Modulation of cortisol responses to the DEX/CRH test by polymorphisms of the interleukin-1beta gene in healthy adults.

Modulation of cortisol responses to the DEX/CRH test by polymorphisms of the interleukin-1beta gene in healthy adults.
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DOI:
10.1186/1744-9081-7-23
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发表时间:
2011-07-05
期刊:
Behavioral and brain functions : BBF
影响因子:
--
通讯作者:
Kunugi H
Kunugi H
中科院分区:
其他
文献类型:
--
作者:
Sasayama D;Hori H;Iijima Y;Teraishi T;Hattori K;Ota M;Fujii T;Higuchi T;Amano N;Kunugi H

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最近,用地塞米松(DEX)/促肾上腺皮质激素释放激素(CRH)联合试验评估下丘脑-垂体-肾上腺(HPA)轴功能已被证明与抗抑郁药治疗的反应有关。白细胞介素-1 β(IL-1β)基因的多态性(rs 16944)也被报道与抑郁症的药物反应相关。这些发现促使我们研究IL-1β基因多态性与DEX/CRH测试评估的HPA轴功能之间的可能关联。在179名健康志愿者(45名男性:平均年龄40.5 ± 15.8岁; 134名女性:平均年龄47.1 ± 13.2岁)中进行DEX/CRH试验。在r2阈值为0.80的条件下,选择IL-1β基因的5个标签单核苷酸多态性位点(rs 2853550、rs 1143634、rs 1143633、rs 1143630、rs 16944),次要等位基因频率> 0.1。通过TaqMan等位基因辨别测定进行基因分型。以DEX/CRH试验结果为因变量,基因型和性别为自变量,进行双因素方差分析(ANOVA)。为了解释多重检验,P值< 0.01被认为是基因型和皮质醇水平之间的关联具有统计学显著性。DEX给药后皮质醇水平(DST-皮质醇)与rs 16944(P = 0.00049)和rs 1143633(P = 0.0060)基因型显著相关,无显著性别效应或基因型×性别交互作用。另一方面,CRH给药后的皮质醇水平(DEX/CRH-Cortisol)受性别影响,但不受所检测SNP基因型的显著影响,无显著基因型×性别相互作用。我们的研究结果表明,IL-1β基因的遗传变异有助于通过DST-皮质醇评估健康受试者的HPA轴改变。另一方面,未观察到IL-1β基因多态性与DEX/CRH-Cortisol的显著关联。在未来的研究中证实我们的发现可能会增加对免疫系统和HPA轴之间通信的新见解。
Recently, hypothalamus-pituitary-adrenal (HPA) axis function assessed with the combined dexamethasone (DEX)/corticotropin releasing hormone (CRH) test has been shown to be associated with response to antidepressant treatment. A polymorphism (rs16944) in the interleukin-1beta (IL-1β) gene has also been reported to be associated with the medication response in depression. These findings prompted us to examine the possible association between IL-1β gene polymorphisms and HPA axis function assessed with the DEX/CRH test. DEX/CRH test was performed in 179 healthy volunteers (45 males: mean age 40.5 ± 15.8 years; 134 females: mean age 47.1 ± 13.2 years). Five tagging single nucleotide polymorphisms (SNPs) of IL-1β gene (rs2853550, rs1143634, rs1143633, rs1143630, rs16944) were selected at an r2 threshold of 0.80 with a minor allele frequency > 0.1. Genotyping was performed by the TaqMan allelic discrimination assay. A two-way factorial analysis of variance (ANOVA) was performed with the DEX/CRH test results as the dependent variable and genotype and gender as independent variables. To account for multiple testing, P values < 0.01 were considered statistically significant for associations between the genotypes and the cortisol levels. The cortisol levels after DEX administration (DST-Cortisol) showed significant associations with the genotypes of rs16944 (P = 0.00049) and rs1143633 (P = 0.0060), with no significant gender effect or genotype × gender interaction. On the other hand, cortisol levels after CRH administration (DEX/CRH-Cortisol) were affected by gender but were not significantly influenced by the genotype of the examined SNPs, with no significant genotype × gender interaction. Our results suggest that genetic variations in the IL-1β gene contribute to the HPA axis alteration assessed by DST-Cortisol in healthy subjects. On the other hand, no significant associations of the IL-1β gene polymorphisms with the DEX/CRH-Cortisol were observed. Confirmation of our findings in futures studies may add new insight into the communication between the immune system and the HPA axis.
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