Genetic and epigenetic associations of MAOA and NR3C1 with depression and childhood adversities

Genetic and epigenetic associations of MAOA and NR3C1 with depression and childhood adversities
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DOI:
10.1017/s1461145713000102
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发表时间:
2013-08-01
影响因子:
4.8
通讯作者:
Lavebratt, Catharina
Lavebratt, Catharina
中科院分区:
医学2区
文献类型:
--
作者:
Melas, Philippe A.;Wei, Yabin;Lavebratt, Catharina

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单胺氧化酶A (MAOA)具有多态性上游可变数串联重复序列(u-VNTR)。u-VNTR的MAOA-L等位基因在体外导致基因表达水平下降,并已被发现增加童年逆境男性行为障碍的风险。早期生活逆境与糖皮质激素受体(NR3C1)的高甲基化有关。在这项研究中,我们首先对抑郁症患者(n=392)和对照组(n=1276)进行了MAOA u-VNTR的遗传关联分析。接下来,使用抑郁亚组和对照亚组的唾液样本进行MAOA和NR3C1的DNA甲基化分析。童年逆境的成年MAOA- l女性患抑郁症的风险更高(p=0.006),与对照组相比,抑郁症女性的总体MAOA甲基化水平降低(平均抑郁症为42%,平均对照组为44%;p=0.04)。一种特殊的童年逆境[父母早逝(EPD)]与NGFI-A结合位点附近NR3C1的高甲基化有关(平均EPD为19%,平均非EPD为14%;p=0.005)。回归分析表明,这种关联可能是由maaa - l等位基因介导的(调整后R-2=0.24,方差分析:F=23.48, p
Monoamine oxidase A (MAOA) harbours a polymorphic upstream variable-number tandem repeat (u-VNTR). The MAOA-L allele of the u-VNTR leads to decreased gene expression levels in vitro and has been found to increase the risk of conduct disorder in males with childhood adversities. Early-life adversities have been associated with hypermethylation of the glucocorticoid receptor (NR3C1). In this study, we first performed a genetic association analysis of the MAOA u-VNTR using individuals with depression (n=392) and controls (n=1276). Next, DNA methylation analyses of MAOA and NR3C1 were performed using saliva samples of depressed and control subgroups. Adult MAOA-L females with childhood adversities were found to have a higher risk of developing depression (p=0.006) and overall MAOA methylation levels were decreased in depressed females compared to controls (mean depressed, 42% vs. mean controls, 44%; p=0.04). One specific childhood adversity [early parental death (EPD)] was associated with hypermethylation of NR3C1 close to an NGFI-A binding site (mean EPD, 19% vs. mean non-EPD, 14%; p=0.005). Regression analysis indicated that this association may be mediated by the MAOA-L allele (adjusted R-2=0.24, ANOVA: F=23.48, p