Max Planck Institute of Psychiatry, Munich, Germany.
Max Planck Institute of Psychiatry, Munich, Germany.
Psychoneuroendocrinology. 2020 Jun;116:104685. doi: 10.1016/j.psyneuen.2020.104685. Epub 2020 Apr 18.
The activation of the hypothalamus-pituitary-adrenal (HPA) axis is induced by stress. Imbalances in this system increase the risk of developing stress related disorders including mental illness. Variants in the single nucleotide polymorphism (SNP) rs110402 of the corticotropin-releasing hormone receptor type I (CRHR1) gene have been shown in interaction with childhood maltreatment to increase the vulnerability to develop depressive symptoms in adulthood. In this study, the direct contribution of polymorphism of the CRHR1 gene (rs110402) to the salivary cortisol response to stress independently from childhood adversity was investigated. Healthy young men between the ages of 18 and 30, free from childhood maltreatment and early trauma, were genotyped (n = 121). To increase the power of the genetic analysis, only homozygous carriers of the common C (n = 31) and of the rare T (n = 21) allele were selected for this study and exposed to a Trier Social Stress Test (TSST) in the late evening (22.30 to 22.40). Salivary samples for the assessment of cortisol and its inactive metabolite cortisone were taken early in the evening (20.00), just before (22.30) and immediately after (22.40) as well as 15 minutes after stress exposure (22.55). Participants with the TT genotype showed higher cortisol levels 15 minutes post stress compared to participants with the CC genotype. No genotype differences were found for cortisone. Interestingly, TT participants reported lower subjective perceived stress levels before the TSST, but not after stress exposure. These results confirm that variants of rs110402 in the CRHR1 gene contribute to an increased stress response. Contrary to previous findings, however, this effect could be observed in subjects reporting no exposure to childhood maltreatment or early trauma.
下丘脑-垂体-肾上腺 (HPA) 轴的激活是由压力引起的。该系统的失衡会增加患与压力相关的疾病的风险,包括精神疾病。研究表明,在与童年期虐待相互作用下,促肾上腺皮质激素释放激素受体 1 (CRHR1) 基因的单核苷酸多态性 (SNP) rs110402 变异会增加成年后患抑郁症状的易感性。在这项研究中,研究了 CRHR1 基因 (rs110402) 多态性独立于童年逆境对压力下唾液皮质醇反应的直接贡献。研究选择了年龄在 18 至 30 岁之间、无童年期虐待和早期创伤的健康年轻男性进行基因分型 (n = 121)。为了提高遗传分析的效能,仅选择常见 C 等位基因 (n = 31) 和罕见 T 等位基因 (n = 21) 的纯合子携带者进行这项研究,并在深夜 (22.30 至 22.40) 接受特里尔社会应激测试 (TSST)。为了评估皮质醇及其无活性代谢物皮质酮,在傍晚早些时候 (20.00)、即将进行 TSST 之前 (22.30)、立即进行 TSST 后 (22.40) 以及应激暴露后 15 分钟 (22.55) 采集唾液样本。与 CC 基因型的参与者相比,TT 基因型的参与者在应激后 15 分钟显示出更高的皮质醇水平。对于皮质酮,没有发现基因型差异。有趣的是,TT 组参与者在进行 TSST 前报告的主观感知压力水平较低,但在应激暴露后则没有。这些结果证实,CRHR1 基因中的 rs110402 变异会导致应激反应增加。然而,与之前的研究结果相反,在没有报告童年期虐待或早期创伤的参与者中也可以观察到这种效应。