Lowe Sarah R, Pothen John, Quinn James W, Rundle Andrew, Bradley Bekh, Galea Sandro, Ressler Kerry J, Koenen Karestan C
Department of Psychology, Montclair State University, Montclair, NJ, USA.
Emory University School of Medicine, Atlanta, GA, USA.
J Affect Disord. 2015 Nov 15;187:147-50. doi: 10.1016/j.jad.2015.08.002. Epub 2015 Aug 28.
Few studies have explored interactions between genes and social environmental exposures (GxSEs) for trauma-related psychopathology, including symptoms of posttraumatic stress (PTS) and major depression (MD). The extant literature suggests the possibility of a GxSE between the rs2267735 variant of the ADCYAP1R1 gene and neighborhood crime. The current study aimed to explore this possibility among a predominantly African American sample of trauma-exposed women.
Female participants (N=1361) were recruited from a public hospital, and completed measures of PTS and MD symptoms and provided DNA samples. Participants' home addresses were mapped onto 300 neighborhoods (2010 census tracts), and data on crime within neighborhoods was collected.
Multilevel models detected a significant GxSE between rs2267735 and neighborhood crime for MD symptoms (p=.01). Having two copies of the risk (C) allele was associated with higher MD symptoms for participants living in high-crime neighborhoods.
At least six limitations are noteworthy: (1) low statistical power; (2) use of self-report symptom inventories; (3) lack of information on symptom onset; (4) homogeneous sample from a single metropolitan area; (5) non-specific index of crime; and (6) use of census tracts to define neighborhoods.
The results provide further evidence of GxSEs for psychiatric outcomes among trauma-exposed populations. Further investigations of genetic factors for trauma-related psychopathology should include careful assessments of the social environment.
很少有研究探讨基因与社会环境暴露(GxSEs)之间的相互作用对创伤相关精神病理学的影响,包括创伤后应激(PTS)症状和重度抑郁(MD)。现有文献表明,ADCYAP1R1基因的rs2267735变体与社区犯罪之间可能存在基因与社会环境暴露的相互作用。本研究旨在探讨在以非裔美国女性为主的受创伤样本中这种可能性。
从一家公立医院招募女性参与者(N = 1361),她们完成了创伤后应激和重度抑郁症状的测量,并提供了DNA样本。参与者的家庭住址被映射到300个社区(2010年人口普查区),并收集了社区内的犯罪数据。
多水平模型检测到rs2267735与社区犯罪之间在重度抑郁症状方面存在显著的基因与社会环境暴露的相互作用(p = 0.01)。对于生活在高犯罪社区的参与者,拥有两个风险(C)等位基因副本与更高的重度抑郁症状相关。
至少有六个局限性值得注意:(1)统计功效低;(2)使用自我报告症状量表;(3)缺乏症状发作信息;(4)来自单一都市地区的同质样本;(5)犯罪的非特异性指标;(6)使用人口普查区来定义社区。
研究结果为受创伤人群中精神疾病结局的基因与社会环境暴露的相互作用提供了进一步的证据。对创伤相关精神病理学的遗传因素的进一步研究应包括对社会环境的仔细评估。