Note to users. If you're seeing this message, it means that your browser cannot find this page's style/presentation instructions -- or possibly that you are using a browser that does not support current Web standards. Find out more about why this message is appearing, and what you can do to make your experience of our site the best it can be.
Influence of Life Stress on Depression: Moderation by a Polymorphism in the 5-HTT Gene
Avshalom Caspi,1,2Karen Sugden,1Terrie E. Moffitt,1,2*Alan Taylor,1Ian W. Craig,1HonaLee Harrington,2Joseph McClay,1Jonathan Mill,1Judy Martin,3Antony Braithwaite,4Richie Poulton3
In a prospective-longitudinal study of a representative birthcohort, we tested why stressful experiences lead to depressionin some people but not in others. A functional polymorphismin the promoter region of the serotonin transporter (5-HT T)gene was found to moderate the influence of stressful life eventson depression. Individuals with one or two copies of the shortallele of the 5-HT T promoter polymorphism exhibited more depressivesymptoms, diagnosable depression, and suicidality in relationto stressful life events than individuals homozygous for thelong allele. This epidemiological study thus provides evidenceof a gene-by-environment interaction, in which an individual'sresponse to environmental insults is moderated by his or hergenetic makeup.
1 Medical Research Council Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College London, PO80 De Crespigny Park, London, SE5 8AF, UK. 2 Department of Psychology, University of Wisconsin, Madison, WI 53706, USA. 3 Dunedin School of Medicine, 4 Department of Pathology, University of Otago, Dunedin, New Zealand.
* To whom correspondence should be addressed. E-mail: t.moffitt{at}iop.kcl.ac.uk
Social Subordination and Polymorphisms in the Gene Encoding the Serotonin Transporter Enhance Estradiol Inhibition of Luteinizing Hormone Secretion in Female Rhesus Monkeys.
V. Michopoulos, S. L. Berga, J. R. Kaplan, and M. E. Wilson (2009)
Biol Reprod
81, 1154-1163
|Abstract »|Full Text »|PDF »
Gene-Environment Interactions and Depression.
N. Rieckmann, M. A. Rapp, and J. Muller-Nordhorn (2009)
JAMA
302, 1859-1862
|Full Text »|PDF »
Gene-Environment Interactions and Depression--Reply.
K. R. Merikangas, T. Lehner, and N. J. Risch (2009)
JAMA
302, 1859-1862
|Full Text »|PDF »
Deciphering the Interaction of the Corticotropin-Releasing Factor and Serotonin Brain Systems in Anxiety-Related Disorders.
J. R. Homberg and C. Contet (2009)
J. Neurosci.
29, 13743-13745
|Full Text »|PDF »
DAT1 and 5HTT Are Associated With Pathological Criminal Behavior in a Nationally Representative Sample of Youth.
M. G. Vaughn, M. DeLisi, K. M. Beaver, and J. P. Wright (2009)
Criminal Justice and Behavior
36, 1113-1124
|Abstract »|PDF »
Interactive Effect of Stressful Life Events and the Serotonin Transporter 5-HTTLPR Genotype on Posttraumatic Stress Disorder Diagnosis in 2 Independent Populations.
P. Xie, H. R. Kranzler, J. Poling, M. B. Stein, R. F. Anton, K. Brady, R. D. Weiss, L. Farrer, and J. Gelernter (2009)
Arch Gen Psychiatry
66, 1201-1209
|Abstract »|Full Text »|PDF »
Evidence of Genetic and Environmental Effects On the Development of Low Self-Control.
K. M. Beaver, M. Ratchford, and C. J. Ferguson (2009)
Criminal Justice and Behavior
36, 1158-1172
|Abstract »|PDF »
Confronting Social Disparities in Child Health: A Critical Appraisal of Life-Course Science and Research.
Serotonin transporter genotype modulates amygdala activity during mood regulation.
S. J. Gillihan, H. Rao, J. Wang, J. A. Detre, J. Breland, G. M. V. Sankoorikal, E. S. Brodkin, and M. J. Farah (2009)
Soc Cogn Affect Neurosci
|Abstract »|Full Text »|PDF »
The Neurobiological Toll of Child Abuse and Neglect.
G. N. Neigh, C. F. Gillespie, and C. B. Nemeroff (2009)
Trauma Violence Abuse
10, 389-410
|Abstract »|PDF »
Familial Aggregation of Suicide Explained by Cluster B Traits: A Three-Group Family Study of Suicide Controlling for Major Depressive Disorder.
A. McGirr, M. Alda, M. Seguin, S. Cabot, A. Lesage, and G. Turecki (2009)
Am J Psychiatry
166, 1124-1134
|Abstract »|Full Text »|PDF »
Interaction of Child Maltreatment and 5-HTT Polymorphisms: Suicidal Ideation among Children from low-SES Backgrounds.
D. Cicchetti, F. A. Rogosch, M. Sturge-Apple, and S. L. Toth (2009)
J. Pediatr. Psychol.
|Abstract »|Full Text »|PDF »
Culture, serotonin receptor polymorphism and locus of attention.
H. S. Kim, D. K. Sherman, S. E. Taylor, J. Y. Sasaki, T. Q. Chu, C. Ryu, E. M. Suh, and J. Xu (2009)
Soc Cogn Affect Neurosci
|Abstract »|Full Text »|PDF »
Protective Effect of CRHR1 Gene Variants on the Development of Adult Depression Following Childhood Maltreatment: Replication and Extension.
G. Polanczyk, A. Caspi, B. Williams, T. S. Price, A. Danese, K. Sugden, R. Uher, R. Poulton, and T. E. Moffitt (2009)
Arch Gen Psychiatry
66, 978-985
|Abstract »|Full Text »|PDF »
Is there a neuroendocrinological rationale for testosterone as a therapeutic option in depression?.
M Ebinger, C Sievers, D Ivan, H. Schneider, and G. Stalla (2009)
J Psychopharmacol
23, 841-853
|Abstract »|PDF »
Childhood Bullying Behavior and Later Psychiatric Hospital and Psychopharmacologic Treatment: Findings From the Finnish 1981 Birth Cohort Study.
A. Sourander, J. Ronning, A. Brunstein-Klomek, D. Gyllenberg, K. Kumpulainen, S. Niemela, H. Helenius, L. Sillanmaki, T. Ristkari, T. Tamminen, et al. (2009)
Arch Gen Psychiatry
66, 1005-1012
|Abstract »|Full Text »|PDF »
Impact of the Tri-Allelic Serotonin Transporter Polymorphism on the White-Matter Tract Connecting the Amygdala and the Prefrontal Cortex.
A. J. Jasinska and S. C. Perkins (2009)
J. Neurosci.
29, 10461-10462
|Full Text »|PDF »
Serotonin Transporter Availability in the Amygdala and Bed Nucleus of the Stria Terminalis Predicts Anxious Temperament and Brain Glucose Metabolic Activity.
J. A. Oler, A. S. Fox, S. E. Shelton, B. T. Christian, D. Murali, T. R. Oakes, R. J. Davidson, and N. H. Kalin (2009)
J. Neurosci.
29, 9961-9966
|Abstract »|Full Text »|PDF »
Corticotropin-Releasing Factor, Serotonin, and Sex: Keys to the Castle of Depressive Illness.
J. I. Koenig (2009)
Endocrinology
150, 3440-3442
|Full Text »|PDF »
Serotonin Transporter Gene (SLC6A4) Promoter Polymorphisms and the Susceptibility to Posttraumatic Stress Disorder in the General Population.
H. J. Grabe, C. Spitzer, C. Schwahn, A. Marcinek, A. Frahnow, S. Barnow, M. Lucht, H. J. Freyberger, U. John, H. Wallaschofski, et al. (2009)
Am J Psychiatry
166, 926-933
|Abstract »|Full Text »|PDF »
Differentiating Early-Onset Persistent Versus Childhood-Limited Conduct Problem Youth.
Preschool Depression: Homotypic Continuity and Course Over 24 Months.
J. L. Luby, X. Si, A. C. Belden, M. Tandon, and E. Spitznagel (2009)
Arch Gen Psychiatry
66, 897-905
|Abstract »|Full Text »|PDF »
The Family Is (Still) the Patient.
W. T. Boyce (2009)
Arch Pediatr Adolesc Med
163, 768-770
|Full Text »|PDF »
The Role of Serotonin in the Pathophysiology of Depression: As Important As Ever.
C. B. Nemeroff and M. J. Owens (2009)
Clin. Chem.
55, 1578-1579
|Full Text »|PDF »
Human neuronal acetylcholine receptor A5-A3-B4 haplotypes are associated with multiple nicotine dependence phenotypes.
T. B. Baker, R. B. Weiss, D. Bolt, A. von Niederhausern, M. C. Fiore, D. M. Dunn, M. E. Piper, N. Matsunami, S. S. Smith, H. Coon, et al. (2009)
Nicotine Tob Res
11, 785-796
|Abstract »|Full Text »|PDF »
Serotonin transporter genotype, morning cortisol and subsequent depression in adolescents.
I. M. Goodyer, A. Bacon, M. Ban, T. Croudace, and J. Herbert (2009)
The British Journal of Psychiatry
195, 39-45
|Abstract »|Full Text »|PDF »
Serotonin shapes risky decision making in monkeys.
Interaction Between the Serotonin Transporter Gene (5-HTTLPR), Stressful Life Events, and Risk of Depression: A Meta-analysis.
N. Risch, R. Herrell, T. Lehner, K.-Y. Liang, L. Eaves, J. Hoh, A. Griem, M. Kovacs, J. Ott, and K. R. Merikangas (2009)
JAMA
301, 2462-2471
|Abstract »|Full Text »|PDF »
Neuroscience, Molecular Biology, and the Childhood Roots of Health Disparities: Building a New Framework for Health Promotion and Disease Prevention.
Environmental Adversity and Increasing Genetic Risk for Externalizing Disorders.
B. M. Hicks, S. C. South, A. C. DiRago, W. G. Iacono, and M. McGue (2009)
Arch Gen Psychiatry
66, 640-648
|Abstract »|Full Text »|PDF »
Role of GABRA2 in Trajectories of Externalizing Behavior Across Development and Evidence of Moderation by Parental Monitoring.
D. M. Dick, S. J. Latendresse, J. E. Lansford, J. P. Budde, A. Goate, K. A. Dodge, G. S. Pettit, and J. E. Bates (2009)
Arch Gen Psychiatry
66, 649-657
|Abstract »|Full Text »|PDF »
Depression and Suicide in Children and Adolescents.
L. M. Prager (2009)
Pediatr. Rev.
30, 199-206
|Full Text »|PDF »
Looking on the bright side: biased attention and the human serotonin transporter gene.
Frontal-Limbic White Matter Pathway Associations with the Serotonin Transporter Gene Promoter Region (5-HTTLPR) Polymorphism.
J. Pacheco, C. G. Beevers, C. Benavides, J. McGeary, E. Stice, and D. M. Schnyer (2009)
J. Neurosci.
29, 6229-6233
|Abstract »|Full Text »|PDF »
A Genetically Mediated Bias in Decision Making Driven by Failure of Amygdala Control.
J. P. Roiser, B. de Martino, G. C. Y. Tan, D. Kumaran, B. Seymour, N. W. Wood, and R. J. Dolan (2009)
J. Neurosci.
29, 5985-5991
|Abstract »|Full Text »|PDF »
Genetic architecture of quantitative traits in mice, flies, and humans.
The Antecedents of Schizophrenia: A Review of Birth Cohort Studies.
J. Welham, M. Isohanni, P. Jones, and J. McGrath (2009)
Schizophr Bull
35, 603-623
|Abstract »|Full Text »|PDF »
Issues concerning feedback about genetic testing and risk of depression.
K. Wilhelm, B. Meiser, P. B. Mitchell, A. W. Finch, J. E. Siegel, G. Parker, and P. R. Schofield (2009)
The British Journal of Psychiatry
194, 404-410
|Abstract »|Full Text »|PDF »
Cortical thinning in persons at increased familial risk for major depression.
B. S. Peterson, V. Warner, R. Bansal, H. Zhu, X. Hao, J. Liu, K. Durkin, P. B. Adams, P. Wickramaratne, and M. M. Weissman (2009)
PNAS
106, 6273-6278
|Abstract »|Full Text »|PDF »
Posttraumatic Stress Disorder: A State-of-the-Science Review.
C. B. Nemeroff, J. D. Bremner, E. B. Foa, H. S. Mayberg, C. S. North, and M. B. Stein (2009)
Focus
7, 254-273
|Abstract »|Full Text »|PDF »
Treatment of Depression After Coronary Artery Bypass Surgery: A Randomized Controlled Trial.
K. E. Freedland, J. A. Skala, R. M. Carney, E. H. Rubin, P. J. Lustman, V. G. Davila-Roman, B. C. Steinmeyer, and C. W. Hogue Jr (2009)
Arch Gen Psychiatry
66, 387-396
|Abstract »|Full Text »|PDF »
Political Science, Biometric Theory, and Twin Studies: A Methodological Introduction.
Neurobiological mechanisms in major depressive disorder.
M. aan het Rot PhD, S. J. Mathew MD, and D. S. Charney MD (2009)
Can. Med. Assoc. J.
180, 305-313
|Full Text »|PDF »
The Rebirth of Neuroscience in Psychosomatic Medicine, Part I: Historical Context, Methods, and Relevant Basic Science.
R. D. Lane, S. R. Waldstein, M. A. Chesney, J. R. Jennings, W. R. Lovallo, P. J. Kozel, R. M. Rose, D. A. Drossman, N. Schneiderman, J. F. Thayer, et al. (2009)
Psychosom Med
71, 117-134
|Abstract »|Full Text »|PDF »
Enhanced activity of human serotonin transporter variants associated with autism.
H. C Prasad, J. A Steiner, J. S Sutcliffe, and R. D Blakely (2009)
Phil Trans R Soc B
364, 163-173
|Abstract »|Full Text »|PDF »
Psychosocial stress reversibly disrupts prefrontal processing and attentional control.
Depression and heart disease: What do we know, and where are we headed?.
L. POZUELO, G. TESAR, J. ZHANG, M. PENN, K. FRANCO, and W. JIANG (2009)
Cleveland Clinic Journal of Medicine
76, 59-70
|Abstract »|Full Text »|PDF »
Social Ecology, Genomics, and African American Health: A Nonlinear Dynamical Perspective..
S. Madhere, J. Harrell, and C. D. M. Royal (2009)
Journal of Black Psychology
35, 154-179
|Abstract »|PDF »
Influence of Functional Variant of Neuronal Nitric Oxide Synthase on Impulsive Behaviors in Humans.
A. Reif, C. P. Jacob, D. Rujescu, S. Herterich, S. Lang, L. Gutknecht, C. G. Baehne, A. Strobel, C. M. Freitag, I. Giegling, et al. (2009)
Arch Gen Psychiatry
66, 41-50
|Abstract »|Full Text »|PDF »
Consequences of chronic social stress on behaviour and vasopressin gene expression in the PVN of DBA/2OlaHsd mice--influence of treatment with the CRHR1-antagonist R121919/NBI 30775.
A. Erhardt, M. Muller, A. Rodel, T. Welt, F. Ohl, F. Holsboer, and M. Keck (2009)
J Psychopharmacol
23, 31-39
|Abstract »|PDF »
Core Components of Therapy in Youth: Do We Know what to Disseminate?.
V. R. Weersing, M. Rozenman, and A. Gonzalez (2009)
Behav Modif
33, 24-47
|Abstract »|PDF »
Relationship of Genetic Variability and Depressive Symptoms to Adverse Events After Coronary Artery Bypass Graft Surgery.
B. Phillips-Bute, J. P. Mathew, J. A. Blumenthal, R. W. Morris, M. V. Podgoreanu, M. Smith, M. Stafford-Smith, H. P. Grocott, D. A. Schwinn, M. F. Newman, et al. (2008)
Psychosom Med
70, 953-959
|Abstract »|Full Text »|PDF »
Suicide and Suicidal Behavior.
M. K. Nock, G. Borges, E. J. Bromet, C. B. Cha, R. C. Kessler, and S. Lee (2008)
Epidemiol. Rev.
30, 133-154
|Abstract »|Full Text »|PDF »
Association of Serotonin Transporter Gene Polymorphisms With Poststroke Depression.
R. Kohen, K. C. Cain, P. H. Mitchell, K. Becker, A. Buzaitis, S. P. Millard, G. P. Navaja, L. Teri, D. Tirschwell, and R. Veith (2008)
Arch Gen Psychiatry
65, 1296-1302
|Abstract »|Full Text »|PDF »
Gene-Environment Interactions in Schizophrenia: Review of Epidemiological Findings and Future Directions.
J. van Os, B. P. Rutten, and R. Poulton (2008)
Schizophr Bull
34, 1066-1082
|Abstract »|Full Text »|PDF »
Mood changes after delivery: role of the serotonin transporter gene.
J. Sanjuan, R. Martin-Santos, L. Garcia-Esteve, J. M. Carot, R. Guillamat, A. Gutierrez-Zotes, I. Gornemann, F. Canellas, E. Baca-Garcia, M. Jover, et al. (2008)
The British Journal of Psychiatry
193, 383-388
|Abstract »|Full Text »|PDF »
Resilience and depression: perspectives from primary care.
C. Dowrick, R. Kokanovic, K. Hegarty, F. Griffiths, and J. Gunn (2008)
Health (London)
12, 439-452
|Abstract »|PDF »
The Economics and Psychology of Personality Traits.
L. Borghans, A. L. Duckworth, J. J. Heckman, and B. t. Weel (2008)
J. Human Resources
43, 972-1059
|Abstract »|PDF »
Depression during menopausal transition: a review of treatment strategies and pathophysiological correlates.
Preliminary Evidence for Sensitive Periods in the Effect of Childhood Sexual Abuse on Regional Brain Development.
S. L. Andersen, A. Tomada, E. S. Vincow, E. Valente, A. Polcari, and M. H. Teicher (2008)
J Neuropsychiatry Clin Neurosci
20, 292-301
|Abstract »|Full Text »|PDF »
Understanding the Agreements and Controversies Surrounding Childhood Psychopharmacology.
Effect of Bright Light and Melatonin on Cognitive and Noncognitive Function in Elderly Residents of Group Care Facilities: A Randomized Controlled Trial.
R. F. Riemersma-van der Lek, D. F. Swaab, J. Twisk, E. M. Hol, W. J. G. Hoogendijk, and E. J. W. Van Someren (2008)
JAMA
299, 2642-2655
|Abstract »|Full Text »|PDF »
The Interplay of Genes, Environments, and Psychoanalysis.
S. T. Hauser (2008)
J Am Psychoanal Assoc
56, 509-514
|PDF »
Genetic contributions to sensitive parenting.
S. E. Taylor (2008)
Soc Cogn Affect Neurosci
3, 89-90
|Full Text »|PDF »
Oxytocin receptor (OXTR) and serotonin transporter (5-HTT) genes associated with observed parenting.
M. J. Bakermans-Kranenburg and M. H. van IJzendoorn (2008)
Soc Cogn Affect Neurosci
3, 128-134
|Abstract »|Full Text »|PDF »
Population-Based Study of First Onset and Chronicity in Major Depressive Disorder.
W. W. Eaton, H. Shao, G. Nestadt, B. H. Lee, O. J. Bienvenu, and P. Zandi (2008)
Arch Gen Psychiatry
65, 513-520
|Abstract »|Full Text »|PDF »
Lasting Syndrome of Depression Produced by Reduction in Serotonin Uptake during Postnatal Development: Evidence from Sleep, Stress, and Behavior.
D. Popa, C. Lena, C. Alexandre, and J. Adrien (2008)
J. Neurosci.
28, 3546-3554
|Abstract »|Full Text »|PDF »
Major depression, 5HTTLPR genotype, suicide and antidepressant influences on thalamic volume.
K. A. Young, W. L. Bonkale, L. A. Holcomb, P. B. Hicks, and D. C. German (2008)
The British Journal of Psychiatry
192, 285-289
|Abstract »|Full Text »|PDF »
Gene-Environment Interactions, Not Neonatal Growth Hormone Deficiency, Time Puberty in Female Rhesus Monkeys.
Association of FKBP5 Polymorphisms and Childhood Abuse With Risk of Posttraumatic Stress Disorder Symptoms in Adults.
E. B. Binder, R. G. Bradley, W. Liu, M. P. Epstein, T. C. Deveau, K. B. Mercer, Y. Tang, C. F. Gillespie, C. M. Heim, C. B. Nemeroff, et al. (2008)
JAMA
299, 1291-1305
|Abstract »|Full Text »|PDF »
Epigenetics: what is it and why is it important to mental disease?.