

Effect of the functional polymorphic variant rs6295 of the HTR1A gene on the efficacy and safety of sertraline in patients with mixed anxiety-depressive disorder
https://doi.org/10.25557/2073-7998.2025.04.44-47
Abstract
Background. Pharmacogenetic studies provide an opportunity to identify accurate predictors of individual responses to antidepressants, which potentially allows personalizing treatment for each specific patient.
Aim: to analyze the association of the rs6295 polymorphism of the HTR1A gene with the efficacy and safety of the selective serotonin inhibitor (SSRI) sertraline in patients with mixed anxiety-depressive disorder from the Republic of Bashkortostan.
Methods. The study included 100 patients taking sertraline for 6 weeks. The efficacy of therapy was assessed using the MontgomeryAsberg MADRS scale, the Clinical Global Impression scale CGI, and the side effect assessment scale UKU.
Results. The severity of depressive symptoms according to the scales and the severity of adverse reactions were statistically significantly higher in carriers of the rs6295*G/G genotype.
Conclusions. Polymorphic variants of the HTR1A gene may be predictors of response to SSRIs.
About the Authors
A. I. GareevaRussian Federation
7, Oktyabrya ave., Ufa, 450054,
2/1, building 1, Barrikadnaya st., Moscow, 125993
L. S. Borodina
Russian Federation
119, Pushkina st., Ufa, 450057
E. G. Mikhailova
Russian Federation
119, Pushkina st., Ufa, 450057
S. А. Pozdnyakov
Russian Federation
37/1, Lyublinskaya st., Moscow, 109390
I. F. Timerbulatov
Russian Federation
2/1, building 1, Barrikadnaya st., Moscow, 125993
References
1. Badamasi I.M., Lye M.S., Ibrahim N., et al. Serotonergic receptor gene polymorphism and response to selective serotonin reuptake inhibitors in ethnic Malay patients with first episode of major depressive disorder. Pharmacogenomics J. 2021;21(4):498-509. https://doi.org/10.1038/s41397-021-00228-6
2. Serretti A., Artioli P., Lorenzi C., et al. The C(-1019)G polymorphism of the 5-HT1A gene promoter and antidepressant response in mood disorders: preliminary findings. Int J Neuropsychopharmacol. 2004;7(4):453-460. https://doi.org/10.1017/S1461145704004687
3. Parsey R.V., Olvet D.M., Oquendo M.A., et al. Higher 5-HT1A receptor binding potential during a major depressive episode predicts poor treatment response: preliminary data from a naturalistic study. Neuropsychopharmacology. 2006;31(8):1745-1749. https://doi.org/10.1038/sj.npp.1300992
4. Levin G.M., Bowles T.M., Ehret M.J., et al. Assessment of human serotonin 1A receptor polymorphisms and SSRI responsiveness. Mol Diagn Ther. 2007;11(3):155-160. https://doi.org/10.1007/BF03256237
5. Kato M., Fukuda T., Wakeno M., et al. Effect of 5-HT1A gene polymorphisms on antidepressant response in major depressive disorder. Am J Med Genet B Neuropsychiatr Genet. 2009;150B(1):115-123. https://doi.org/10.1002/ajmg.b.30783
6. Hong C.J., Chen T.J., Yu Y.W., Tsai S.J. Response to fluoxetine and serotonin 1A receptor (C-1019G) polymorphism in Taiwan Chinese major depressive disorder. Pharmacogenomics J. 2006;6(1):27-33. https://doi.org/10.1038/sj.tpj.6500340
7. Yu Y.W., Tsai S.J., Liou Y.J., et al. Association study of two serotonin 1A receptor gene polymorphisms and fluoxetine treatment response in Chinese major depressive disorders. Eur Neuropsychopharmacol. 2006;16(7):498-503. https://doi.org/10.1016/j.euroneuro.2005.12.004
8. Baune B.T., Hohoff C., Roehrs T., et al. Serotonin receptor 1A-1019C/G variant: impact on antidepressant pharmacoresponse in melancholic depression? Neurosci Lett. 2008;436(2):111-115. https://doi.org/10.1016/j.neulet.2008.03.001
Review
For citations:
Gareeva A.I., Borodina L.S., Mikhailova E.G., Pozdnyakov S.А., Timerbulatov I.F. Effect of the functional polymorphic variant rs6295 of the HTR1A gene on the efficacy and safety of sertraline in patients with mixed anxiety-depressive disorder. Medical Genetics. 2025;24(4):44-47. (In Russ.) https://doi.org/10.25557/2073-7998.2025.04.44-47