Department of Molecular Medicine and Surgery, Neurogenetics Unit, Karolinska Institutet, Stockholm, Sweden; Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, Sweden.
J Affect Disord. 2016 Jan 1;189:62-9. doi: 10.1016/j.jad.2015.09.025. Epub 2015 Sep 16.
Telomeres are protective DNA-protein complexes forming the chromosome ends. TL differs between tissues. Shorter telomere length (TL) in blood leukocytes (LTL) has been associated with major depression, and with previous exposure to childhood adversity. TL studies on non-invasively sampled salivary DNA are less common. Telomerase, with its catalytic subunit hTERT, counteracts telomere shortening. Reduced telomerase activity associates with depression-like behavior in mice. Recently, the minor allele of the hTERT polymorphism rs2736100 was associated with shorter LTL among primarily healthy individuals. We hypothesized that (i) TL in saliva DNA is shortened in adults with a history of depression, and that (ii) rs2736100 is implicated in depression and depressive episodes in bipolar disorder type 1 (BD1).
Individuals with a history of depression and those without (controls) were identified using self-reported questionnaires from a well-characterized population-based cohort. Clinical BD1 patients were diagnosed by specialized psychiatrists. Saliva TL was measured in age-matched depressed individuals and controls (n=662) using qRT-PCR. rs2736100 was genotyped in 436 depressed individuals, 1590 controls, and 368 BD1 patients.
Saliva TL was shorter in depressed individuals compared to controls. The rs2736100 minor allele was associated with depression among those without experience of childhood adversity, and with number of depressive episodes in BD1 patients responding well to lithium.
Psychopathological symptoms were recorded at two time points only, 3 and 6 years prior to DNA sampling.
This is the first report on hTERT genetic variation in mood disorder. It proposes that genetic variation in hTERT may influence the susceptibility to depression.
端粒是形成染色体末端的保护性 DNA-蛋白质复合物。TL 在组织之间存在差异。血液白细胞(LTL)中的端粒长度较短(TL)与重度抑郁症有关,也与之前经历过儿童期逆境有关。关于非侵入性采样唾液 DNA 的 TL 研究较少。端粒酶及其催化亚基 hTERT 可抵消端粒缩短。端粒酶活性降低与小鼠的抑郁样行为有关。最近,hTERT 多态性 rs2736100 的次要等位基因与主要健康个体的 LTL 较短有关。我们假设:(i)有抑郁病史的成年人的唾液 DNA 中的 TL 缩短,以及(ii)rs2736100 与双相情感障碍 1 型(BD1)中的抑郁和抑郁发作有关。
使用来自特征明确的基于人群的队列的自我报告问卷,确定有抑郁病史的个体和没有抑郁病史的个体(对照组)。由专门的精神科医生诊断临床 BD1 患者。使用 qRT-PCR 在年龄匹配的抑郁个体和对照组(n=662)中测量唾液 TL。在 436 名抑郁个体、1590 名对照者和 368 名 BD1 患者中对 rs2736100 进行基因分型。
与对照组相比,抑郁个体的唾液 TL 较短。rs2736100 的次要等位基因与无儿童期逆境经历的个体中的抑郁有关,与对锂反应良好的 BD1 患者的抑郁发作次数有关。
心理病理学症状仅在 DNA 采样前 3 年和 6 年记录两次。
这是关于情绪障碍中 hTERT 遗传变异的第一个报告。它表明 hTERT 中的遗传变异可能会影响对抑郁症的易感性。