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理解早期生活逆境与抑郁症状之间的关系:性别和白细胞介素-1β基因变体的调节作用。

Understanding the Relation Between Early-Life Adversity and Depression Symptoms: The Moderating Role of Sex and an Interleukin-1β Gene Variant.

作者信息

McQuaid Robyn J, Gabrys Robert L, McInnis Opal A, Anisman Hymie, Matheson Kimberly

机构信息

The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, Canada.

Department of Neuroscience, Carleton University, Ottawa, ON, Canada.

出版信息

Front Psychiatry. 2019 Mar 22;10:151. doi: 10.3389/fpsyt.2019.00151. eCollection 2019.

Abstract

Pro-inflammatory cytokines, such as interleukin (IL)-6 and tumor necrosis factor-α (TNF-α), are thought to play a fundamental role in the pathogenesis of depression within a subset of individuals. However, the involvement of IL-1β has not been as consistently linked to depression, possibly owing to difficulties in detecting this cytokine in blood samples or that changes in circulating levels might only be apparent in a subgroup of patients who have experienced early-life adversity. From this perspective, the association between early-life adversity and depressive illness might depend on genetic variants regulating IL-1β activity. Considering the inflammatory-depression link, and that women are twice as likely to experience depression compared to men, the current study ( = 475 university students) examined the moderating role of three independent cytokine single nucleotide polymorphisms (SNPs; IL-1β rs16944, IL-6 rs1800795 SNP, TNF-α rs1800629) in the relationship between early-life adversity and depressive symptoms, and whether these relations differed between males and females. The relation between childhood adversity and depressive symptoms was moderated by the IL-1β SNP, and further varied according to sex. Specifically, among females, higher childhood maltreatment was accompanied by elevated depressive symptoms irrespective of the IL-1β SNP, but among males, this relationship was particularly pronounced for those carrying the GG genotype of the IL-1β SNP. These findings suggest that, in the context of early life adversity, genetic variations of IL-1β functioning are related to depressive symptomatology and this may vary among males and females. The present study also, more broadly, highlights the importance of considering the confluence of experiential factors (e.g., early life adversity) and personal characteristics (e.g., sex and genetics) in understanding depressive disorders, an approach increasingly recognized in developing personalized treatment approaches to this illness.

摘要

促炎细胞因子,如白细胞介素(IL)-6和肿瘤坏死因子-α(TNF-α),被认为在一部分个体的抑郁症发病机制中起重要作用。然而,IL-1β与抑郁症的关联并不一致,这可能是由于在血液样本中检测这种细胞因子存在困难,或者循环水平的变化可能仅在经历过早期生活逆境的患者亚组中才明显。从这个角度来看,早期生活逆境与抑郁症之间的关联可能取决于调节IL-1β活性的基因变异。考虑到炎症与抑郁症的联系,以及女性患抑郁症的可能性是男性的两倍,本研究(n = 475名大学生)考察了三种独立的细胞因子单核苷酸多态性(SNP;IL-1β rs16944、IL-6 rs1800795 SNP、TNF-α rs1800629)在早期生活逆境与抑郁症状之间关系中的调节作用,以及这些关系在男性和女性之间是否存在差异。童年逆境与抑郁症状之间的关系受到IL-1β SNP的调节,并且根据性别进一步变化。具体而言,在女性中,无论IL-1β SNP如何,较高的童年虐待都伴随着抑郁症状的升高,但在男性中,这种关系在携带IL-1β SNP的GG基因型个体中尤为明显。这些发现表明,在早期生活逆境的背景下,IL-1β功能的基因变异与抑郁症状有关,并且这在男性和女性中可能有所不同。本研究更广泛地强调了在理解抑郁症时考虑经验因素(如早期生活逆境)和个人特征(如性别和基因)融合的重要性,这种方法在开发针对该疾病的个性化治疗方法中越来越受到认可。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaee/6438954/96cd9e224841/fpsyt-10-00151-g0001.jpg

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