Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Translational Neuroscience Program, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Transl Psychiatry. 2020 Feb 6;10(1):59. doi: 10.1038/s41398-020-0742-9.
Women are approximately two times as likely to be diagnosed with major depressive disorder (MDD) compared to men. While sex differences in MDD might be driven by circulating gonadal hormones, we hypothesized that developmental hormone exposure and/or genetic sex might play a role. Mice were gonadectomized in adulthood to isolate the role of developmental hormones. We examined the effects of developmental gonadal and genetic sex on anhedonia-/depressive-like behaviors under non-stress and chronic stress conditions and performed RNA-sequencing in three mood-relevant brain regions. We used an integrative network approach to identify transcriptional modules and stress-specific hub genes regulating stress susceptibility, with a focus on whether these differed by sex. After identifying sex differences in anhedonia-/depressive-like behaviors (female > male), we show that both developmental hormone exposure (gonadal female > gonadal male) and genetic sex (XX > XY) contribute to the sex difference. The top biological pathways represented by differentially expressed genes were related to immune function; we identify which differentially expressed genes are driven by developmental gonadal or genetic sex. There was very little overlap in genes affected by chronic stress in males and females. We also identified highly co-expressed gene modules affected by stress, some of which were affected in opposite directions in males and females. Since all mice had equivalent hormone exposure in adulthood, these results suggest that sex differences in gonadal hormone exposure during sensitive developmental periods program adult sex differences in mood, and that these sex differences are independent of adult circulating gonadal hormones.
女性被诊断出患有重度抑郁症(MDD)的可能性是男性的两倍左右。虽然 MDD 的性别差异可能是由循环性腺激素驱动的,但我们假设发育激素暴露和/或遗传性别可能起作用。成年后对小鼠进行性腺切除术以分离发育激素的作用。我们研究了发育性腺和遗传性别对非应激和慢性应激条件下快感缺失/抑郁样行为的影响,并在三个与情绪相关的大脑区域进行了 RNA 测序。我们使用综合网络方法来识别调节应激易感性的转录模块和应激特异性枢纽基因,重点关注这些基因是否因性别而异。在确定快感缺失/抑郁样行为的性别差异(女性>男性)后,我们表明发育激素暴露(性腺女性>性腺男性)和遗传性别(XX>XY)都导致了性别差异。差异表达基因代表的主要生物学途径与免疫功能有关;我们确定哪些差异表达基因受发育性腺或遗传性别驱动。在雄性和雌性慢性应激中受影响的基因很少有重叠。我们还确定了受应激影响的高度共表达基因模块,其中一些在雄性和雌性中的影响方向相反。由于所有小鼠在成年后都有相同的激素暴露,这些结果表明,在敏感发育阶段,性腺激素暴露的性别差异会导致成年后情绪的性别差异,并且这些性别差异与成年循环性腺激素无关。