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5-羟色胺转运体基因与儿童期创伤——焦虑敏感的 G×E 效应。

Serotonin transporter gene and childhood trauma--a G × E effect on anxiety sensitivity.

机构信息

Department of Psychiatry and Psychotherapy, University of Muenster, Muenster, Germany.

出版信息

Depress Anxiety. 2011 Dec 21;28(12):1048-57. doi: 10.1002/da.20840. Epub 2011 Jun 16.

DOI:10.1002/da.20840
PMID:21681867
Abstract

BACKGROUND

Genetic factors and environmental factors are assumed to interactively influence the pathogenesis of anxiety disorders. Thus, a gene-environment interaction (G × E) study was conducted with respect to anxiety sensitivity (AS) as a promising intermediate phenotype of anxiety disorders.

METHOD

Healthy subjects (N = 363) were assessed for AS, childhood maltreatment (Childhood Trauma Questionnaire), and genotyped for functional serotonin transporter gene variants (5-HTTLPR/5-HTT rs25531). The influence of genetic and environmental variables on AS and its subdimensions was determined by a step-wise hierarchical regression and a multiple indicator multiple cause (MIMIC) model.

RESULTS

A significant G × E effect of the more active 5-HTT genotypes and childhood maltreatment on AS was observed. Furthermore, genotype (LL)-childhood trauma interaction particularly influenced somatic AS subdimensions, whereas cognitive subdimensions were affected by childhood maltreatment only.

CONCLUSIONS

Results indicate a G × E effect of the more active 5-HTT genotypes and childhood maltreatment on AS, with particular impact on its somatic subcomponent.

摘要

背景

遗传因素和环境因素被认为会相互作用影响焦虑障碍的发病机制。因此,进行了一项关于焦虑敏感(AS)作为焦虑障碍有前途的中间表型的基因-环境相互作用(G×E)研究。

方法

健康受试者(N=363)评估了 AS、儿童期虐待(儿童期创伤问卷)和功能性 5-羟色胺转运体基因变体(5-HTTLPR/5-HTT rs25531)的基因型。通过逐步分层回归和多指标多原因(MIMIC)模型确定遗传和环境变量对 AS 及其亚维度的影响。

结果

观察到更活跃的 5-HTT 基因型和儿童期虐待对 AS 的显著 G×E 效应。此外,基因型(LL)-儿童期创伤的相互作用特别影响躯体 AS 亚维度,而认知亚维度仅受儿童期创伤的影响。

结论

结果表明,更活跃的 5-HTT 基因型和儿童期虐待对 AS 存在 G×E 效应,对其躯体亚成分的影响尤其明显。

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