The val66met polymorphism on the BDNF gene has been reported
to explain individual differences in hippocampal volume and memory-related
activity. These findings, however, have not been replicated consistently and no
studies to date controlled for the potentially confounding impact of early life
stress, such as childhood abuse, and psychiatric status. Using structural and
functional MRI, we therefore investigated in 126 depressed and/or anxious
patients and 31 healthy control subjects the effects of val66met on
hippocampal volume and encoding activity of neutral, positive and negative
words, while taking into account childhood abuse and psychiatric status. Our
results show slightly lower hippocampal volumes in carriers of a met allele
(n=54) relative to val/val homozygotes
(n=103) (P=0.02, effect size (Cohen's
d)=0.37), which appeared to be independent of childhood
abuse and psychiatric status. For hippocampal encoding activity, we found a
val66met–word valence interaction (P=0.02)
such that carriers of a met allele showed increased levels of activation in
response to negative words relative to activation in the neutral word condition
and relative to val/val homozygotes. This, however, was only evident in the
absence of childhood abuse, as abused val/val homozygotes showed hippocampal
encoding activity for negative words that was comparable to that of carriers of
a met allele. Neither psychiatric status nor memory accuracy did account for
these associations. In conclusion, BDNF val66met has a significant
impact on hippocampal volume independently of childhood abuse and psychiatric
status. Furthermore, early adverse experiences such as childhood abuse account
for individual differences in hippocampal encoding activity of negative stimuli
but this effect manifests differently as a function of val66met.