“… 30 , 31 Zai et al conducted a meta-analysis of 13 genetic association studies (five family-based association studies and eight case–control studies, which included Caucasian, Turk, Mexican, and South African Afrikaner cohorts), and they found no association between the BDNF Val66Met polymorphism and OCD (allele OR, 1.09; 95% CI, 0.99–1.21; P =0.09). 21 Mattheisen et al conducted a genome-wide association studies (N=5,061), and they did not find the BDNF Val66Met polymorphism among the top 33 single-nucleotide polymorphisms (SNPs) with P <1×10 −5 . 30 However, caution must be exercised, because the sample size of each association study, including our study, was small, and the allele frequency of this polymorphism is dependent on ethnic background.…”