1997
DOI: 10.1073/pnas.94.9.4572
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Genotype determining low catechol-O-methyltransferase activity as a risk factor for obsessive-compulsive disorder

Abstract: In the present study, we address the role of the gene for catechol-O-methyltransferase (COMT), a key modulator of dopaminergic and noradrenergic neurotransmission, in the genetic predisposition to obsessive-compulsive disorder (OCD). We show that a common functional allele of this gene, which results in a 3-to 4-fold reduction in enzyme activity, is significantly associated in a recessive manner with susceptibility to OCD, particularly in males. This association is further supported by psychiatric evaluation o… Show more

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Cited by 288 publications
(206 citation statements)
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“…On the other hand, this is hard to reconcile with the observation that the association is gender specific. In this regard, it is remarkable that our results are strikingly similar to both reports by Karayiorgou et al (1997Karayiorgou et al ( , 1999, providing further evidence to the previously reported gender-selective association between COMT polymorphism and male patients. It is important to emphasize that in our control sample neither the COMT genotype distribution (v 2 = 4.6, df = 2, p = 0.1), nor the allele frequency (v 2 = 4.6, df = 2, p = 0.1) differed significantly between males and females.…”
Section: Discussionsupporting
confidence: 92%
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“…On the other hand, this is hard to reconcile with the observation that the association is gender specific. In this regard, it is remarkable that our results are strikingly similar to both reports by Karayiorgou et al (1997Karayiorgou et al ( , 1999, providing further evidence to the previously reported gender-selective association between COMT polymorphism and male patients. It is important to emphasize that in our control sample neither the COMT genotype distribution (v 2 = 4.6, df = 2, p = 0.1), nor the allele frequency (v 2 = 4.6, df = 2, p = 0.1) differed significantly between males and females.…”
Section: Discussionsupporting
confidence: 92%
“…The COMT locus has been reported to be associated with OCD in several previous studies. Karayiorgou et al (1997Karayiorgou et al ( , 1999 found evidence for an association between the lowactivity COMT allele and OCD in male OCD patients, in a case-control study and a family-based study, whereas Alsobrook et al (2002) found evidence pointing to an association between the low-activity COMT allele and OCD in female OCD patients. Niehaus et al (2001) reported a preponderance of COMT high/low heterozygotes in an Afrikaner population of 54 OCD patients, but did not observe gender differences.…”
Section: Discussionmentioning
confidence: 99%
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“…The valine allele shows higher COMT activity than the methionine allele (Lachman et al, 1996). The high activity allele has been associated with obsessive compulsive disorder (Karayiorgou et al, 1997) and phobic anxiety (McGrath et al, 2004).…”
Section: Introductionmentioning
confidence: 99%