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Blushing propensity in social anxiety disorder: influence of serotonin transporter gene variation

  • Basic Neurosciences, Genetics and Immunology - Short Communication
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Abstract

Blushing is considered to be one of the prime pathophysiological markers of social anxiety disorder, potentially mediated by serotonergic function. Therefore, in the present study 62 patients with social anxiety disorder and 62 age- and sex-matched healthy controls were investigated for the influence of serotonin transporter (5-HTT) gene variation (5-HTTLPR, rs25531) on blushing propensity as measured by the blushing propensity scale (BPS). The less active 5-HTTLPR genotypes were nominally significantly associated with increased blushing propensity in patients with social anxiety disorder as compared to controls with an equidirectional trend for the less active 5-HTTLPR/rs25531 haplotypes. Even when statistically controlled for influence of depression, this association remained significant. In summary, the present pilot study suggests a potential role of functional serotonin transporter gene variation in blushing propensity warranting replication and encouraging genetic analyses of further intermediate phenotypes of social anxiety disorder.

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References

  • American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders. Washington, DC

  • Battaglia M, Ogliari A, Zanoni A et al (2005) Influence of the serotonin transporter promoter gene and shyness on children’s cerebral responses to facial expressions. Arch Gen Psychiatry 62:85–94

    Article  PubMed  CAS  Google Scholar 

  • Baune BT, Hohoff C, Mortensen LS et al (2007) Serotonin transporter polymorphism (5-HTTLPR) association with melancholic depression—a female specific effect? Depress Anxiety. doi:10.1002/da.20433

  • Connor KM, Davidson JR, Chung H et al (2006) Multidimensional effects of sertraline in social anxiety disorder. Depress Anxiety 23:6–10

    Article  PubMed  CAS  Google Scholar 

  • Davidson JR (2000) Social anxiety disorder under scrutiny. Depress Anxiety 11:93–98

    Article  PubMed  CAS  Google Scholar 

  • Drummond PD (1997) The effect of adrenergic blockade on blushing and facial flushing. Psychophysiology 34:163–168

    Article  PubMed  CAS  Google Scholar 

  • Furmark T, Tillfors M, Garpenstrand H et al (2004) Serotonin transporter polymorphism related to amygdala excitability and symptom severity in patients with social phobia. Neurosci Lett 362:189–192

    Article  PubMed  CAS  Google Scholar 

  • Gerlach AL, Wilhelm FH, Gruber K et al (2001) Blushing and physiological arousability in social phobia. J Abnorm Psychol 110:247–258

    Article  PubMed  CAS  Google Scholar 

  • Gerlach AL, Wilhelm FH, Roth WT (2003) Embarrassment and social phobia: the role of parasympathetic activation. J Anxiety Disord 17:197–210

    Article  PubMed  Google Scholar 

  • Gottesman II, Gould TD (2003) The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 160:636–645

    Article  PubMed  Google Scholar 

  • Greenberg BD, Li Q, Lucas FR et al (2000) Association between the serotonin transporter promoter polymorphism and personality traits in a primarily female population sample. Am J Med Genet 96:202–216

    Article  PubMed  CAS  Google Scholar 

  • Hariri AR, Mattay VS, Tessitore A, Kolachana B, Fera F, Goldman D, Egan MF, Weinberger DR (2002) Serotonin transporter genetic variation and the response of the human amygdala. Science 297:400–403

    Article  PubMed  CAS  Google Scholar 

  • Hautzinger M, Bailer M, Worall H et al (1994) Beck-depressions-inventar (BDI). Z Kl Psych Psychoth 26:162–163

    Google Scholar 

  • Heinz A, Braus DF, Smolka MN, Wrase J, Puls I, Hermann D, Klein S, Grüsser SM, Flor H, Schumann G, Mann K, Büchel C (2005) Amygdala-prefrontal coupling depends on a genetic variation of the serotonin transporter. Nat Neurosci 8:20–21

    Article  PubMed  CAS  Google Scholar 

  • Hofmann SG, Moscovitch DA, Kim HJ (2006) Autonomic correlates of social anxiety and embarrassment in shy and non-shy individuals. Int J Psychophysiol 61:134–142

    Article  PubMed  Google Scholar 

  • Jefferson JW (1996) Social phobia: everyone’s disorder? J Clin Psychiatry 6:28–32

    Google Scholar 

  • Kendler KS, Neale MC, Kessler RC et al (1992) The genetic epidemiology of phobias in women. The interrelationship of agoraphobia, social phobia, situational phobia, and simple phobia. Arch Gen Psychiatry 49:273–281

    PubMed  CAS  Google Scholar 

  • Kessler RC, Chiu WT, Demler O et al (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:617–627

    Article  PubMed  Google Scholar 

  • Leary MR, Meadows S (1991) Predictors, elicitors and concomitants of social blushing. J Pers Soc Psychol 60:254–262

    Article  Google Scholar 

  • Lesch KP, Bengel D, Heils A et al (1996) Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 274:1527–1531

    Article  PubMed  CAS  Google Scholar 

  • Lochner C, Hemmings S, Seedat S et al (2007) Genetics and personality traits in patients with social anxiety disorder: a case-control study in South Africa. Eur Neuropsychopharmacol 17:321–327

    Article  PubMed  CAS  Google Scholar 

  • Lotrich FE, Pollock BG (2004) Meta-analysis of serotonin transporter polymorphisms and affective disorders. Psychiatr Genet 14:121–129

    Article  PubMed  Google Scholar 

  • Osher Y, Hamer D, Benjamin J (2000) Association and linkage of anxiety-related traits with a functional polymorphism of the serotonin transporter gene regulatory region in Israeli sibling pairs. Mol Psychiatry 5:216–219

    Article  PubMed  CAS  Google Scholar 

  • Stangier R, Heidenreich T, Berardi A et al (1999) Assessment of social phobia by the social interaction anxiety scale and the social phobia scale. Z Klin Psychol Forsch Praxis 28:28–36

    Google Scholar 

  • Stein MB, Chartier MJ, Kozak MV et al (1998) Genetic linkage to the serotonin transporter protein and 5HT2A receptor genes excluded in generalized social phobia. Psychiatry Res 81:283–291

    Article  PubMed  CAS  Google Scholar 

  • Stein MB, Seedat S, Gelernter J (2006) Serotonin transporter gene promoter polymorphism predicts SSRI response in generalized social anxiety disorder. Psychopharmacology (Berl) 187:68–72

    Article  CAS  Google Scholar 

  • Stevens S, Gerlach AL, Rist F (2007) Influence of alcohol on rating emotional facial expressions in social phobics. J Anxiety Disord. doi: 10.1016/j.janxdis.2007.09.007

  • Wendland JR, Martin BJ, Kruse MR et al (2006) Simultaneous geno-typing of four functional loci of human SLC6A4, with reappraisal of 5-HTTLPR and rs25531. Mol Psychiatry 11:224–226

    Article  PubMed  CAS  Google Scholar 

  • Wittchen H, Wunderlich U, Gruschwitz S et al (1997) SKID-I strukturiertes klinisches interview für DSM-IV. Hogrefe, Göttingen

    Google Scholar 

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Acknowledgments

This study was partially funded by a research grant to Alexander L. Gerlach (GE 1648/1-1) by the German Research Foundation.

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Correspondence to Katharina Domschke.

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Katharina Domschke and Stephan Stevens contributed equally to this work and should therefore both be considered first authors.

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Domschke, K., Stevens, S., Beck, B. et al. Blushing propensity in social anxiety disorder: influence of serotonin transporter gene variation. J Neural Transm 116, 663–666 (2009). https://doi.org/10.1007/s00702-008-0090-z

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  • DOI: https://doi.org/10.1007/s00702-008-0090-z

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