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1936年洛锡安出生队列中的载脂蛋白E e4等位基因状态与晚年抑郁症

Apolipoprotein E e4 allele status and later-life depression in the Lothian Birth Cohort 1936.

作者信息

Iveson Matthew H, Taylor Adele, Harris Sarah E, Deary Ian J, McIntosh Andrew M

机构信息

Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.

Mental Health Data Science Scotland, Edinburgh, UK.

出版信息

Psychol Med. 2021 Mar 2;52(16):1-9. doi: 10.1017/S0033291721000623.


DOI:10.1017/S0033291721000623
PMID:33648619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9811345/
Abstract

BACKGROUND: Previous results have been mixed regarding the role of the apolipoprotein E e4 (APOE e4) allele in later-life depression: some studies note that carriers experience greater symptoms and increased risk while others find no such association. However, there are few prospective, population-based studies of the APOE e4-depression association and fewer that examine depressive symptom trajectory and depression risk longitudinally. We examined the association between APOE e4 allele status and longitudinal change in depressive symptoms and depression risk in later-life, over a 12-year follow-up period. METHODS: We used data from 690 participants of the Lothian Birth Cohort 1936 who took part in the Scottish Mental Survey 1947 (aged 11) and were followed-up in later-life over five waves from 2004 to 2019 (aged 70-82). We used APOE e4 allele status to predict longitudinal change in depressive symptom scores and risk of depression (defined by a symptom score threshold or use of depression-related medication). Models were adjusted for sex, childhood cognitive ability, childhood social class, education, adult social class, smoking status and functional limitations at baseline. RESULTS: Depressive symptom scores increased with age. Once adjusted for covariates, APOE e4 allele status did not significantly predict symptom score trajectories or depression risk. Greater functional limitations at baseline significantly predicted poorer symptom score trajectories and increased depression risk (defined by medications). APOE e4 allele status did not significantly moderate the contribution of sex, education or functional limitations. CONCLUSIONS: There was no evidence that APOE e4 carriers experience an increased risk for later-life depression.

摘要

背景:先前关于载脂蛋白E e4(APOE e4)等位基因在晚年抑郁症中作用的研究结果不一:一些研究指出,携带该基因的个体症状更严重,患病风险增加,而另一些研究则未发现此类关联。然而,很少有基于人群的前瞻性研究探讨APOE e4与抑郁症的关联,更少的研究纵向考察抑郁症状轨迹和抑郁风险。我们在12年的随访期内,研究了APOE e4等位基因状态与晚年抑郁症状纵向变化及抑郁风险之间的关联。 方法:我们使用了来自1936年洛锡安出生队列的690名参与者的数据,他们参加了1947年的苏格兰精神调查(当时年龄为11岁),并在2004年至2019年期间(年龄为70 - 82岁)接受了五次随访。我们使用APOE e4等位基因状态来预测抑郁症状评分的纵向变化以及抑郁风险(由症状评分阈值或使用与抑郁症相关的药物来定义)。模型对性别、童年认知能力、童年社会阶层、教育程度、成年社会阶层、吸烟状况和基线时的功能受限情况进行了调整。 结果:抑郁症状评分随年龄增长而增加。在对协变量进行调整后,APOE e4等位基因状态并未显著预测症状评分轨迹或抑郁风险。基线时功能受限程度越高,显著预示着症状评分轨迹越差,抑郁风险增加(由药物使用定义)。APOE e4等位基因状态并未显著调节性别、教育程度或功能受限的影响。 结论:没有证据表明APOE e4携带者在晚年患抑郁症的风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/674d/9811345/1b3f8b05ef1d/S0033291721000623_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/674d/9811345/8c595e01b013/S0033291721000623_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/674d/9811345/1b3f8b05ef1d/S0033291721000623_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/674d/9811345/8c595e01b013/S0033291721000623_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/674d/9811345/1b3f8b05ef1d/S0033291721000623_fig2.jpg

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引用本文的文献

[1]
Childhood cognitive ability and self-harm and suicide in later life.

SSM Popul Health. 2023-12-29

[2]
Childhood intelligence and risk of depression in later-life: A longitudinal data-linkage study.

SSM Popul Health. 2023-11-17

[3]
Childhood cognitive ability and self-harm and suicide in later life.

medRxiv. 2023-2-11

[4]
Intergenerational Social Mobility and Health in Later Life: Diagonal Reference Models Applied to the Lothian Birth Cohort 1936.

J Gerontol B Psychol Sci Soc Sci. 2022-12-29

本文引用的文献

[1]
Role of apolipoprotein E epsilon 4 (*ε4) as an independent risk factor for incident depression over a 12-year period in cognitively intact adults across the lifespan.

BJPsych Open. 2020-5-8

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Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions.

Nat Neurosci. 2019-2-4

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Nat Genet. 2018-4-26

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Int J Epidemiol. 2018-8-1

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Neurosci Biobehav Rev. 2017-1-27

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Neurobiol Aging. 2016-4

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A 9-year prospective population-based study on the association between the APOE*E4 allele and late-life depression in Sweden.

Biol Psychiatry. 2015-1-29

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Mol Psychiatry. 2015-2

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