are the most frequent psychiatric disorders in patients with temporal lobe epilepsy caused by hippocampal sclerosis (TLE-HS). The pathophysiological mechanisms in common between TLE and mood disorders include abnormalities in the serotonergic pathway. We aimed to evaluate the association between serotonin transporter genetic polymorphisms - 5-HTTLPR and 5-HTTVNTR - and the presence of mood disorders in patients with TLE-HS.

Methods: We evaluated 119 patients with TLE-HS, with and without psychiatric disorder; 146 patients diagnosed with major depressive disorder (MDD), and 113 healthy volunteers. Individuals were genotyped for the 5-HTTLPR and 5-HTTVNTR polymorphisms.

Results: No difference was observed between the TLE-HS groups, healthy controls, and MDD without epilepsy. There was a correlation between the 12-allele of the 5-HTTVNTR and the family history of patients with epilepsy with TLE-HS (p = 0.013).

Conclusions: In this study conducted in two Brazilian centers, the serotonin transporter polymorphisms evaluated cannot be associated with depressive disorder in patients with TLE-HS. Still, they do have some influence over some clinical characteristics of epilepsy in TLE-HS. These data may not be reproduced in other populations with distinct ethnic characteristics.

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http://dx.doi.org/10.1016/j.yebeh.2021.107854DOI Listing

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