Review Article

Brain-Derived Neurotrophic Factor Polymorphism and Aphasia after Stroke

Table 1

A summary of the included studies examining the effect of BDNF Val66Met single-nucleotide polymorphism on the recovery of poststroke aphasia.

Authors, yearStudy design, sample size, mean ageStroke typeBDNF genotypesInterventionOutcome assessmentResults/findings

de Boer et al., 2017 [10]Prospective cohort study, 53 subjects, 58.5 yearsAcute (ischemic and hemorrhagic)(i) Val66Met allele present
(ii) Val66Met allele absent
SLT for 2-5 hours per week(1) ANELT
(2) BNT
No significant differences between carriers of both alleles in improvement scores on both the ANELT and BNT
Fridriksson et al., 2018 [11]Randomized controlled trial, 74 subjects (BDNF genotype available for 67), 61.7 yearsAcute (ischemic and hemorrhagic)(i) Atypical (Val/Met, Met/Met)
(ii) Typical (Val/Val)
Received either 1 mA A-tDCS or sham tDCS for 20 mins per session for 5×/week for 3 weeks(1) Naming 80
(2) PNT
(3) WAB-R AQ
Atypical BDNF carriers showed significantly poorer response to A-tDCS than typical BDNF carriers who received both A-tDCS and S-tDCS
Atypical BDNF carriers associated with poorer AQ scores at baseline compared to typical BDNF carriers
Kristinsson et al., 2019 [12]Cross-sectional study, 87 subjects, 61.7 yearsChronic (ischemic and hemorrhagic)(i) Atypical (Val66Met, Met66Met)
(ii) Typical (Val66Val)
Not applicable(1) WAB AQ
(2) PNT
(3) fMRI activation map analysis
(4) Activated voxels at the whole-brain level
Atypical BDNF carriers significantly have more severe aphasia on WAB-AQ and performed significantly better in PNT compared to typical BDNF carriers
No group differences between intensity of cortical activation across both groups
The number of activated voxels was significantly lower in atypical BDNF carriers compared to typical BDNF carriers

BDNF: brain-derived neurotrophic factor; SLT: speech and language therapy; ANELT: Amsterdam-Nijmegen Everyday Language Test; BNT: Boston Naming Test; tDCS: transcranial direct current stimulation; A-tDCS: anodal tDCS; S-tDCS: sham tDCS; PNT: Philadelphia Naming Test; WAB: Western Aphasia Battery; WAB-R: Western Aphasia Battery, Revised; AQ: aphasia quotient; MRI: magnetic resonance imaging; fMRI: functional MRI.