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First page of Association between miR-27a rs895819 polymorphism and antidepressant treatment response in patients with depression

Introduction: Depression is a prevalent mental health disorder. miR-27a regulates neuronal development. This study aimed to investigate the association between the miR-27a rs895819 polymorphism and antidepressant treatment response in patients with depression. Methods: The expression level of miR-27a was detected by reverse transcription-polymerase chain reaction. The genotype of rs895819 was performed by PCR-restriction fragment length polymorphism. The condition of patients was evaluated by a 17-item Hamilton Depression Rating Scale (HAMD-17). Reduction rate = (HAMD-17 baseline- HAMD-17 8 week)/ HAMD-17 baseline × 100%. Effective response was defined as a reduction rate of ≥50%. Remission was defined as HAMD-17 ≤17. The association between SNP and depression risk was calculated by the χ2 test. Logistic regression analysis was performed to evaluate the effects of SNP on antidepressant treatment response. Results: There were 173 patients with depression and 186 healthy controls. rs895819 was negatively correlated with depression under CC vs. TT (P=0.044, OR=0.412, 95%CI=0.170-0.996), CC+TC vs. TT (OR=0.607, 95%CI=0.397-0.927) and C vs. T (OR=0.633, 95%CI=0.448-0.896) models. miR-27a expression was significantly decreased in individuals with TC/CC genotypes than TT genotypes. rs895819 (TC/CC) was positively correlated with the effective response (P=0.005, OR=2.551, 95%CI=1.322-4.920). Conclusion: rs895819 TC/CC genotypes were significantly correlated with depression, and associated with increased effective response.

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