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Advanced Neurology                                                    Depression and its risk factors in India




            Table 2. Candidate depression‑related genes within Indian demographics
            No.   Gene     SNPs       Tool (s)  Case group/  Location  Type of  Relationship  Results  Author and
                                                 control            study                              year
                                                 group
            1   SLC6A4  5-HTTLPR   HDRS-17     102/None  Puducherry  DR      ✓     SLC6A4 was associated   Manoharan
                                                                                   with a favorable treatment  et al., 2016 5
                                                                                   response to fluoxetine
                                                                                   in MDD patients in
                                                                                   Southern India.
            2   APOE    ApoE4      HDRS        31/31     Karnataka  RA       ✓     Elderly Indians with an  Sureshkumar
                                                                                   ApoE4 allele had a×4.7   et al., 2012 6
                                                                                   higher risk of developing
                                                                                   depression.
            3   SLC6A4  5-HTTLPR,   HDRS       125/None  Tamil Nadu  DR      ✓     The 5HTTLPR      Ramesh
                        STin2 VNTR                                                 polymorphism and   et al., 2022 7
                                                                                   the SLC6A4 intron 2
                                                                                   polymorphisms were
                                                                                   associated with the
                                                                                   treatment response, with
                                                                                   the l/l genotype and
                                                                                   12-copy allele showing
                                                                                   a tendency toward
                                                                                   better SSRI treatment,
                                                                                   respectively.
            4   SLC6A4  5-HTTLPR-  DSM-IV-TR;   57/None  Kashmir   DR        ✓     The serotonin    Margoob
                                   HDRS                                            transporter gene   et al., 2008 8
                                                                                   polymorphism
                                                                                   may influence the
                                                                                   effectiveness of SSRI
                                                                                   treatment in depressive
                                                                                   disorders, irrespective of
                                                                                   clinical variables.
            5   BDNF    Val66Met,  HDRS        104/106   West Bengal  RA     ✓     CYP2D6 deletion   Haldar et al.,
                CYP2D6  P4502D6                                              X     significantly contributes  2022 9
                                                                                   to the severity and stress
                                                                                   factor in MDD patients
                                                                                   in contrast to the BDNF
                                                                                   gene.
            6   TPH 2   C11993A    DSM-IV-TR   60/40     Kashmir   RA        X     The PH 2C 11993 A   Mushtaq
                                                                                   gene was not found   et al., 2014 10
                                                                                   to be associated with
                                                                                   MDD and anxiety
                                                                                   disorder in the Kashmiri
                                                                                   population.
            7   MTHFR   C677T      DSM-IV-TR   15/15     Uttar Pradesh RA    X     A non-significant   Upasana
                                                                                   difference between the   et al., 2014 11
                                                                                   cases and control may
                                                                                   be because of the small
                                                                                   sample size.
            8   HTR1A,   rs6295    DSM-IV-TR;   55       New Delhi  DR       X     No significant   Basu et al.,
                HTR2A   rs6311 and   MADRS                                   X     association was found   2015 12
                        rs6313                                                     between the SNPs
                                                                                   analyzed and responses
                SLC6A4  5-HTTLPR                                             X     to escitalopram,
                                                                                   although a significant
                                                                                   association was
                                                                                   observed between the
                                                                                   side effects of memory
                                                                                   loss with rs6311.
                                                                                                       (Cont’d...)
            Volume 4 Issue 3 (2025)                         35                               doi: 10.36922/an.5940
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