Guo Juncheng, Yang Yijun, Jiang Xiangling, Guo Min, Li Xiang, Huang Ping, Liu Zhuo
Department of Hepatobiliary Surgery, Central South University Xiangya School of Medical Affiliated Haikou Hospital, Haikou 570208, Hainan, PR China.
Psychological Research Center, Hainan General Hospital, Haikou 570311, Hainan, PR China.
Gene. 2021 Feb 15;769:145192. doi: 10.1016/j.gene.2020.145192. Epub 2020 Sep 30.
This study aimed to explore the correlations of promoter methylation and single-nucleotide polymorphism (SNP) of brain-derived neurotrophic factor (BDNF) with post-traumatic stress disorder (PTSD) in Li and Han nationalities in Hainan province. Depression- and anxiety-related questionnaires were performed for PTSD-related information collection and analysis, with 164 PTSD patients and 141 healthy controls included. Serum BDNF level was measured and the methylation of BDNF promoter was evaluated. The BDNF SNP genotyping was performed, after which the risk genotypes for PTSD were detected and analyzed using logistic regression analysis. Our study found that the PTSD incidence was different in Li and Han nationalities. Serum BDNF level in PTSD patients in Li nationality was obviously lower than that in patients in Han nationality, while the methylation of BDNF promoter was higher in patients in Li nationality. The G-712A rather than rs6265 genotypes presented significant difference between PTSD patients and healthy controls. Meanwhile, the patients in Li nationality with AG genotype at G-712A inclined to depression, and patients with GG genotype had a greater degree of PTSD. G-712A and promoter methylation of BDNF were independent risk factors for PTSD. Our study demonstrated that the differences of PTSD patients between Li and Han nationalities were attributed by SNP G-712A genotypes and promoter methylation of BDNF.
本研究旨在探讨海南省黎族和汉族人群中脑源性神经营养因子(BDNF)启动子甲基化及单核苷酸多态性(SNP)与创伤后应激障碍(PTSD)的相关性。采用与抑郁和焦虑相关的问卷进行PTSD相关信息的收集与分析,纳入164例PTSD患者和141例健康对照。检测血清BDNF水平并评估BDNF启动子的甲基化情况。进行BDNF SNP基因分型,之后采用逻辑回归分析检测并分析PTSD的风险基因型。我们的研究发现,黎族和汉族人群的PTSD发病率存在差异。黎族PTSD患者的血清BDNF水平明显低于汉族患者,而黎族患者BDNF启动子的甲基化水平更高。PTSD患者与健康对照之间,G-712A而非rs6265基因型存在显著差异。同时,黎族中G-712A位点为AG基因型的患者倾向于抑郁,GG基因型的患者PTSD程度更严重。BDNF的G-712A和启动子甲基化是PTSD的独立危险因素。我们的研究表明,黎族和汉族PTSD患者之间的差异归因于BDNF的SNP G-712A基因型和启动子甲基化。