Abstract
There is considerable evidence that genetic determinants play a major role in the etiology of anxiety. Investigations into susceptibility genes for anxiety are well underway, particularly for panic disorder and obsessive-compulsive disorder and more broadly defined anxiety-related traits, such as neuroticism and harm avoidance. This review will discuss some of the core issues related to diagnosis and molecular genetic methodology, followed by a review of recent molecular genetic findings for anxiety. The authors will attempt to highlight the numerous convergent and exciting findings. Given the rapid acceleration in knowledge of the human genome, a more definitive understanding of the genetic roots of these complex conditions may be anticipated in the relatively near future.
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References and Recommended Reading
Hettema JM, Neale MC, Kendler KS: A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am J Psychiatry 2001, 158:1568–1578.
Merikangas KR, Lieb R, Wittchen HU, Avenevoli S: Family and high-risk studies of social anxiety disorder. Acta Psychiatr Scand Suppl 2003, 417:28–37.
Black DW, Gaffney GR, Schlosser S, Gabel J: Children of parents with obsessive-compulsive disorder: a 2-year followup study. Acta Psychiatr Scand 2003, 107:305–313.
Kendler KS, Aggen SH, Jacobson KC, Neale MC: Does the level of family dysfunction moderate the impact of genetic factors on the personality trait of neuroticism? Psychol Med 2003, 33:817–825.
Page GP, George V, Go RC, et al.: #x201C;Are we there yet?#x201D; Deciding when one has demonstrated specific genetic causation in complex diseases and quantitative traits. Am J Hum Genet 2003, 73:711–719.
Hudson JI, Mangweth B, Pope HG, Jr., et al.: Family study of affective spectrum disorder. Arch Gen Psychiatry 2003, 60:170–177.
Kendler KS, Prescott CA, Myers J, Neale MC: The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Arch Gen Psychiatry 2003, 60:929–937.
Gorwood P: Generalized anxiety disorder and major depressive disorder comorbidity: an example of genetic pleiotropy? Eur Psychiatry 2004, 19:27–33.
Gottesman II, Gould TD: The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 2003, 160:636–645.
Alsobrook J, Leckman J, Goodman W, et al.: Segregation analysis of obsessive-compulsive disorder using symptom-based factor scores. Am J Med Genet 1999, 88:669–675.
Leckman JF, Pauls DL, Zhang H, et al.: Obsessive-compulsive symptom dimensions in affected sibling pairs diagnosed with Gilles de la Tourette syndrome. Am J Med Genet 2003, 116(suppl):60–68.
Richter MA, Summerfeldt LJ, Swinson RP, Kennedy JL: Symptom subtypes and family history in OCD. Presented as part of a symposium: #x201C;Models for Subtyping OCD#x201D; (Dr. Michele Pato, chair) at the Annual Meeting of the American Psychiatric Association. Chicago, IL; May 13–18, 2000.
Hanna GL, Fischer DJ, Chadha KR, et al.: Familial and sporadic subtypes of early-onset obsessive-compulsive disorder. Proceeding of the Annual Meeting of the Anxiety Disorders Association of America. Miami, FL; March 11–14, 2004.
Risch N, Merikangas K: The future of genetic studies of complex human diseases. Science 1996, 273:1516–1517.
Ewens WJ, Spielman RS: Locating genes by linkage and association. Theor Popul Biol 2001, 60:135–139.
Spielman RS, McGinnis RE, Ewens WJ: Transmission test for linkage disequilibrium: the insulin gene region and insulindependent diabetes mellitus (IDDM). Am J Hum Genet 1993, 52:506–516.
Hamilton SP, Fyer AJ, Durner M, et al.: Further genetic evidence for a panic disorder syndrome mapping to chromosome 13q. Proc Natl Acad Sci U S A 2003, 100:2550–2555.
Weissman MM, Gross R, Fyer A, et al.: Interstitial cystitis and panic disorder: a potential genetic syndrome. Arch Gen Psychiatry 2004, 61:273–279.
Thorgeirsson TE, Oskarsson H, Desnica N, et al.: Anxiety with panic disorder linked to chromosome 9q in Iceland. Am J Hum Genet 2003, 72:1221–1230.
Crowe RR, Goedken R, Samuelson S, et al.: Genomewide survey of panic disorder. Am J Med Genet 2001, 105:105–109.
Logue MW, Vieland VJ, Goedken RJ, Crowe RR: Bayesian analysis of a previously published genome screen for panic disorder reveals new and compelling evidence for linkage to chromosome 7. Am J Med Genet 2003, 121B:95–99.
Gratacos M, Nadal M, Martin-Santos R, et al.: A polymorphic genomic duplication on human chromosome 15 is a susceptibility factor for panic and phobic disorders. Cell 2001, 106:367–379.
Schumacher J, Otte AC, Becker T, et al.: No evidence for DUP25 in patients with panic disorder using a quantitative real-time PCR approach. Hum Genet 2003, 114:115–117.
Tabiner M, Youings S, Dennis N, et al.: Failure to find DUP25 in patients with anxiety disorders, in control individuals, or in previously reported positive control cell lines. Am J Hum Genet 2003, 72:535–538.
Weiland Y, Kraus J, Speicher MR: A multicolor FISH assay does not detect DUP25 in control individuals or in reported positive control cells. Am J Hum Genet 2003, 72:1349–1352.
Zhu G, Bartsch O, Skrypnyk C, et al.: Failure to detect DUP25 in lymphoblastoid cells derived from patients with panic disorder and control individuals representing European and American populations. Eur J Hum Genet 2004, in press.
Hollox EJ, Armour JA: No evidence for DNA copy number change associated with the DUP25 cytogenetic phenotype. Eur J Hum Genet 2003, 11:911–912.
Hamilton SP, Slager SL, De Leon AB, et al.: Evidence for genetic linkage between a polymorphism in the adenosine 2A receptor and panic disorder. Neuropsychopharmacology 2004, 29:558–565. This methodologically rigorous study involved study of multiple variants of the ADOR2A gene, a good functional candidate for PD, using an approach that incorporated parametric linkage and family-based association analyses. Their strongest finding was linkage to a silent coding variant (1083C/T) in extended pedigrees, which represents an important replication of an earlier finding in PD [29].
Deckert J, Nothen MM, Franke P, et al.: Systematic mutation screening and association study of the A1 and A2a adenosine receptor genes in panic disorder suggest a contribution of the A2a gene to the development of disease. Mol Psychiatry 1998, 3:81–85.
Alsene K, Deckert J, Sand P, de Wit H: Association between A2a receptor gene polymorphisms and caffeine-induced anxiety. Neuropsychopharmacology 2003, 28:1694–1702.
Bradwejn J, Koszycki D: Cholecystokinin and panic disorder: past and future clinical research strategies. Scand J Clin Lab Invest Suppl 2001, 234:19–27.
Miyasaka K, Yoshida Y, Matsushita S, et al.: Association of cholecystokinin-A receptor gene polymorphisms and panic disorder in Japanese. Am J Med Genet 2004, 127B:78–80.
Ise K, Akiyoshi J, Horinouchi Y, et al.: Association between the CCK-A receptor gene and panic disorder. Am J Med Genet 2003, 118B:29–31.
Ebihara M, Ohba H, Hattori E, et al.: Transcriptional activities of cholecystokinin promoter haplotypes and their relevance to panic disorder susceptibility. Am J Med Genet 2003, 118B:32–35.
Charney DS: Neuroanatomical circuits modulating fear and anxiety behaviors. Acta Psychiatr Scand Suppl 2003, 417:38–50.
Rothe C, Gutknecht L, Freitag C, et al.: Association of a functional 1019CG 5-HT1A receptor gene polymorphism with panic disorder with agoraphobia. Int J Neuropsychopharmacol 2004, 7:189–192.
Inada Y, Yoneda H, Koh J, et al.: Positive association between panic disorder and polymorphism of the serotonin 2A receptor gene. Psychiatry Res 2003, 118:25–31.
Domschke K, Freitag CM, Kuhlenbumer G, et al.: Association of the functional V158M catechol-O-methyltransferase polymorphism with panic disorder in women. Int J Neuropsychopharmacol 2004, 7:183–188.
Hamilton SP, Slager SL, Heiman GA, et al.: Evidence for a susceptibility locus for panic disorder near the catechol-O-methyltransferase gene on chromosome 22. Biol Psychiatry 2002, 51:591–601.
Lam P, Cheng CY, Hong CJ, Tsai SJ: Association study of a brainderived neurotrophic factor (Val66Met) genetic polymorphism and panic disorder. Neuropsychobiology 2004, 49:178–181.
Olsson M, Annerbrink K, Westberg L, et al.: Angiotensinrelated genes in patients with panic disorder. Am J Med Genet 2004, 127B:81–84.
Philibert RA, Nelson JJ, Bedell B, et al.: Role of elastin polymorphisms in panic disorder. Am J Med Genet 2003, 117B:7–10.
Philibert RA, Nelson JJ, Sandhu HK, et al.: Association of an exonic LDHA polymorphism with altered respiratory response in probands at high risk for panic disorder. Am J Med Genet 2003, 117B:11–17.
Hamilton SP, Slager SL, Mayo D, et al.: Investigation of polymorphisms in the CREM gene in panic disorder. Am J Med Genet 2004, 126B:111–115.
Domschke K, Kuhlenbaumer G, Schirmacher A, et al.: Human nuclear transcription factor gene CREM: genomic organization, mutation screening, and association analysis in panic disorder. Am J Med Genet 2003, 117B:70–78.
Hanna G, Veenstra-VanderWeele J, Cox N, et al.: Genome-wide linkage analysis of families with obsessive-compulsive disorder ascertained through pediatric probands. Am J Med Genet 2002, 114:541–552.
Veenstra-VanderWeele J, Kim SJ, Gonen D, et al.: Genomic organization of the SLC1A1/EAAC1 gene and mutation screening in early-onset obsessive-compulsive disorder. Mol Psychiatry 2001, 6:160–167.
Zhang H, Leckman JF, Pauls DL, et al.: Genomewide scan of hoarding in sib pairs in which both sibs have Gilles de la Tourette syndrome. Am J Hum Genet 2002, 70:896–904.
Fitzgerald K, McMaster F, Paulson L, Rosenberg D: Neurobiology of childhood OCD. Child Adolesc Psychiatr Clin N Am 1999, 8:533–575.
Murphy DL, Lerner A, Rudnick G, Lesch KP: Serotonin transporter: gene, genetic disorders, and pharmacogenetics. Mol Interv 2004, 4:109–123.
Meira-Lima I, Shavitt RG, Miguita K, et al.: Association analysis of the catechol-o-methyltransferase (COMT), serotonin transporter (5-HTT) and serotonin 2A receptor (5HT2A) gene polymorphisms with obsessive-compulsive disorder. Genes Brain Behav 2004, 3:75–79.
Ozaki N, Goldman D, Kaye WH, et al.: Serotonin transporter missense mutation associated with a complex neuropsychiatric phenotype. Mol Psychiatry 2003, 8:933–896.
Kilic F, Murphy DL, Rudnick G: A human serotonin transporter mutation causes constitutive activation of transport activity. Mol Pharmacol 2003, 64:440–446.
Goldman D, Hu X, Lipsky R, Murphy D: The serotonin transporter: new alleles, function and phenotype. Proceedings of the 3rd Annual Pharmacogenetics in Psychiatry Meeting: New York, NY; April 16–17, 2004.
Lappalainen J, Dean M, Charbonneau L, et al.: Mapping of the serotonin 5-HT1D beta autoreceptor gene on chromosome 6 and direct analysis for sequence variants. Am J Med Genet 1995, 60:157–161.
Mundo E, Richter MA, Sam F, et al.: Is the 5-HT(1Dbeta) receptor gene implicated in the pathogenesis of obsessivecompulsive disorder? Am J Psychiatry 2000, 157:1160–1161.
Mundo E, Richter MA, Zai G, et al.: 5HT1Dbeta Receptor gene implicated in the pathogenesis of obsessive-compulsive disorder: further evidence from a family-based association study. Mol Psychiatry 2002, 7:805–809.
Di Bella D, Cavallini MC, Bellodi L: No association between obsessive-compulsive disorder and the 5-HT1Dta receptor gene. Am J Psychiatry 2002, 159:1783–1785.
Camarena B, Aguilar A, Loyzaga C, Nicolini H: A family-based association study of the 5-HT-1Dbeta receptor gene in obsessivecompulsive disorder. Int J Neuropsychopharmacol 2004, 7:49–53.
Lochner C, Hemmings SM, Kinnear CJ, et al.: Gender in obsessive-compulsive disorder: clinical and genetic findings. Eur Neuropsychopharmacol 2004, 14:105–113.
Walitza S, Wewetzer C, Warnke A, et al.: 5-HT2A promoter polymorphism -1438G/A in children and adolescents with obsessive-compulsive disorders. Mol Psychiatry 2002, 7:1054–1057.
Enoch MA, Greenberg BD, Murphy DL, Goldman D: Sexually dimorphic relationship of a 5-HT2A promoter polymorphism with obsessive-compulsive disorder. Biol Psychiatry 2001, 49:385–388.
Hemmings SM, Kinnear CJ, Niehaus DJ, et al.: Investigating the role of dopaminergic and serotonergic candidate genes in obsessive-compulsive disorder. Eur Neuropsychopharmacol 2003, 13:93–98.
Tot S, Erdal ME, Yazici K, et al.: T102C and -1438 G/A polymorphisms of the 5-HT2A receptor gene in Turkish patients with obsessive-compulsive disorder. Eur Psychiatry 2003, 18:249–254.
Frisch A, Michaelovsky E, Rockah R, et al.: Association between obsessive-compulsive disorder and polymorphisms of genes encoding components of the serotonergic and dopaminergic pathways. Eur Neuropsychopharmacol 2000, 10:205–209.
Cruz C, Camarena B, King N, et al.: Increased prevalence of the seven-repeat variant of the dopamine D4 receptor gene in patients with obsessive-compulsive disorder with tics. Neurosci Lett 1997, 231:1–4.
Billett EA, Richter MA, Sam F, et al.: Investigation of dopamine system genes in obsessive-compulsive disorder. Psychiatr Genet 1998, 8:163–169.
Millet B, Chabane N, Delorme R, et al.: Association between the dopamine receptor D4 (DRD4) gene and obsessive-compulsive disorder. Am J Med Genet 2003, 116B:55–59.
Azzam A, Mathews CA: Meta-analysis of the association between the catecholamine-O-methyl-transferase gene and obsessive-compulsive disorder. Am J Med Genet 2003, 123B:64–69.
Erdal ME, Tot S, Yazici K, et al.: Lack of association of catechol-O-methyltransferase gene polymorphism in obsessive-compulsive disorder. Depress Anxiety 2003, 18:41–45.
Camarena B, Rinetti G, Cruz C, et al.: Additional evidence that genetic variation of MAO-A gene supports a gender subtype in obsessive-compulsive disorder. Am J Med Genet 2001, 105:279–282.
Karayiorgou M, Sobin C, Blundell ML, et al.: Family-based association studies support a sexually dimorphic effect of COMT and MAOA on genetic susceptibility to obsessive-compulsive disorder. Biol Psychiatry 1999, 45:1178–1189.
Hall D, Dhilla A, Charalambous A, et al.: Sequence variants of the brain-derived neurotrophic factor (BDNF) gene are strongly associated with obsessive-compulsive disorder. Am J Hum Genet 2003, 73:370–376. This large family-based association study involved genotyping of multiple linked variants spanning the BDNF gene. A potential protective haplotype was shown to be associated with OCD. This study also exemplifies the value of analyzing age of onset as an endophenotype, because the association with BDNF was stronger in the early onset families.
Neves-Pereira M, Mundo E, Muglia P, et al.: The brain-derived neurotrophic factor gene confers susceptibility to bipolar disorder: evidence from a family-based association study. Am J Hum Genet 2002, 71:651–655.
Sklar P, Gabriel SB, McInnis MG, et al.: Family-based association study of 76 candidate genes in bipolar disorder. BDNF is a potential risk locus: brain-derived neutrophic factor. Mol Psychiatry 2002, 7:579–593.
Rosenberg D, MacMaster F, Keshavan M, et al.: Decrease in caudate glutamatergic concentrations in pediatric obsessivecompulsive disorder patients taking paroxetine. J Am Acad Child Adolesc Psychiatry 2000, 39:1096–1103.
Nordstrom EJ, Burton FH: A transgenic model of comorbid Tourette’s syndrome and obsessive-compulsive disorder circuitry. Mol Psychiatry 2002, 7:617–625.
Arnold PD, Rosenberg DR, Mundo E, et al.: Association of a glutamate (NMDA) subunit receptor gene (GRIN2B) with obsessive-compulsive disorder: a preliminary study. Psychopharmacology (Berl) 2004, in press.
Delorme R, Krebs MO, Chabane N, et al.: Frequency and transmission of glutamate receptors GRIK2 and GRIK3 polymorphisms in patients with obsessive compulsive disorder. Neuroreport 2004, 15:699–702.
Arnold PD, Richter MA: Is obsessive-compulsive disorder an autoimmune disease? CMAJ 2001, 165:1353–1358.
Swedo SE, Leonard HL, Rapoport JL: The pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) subgroup: separating fact from fiction. Pediatrics 2004, 113:907–911.
Johns TG, Bernard CC: Binding of complement component Clq to myelin oligodendrocyte glycoprotein: a novel mechanism for regulating CNS inflammation. Mol Immunol 1997, 34:33–38.
Zai G, Bezchlibnyk YB, Richter MA, et al.: Myelin oligodendrocyte glycoprotein (MOG) gene associated with obsessivecompulsive disorder. Am J Med Genet 2004, in press.
Urraca N, Camarena B, Gomez-Caudillo L, et al.: Mu opioid receptor gene as a candidate for the study of obsessive compulsive disorder with and without tics. Am J Med Genet 2004, 127B:94–96.
Gelernter J, Page GP, Stein MB, Woods SW: Genome-wide linkage scan for loci predisposing to social phobia: evidence for a chromosome 16 risk locus. Am J Psychiatry 2004, 161:59–66.
Gelernter J, Page GP, Bonvicini K, et al.: A chromosome 14 risk locus for simple phobia: results from a genomewide linkage scan. Mol Psychiatry 2003, 8:71–82.
Flint J, Corley R, DeFries JC, et al.: A simple genetic basis for a complex psychological trait in laboratory mice. Science 1995, 269:1432–1435.
Tadic A, Rujescu D, Szegedi A, et al.: Association of a MAOA gene variant with generalized anxiety disorder, but not with panic disorder or major depression. Am J Med Genet 2003, 117B:1–6.
Lawford BR, Mc DYR, Noble EP, et al.: D2 dopamine receptor gene polymorphism: paroxetine and social functioning in posttraumatic stress disorder. Eur Neuropsychopharmacol 2003, 13:313–320.
Fullerton J, Cubin M, Tiwari H, et al.: Linkage analysis of extremely discordant and concordant sibling pairs identifies quantitative-trait loci that influence variation in the human personality trait neuroticism. Am J Hum Genet 2003, 72:879–890. This well-designed study exemplifies the use of the genome scan. The investigators examined quantitative traits in the most discordant and concordant sibling pairs drawn from a large population-based sample, an approach that was designed to maximize statistic power. Based on this strategy, a number of significant linkage peaks were identified, many of which appear to be specific to female subjects.
Zohar AH, Dina C, Rosolio N, et al.: Tridimensional personality questionnaire trait of harm avoidance (anxiety proneness) is linked to a locus on chromosome 8p21. Am J Med Genet 2003, 117B:66–69.
Cloninger CR, Van Eerdewegh P, Goate A, et al.: Anxiety proneness linked to epistatic loci in genome scan of human personality traits. Am J Med Genet 1998, 81:313–317.
Lesch KP, Bengel D, Heils A, et al.: Association of anxietyrelated traits with a polymorphism in the serotonin transporter gene regulatory region. Science 1996, 274:1527–1531.
Schinka JA, Busch RM, Robichaux-Keene N: A meta-analysis of the association between the serotonin transporter gene polymorphism (5-HTTLPR) and trait anxiety. Mol Psychiatry 2004, 9:197–202.
Sen S, Burmeister M, Ghosh D: Meta-analysis of the association between a serotonin transporter promoter polymorphism (5-HTTLPR) and anxiety-related personality traits. Am J Med Genet 2004, 127B:85–89. The putative relationship between the 5HTTLPR and neuroticism has been the most intensively studied candidate gene hypothesis in anxiety. These two meta-analyses support a significant association, although with a small effect size indicating that many other genetic and nongenetic factors are clearly involved in the genesis of neuroticism.
Brummett BH, Siegler IC, McQuoid DR, et al.: Associations among the NEO Personality Inventory, Revised and the serotonin transporter gene-linked polymorphic region in elders: effects of depression and gender. Psychiatr Genet 2003, 13:13–18.
Umekage T, Tochigi M, Marui T, et al.: Serotonin transporterlinked promoter region polymorphism and personality traits in a Japanese population. Neurosci Lett 2003, 337:13–16.
Sen S, Villafuerte S, Nesse R, et al.: Serotonin transporter and GABAA alpha 6 receptor variants are associated with neuroticism. Biol Psychiatry 2004, 55:244–249.
Szekely A, Ronai Z, Nemoda Z, et al.: Human personality dimensions of persistence and harm avoidance associated with DRD4 and 5-HTTLPR polymorphisms. Am J Med Genet 2004, 126B:106–110.
Jacob CP, Strobel A, Hohenberger K, et al.: Association between allelic variation of serotonin transporter function and neuroticism in anxious cluster C personality disorders. Am J Psychiatry 2004, 161:569–572.
Strobel A, Gutknecht L, Rothe C, et al.: Allelic variation in 5-HT1A receptor expression is associated with anxiety- and depression-related personality traits. J Neural Transm 2003, 110:1445–1453.
Melke J, Westberg L, Nilsson S, et al.: A polymorphism in the serotonin receptor 3A (HTR3A) gene and its association with harm avoidance in women. Arch Gen Psychiatry 2003, 60:1017–1023.
Eley TC, Tahir E, Angleitner A, et al.: Association analysis of MAOA and COMT with neuroticism assessed by peers. Am J Med Genet 2003, 120B:90–96.
Enoch MA, Xu K, Ferro E, et al.: Genetic origins of anxiety in women: a role for a functional catechol-O-methyltransferase polymorphism. Psychiatr Genet 2003, 13:33–41.
Roberts RL, Luty SE, Mulder RT, et al.: Association between cytochrome P450 2D6 genotype and harm avoidance. Am J Med Genet 2004, 127B:90–93.
Sen S, Nesse RM, Stoltenberg SF, et al.: A BDNF coding variant is associated with the NEO personality inventory domain neuroticism, a risk factor for depression. Neuropsychopharmacology 2003, 28:397–401.
Tsai SJ, Hong CJ, Yu YW, Chen TJ: Association study of a brainderived neurotrophic factor (BDNF) Val66Met polymorphism and personality trait and intelligence in healthy young females. Neuropsychobiology 2004, 49:13–16.
Schwartz CE, Snidman N, Kagan J: Adolescent social anxiety as an outcome of inhibited temperament in childhood. J Am Acad Child Adolesc Psychiatry 1999, 38:1008–1015.
Eley TC, Bolton D, O’Connor TG, et al.: A twin study of anxiety-related behaviors in pre-school children. J Child Psychol Psychiatry 2003, 44:945–960.
Arbelle S, Benjamin J, Golin M, et al.: Relation of shyness in grade school children to the genotype for the long form of the serotonin transporter promoter region polymorphism. Am J Psychiatry 2003, 160:671–676.
Smoller JW, Rosenbaum JF, Biederman J, et al.: Association of a genetic marker at the corticotropin-releasing hormone locus with behavioral inhibition. Biol Psychiatry 2003, 54:1376–1381.
.Hiriri AR, Mattay VS, Tessitore A, et al.: Serotonin transporter genetic variation and the response of the human amygdala. Science 2002, 297:400–403. In this pioneering study, normal subjects carrying the 5HTTLPR-s allele exhibited heightened amygdala response during an emotional task as measured by functional magnetic resonance imaging compared with their ll counterparts. This study was highly significant for its innovative use of a neuroimaging endophenotype.
Hettema JM, Annas P, Neale MC, et al.: A twin study of the genetics of fear conditioning. Arch Gen Psychiatry 2003, 60:702–708.
Caspi A, Sugden K, Moffitt TE, et al.: Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 2003, 301:386–389.
Malhotra AK, Murphy GM, Jr., Kennedy JL: Pharmacogenetics of psychotropic drug response. Am J Psychiatry 2004, 161:780–796.
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Arnold, P.D., Zai, G. & Richter, M.A. Genetics of anxiety disorders. Curr Psychiatry Rep 6, 243–254 (2004). https://doi.org/10.1007/s11920-004-0073-1
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DOI: https://doi.org/10.1007/s11920-004-0073-1