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情绪调节障碍的全基因组关联研究:白细胞介素2受体α的证据。

A genome-wide association study of emotion dysregulation: Evidence for interleukin 2 receptor alpha.

作者信息

Powers Abigail, Almli Lynn, Smith Alicia, Lori Adriana, Leveille Jen, Ressler Kerry J, Jovanovic Tanja, Bradley Bekh

机构信息

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, United States.

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, United States.

出版信息

J Psychiatr Res. 2016 Dec;83:195-202. doi: 10.1016/j.jpsychires.2016.09.006. Epub 2016 Sep 9.

Abstract

Emotion dysregulation has been implicated as a risk factor for many psychiatric conditions. Therefore, examining genetic risk associated with emotion dysregulation could help inform cross-disorder risk more generally. A genome-wide association study (GWAS) of emotion dysregulation using single nucleotide polymorphism (SNP) array technology was conducted in a highly traumatized, minority, urban sample (N = 2600, males = 774). Post-hoc analyses examined associations between SNPs identified in the GWAS and current depression, posttraumatic stress disorder (PTSD), and history of suicide attempt. Methylation quantitative trait loci were identified and gene set enrichment analyses were used to broadly determine biological processes involved with these SNPs. Among males, SNP rs6602398, located within the interleukin receptor 2A gene, IL2RA, was significantly associated with emotion dysregulation (p = 1.1 × 10). Logistic regression analyses revealed this SNP was significantly associated with depression (Exp(B) = 2.67, p < 0.001) and PTSD (Exp(B) = 2.07, p < 0.01). This SNP was associated with differential DNA methylation (p < 0.05) suggesting it may be functionally active. Finally, through gene set enrichment analyses, ten psychiatric disease pathways (adjusted p < 0.01) and the calcium signaling pathway (adjusted p = 0.008) were significantly associated with emotion dysregulation. We found initial evidence for an association between emotion dysregulation and genetic risk loci that have already been implicated in medical disorders that have high comorbidity with psychiatric disorders. Our results provide further evidence that emotion dysregulation can be understood as a potential psychiatric cross-disorder risk factor, and that sex differences across these phenotypes may be critical. Continued research into genetic and biological risk associated with emotion dysregulation is needed.

摘要

情绪调节障碍已被认为是许多精神疾病的一个风险因素。因此,研究与情绪调节障碍相关的遗传风险可能有助于更全面地了解跨疾病风险。在一个受创伤严重的少数族裔城市样本(N = 2600,男性 = 774)中,使用单核苷酸多态性(SNP)阵列技术进行了一项关于情绪调节障碍的全基因组关联研究(GWAS)。事后分析检验了GWAS中鉴定出的SNP与当前抑郁症、创伤后应激障碍(PTSD)以及自杀未遂史之间的关联。确定了甲基化数量性状基因座,并使用基因集富集分析来广泛确定与这些SNP相关的生物学过程。在男性中,位于白细胞介素受体2A基因(IL2RA)内的SNP rs6602398与情绪调节障碍显著相关(p = 1.1×10)。逻辑回归分析显示,该SNP与抑郁症(Exp(B) = 2.67,p < 0.001)和PTSD(Exp(B) = 2.07,p < 0.01)显著相关。该SNP与DNA甲基化差异相关(p < 0.05),表明它可能具有功能活性。最后,通过基因集富集分析,十条精神疾病通路(校正p < 0.01)和钙信号通路(校正p = 0.008)与情绪调节障碍显著相关。我们发现了情绪调节障碍与遗传风险位点之间存在关联的初步证据,这些遗传风险位点已在与精神疾病高度共病的医学疾病中有所涉及。我们的结果进一步证明,情绪调节障碍可被理解为一种潜在的精神跨疾病风险因素,并且这些表型中的性别差异可能至关重要。需要继续研究与情绪调节障碍相关的遗传和生物学风险。

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