抑郁症患者糖皮质激素受体基因的 DNA 甲基化差异与下丘脑-垂体-肾上腺轴活性的功能改变以及生命早期的情感虐待有关。
DNA methylation differences at the glucocorticoid receptor gene in depression are related to functional alterations in hypothalamic-pituitary-adrenal axis activity and to early life emotional abuse.
机构信息
Department of Psychiatry, School of Medicine, Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
Department of Psychiatry, School of Medicine, Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland.
出版信息
Psychiatry Res. 2018 Jul;265:341-348. doi: 10.1016/j.psychres.2018.04.064. Epub 2018 May 8.
Depression is associated with alterations in hypothalamic-pituitary-adrenal (HPA) axis activity. A proposed mechanism to explain these alterations are changes in DNA methylation levels, secondary to early life adversity (ELA), at stress-related genes. Two gene regions that have been implicated in the literature, the glucocorticoid receptor gene (NR3C1) exon 1F and the FKBP5 gene intron 7 were examined in 67 individuals (33 depressed patients and 34 controls). We investigated whether cortisol concentrations, evaluated in 25 depressed patients and 20 controls, and measures of ELA were associated with the degree of methylation at these candidate gene regions. Mean NR3C1 exon 1F DNA methylation levels were significantly increased in the depressed cohort and the degree of methylation was found to be positively associated with morning cortisol concentrations. DNA methylation levels at specific CG sites within the NR3C1 exon 1F were related to childhood emotional abuse severity. DNA methylation at CG38 was related to both HPA axis and childhood emotional abuse measures in the depressed group. No FKBP5 differences were revealed. Our findings suggest that hypermethylation at the NR3C1 exon 1F may occur in depression. This locus-specific epigenetic change is associated with higher basal HPA axis activity, possibly reflecting acquired glucocorticoid receptor resistance.
抑郁症与下丘脑-垂体-肾上腺(HPA)轴活动的改变有关。一种解释这些改变的机制是,由于早期生活逆境(ELA),应激相关基因的 DNA 甲基化水平发生变化。在文献中已经涉及两个基因区域,即糖皮质激素受体基因(NR3C1)外显子 1F 和 FKBP5 基因内含子 7,在 67 个人(33 名抑郁症患者和 34 名对照者)中进行了检查。我们研究了皮质醇浓度(在 25 名抑郁症患者和 20 名对照者中评估)和 ELA 测量值是否与这些候选基因区域的甲基化程度有关。在抑郁症组中,NR3C1 外显子 1F 的平均 DNA 甲基化水平显著升高,并且发现甲基化程度与早晨皮质醇浓度呈正相关。NR3C1 外显子 1F 内特定 CG 位点的 DNA 甲基化水平与儿童期情感虐待的严重程度有关。在抑郁症组中,CG38 的 DNA 甲基化与 HPA 轴和儿童期情感虐待测量值均有关。未发现 FKBP5 的差异。我们的研究结果表明,NR3C1 外显子 1F 的过度甲基化可能发生在抑郁症中。这种特定基因座的表观遗传变化与较高的基础 HPA 轴活性有关,可能反映了获得性糖皮质激素受体抵抗。