Dysfunctional glutamatergic neurotransmission in the pathogenesis of obsessive-compulsive disorder (OCD) was postulated on the basis of magnetic resonance imaging studies.
1,2 This hypothesis was subsequently supported by animal models based on abnormal glutamate neurotransmission that contributed to OCD spectrum–like phenotypes,
3,4 case reports of beneficial therapeutic effects of riluzole (an antiglutamatergic agent) on treatment-resistant OCD,
5 and elevated glutamate levels in the cerebrospinal fluid of OCD probands.
6 From a genetic perspective, investigation of glutamatergic genes in OCD therefore represents a plausible biological candidate approach given this disorder's high heritability and risk to relatives.
7,8 Indeed, studies have shown positive associations of glutamate receptor genes with OCD.
9,10