@article{3094244, title = "Association between COMT (Val(158)Met) functional polymorphism and early onset in patients with major depressive disorder in a European multicenter genetic association study", author = "Massat, I and Souery, D and Del-Favero, J and Nothen, M and Blackwood, D and and Muir, W and Kaneva, R and Serretti, A and Lorenzi, C and Rietschel, and M and Milanova, V and Papadimitriou, GN and Dikeos, D and Van and Broeckhoven, C and Mendlewicz, J", journal = "Journal of Molecular Psychiatry", year = "2005", volume = "10", number = "6", pages = "598-605", publisher = "Nature Publishing Group", issn = "2049-9256", doi = "10.1038/sj.mp.4001615", keywords = "major depressive disorder; bipolar disorder; candidate genes; catecholamine neurotransmission; COMT gene; age at onset; association study", abstract = "The available data from preclinical and pharmacological studies on the role of the C-O-methyl transferase ( COMT) support the hypothesis that abnormal catecholamine transmission has been implicated in the pathogenesis of mood disorders ( MD). We examined the relationship of a common functional polymorphism (Val108/158Met) in the COMT gene, which accounts for four-fold variation in enzyme activity, with ‘early-onset’ ( EO) forms ( less than or equal to 25 years) of MD, including patients with major depressive disorder (EO-MDD) and bipolar patients (EO-BPD), in a European multicenter case - control sample. Our sample includes 378 MDD ( 120 EO-MDD), 506 BPD ( 222 EO-BPD) and 628 controls. An association was found between the high-activity COMT Val allele, particularly the COMT Val/Val genotype and EO-MDD. These findings suggest that the COMT Val/Val genotype may be involved in EO-MDD or may be in linkage disequilibrium with a different causative polymorphism in the vicinity. The COMT gene may have complex and pleiotropic effects on susceptibility and symptomatology of neuropsychiatric disorders." }