rs6265

badMag 5.5

This is a variant in the BDNF gene that changes a valine to an methionine.

Key Literature Trait Associations

Brain-Derived Neurotrophic Factor (BDNF) Function

The Val66Met polymorphism in BDNF impairs activity-dependent secretion of the neurotrophin. The Met allele reduces hippocampal volume and episodic memory performance. Associated with differential response to stress, antidepressant efficacy, and neuroplasticity.

Episodic memory

Met66 allele carriers (rs6265 A allele) consistently show poorer episodic memory performance across multiple studies, attributed to reduced hippocampal BDNF secretion and smaller hippocampal volumes. A meta-analysis context and numerous independent studies demonstrate that Met carriers exhibit accelerated overnight forgetting and impaired consolidation of episodic memories during sleep. In the context of Alzheimer's disease, Met66 is associated with greater memory decline in preclinical and early AD stages. The effect is most pronounced in older adults and those with amyloid pathology, with Val/Val homozygotes showing superior cognitive performance in both healthy aging and disease states.

Allele A
OR
p
N 384
Candidate gene study
multi-ancestry
Allele A
OR
p
Candidate gene study
European

Body mass index

The rs6265 A (Met) allele is significantly associated with higher BMI across a systematic review and meta-analysis of 35 studies. BDNF is a key regulator of hypothalamic energy homeostasis and appetite suppression; reduced activity-dependent BDNF secretion in Met carriers is thought to impair central satiety signaling. The pooled OR for obesity risk was 1.13 (95% CI 1.07–1.19), making rs6265 a modest but replicated genetic determinant of BMI. A smaller study also found Met allele carriers show elevated BMI alongside lower IQ scores and reduced blood pressure, consistent with pleiotropic hypothalamic effects of BDNF. GWAS data further support a nominal BMI association (beta ~4.58% SD, p=5×10⁻¹⁰).

Post-traumatic stress disorder

A systematic review and meta-analysis of 16 publications (5,369 subjects, 11 case-control studies) found that the rs6265 A (Met) allele is associated with increased PTSD susceptibility. The association was consistent across genetic models with comparable effects in Asian and other populations. The biological rationale is supported by reduced BDNF-mediated extinction learning and fear memory consolidation in Met carriers: a separate study in female PTSD patients found Met allele carriers showed significantly greater negative memory bias. These findings are consistent with the established role of BDNF in hippocampal fear conditioning circuits and stress resilience.

Allele A
OR
p
N 120
Candidate gene study
multi-ancestry

Epilepsy

A meta-analysis of 10 case-control studies (9,512 subjects) found the rs6265 G (Val) allele to be significantly associated with greater epilepsy susceptibility, with the A (Met) allele appearing protective (OR for A vs. G: 0.88, 95% CI 0.83–0.94; AA vs. GG: OR=0.79, 95% CI 0.70–0.90). The association was consistent across all five genetic models with no significant heterogeneity (I²=0%), and was primarily characterized in Asian populations. BDNF plays a critical role in seizure generation and epileptogenesis through modulation of TrkB receptor signaling and GABAergic inhibition; the Val allele's higher activity-dependent secretion may paradoxically promote hyperexcitability in susceptible neural circuits.

Allele G
OR 0.88
p 1.0e-3
N 9,512
Meta-analysis
East Asian

Depression

The rs6265 Met allele is associated with increased risk of late-life (geriatric) depression, with a meta-analysis of 5 studies (523 cases, 1,220 controls) finding OR=1.48 (95% CI 1.13–1.93, p=0.004). The association appears age-dependent and may reflect cumulative effects of reduced BDNF signaling on hippocampal neuroplasticity over the lifespan. However, evidence for a general major depressive disorder association is inconsistent: a larger meta-analysis of 62 studies found no significant overall MDD association (OR 1.12–1.26, p>0.05), and a gene-based analysis similarly found no significant signal. The Met allele may also predict better SSRI response in Asian populations (OR=1.53, p=0.007 in one pharmacogenetics meta-analysis), suggesting complex genotype-by-treatment interactions.

Allele A
OR 1.48
p 4.0e-3
N 1,743
Meta-analysis
multi-ancestry
Niitsu T et al. Pharmacogenetics in major depression: a comprehensive meta-analysis. Progress in Neuro-psychopharmacology & Biological Psychiatry (2013)
Allele A
OR 1.53
p 7.0e-3
Meta-analysis
multi-ancestry
Allele A
OR
p
Meta-analysis
multi-ancestry

Ischemic stroke

A meta-analysis of 7 case-control studies (1,287 cases, 1,032 controls) found that the rs6265 GG genotype (Val/Val) is associated with lower ischemic stroke risk in homozygous and dominant models (OR=0.57 and 0.80 respectively), suggesting the A (Met) allele confers higher risk. However, the authors cautioned that results should be interpreted carefully due to study heterogeneity and small overall sample size. BDNF's role in neuroprotection and post-ischemic neuronal survival provides a plausible biological mechanism, and no significant association was found between rs6265 and post-stroke depression in the same meta-analysis. This association requires further replication in larger, multi-ethnic cohorts before clinical utility can be established.

Bao MH et al. Meta-Analysis on the Association between Brain-Derived Neurotrophic Factor Polymorphism rs6265 and Ischemic Stroke, Poststroke Depression. Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association (2018)
Allele A
OR 0.57
p
N 2,319
Meta-analysis
multi-ancestry

GWAS Catalog Trait Associations (23)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Benign★★★
5 submitters18 publications

Memory impairment, susceptibility to; not specified; not provided

View on ClinVar →

Research that mentions this SNP (50)

“The Heidelberg Five” personality dimensions: Genome‐wide associations, polygenic risk for neuroticism, and psychopathology 20 years after assessment
AssociationN=481Urs Heilbronner et al.(2021)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This study evaluated the use of polygenic scores (PGS) based on 10 top SNPs from European GWAS meta-analysis of antisocial behavior to predict liability to severe criminal behavior (homicide) in a Russian cohort of 227 offenders and 254 controls. A PGS based on rs993137 (CADM2), rs458806 (REV3L), rs11720703 (FOXP1), and rs1476535 (FOXP2) explained 1.5% of variance in liability to antisocial behavior, while the combined genetic model with social factors (traumatic brain injury, chronic disease, tobacco smoking) explained up to 21.2% of variance (p = 2 × 10⁻¹³), demonstrating that social factors have substantially greater predictive impact than genetic variants alone.

Traits studied:AggressionAntisocial behaviorCriminal behaviorExternalizing behaviorHomicideSevere criminal behavior
Genetic variation of FTO: rs1421085 T&gt;C, rs8057044 G&gt;A, rs9939609 T&gt;A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
The association between polymorphism of theBDNFgene and cigarette smoking in the Iranian population
AssociationN=20,584Abdolhalim Rajabi et al.(2018)· The Journal of Gene Medicine

This population-based case-control study examined the association between BDNF rs6265 polymorphism and smoking cessation behavior in 20,584 Taiwanese adults from the Taiwan Biobank. Contrary to previous studies suggesting association between rs6265 and smoking behavior, this study found no significant association between the polymorphism (TT, TC, CC genotypes) and smoking cessation (p = 0.8753). Instead, sociodemographic and lifestyle factors (age, education, marital status, drinking, exercise, BMI) were significant predictors of smoking cessation, with males (OR 0.750), drinkers (OR 0.707), and underweight individuals (OR 0.597) less likely to quit smoking.

Traits studied:Nicotine dependenceSmoking behaviorSmoking cessation
Neuroplasticity and second messenger pathways in antidepressant efficacy: pharmacogenetic results from a prospective trial investigating treatment resistance
AssociationN=2,066Chiara Fabbri et al.(2017)· European Archives of Psychiatry and Clinical Neuroscience

A prospective pharmacogenetic study of 220 treatment-resistant depression (TRD) patients examined 50 tag SNPs in 14 neuroplasticity and second messenger pathway genes for association with antidepressant response. Key findings included replication of ZNF804A rs7603001 with venlafaxine response (OR=2.51), CREB1 rs2254137 with remission, CHL1 rs2133402 with lower TRD risk, and MAPK1 rs6928 with all phenotypes (p=0.0006 after Bonferroni). Pathway analysis in STAR*D (n=1846) identified protein processing in the endoplasmic reticulum pathway as a potential mechanism of MAPK1 involvement.

Traits studied:Antidepressant RemissionAntidepressant ResponseEscitalopram ResponseMajor Depressive DisorderTreatment-Resistant DepressionVenlafaxine Response
Association between catechol‐O‐methyl transferase gene polymorphisms and fibromyalgia in a Korean population: A case–control study
AssociationN=426Park DJ et al.(2016)· European Journal of Pain

This international doctoral thesis examined gene-physical activity interactions in fibromyalgia through six studies analyzing 64 SNPs across 34 candidate genes in Spanish women. The case-control study (314 fibromyalgia cases vs. 112 controls) identified associations of rs841 (GCH1), rs1799971 (OPRM1), and rs2097903 (COMT) with fibromyalgia susceptibility (p=0.04, p=0.02, and p=0.04 respectively). Cross-sectional studies (n=274-276 fibromyalgia patients) found that SCN9A rs4453709 and other genetic polymorphisms interacted with physical activity to influence pain, fatigue, and resilience outcomes.

Traits studied:Fatigue (reduced motivation, reduced activity)Fibromyalgia susceptibilityPain (algometry, bodily pain)Resilience (optimism, satisfaction with life)
The relationship between polymorphisms of BDNFOS and BDNF genes and heroin addiction in the Han Chinese population
ReviewTianbo Jin et al.(2016)· The Journal of Gene Medicine

This review examines neurogenetic and neuropharmacological correlates of opioid use disorder (OUD) with emphasis on ancestry-specific genetic risk profiles. The paper identifies multiple genes involved in the reward pathway (DRD2, DRD3, DRD4, OPRM1, OPRK1, OPRD1, BDNF, NRXN3, COMT, SLC6A4, KCNC1, KCNG2) and their variants associated with OUD susceptibility and treatment response across different ethnic populations, highlighting critical research disparities where African Americans and Hispanics have been underrepresented in genetic association studies.

Traits studied:Alcohol DependenceCocaine AddictionHeroin AddictionHeroin DependenceMethamphetamine DependenceMitochondrial DysfunctionNeonatal Abstinence SyndromeOpioid AddictionOpioid DependenceOpioid Use DisorderOxidative StressPain SensitivitySubstance Use Disorder
Genetic association of the transcription of neuroplasticity‐related genes and variation in stress‐coping style
AssociationN=252Saeko Aizawa et al.(2015)· Brain and Behavior

A genetic association study in 252 healthy Japanese controls examining SNP polymorphisms in BDNF and NTRK2 genes and their association with stress-coping strategies, ego aptitude, and social adaptation. BDNF rs6265 (Val/Met) showed significant associations with emotion-focused coping, seeking social support, self-control, and distancing. Five NTRK2 SNPs (rs11140800, rs1187286, rs1867283, rs1147198, rs10868235) demonstrated significant associations with cognitive strategies, problem-solving, and multiple ego-related factors.

Traits studied:AnxietyDepressionEgo aptitudeEmotion-focused copingProblem-focused copingSocial adaptationStress-coping style
Val66Met polymorphism in the BDNF gene in children with bronchial asthma
AssociationN=497Milos Jesenak et al.(2015)· Pediatric Pulmonology

A case-control study of 248 asthmatic children and 249 healthy controls examining the BDNF Val66Met polymorphism (rs6265). The Met/Met variant was associated with increased asthma risk (OR=4.17, p=0.018), while the Val/Met genotype was protective (OR=0.69, p=0.045), especially in girls (OR=0.34, p=0.001). These findings suggest BDNF gene variations contribute to asthma susceptibility in children.

Traits studied:Allergic rhinitisAtopic dermatitisBronchial asthma
Impact of COMT genotype on serotonin-1A receptor binding investigated with PET
FunctionalN=52Pia Baldinger et al.(2014)· Brain Structure and Function

This molecular imaging genetics study investigated 52 healthy Caucasian volunteers to determine whether the common COMT gene polymorphism rs4680 (VAL158MET) affects serotonin-1A (5-HT1A) receptor binding. Using PET imaging with [carbonyl-11C]WAY-100635, the researchers found that homozygote GG carriers showed significantly higher 5-HT1A receptor binding potential compared to A carriers (AA+AG) in multiple brain regions including the posterior cingulate cortex (F(2,49)=17.7, p=0.05, FWE corrected), orbitofrontal cortex, anterior cingulate cortex, insula, amygdala, and hippocampus. The effect sizes were large (Cohen's d=1.43 for AA vs. GG), supporting the hypothesis that COMT may modulate serotonergic neurotransmission relevant to mood and anxiety disorders.

Traits studied:Serotonin-1A receptor bindinganxiety disordersdepressionmood disorders
Screening individuals with intellectual disability, autism and Tourette's syndrome for KCNK9 mutations and aberrant DNA methylation within the 8q24 imprinted cluster.
ReviewMarta Sánchez Delgado et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This review examines the genetic and epigenetic basis of Tourette Syndrome (TS), a neurodevelopmental disorder with high heritability (0.45-0.77). The paper reviews candidate gene associations including variants in SLITRK1 (rs9593835, rs9546538, rs9531520), DRD2/ANKK1 (rs1800497), ADORA1/ADORA2A (rs2228079, rs5751876), and other dopaminergic genes, along with a large GWAS in 1285 cases and 4964 controls highlighting rs7868992 in COL27A1. The review proposes that epigenetic mechanisms (DNA methylation, histone modifications, non-coding RNAs) may link genetic susceptibility with environmental factors in TS pathogenesis.

Traits studied:Gilles de la Tourette SyndromeTic disordersTicsTourette Syndrome
BDNFVal66Met genotype interacts with childhood adversity and influences the formation of hippocampal subfields
AssociationN=82Thomas Frodl et al.(2014)· Human Brain Mapping

This candidate gene association study examined 82 participants (38 with major depressive disorder, 44 healthy controls) to investigate how the BDNF Val66Met polymorphism (rs6265) interacts with childhood adversity to influence hippocampal subfield volumes. Patients with MDD had significantly smaller CA4/DG and CA2/3 volumes compared to healthy controls. Critically, Met-allele carriers showed a significant interaction with childhood adversity: Met carriers with childhood adversity had smaller CA4/DG and CA2/3 volumes, while Met carriers without adversity had larger volumes than Val/Val homozygotes.

Traits studied:childhood adversityhippocampal volumemajor depressive disorder
Converging Evidence for the Association of Functional Genetic Variation in the Serotonin Receptor 2a Gene With Prefrontal Function and Olanzapine Treatment
AssociationN=887Giuseppe Blasi et al.(2013)· JAMA Psychiatry

Association study of 55 SNPs in 887 Hungarian adults examining genetic predisposition to aggression measured by the Buss-Perry Aggression Questionnaire. The HTR2A rs7322347 intronic variant showed significant association with aggression after Bonferroni correction (p = 0.0007), with carriers of the minor A allele showing lower aggression levels. The DRD4 rs916455 variant also showed nominal significance (p = 0.0275) but did not survive multiple testing correction.

Traits studied:Aggressive behaviorAngerHostilityPhysical aggressionVerbal aggression
No association of genetic variants in BDNF with major depression: A meta‐ and gene‐based analysis
Meta-analysisJoseph P. Gyekis et al.(2013)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Meta-analysis of 28 studies (range 38-7,173 participants) found no significant association between BDNF genetic variants and major depressive disorder. Val66Met (rs6265) showed OR=0.96 (95% CI: 0.89-1.05; P=0.402), and gene-based analysis of 17 total BDNF SNPs indicated no cumulative association with MDD (all P>0.21).

Traits studied:Major depressive disorder
Estrogen and the male hippocampus: Genetic variation in the aromatase gene predicting serum estrogen is associated with hippocampal gray matter volume in men
AssociationN=318Janine Bayer et al.(2013)· Hippocampus

This dissertation examined the influence of ovarian steroids on hippocampal memory function and morphology, with Experiment 2 investigating the association between a CYP19A1 SNP (rs700518) predicting estrogen levels and hippocampal gray matter volume in healthy young men (N=161 for structural imaging, N=157 for behavioral testing). The rs700518 polymorphism showed significant associations with posterior hippocampal volume (Cohort A: left Z=3.73 p=.017, right Z=3.76 p=.015; Cohort B: left Z=3.75 p=.016, right Z=4.40 p=.001), where AA genotype carriers (high E2 disposition) had greater hippocampal gray matter than AG/GG carriers (low E2 disposition). However, behavioral memory tasks (emotional memory, spatial learning, verbal source memory) showed no significant genotype differences.

Traits studied:Emotional memoryHippocampal gray matter volumeMemory functionRecognition memorySpatial learningVerbal source memory
Common variants near BDNF and SH2B1 show nominal evidence of association with snacking behavior in European populations
AssociationN=14,000Sébastien Robiou-du-Pont et al.(2013)· Journal of Molecular Medicine

Genome-wide association study examining common variants near BDNF (rs6265, rs925946) and SH2B1 (rs7498665) in relation to snacking behavior across three European cohorts (French obese children, Swiss obese, D.E.S.I.R.). The study reports nominal evidence of association, with rs925946 in BDNF showing OR=1.21 (p=5.03×10⁻³) in the D.E.S.I.R. cohort and rs7498665 in SH2B1 showing OR=1.17 (p=9.57×10⁻³) in the Swiss cohort.

Traits studied:ObesitySnacking behavior
Obesity-susceptibility loci and the tails of the pediatric BMI distribution
AssociationN=7,225Jonathan A. Mitchell et al.(2013)· Obesity

This study examined 8 adult obesity-susceptibility loci in 7,225 children aged 2-18 years using quantile regression to assess whether genetic effects on BMI are uniform across the BMI distribution. The authors found that obesity risk alleles (FTO rs3751812, MC4R rs12970134, TMEM18 rs2867125, BDNF rs6265, SEC16B rs10913469, GNPDA2 rs13130484, NRXN3 rs10146997, and TNNI3K rs1514175) were more strongly associated with BMI increases at the upper tail of the distribution (85th-95th percentiles, β=0.06-0.11, p<10^-6) compared to the lower tail, suggesting that standard linear regression approaches may underestimate genetic effects on childhood obesity.

Traits studied:BMIChildhood obesityObesity
Is TOR1A a risk factor in adult‐onset primary torsion dystonia?
ReviewJustus L. Groen et al.(2013)· Movement Disorders

This comprehensive literature review examines the role of single-nucleotide polymorphisms (SNPs) and genetic variants in dystonia susceptibility, reviewing 43 published studies (2001-2017) across 29 genes. Key findings include associations of TOR1A variants (rs1182, rs1801968, rs35153737) with focal dystonia, BDNF rs6265 (Val66Met) with cervical dystonia and blepharospasm, and preliminary GWAS-identified variants in ARSG (rs11655081, rs61999318) and NALCN with dystonia risk. The review concludes that genetic factors confer dystonia susceptibility through multiple pathways, though many associations require validation in larger cohorts.

Traits studied:BlepharospasmCervical dystoniaCranial dystoniaDystoniaFocal dystoniaGeneralized dystoniaMusician's dystoniaPrimary dystoniaPrimary torsion dystoniaSegmental dystoniaSpasmodic dysphoniaWriter's cramp
Associations of polymorphisms in the genes of FGFR2, FGF1, and RBFOX2 with breast cancer risk by estrogen/progesterone receptor status
AssociationN=2,416Yu‐Ling Cen et al.(2013)· Molecular Carcinogenesis

A hospital-based case-control study in rural and urban India (1,204 cases; 1,212 controls) examined genetic and lifestyle risk factors for breast cancer. Four SNPs in FGFR2 (rs1219648, rs2420946, rs2981575, rs2981582) showed positive associations with breast cancer (ORs 1.32-1.47). Additional SNPs in obesity and metabolic genes (rs374748 in FBN2, rs2922763 in HNF4G, rs2116830 in KCNMA1, rs11121832 in MTHFR, rs16886165 in MAP3K1, rs11594610 in TCF7L2, rs2274459 in MLN) were associated with increased breast cancer risk. Waist-to-hip ratio ≥0.95 showed strong association (OR 3.78; 95% CI 2.92-4.89), and women living first 20 years in rural areas showed protective effect (OR 0.77).

Traits studied:Breast cancerBreast cancer riskER+/PR+ breast cancerER/PR negative breast cancerTriple negative breast cancer
SNP rs6265 Regulates Protein Phosphorylation and Osteoblast Differentiation and Influences BMD in Humans
AssociationN=4,913Fei-Yan Deng et al.(2013)· Journal of Bone and Mineral Research

This genome-wide association study identified rs6265 (Val66Met) in the BDNF gene as a phosSNP (phosphorylation-related SNP) associated with bone mineral density (BMD) in three independent populations (~5,000 subjects total). Individuals carrying the AA genotype had significantly lower hip BMD than GA/GG carriers. Functional studies demonstrated that rs6265 regulates BDNF protein phosphorylation at residue T62 and affects osteoblast differentiation through modulation of genes OPN, BMP2, and ALP.

Traits studied:Bone mineral densityHip BMDOsteoporosisSpine BMD
Pain sensitivity in fibromyalgia is associated with catechol‐O‐methyltransferase (COMT) gene
MethodsN=3,600Martínez-Jauand M. et al.(2013)· European Journal of Pain

The Acute to Chronic Pain Signatures (A2CPS) is a multicenter prospective observational study protocol designed to identify biomarkers and biosignatures that predict development of chronic postsurgical pain. The study will recruit 3,600 patients undergoing knee arthroplasty or thoracic surgery and collect comprehensive biopsychosocial assessments including genetic variants via the Infinium Global Screening Array (GSA BeadChip with >650,000 markers), brain imaging, quantitative sensory testing, proteomic/metabolomic analyses, and patient-reported outcomes at baseline, 6 weeks, 3 months, and 6 months to identify predictive biomarkers for the transition from acute to chronic pain.

Traits studied:Chronic postsurgical painPain resiliencePain susceptibility
Aging and KIBRA/WWC1 genotype affect spatial memory processes in a virtual navigation task
AssociationN=152Nicolas W. Schuck et al.(2013)· Hippocampus

This study examined how aging and the KIBRA rs17070145 polymorphism affect spatial memory processes in a virtual navigation task (N=152). Older adults showed better learning with landmark-related spatial information compared to younger adults, who relied more on boundary information. Among older adults, T-allele carriers of KIBRA rs17070145 demonstrated significantly better spatial learning performance compared to C homozygotes (mean cumulative distance error: 2995 vm vs 3856 vm, P=0.003), but this effect was not observed in younger adults.

Traits studied:boundary-related learninglandmark-related learningspatial memoryspatial navigation
Association of BDNF gene polymorphisms with schizophrenia and clinical symptoms in a Chinese population
AssociationN=709Wenjun Li et al.(2013)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Case-control study in 709 Han Chinese individuals (375 schizophrenia patients, 334 controls) examining BDNF gene polymorphisms. While no significant differences were found for single-locus analysis of rs6265 (Val66Met), rs12273539, and rs10835210, the haplotype ATC of rs6265-rs12273539-rs10835210 was significantly more frequent in patients than controls (P=0.027), and the ACA haplotype was significantly associated with negative symptom scores on the PANSS (χ²=5.789, P=0.016), suggesting BDNF gene variants may contribute to schizophrenia susceptibility and negative symptoms in Chinese populations.

Traits studied:Negative symptomsPositive symptomsPsychopathological symptomsSchizophrenia
BDNF Val66Met polymorphism interacts with sex to influence bimanual motor control in healthy humans
AssociationN=69Ruud Smolders et al.(2012)· Brain and Behavior

BDNF Val66Met (rs6265) genotype interacts with sex to influence bimanual motor control in healthy humans. Seventy-six participants performed a bimanual motor control task (Preilowski's task) involving line drawing at various angles. The study found a significant genotype-by-sex-by-angle interaction (F(1,65)=4.01, P=0.028), with Val-homozygous females performing significantly worse on difficult angles compared to Met-carrier females (P=0.044), an effect absent in males.

Traits studied:Bimanual motor controlMotor performance
Association of the brain-derived neurotrophic factor val66met polymorphism with magnetic resonance spectroscopic markers in the human hippocampus: in vivo evidence for effects on the glutamate system
AssociationN=158Oliver Gruber et al.(2012)· European Archives of Psychiatry and Clinical Neuroscience

This association study examined the BDNF Val66Met polymorphism (rs6265) in 158 subjects (66 schizophrenic, 45 bipolar, 47 healthy controls) using MRI and MR spectroscopy. Met/met homozygotes showed significantly lower NAA/Cre (−21.1%, F(1,52)=4.80, p=0.033) and Glu+Gln/Cre ratios (−46.0%, F(1,52)=6.20, p=0.016) in the left hippocampus compared to val/val homozygotes, providing in vivo evidence for BDNF effects on glutamate system function.

Traits studied:Bipolar disorderGlutamate levelsHippocampal volumeN-acetyl aspartate (NAA)SchizophreniaVerbal memory
No association of brain‐derived neurotrophic factor Val66Met polymorphism with anorexia nervosa in Japanese
ReviewTetsuya Ando et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This literature review examines the BDNF Val66Met polymorphism (rs6265) and its association with body weight fluctuations in psychiatric patients. The authors review evidence linking the Val66Met variant to weight changes across multiple psychiatric conditions including schizophrenia, eating disorders, bipolar disorder, major depressive disorder, OCD, and PTSD. The paper proposes the BDNF Val66Met polymorphism as a potential biomarker for monitoring body weight changes in psychiatric patients, noting that Met/Met genotype carriers show greater BMI increases particularly in schizophrenia and bipolar disorder.

Traits studied:Alzheimer's diseaseAnorexia nervosaBMIBipolar disorderBladder cancerBody weightBreast cancerBulimia nervosaCancerCardiovascular diseaseCoronary artery diseaseEating disordersGeneralized anxiety disorderMajor depressive disorderMetabolic syndromeMultiple sclerosisObesityObsessive-compulsive disorderParkinson's diseasePost-traumatic stress disorderSchizophreniaSubstance-related disordersType 2 diabetes
Reduced fractional anisotropy in the uncinate fasciculus in patients with major depression carrying the met‐allele of the Val66Met brain‐derived neurotrophic factor genotype
AssociationN=57Carballedo A. et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This prospective study examined the association between BDNF Val66Met gene polymorphism (rs6265) and antidepressant response in 57 Han Chinese patients with first-episode late-life depression. After 8 weeks of treatment with escitalopram or sertraline, serum BDNF levels increased significantly (p=0.026). Binary logistic regression identified male sex (OR=10.094, p=0.007) and the Val/Val genotype (OR=6.559, p=0.003) as independent predictors of treatment efficacy. The study found that male patients carrying the Val/Val genotype responded better to conventional antidepressants, though no significant correlation was found between BDNF level changes and treatment response.

Traits studied:Antidepressant responseLate-life depressionMajor depressive disorder
The brain‐derived neurotrophic‐factor (BDNF) val66met polymorphism is associated with geriatric depression: A meta‐analysis
Meta-analysisN=1,743Yu Pei et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Meta-analysis of five case-control studies (523 geriatric depression cases, 1,220 controls) found that BDNF Val66Met Met allele carriers had significantly increased risk for geriatric depression (P=0.004, OR=1.48, 95% CI=1.13-1.93). The Met allele, associated with reduced BDNF activity and altered hippocampal function, appears to confer greater depression risk in elderly populations than in younger adults.

Traits studied:DepressionGeriatric depression
Effect of DISC1 SNPs on brain structure in healthy controls and patients with a history of psychosis
ReviewN=113Anna K. Kähler et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This systematic review and validation study examined psychosis-associated SNPs and their effects on brain volumetry in 113 subjects (schizophrenia, bipolar disorder, at-risk mental state, and healthy controls). Of 25 studies identified in the systematic review implicating 7 SNPs in 5 genes, the authors tested these variants using voxel-based morphometry. They found FWER-corrected associations for CACNA1C rs769087-A with larger bilateral hippocampus and thalamus white matter (p = 0.026 and p = 0.036) and with larger superior frontal gyrus volume. Higher replication concordance was found for CACNA1C, ZNF804A, and BDNF variants, supporting their involvement in psychosis and brain structure.

Traits studied:Bipolar disorderBrain volumetryGrey matter volumePsychotic disordersSchizophreniaWhite matter volume
Genome‐wide association analysis of eating disorder‐related symptoms, behaviors, and personality traits
AssociationN=2,784Vesna Boraska et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Genome-wide association study of six eating disorder-related phenotypes (Drive for Thinness, Body Dissatisfaction, Bulimia, Weight Fluctuation, Breakfast Skipping, and Childhood Obsessive-Compulsive traits) across 2,698-2,967 individuals from TwinsUK discovery and two independent European replication cohorts. Meta-analysis identified eight genetic variants with suggestive evidence of association (P < 10^-5), including rs7624327 near CCNL1 (P=3.34E-06, OR=1.13 for Bulimia), rs1898111 in SEMA6D (P=7.66E-06, OR=0.872 for OCPD), and rs6894268 in RUFY1 (P=2.38E-06 for Body Dissatisfaction), but no signals reached genome-wide significance threshold (P < 5×10^-8).

Traits studied:Body DissatisfactionBreakfast SkippingBulimiaChildhood Obsessive-Compulsive Personality Disorder traitDrive for ThinnessWeight Fluctuation
Association of KIBRA with episodic and working memory: A meta‐analysis
AssociationN=152Annette Milnik et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Study of 152 adults (77 older, 75 younger) examined effects of KIBRA SNP rs17070145 on spatial navigation in virtual reality. Older adults performed worse overall, and among older adults, T-allele carriers showed better spatial learning performance than C/C homozygotes (mean error 2995 vm vs 3856 vm, p=0.003). Older adults relied more on landmark-based navigation while younger adults relied more on boundary-based cues.

Traits studied:Boundary-based learningLandmark-based learningSpatial memorySpatial navigationVirtual reality navigation
The Brain-Derived Neurotrophic Factor Val66Met Polymorphism and Prediction of Neural Risk for Alzheimer Disease
AssociationN=98Aristotle N. Voineskos et al.(2011)· Archives of General Psychiatry

This multicenter cross-sectional study examined 98 multiple sclerosis patients to assess the role of the BDNF Val66Met polymorphism (rs6265) on cognitive and motor disability. The Met allele was found to be protective against cognitive impairment, with Met carriers showing fewer failed neuropsychological tests (β = -1.1, p = 0.027) and better performance on spatial recall tests. Higher EDSS disability scores were associated with progressive disease course but showed only marginal association with the BDNF polymorphism.

Traits studied:Cognitive ImpairmentMotor DisabilityMultiple Sclerosis
Association of RANBP1 haplotype with smooth pursuit eye movement abnormality
ReviewHyun Sub Cheong et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This comprehensive review examines the genomics of schizophrenia and pharmacogenomics of antipsychotic drugs, synthesizing evidence on over 200 genes associated with psychotic disorders. The authors discuss five categories of genes relevant to antipsychotic response: disease-associated genes, mechanism-of-action genes, drug metabolism genes (particularly CYP2D6, CYP2C19, CYP2C9, CYP3A4), drug transporter genes, and pleiotropic genes. The review details pharmacogenomic profiles of 20+ antipsychotic drugs and demonstrates significant ethnic and interindividual variation in drug metabolism phenotypes, with examples including CYP2D6 extensive metabolizers (55.71% of population), intermediate metabolizers (34.7%), poor metabolizers (2.28%), and ultra-rapid metabolizers (7.31%).

Traits studied:Alzheimer diseaseAntipsychotic drug responseAntipsychotic drug side effectsAnxiety disordersBipolar disorderCNS disordersDepressive disorderParkinson's diseasePsychotic disordersSchizoaffective disorderSchizophreniaTardive dyskinesiaVascular dementia
Markers in the 15q24 nicotinic receptor subunit gene cluster (CHRNA5‐A3‐B4) predict severity of nicotine addiction and response to smoking cessation therapy
Meta-analysisN=19,747Jane E. Sarginson et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This PhD thesis comprehensively explores associations between the CHRNA5-A3-B4 nicotinic acetylcholine receptor gene cluster and smoking-related behaviors. Using systematic review/meta-analysis, genetic epidemiology, laboratory-based techniques, and genome-wide meta-analysis, the study found compelling evidence for a small, robust association between rs16969968/rs1051730 and daily cigarette consumption with a per-allele effect of approximately one cigarette per day (beta≈1.0). A genome-wide meta-analysis of cotinine levels in 2,139 current smokers identified multiple variants in the CHRNA5 region strongly associated with tobacco exposure. However, no association was observed with smoking initiation in a prospectively-assessed cohort.

Traits studied:Cotinine levelsDaily cigarette consumptionHeaviness of smokingNicotine dependenceSmoking behavior trajectoriesSmoking initiationSmoking quantitySmoking topographyTobacco exposure
Association of genetic variants for susceptibility to obesity with type 2 diabetes in Japanese individuals
AssociationN=18,264Takeuchi F. et al.(2011)· Diabetologia

Replication study of 14 obesity-associated SNPs from 13 loci in 18,264 Japanese participants, confirming associations at 11 loci including TMEM18 (rs4854344, p=7.1×10⁻⁷ for BMI), FTO, MC4R, BDNF, and others. Six obesity variants also associated with type 2 diabetes after BMI adjustment (OR 1.05-1.17), with FTO showing strong meta-analyzed association in East Asians (OR 1.13, p=7.8×10⁻¹⁰).

Traits studied:Body Mass Index (BMI)ObesityType 2 DiabetesWaist-to-Hip RatioWeight
Meta‐analysis of brain‐derived neurotrophic factor p.Val66Met in adult ADHD in four European populations
Meta-analysisN=3,692Sánchez-Mora C. et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Meta-analysis of the BDNF p.Val66Met polymorphism (rs6265) across four European populations including 1,445 adult ADHD patients and 2,247 controls found no significant association between the variant and adult ADHD (P = 0.86; OR = 0.99, 95% CI: 0.86-1.13). The analysis also found no significant effects when stratified by gender, ADHD subtype, or comorbidity with mood disorders.

Traits studied:Attention-deficit hyperactivity disorder (ADHD)
Influence of neurexin 1 (NRXN1) polymorphisms in clozapine response
ReviewRenan P. Souza et al.(2010)· Human Psychopharmacology: Clinical and Experimental

This systematic review of 98 studies examined biological predictors of clozapine response in treatment-resistant schizophrenia patients. Of 379 different gene variants investigated across 70 genetic studies, only three variants (DRD3 Ser9Gly rs6280, HTR2A His452Tyr, and GNB3 C825T) achieved independent replication. Non-genetic predictors included higher prefrontal cortical volumes and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
Testing for genetic association between the ZDHHC8 gene locus and susceptibility to schizophrenia: An integrated analysis of multiple datasets
Meta-analysisN=17,051Mingqing Xu et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Meta-analysis of 21 case-control studies (7,219 bipolar disorder patients vs 9,832 controls) examining the BDNF Val66Met polymorphism (rs6265, G196A) and bipolar disorder susceptibility. Overall, no significant association was found (pooled OR=1.03, 95% CI 0.98-1.08), though a trend emerged in Caucasians (OR=1.08, P=0.05) and the Val allele showed a protective effect for bipolar II disorder (OR=0.88, P=0.03).

Traits studied:Bipolar I disorderBipolar II disorderBipolar disorder
Positive association between the brain‐derived neurotrophic factor (BDNF) gene and bipolar disorder in the Han Chinese population
AssociationN=785Jie Xu et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This association study examined the BDNF Val66Met polymorphism (rs6265) in 301 bipolar disorder patients and 484 healthy controls from India. The Val(G) allele was significantly more frequent in BD patients (OR=1.47, 95% CI=1.11-1.96, χ²=7.08, p=0.008), consistent with European populations. However, no significant association was found between the Val66Met polymorphism and lithium treatment response (N=190 BD subjects).

Traits studied:Bipolar disorderLithium treatment response
Candidate gene studies of ADHD: a meta-analytic review
Meta-analysisIan R. Gizer et al.(2009)· Human Genetics

Meta-analytic review of candidate gene studies for childhood ADHD examining 19 genes. Significant associations identified for DAT1 (3' UTR VNTR: OR=1.12, p=0.028; rs27072: OR=1.20, p=0.006), DRD4 (exon 3 VNTR: OR=1.33, p=0.00007; rs1800955: OR=1.21, p=0.007), DRD5, 5HTT, HTR1B (rs6296: OR=1.11, p=0.010), and SNAP25 (rs3746544: OR=1.15, p=0.030).

Traits studied:Attention-deficit/hyperactivity disorderChildhood ADHD
Association of GSK3β Polymorphisms With Brain Structural Changes in Major Depressive Disorder
AssociationN=149Becky Inkster et al.(2009)· Archives of General Psychiatry

A targeted sequencing study of 115 patients with bipolar disorder and depression identified genetic variants in NRG1, PIP4K2A, and HTR2C associated with treatment response and disease severity. The allele C of rs35641374 (NRG1) was associated with longer intervals between depressive episodes (p=4.37e-07), while the allele C of rs10508649 (PIP4K2A) was associated with longer intervals between manic/mixed episodes (p=0.000309) and treatment resistance assessed by CGI-I scale (p=0.000943). The allele A of rs2248440 (HTR2C) was associated with higher depression severity (p=0.003).

Traits studied:Antidepressant treatment responseBipolar affective disorderDepression severityDepressive episodeRecurrent depressive disorderTime to recurrence of depressive episodesTime to recurrence of manic/mixed episodes
Focus on HTR2C: A possible suggestion for genetic studies of complex disorders
AssociationN=149Antonio Drago et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This targeted sequencing association study of 115 psychiatric patients and 34 controls identifies NRG1, PIP4K2A, and HTR2C as candidate biomarker genes for antidepressant treatment response and mood disorder recurrence. Key findings include rs35641374 (NRG1) associated with longer time to depressive recurrence in bipolar disorder (p=4.37e-07), rs61731109 and rs10508649 (PIP4K2A) associated with antidepressant non-response (p=0.00111 and p=0.000943), and rs2248440 (HTR2C) associated with higher depression severity (p=0.003).

Traits studied:Antidepressant treatment responseBipolar I disorderBipolar II disorderBipolar disorderDepression severityMajor depressive disorderRemission statusTime to recurrence of depressive episodeTime to recurrence of manic/mixed episode
BDNF, relative preference, and reward circuitry responses to emotional communication
FunctionalN=29Gasic GP et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This study investigated how the BDNF Val66Met polymorphism (rs6265) modulates reward circuitry responses to emotional facial expressions in 29 healthy adults. BDNF V66M genotype explained approximately 30% of the variance in fMRI activation in the orbitofrontal cortex, amygdala, and hippocampus. Val/Val individuals preferentially sought exposure to happy faces and showed stronger activation to aversive stimuli (angry, fearful, sad), while Val/Met carriers showed more balanced responses across emotional expressions.

Traits studied:Amygdala response to fearful facesRelative preference for emotional facial expressionsReward circuitry response to emotional stimulifMRI activation patterns in orbitofrontal cortex
Lack of association of GPX1 and MnSOD genes with symptom severity and response to clozapine treatment in schizophrenia subjects
ReviewRenan P. Souza et al.(2009)· Human Psychopharmacology: Clinical and Experimental

A systematic review of 98 studies investigating biological predictors of clozapine response in treatment-resistant schizophrenia. Of 70 genetic studies examining 379 variants, only three genetic variants have independently replicated findings: DRD3 Ser9Gly (rs6280), HTR2A His452Tyr, and GNB3 C825T (rs5442/rs5443). Non-genetic predictors include higher prefrontal cortical structural integrity and activity, and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
Extending Genetic Linkage Analysis to Diffusion Tensor Images to Map Single Gene Effects on Brain Fiber Architecture
AssociationN=258Ming-Chang Chiang et al.(2009)· Lecture Notes in Computer Science

This study extended genetic linkage analysis to 3D diffusion tensor images (DTI) in 258 twins and siblings to map single gene effects on brain fiber architecture. The BDNF Val66Met polymorphism (rs6265) significantly influenced fractional anisotropy (FA) in the posterior cingulate gyrus, accounting for 90-95% of local FA variance. Raw FA images without smoothing provided greatest sensitivity for detecting gene effects when corrected for multiple comparisons using false discovery rate procedures.

Traits studied:Brain fiber integrityFractional anisotropyWhite matter integrity
Influence of NOS1 on Verbal Intelligence and Working Memory in Both Patients With Schizophrenia and Healthy Control Subjects
ReviewGary Donohoe et al.(2009)· Archives of General Psychiatry

This comprehensive review synthesizes genomic and pharmacogenomic research in schizophrenia, discussing over 200 candidate genes associated with psychotic disorders, genetic mechanisms including copy number variants and microRNA alterations, and pharmacogenomic factors affecting antipsychotic efficacy and safety. Key genes covered include dopamine receptors (DRD1-5), dysbindin (DTNBP1), DISC1, neurotrophic factors, and metabolic enzymes such as CYP2D6, CYP3A4, and COMT, with emphasis on genotype-phenotype correlations in antipsychotic response and side effects.

Traits studied:Antipsychotic drug response and efficacyAntipsychotic drug safety and side effectsAttention-deficit hyperactivity disorderAutismBipolar disorderCognitive function in schizophreniaMajor depressive disorderMental retardationObsessive-compulsive disorderParkinson's diseasePsychotic disordersSchizophreniaTardive dyskinesia
Putative role of the COMT gene polymorphism (Val158Met) on verbal working memory functioning in a healthy population
FunctionalN=417Aguilera M. et al.(2008)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This study examined interactive effects of COMT (rs4680, Val158Met) and BDNF (rs6265, Val66Met) polymorphisms on working memory performance and resting-state brain activity in 417 healthy Chinese adults (298 with fMRI data). Significant gene-gene interactions were found for working memory performance and regional homogeneity across multiple frontal brain regions, with COMT-VV/BDNF-VV genotypes showing higher working memory performance and lower frontal ReHo.

Traits studied:Regional homogeneity in frontal lobeResting-state brain activityWorking memory
Genetic association study of BDNF in depression: Finding from two cohort studies and a meta‐analysis
Meta-analysisN=10,386Lina Chen et al.(2008)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Genetic association study of BDNF variants and depression combining two cohort studies (BWHHS, n=3,548; ALSPAC, n=6,838) with meta-analysis of nine publications. The Val66Met variant (rs6265) showed no strong evidence of association with depression (meta-analysis OR=1.06, 95% CI: 0.89-1.26 for MM vs VV genotypes; OR=0.97, 95% CI: 0.89-1.05 for MV vs VV). The C270T polymorphism also showed no evidence of association. Findings suggest BDNF genotype does not exert major influence on development of depression.

Traits studied:DepressionGeriatric depressionMajor depression
Association of DAO and G72(DAOA)/G30 genes with bipolar affective disorder
FunctionalN=41Diana Prata et al.(2008)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

PhD thesis investigating genome-wide transcriptional and methylomic consequences of a balanced t(1;11) chromosomal translocation linked to schizophrenia, bipolar disorder, and major depression. DNA methylation profiling in 41 family members identified differential methylation at translocation breakpoint regions (chromosomes 1 and 11) and genes related to psychiatric disorders and neurodevelopment. Gene expression analysis in lymphoblastoid cells (13 family members) and iPSC-derived neurons (6 individuals) identified SORL1 as a candidate gene, with follow-up functional analysis in Disc1 L100P mouse model and epistasis studies in human GWAS data.

Traits studied:Bipolar disorderBrain functionDepressionMajor depressive disorderPsychiatric illnessSchizophrenia
Neurotrophic factor‐related gene polymorphisms and adult attention deficit hyperactivity disorder (ADHD) score in a high‐risk male population
AssociationN=143Conner AC et al.(2008)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A candidate gene association study examined six SNPs in neurotrophic factor genes (NTF3, NTRK2, NTRK3, BDNF, p75NTR) for association with adult ADHD scores in 143 high-risk males from a forensic psychiatric unit. While no SNPs showed significant association after Bonferroni correction, rs6332 in NTF3 exon III showed a trend toward association with increased ADHD scores (P=0.05 for WURS-k; P=0.03 for Wender-Reimherr interview), suggesting the A-allele may be a potential risk factor.

Traits studied:ADHDAttention Deficit Hyperactivity Disorder
BDNF Val66Met variant and age of onset in schizophrenia
AssociationN=42Helen M. Chao et al.(2008)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This case-control study of 42 African-American subjects with DSM-III-R schizophrenia examines the BDNF Val66Met variant (rs6265) and its association with age of onset. The study found a significant relationship between BDNF Val66Met genotype and both age of first psychiatric hospitalization (P=0.023) and first schizophrenia symptoms (P=0.006), with Val/Val homozygotes showing later onset than Val/Met heterozygotes.

Traits studied:Age of onset in schizophreniaFirst psychiatric hospitalizationFirst psychiatric symptomsSchizophrenia

Gene information from NCBI Gene. Variant classifications from ClinVar.

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