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脆性X智力低下基因1、昼夜节律基因与抑郁症:提示性关联还是假发现?

FMR1, circadian genes and depression: suggestive associations or false discovery?

作者信息

Kripke Daniel F, Nievergelt Caroline M, Tranah Gregory J, Murray Sarah S, Rex Katharine M, Grizas Alexandra P, Hahn Elizabeth K, Lee Heon-Jeong, Kelsoe John R, Kline Lawrence E

机构信息

Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093-0603, USA.

出版信息

J Circadian Rhythms. 2013 Mar 23;11(1):3. doi: 10.1186/1740-3391-11-3.

Abstract

BACKGROUND

There are several indications that malfunctions of the circadian clock contribute to depression. To search for particular circadian gene polymorphisms associated with depression, diverse polymorphisms were genotyped in two samples covering a range of depressed volunteers and participants with normal mood.

METHODS

Depression mood self-ratings and DNA were collected independently from a sample of patients presenting to a sleep disorders center (1086 of European origin) and from a separate sample consisting of 399 participants claiming delayed sleep phase symptoms and 406 partly-matched controls. A custom Illumina Golden Gate array of 768 selected single nucleotide polymorphisms (SNPs) was assayed in both samples, supplemented by additional SNPlex and Taqman assays, including assay of 41 ancestry-associated markers (AIMs) to control stratification.

RESULTS

In the Sleep Clinic sample, these assays yielded Bonferroni-significant association with depressed mood in three linked SNPs of the gene FMR1: rs25702 (nominal P=1.77E-05), rs25714 (P=1.83E-05), and rs28900 (P=5.24E-05). This FMR1 association was supported by 8 SNPs with nominal significance and a nominally-significant gene-wise set test. There was no association of depressed mood with FMR1 in the delayed sleep phase case-control sample or in downloaded GWAS data from the GenRED 2 sample contrasting an early-onset recurrent depression sample with controls. No replication was located in other GWAS studies of depression. Our data did weakly replicate a previously-reported association of depression with PPARGC1B rs7732671 (P=0.0235). Suggestive associations not meeting strict criteria for multiple testing and replication were found with GSK3B, NPAS2, RORA, PER3, CRY1, MTNR1A and NR1D1. Notably, 16 SNPs nominally associated with depressed mood (14 in GSK3B) were also nominally associated with delayed sleep phase syndrome (P=3E10-6).

CONCLUSIONS

Considering the inconsistencies between samples and the likelihood that the significant three FMR1 SNPs might be linked to complex polymorphisms more functionally related to depression, large gene resequencing studies may be needed to clarify the import for depression of these circadian genes.

摘要

背景

有多项迹象表明昼夜节律钟功能失调与抑郁症有关。为了寻找与抑郁症相关的特定昼夜节律基因多态性,我们在两组样本中对多种多态性进行了基因分型,这两组样本涵盖了一系列抑郁症志愿者和情绪正常的参与者。

方法

分别从一个睡眠障碍中心的患者样本(1086名欧洲血统)以及另一个由399名声称有睡眠时相延迟症状的参与者和406名部分匹配的对照组成的样本中独立收集抑郁情绪自评结果和DNA。在两个样本中对一个定制的Illumina Golden Gate 768个选定单核苷酸多态性(SNP)芯片进行检测,并辅以额外的SNPlex和Taqman检测,包括检测41个祖先相关标记(AIM)以控制分层。

结果

在睡眠诊所样本中,这些检测在FMR1基因的三个连锁SNP中产生了与抑郁情绪的Bonferroni显著关联:rs25702(名义P = 1.77E - 05)、rs25714(P = 1.83E - 05)和rs28900(P = 5.24E - 05)。这种FMR1关联得到了8个具有名义显著性的SNP和一个名义上显著的基因集检验的支持。在睡眠时相延迟病例对照样本中或从GenRED 2样本下载的GWAS数据(将早发性复发性抑郁症样本与对照进行对比)中,抑郁情绪与FMR1没有关联。在其他抑郁症GWAS研究中未发现重复结果。我们的数据确实微弱地重复了先前报道的抑郁症与PPARGC1B rs7732671的关联(P = 0.0235)。发现与GSK3B、NPAS2、RORA、PER3、CRY1、MTNR1A和NR1D1存在未达到多重检验和重复严格标准的提示性关联。值得注意的是,16个与抑郁情绪名义上相关的SNP(14个在GSK3B中)也与睡眠时相延迟综合征名义上相关(P = 3E - 10 - 6)。

结论

考虑到样本之间的不一致性以及三个显著的FMR1 SNP可能与在功能上与抑郁症更相关的复杂多态性连锁的可能性,可能需要进行大规模基因重测序研究来阐明这些昼夜节律基因对抑郁症的重要性。

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