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探索特应性皮炎与重度抑郁症之间的潜在机制。

Explore the Underlying Mechanism Between Atopic Dermatitis and Major Depressive Disorder.

作者信息

Yang Tao, Huang Xuehua, Xu Jiajun, Situ Mingjing, Xiao Qingqing, Kural Kamil Can, Kang Yan

机构信息

Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.

School of Systems Biology, George Mason University, Fairfax, VA, United States.

出版信息

Front Genet. 2021 May 28;12:640951. doi: 10.3389/fgene.2021.640951. eCollection 2021.

Abstract

Adult patients with atopic dermatitis (AD) present relatively higher rates of major depressive disorder (MDD). However, the underlying mechanism is largely unknown. Here, we first conducted a systematic literature-based data mining to identify entities linking AD and MDD, including proteins, cells, functional classes, and small molecules. Then we conducted an AD-RNA expression data-based mega-analysis to test the expression variance of the genes that were regulators of MDD. After that, a Fisher Exact test-based pathway enrichment analysis (PEA) was performed to explore the AD-driven MDD-genetic regulators' functionality. We identified 22 AD-driven entities that were up-stream MDD regulators, including 11 genes, seven small molecules, three functional classes, and one cell. AD could exert a promoting effect on the development of MDD. Four of the 11 genes demonstrated significant expression changes in AD patients in favor of the development of MDD. PEA results showed that AD mainly drives cytokine/chemokine regulation and neuroinflammatory response-related pathways to influence the pathological development of MDD. Our results supported the promotion role of AD in the pathological development of MDD, including the regulation of multiple genetic regulators of MDD involved in cytokine/chemokine regulation and inflammatory response.

摘要

患有特应性皮炎(AD)的成年患者患重度抑郁症(MDD)的比例相对较高。然而,其潜在机制在很大程度上尚不清楚。在此,我们首先进行了基于文献的系统数据挖掘,以确定与AD和MDD相关的实体,包括蛋白质、细胞、功能类别和小分子。然后,我们基于AD-RNA表达数据进行了元分析,以测试作为MDD调节因子的基因的表达差异。之后,进行了基于Fisher精确检验的通路富集分析(PEA),以探索由AD驱动的MDD基因调节因子的功能。我们确定了22个由AD驱动的、作为MDD上游调节因子的实体,包括11个基因、7个小分子、3个功能类别和1种细胞。AD可对MDD的发展产生促进作用。11个基因中的4个在AD患者中表现出显著的表达变化,有利于MDD的发展。PEA结果表明,AD主要驱动细胞因子/趋化因子调节和神经炎症反应相关通路,以影响MDD的病理发展。我们的结果支持了AD在MDD病理发展中的促进作用,包括对参与细胞因子/趋化因子调节和炎症反应的多个MDD基因调节因子的调控。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2dc/8194260/f25d17d51a66/fgene-12-640951-g001.jpg

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