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  <title>NITRC News Group Forum: impact-of-5-httlpr-on-ssri-serotonin-transporter-blockade-during-emotion-regulation--a-preliminary-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=6019</link>
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        &lt;p&gt;&lt;b&gt;Impact of 5-HTTLPR on SSRI serotonin transporter blockade during emotion regulation: A preliminary fMRI study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;J Affect Disord. 2016 Feb 10;196:11-19&lt;/p&gt;
        &lt;p&gt;Authors:  Outhred T, Das P, Dobson-Stone C, Felmingham KL, Bryant RA, Nathan PJ, Malhi GS, Kemp AH&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        BACKGROUND: The short ('S') allele of the serotonin transporter (5-HTT)-linked polymorphic region (5-HTTLPR) is associated with increased negative emotion processing bias, and this polymorphism moderates acute effects of selective serotonin reuptake inhibitor (SSRI) treatment. In this preliminary study, we explore the moderating effect of 5-HTTLPR on the impact of the SSRI, escitalopram during emotion regulation of negative emotional stimuli.&lt;br/&gt;
        METHOD: Thirty-six healthy Caucasian, female participants underwent two fMRI scanning sessions following single dose escitalopram and placebo administration separated by a seven-day washout period according to a double-blind, randomized, placebo-controlled crossover design. Functional connectivity analysis was employed with a left (L) amygdala seed and a right interior frontal gyrus (R IFG) target.&lt;br/&gt;
        RESULTS: Changes in functional connectivity with emotion regulation and treatment were linearly related to 5-HTTLPR 'L' allele load such that negative R IFG-L amygdala connectivity was increased with an increasing number of 'L' alleles. Therefore, escitalopram may facilitate the effects of reappraisal by enhancing negative functional connectivity, a finding that is greatest in participants homozygous for the 'L' allele and least in those homozygous for the 'S' allele.&lt;br/&gt;
        LIMITATIONS: Sub-samples of the homozygote 'S/S' and 'L/L' 5-HTTLPR groupings were small. However, the within-subjects nature of the experiment and observing changes at the individual subject level increases our confidence in the findings of the present study.&lt;br/&gt;
        CONCLUSIONS: The present study elucidates a potential neural mechanism by which antidepressant treatment produces differential treatment outcomes dependent on the 5-HTTLPR polymorphism, providing new and important leads for models of antidepressant action.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26896742 [PubMed - as supplied by publisher]&lt;/p&gt;
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