The impact of brain-derived neurotrophic factor gene polymorphisms on post-stroke naming in aphasia

Post-stroke aphasia, or language deficits after stroke, afflicts 20-30% of survivors and often persists into the chronic phase. The protein brain-derived neurotrophic factor has been identified as important for neuroplasticity, and is regulated by the brain-derived neurotrophic factor gene. A patien...

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Hauptverfasser: Randighieri, Matilda (VerfasserIn) , Devine, Alyssa (VerfasserIn) , Kelly, Lindsey (VerfasserIn) , Tilton-Bolowsky, Victoria (VerfasserIn) , Neal, Voss (VerfasserIn) , Kang, Joseph (VerfasserIn) , Bösel, Julian (VerfasserIn) , Hillis, Argye Elizabeth (VerfasserIn) , Stockbridge, Melissa D. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 14, 2025
In: PLOS ONE
Year: 2025, Jahrgang: 20, Heft: 7, Pages: 1-12
ISSN:1932-6203
DOI:10.1371/journal.pone.0327320
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1371/journal.pone.0327320
Verlag, kostenfrei, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0327320
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Verfasserangaben:Matilda Randighieri, Alyssa Devine, Lindsey Kelly, Victoria Tilton-Bolowsky, Voss Neal, Joseph Kang, Julian Bösel, Argye Elizabeth Hillis, Melissa D. Stockbridge

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520 |a Post-stroke aphasia, or language deficits after stroke, afflicts 20-30% of survivors and often persists into the chronic phase. The protein brain-derived neurotrophic factor has been identified as important for neuroplasticity, and is regulated by the brain-derived neurotrophic factor gene. A patient’s brain-derived neurotrophic factor genotype may influence their post-stroke aphasia recovery. This study aimed to investigate the impact of a single nucleotide polymorphism in the brain-derived neurotrophic factor gene, rs6265, on language recovery. We hypothesized that individuals with the most common polymorphism would exhibit better chronic naming performance and a more favorable recovery trajectory from poor acute performance to strong chronic outcomes compared to those without the polymorphism. We retrospectively analyzed data from 77 participants with post-stroke aphasia from three recent or ongoing studies that included both repeated standardized picture naming assessments in the acute, subacute, and chronic phases and brain-derived neurotrophic factor genotyping. Statistical analyses controlled for acute performance and lesion volume when evaluating the effect of brain-derived neurotrophic factor genotype on the probability of better chronic language recovery (Aim 1) and on the probability of a person with poor acute performance later having strong performance in the subacute to chronic period (Aim 2). Results indicated that those with the most common polymorphism had a 33% higher likelihood of high naming scores in the chronic phase compared to those with the with less common polymorphisms (with a methionine allele). Individuals with the typical polymorphism whose acute naming was below average after stroke exhibited a 24% higher likelihood of recovering to be above average. Brain-derived neurotrophic factor status was not a significant independent predictor of outcome in either model. Our results suggest that the effect of brain-derived neurotrophic factor polymorphisms on chronic post-stroke aphasia recovery is, at best, modest and underscores the importance of individualized approaches to neurorehabilitation. 
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