Epigenetic Aging in Major Depressive Disorder.
Epigenetic Aging in Major Depressive Disorder.
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DOI:
10.1176/appi.ajp.2018.17060595
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发表时间:
2018-08-01
期刊:
影响因子:
--
通讯作者:
Penninx BWJH
中科院分区:
文献类型:
--
作者:
Han LKM;Aghajani M;Clark SL;Chan RF;Hattab MW;Shabalin AA;Zhao M;Kumar G;Xie LY;Jansen R;Milaneschi Y;Dean B;Aberg KA;van den Oord EJCG;Penninx BWJH
Major Depressive Disorder (MDD) is associated with increased risk of mortality and aging-related diseases. Here, it was examined whether MDD is associated with higher epigenetic aging (EA) in blood as measured by DNA methylation (DNAm) patterns, whether clinical characteristics of MDD further impact these patterns, and whether findings replicate in brain tissue. DNAmAge was estimated using all methylation sites in blood of 811 depressed patients and 319 controls from the Netherlands Study of Depression and Anxiety. The residuals of the DNAmAge estimates regressed on chronological age were calculated to indicate epigenetic aging (EA). MDD diagnosis and clinical characteristics were assessed with questionnaires and psychiatric interviews. Analyses were adjusted for sociodemographics, lifestyle, and health status. Post-mortem brain samples of 74 depressed patients and 64 controls were used for replication. Pathway enrichment analysis was conducted using ConsensusPathDB to gain insight into the biological processes underlying EA in blood and brain. Higher EA was observed in MDD patients compared to controls (P=0.008; Cohen’s d=0.18), with a dose-effect with increasing symptom severity in the overall sample (P=0.001). Within MDD patients, EA was positively associated with childhood trauma scores (P=0.02). The case-control difference was replicated in an independent dataset of post-mortem brain samples (P=0.03). Top significantly enriched Gene Ontology terms included neuronal processes. As compared to controls, MDD patients show higher epigenetic aging in blood and brain tissue, suggesting that they are biologically older than their corresponding chronological age. This effect was even more profound in the presence of childhood trauma.
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