Department of Psychiatry, VU University Medical Center and GGZ inGeest, Amsterdam, the Netherlands.
Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.
Biol Psychiatry. 2018 Jul 15;84(2):138-147. doi: 10.1016/j.biopsych.2017.09.009. Epub 2017 Sep 21.
BACKGROUND: The heterogeneity of genetic effects on major depressive disorder (MDD) may be partly attributable to moderation of genetic effects by environment, such as exposure to childhood trauma (CT). Indeed, previous findings in two independent cohorts showed evidence for interaction between polygenic risk scores (PRSs) and CT, albeit in opposing directions. This study aims to meta-analyze MDD-PRS × CT interaction results across these two and other cohorts, while applying more accurate PRSs based on a larger discovery sample. METHODS: Data were combined from 3024 MDD cases and 2741 control subjects from nine cohorts contributing to the MDD Working Group of the Psychiatric Genomics Consortium. MDD-PRS were based on a discovery sample of ∼110,000 independent individuals. CT was assessed as exposure to sexual or physical abuse during childhood. In a subset of 1957 cases and 2002 control subjects, a more detailed five-domain measure additionally included emotional abuse, physical neglect, and emotional neglect. RESULTS: MDD was associated with the MDD-PRS (odds ratio [OR] = 1.24, p = 3.6 × 10, R = 1.18%) and with CT (OR = 2.63, p = 3.5 × 10 and OR = 2.62, p = 1.4 ×10 for the two- and five-domain measures, respectively). No interaction was found between MDD-PRS and the two-domain and five-domain CT measure (OR = 1.00, p = .89 and OR = 1.05, p = .66). CONCLUSIONS: No meta-analytic evidence for interaction between MDD-PRS and CT was found. This suggests that the previously reported interaction effects, although both statistically significant, can best be interpreted as chance findings. Further research is required, but this study suggests that the genetic heterogeneity of MDD is not attributable to genome-wide moderation of genetic effects by CT.
背景: 遗传对重度抑郁症(MDD)的影响的异质性可能部分归因于遗传效应受到环境的调节,例如儿童期创伤(CT)的暴露。事实上,两个独立队列的先前研究结果表明,多基因风险评分(PRS)与 CT 之间存在相互作用的证据,尽管方向相反。本研究旨在对这两个队列和其他队列的 MDD-PRS×CT 相互作用结果进行荟萃分析,同时基于更大的发现样本应用更准确的 PRS。
方法: 从精神疾病基因组学联盟的 MDD 工作组的九个队列中,共合并了 3024 名 MDD 病例和 2741 名对照的资料。MDD-PRS 基于约 110000 名独立个体的发现样本。CT 作为儿童期性虐待或身体虐待的暴露情况进行评估。在 1957 名病例和 2002 名对照的一个亚组中,一个更详细的五域量表另外包括情绪虐待、身体忽视和情感忽视。
结果: MDD 与 MDD-PRS 相关(优势比 [OR] = 1.24,p = 3.6×10,R = 1.18%)和 CT(OR = 2.63,p = 3.5×10 和 OR = 2.62,p = 1.4×10 分别用于两域和五域量表)。在 MDD-PRS 与两域和五域 CT 测量之间未发现相互作用(OR = 1.00,p =.89 和 OR = 1.05,p =.66)。
结论: 没有发现 MDD-PRS 与 CT 之间相互作用的荟萃分析证据。这表明,尽管先前报道的相互作用效应在统计学上都是显著的,但最好将其解释为偶然发现。需要进一步的研究,但本研究表明,MDD 的遗传异质性不能归因于 CT 对遗传效应的全基因组调节。
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