Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, USA.
Department of Psychiatry and Behavioral Science, School of Medicine, Johns Hopkins University, Baltimore, USA.
Psychiatry Clin Neurosci. 2019 Jun;73(6):323-330. doi: 10.1111/pcn.12835. Epub 2019 Mar 28.
Glucocorticoids play a major role in regulating the stress response, and an imbalance of glucocorticoids has been implicated in stress-related disorders. Within mouse models, CpGs across the genome have been shown to be differentially methylated in response to glucocorticoid treatment, and using the Infinium 27K array, it was shown that humans given synthetic glucocorticoids had DNA methylation (DNAm) changes in blood. However, further investigation of the extent to which glucocorticoids affect DNAm across a larger proportion of the genome is needed.
Buccal samples were collected before and after synthetic glucocorticoid treatment in the context of a dental procedure. This included 30 tooth extraction surgery patients who received 10 mg of dexamethasone. Genome-wide DNAm was assessed with the Infinium HumanMethylationEPIC array.
Five CpGs showed genome-wide significant DNAm changes that were >10%. These differentially methylated CpGs were in or nearest the following genes: ZNF438, KLHDC10, miR-544 or CRABP1, DPH5, and WDFY2. Using previously published datasets of human blood gene expression changes following dexamethasone exposure, a significant proportion of genes with false-discovery-rate-adjusted significant CpGs were also differentially expressed. A pathway analysis of the genes with false-discovery-rate-adjusted significant CpGs revealed significant enrichment of olfactory transduction, pentose and glucuronate interconversions, ascorbate and aldarate metabolism, and steroid hormone biosynthesis pathways.
High-dose synthetic glucocorticoid administration in the setting of a dental procedure was significantly associated with DNAm changes within buccal samples. These findings are consistent with prior findings of an influence of glucocorticoids on DNAm in humans.
糖皮质激素在调节应激反应中起着重要作用,糖皮质激素失衡与应激相关疾病有关。在小鼠模型中,基因组中的 CpG 已被证明在糖皮质激素治疗后会发生差异甲基化,并且使用 Infinium 27K 阵列表明,给予合成糖皮质激素的人类血液中的 DNA 甲基化(DNAm)发生了变化。然而,需要进一步研究糖皮质激素在多大程度上影响更大比例基因组中的 DNAm。
在牙科手术过程中,在接受合成糖皮质激素治疗前后收集口腔样本。这包括 30 名接受 10mg 地塞米松治疗的拔牙手术患者。使用 Infinium HumanMethylationEPIC 阵列评估全基因组 DNAm。
有 5 个 CpG 显示出全基因组显著的 DNAm 变化,超过 10%。这些差异甲基化的 CpG 位于或靠近以下基因:ZNF438、KLHDC10、miR-544 或 CRABP1、DPH5 和 WDFY2。使用先前发表的人类血液中基因表达在接受地塞米松暴露后发生变化的数据集,具有错误发现率调整后显著 CpG 的基因中有很大一部分也表现出差异表达。对具有错误发现率调整后显著 CpG 的基因进行通路分析表明,嗅觉转导、戊糖和葡萄糖醛酸相互转化、抗坏血酸和醛酸代谢以及甾体激素生物合成途径明显富集。
在牙科手术中给予大剂量合成糖皮质激素与口腔样本中的 DNAm 变化显著相关。这些发现与糖皮质激素对人类 DNAm 的影响的先前发现一致。