Rusconi Francesco, Battaglioli Elena
Department of Medical Biotechnologies and Translational Medicine, University of Milan Via Fratelli Cervi, Segrate, Italy.
CNR Institute of Neuroscience Via Vanvitelli, Milan, Italy.
Front Mol Neurosci. 2018 May 31;11:184. doi: 10.3389/fnmol.2018.00184. eCollection 2018.
Psychiatric disorders entail maladaptive processes impairing individuals' ability to appropriately interface with environment. Among them, depression is characterized by diverse debilitating symptoms including hopelessness and anhedonia, dramatically impacting the propensity to live a social and active life and seriously affecting working capability. Relevantly, besides genetic predisposition, foremost risk factors are stress-related, such as experiencing chronic psychosocial stress-including bullying, mobbing and abuse-, and undergoing economic crisis or chronic illnesses. In the last few years the field of epigenetics promised to understand core mechanisms of gene-environment crosstalk, contributing to get into pathogenic processes of many disorders highly influenced by stressful life conditions. However, still very little is known about mechanisms that tune gene expression to adapt to the external milieu. In this Perspective article, we discuss a set of protective, functionally convergent epigenetic processes induced by acute stress in the rodent hippocampus and devoted to the negative modulation of stress-induced immediate early genes (IEGs) transcription, hindering stress-driven morphostructural modifications of corticolimbic circuitry. We also suggest that chronic stress damaging protective epigenetic mechanisms, could bias the functional trajectory of stress-induced neuronal morphostructural modification from adaptive to maladaptive, contributing to the onset of depression in vulnerable individuals. A better understanding of the epigenetic response to stress will be pivotal to new avenues of therapeutic intervention to treat depression, especially in light of limited efficacy of available antidepressant drugs.
精神疾病涉及损害个体与环境适当互动能力的适应不良过程。其中,抑郁症的特征是多种使人衰弱的症状,包括绝望和快感缺失,极大地影响社交和积极生活的倾向,并严重影响工作能力。相关地,除了遗传易感性外,主要的风险因素与压力相关,例如经历慢性心理社会压力(包括欺凌、骚扰和虐待),以及遭遇经济危机或慢性病。在过去几年中,表观遗传学领域有望理解基因-环境相互作用的核心机制,有助于深入了解许多受应激性生活条件高度影响的疾病的致病过程。然而,对于调节基因表达以适应外部环境的机制仍然知之甚少。在这篇观点文章中,我们讨论了一组由急性应激在啮齿动物海马体中诱导的具有保护作用且功能趋同的表观遗传过程,这些过程致力于对应激诱导的即刻早期基因(IEGs)转录进行负调控,从而阻碍应激驱动的皮质边缘回路形态结构改变。我们还提出,慢性应激破坏保护性表观遗传机制,可能会使应激诱导的神经元形态结构改变的功能轨迹从适应性偏向适应不良,导致易感个体患抑郁症。更好地理解对应激的表观遗传反应对于治疗抑郁症的新治疗干预途径至关重要,尤其是考虑到现有抗抑郁药物疗效有限的情况下。