Nyírő Gyula National Institute of Psychiatry and Addictions, Budapest, Hungary; MTA-SE Neuropsychopharmacology and Neurochemistry Research Group, Hungarian Academy of Science, Semmelweis University, Budapest, Hungary.
Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary; NAP-2-SE New Antidepressant Target Research Group, Hungarian Brain Research Program, Budapest, Hungary.
J Affect Disord. 2019 Oct 1;257:716-722. doi: 10.1016/j.jad.2019.07.083. Epub 2019 Jul 30.
Accumulating data suggest that CB2 receptor plays a crucial role in development of anxiety via regulatory function of stress response and neuroimmune crosstalk. Although animal experiments confirm this relationship, relevant human genetic studies on CB2 receptor gene (CNR2) in association with affective phenotype are absent.
CNR2 R63Q and FAAH C385A functional polymorphisms were genotyped of 921 volunteers from the general population. Phenotypic variables were measured by the Zung Self-related Depression Scale (ZSDS), The State-Trait Anxiety Inventory (Trait subscale, STAI-T) and the depressive and anxious subscales of the Brief Symptom Inventory (BSI-DEP and BSI-ANX). Early life trauma was assesssed by the Childhood Trauma Questionnaire (CHQ). Using general linear models we tested possible associations between phenotypic variance and genotype distribution.
There was a significant main effect of RR genotype of R63Q on ZSDS score (p = 0.007) and a remarkble interacting effect of CHQ and R63Q on scores of ZSDS, STAI-T and BSI-ANX scales (p = 0.009; p = 0.003; p = 0.001; respectively). R allele of R63Q and A allele of FAAH C385A were associated with significantly higher ZSDS, STAI-T and BSI-ANX scores compared to non-risk allele carriers (p = 0.009; p = 0.007; p = 0.007, respectively). The highest phenotypic scores were observed in GxGxE model (p = 0.04; p = 0.006; p = 0.001; p = 3.8 × 10).
In this first human genetic study on CNR2 and childhood trauma we revealed that dysfunctional CB2 receptor and FAAH can contribute to greater sensitivity for childhood trauma possibly via weaker inhibiton of inflammatory and overactivated HPA axis.
越来越多的数据表明,CB2 受体通过调节应激反应和神经免疫串扰,在焦虑症的发展中起着至关重要的作用。尽管动物实验证实了这种关系,但关于 CB2 受体基因(CNR2)与情感表型相关的人类遗传研究尚不存在。
对来自普通人群的 921 名志愿者进行了 CNR2 R63Q 和 FAAH C385A 功能多态性的基因分型。采用zung 自评抑郁量表(ZSDS)、状态-特质焦虑量表(特质分量表,STAI-T)和简明症状量表的抑郁和焦虑分量表(BSI-DEP 和 BSI-ANX)测量表型变量。采用儿童期创伤问卷(CHQ)评估早期生活创伤。我们使用一般线性模型测试表型方差与基因型分布之间可能存在的关联。
R63Q 的 RR 基因型与 ZSDS 评分有显著的主效应(p=0.007),CHQ 与 R63Q 对 ZSDS、STAI-T 和 BSI-ANX 评分的交互作用显著(p=0.009;p=0.003;p=0.001;分别)。与非风险等位基因携带者相比,R63Q 的 R 等位基因和 FAAH C385A 的 A 等位基因与 ZSDS、STAI-T 和 BSI-ANX 评分显著升高(p=0.009;p=0.007;p=0.007,分别)。在 GxGxE 模型中观察到最高的表型评分(p=0.04;p=0.006;p=0.001;p=3.8×10)。
在这项关于 CNR2 和儿童期创伤的人类遗传研究中,我们发现功能失调的 CB2 受体和 FAAH 可能通过减弱对炎症和过度激活的 HPA 轴的抑制作用,导致对儿童期创伤的敏感性更高。