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Psychosomatic Medicine 69:396-401 (2007)
© 2007 American Psychosomatic Society


ORIGINAL ARTICLES

Associations of a Regulatory Polymorphism of Monoamine Oxidase-A Gene Promoter (MAOA-uVNTR) With Symptoms of Depression and Sleep Quality

Beverly H. Brummett, PhD, Andrew D. Krystal, MD, Ilene C. Siegler, PhD, MPH, Cynthia Kuhn, PhD, Richard S. Surwit, PhD, Stephan Züchner, MD, Allison Ashley-Koch, PhD, John C. Barefoot, PhD and Redford B. Williams, MD

From the Department of Psychiatry and Behavioral Sciences (B.H.B., A.D.K., I.C.S., R.S.S., S.Z., J.C.B., R.B.W.), Center for Human Genetics (A.A.-K.), and Department of Pharmacology and Cancer Biology (C.K.), Duke University Medical Center, Durham, North Carolina.

Address correspondence and reprint requests to Beverly H. Brummett, Box 2969, Duke University Medical Center, Durham, NC 27710. E-mail: brummett{at}duke.edu

Objective: To examine the relationships among the variable number of tandem repeats in the monoamine oxidase-A linked polymorphic region allelic variation (MAOA-uVNTR) and the symptoms of depression and sleep quality. The monoamine oxidase-A (MAOA) gene, which plays a vital role in degradation of neurotransmitters such as serotonin, norepinephrine, and dopamine, contains a polymorphism in its promoter region (MAOA-uVNTR) that affects transcriptional efficiency. MAOA-uVNTR genotype has been associated with both psychological and physical measures.

Methods: The sample consisted of 74 males enrolled in a case/control study of caregivers for relatives with dementia. Age- and race-adjusted linear regression models were used to examine the association between low versus high MAOA-uVNTR activity alleles, symptoms of depression (Center for Epidemiological Studies of Depression), and sleep quality ratings (Pittsburgh Sleep Quality Index).

Results: MAOA-uVNTR alleles associated with less transcriptional activity were related to increased symptoms of depression (p < .04; Cohen’s d = 0.52) and poorer sleep quality (p < .04; Cohen’s d = 0.31).

Conclusions: Individuals with less active MAOA-uVNTR alleles may be at increased risk for depressive symptoms and poor sleep.

Key Words: monoamine oxidase-A • MAOA-uVNTR • depression • sleep

Abbreviations: CAD = coronary artery disease; CES-D = Center for Epidemiological Studies of Depression; MAOA = monoamine oxidase-A; MAOA-uVNR = variable number of tandem repeats in the MAOA linked polymorphic region; PSQI = Pittsburgh Sleep Quality Index.







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