Piccinini Andrea, Bailo Paolo, Barbara Giussy, Miozzo Monica, Tabano Silvia, Colapietro Patrizia, Farè Claudia, Sirchia Silvia Maria, Battaglioli Elena, Bertuccio Paola, Manenti Giulia, Micci Laila, La Vecchia Carlo, Kustermann Alessandra, Gaudi Simona
Department of Biomedical Sciences for Health, Università degli Studi di Milano, 20100 Milan, Italy.
Service for Sexual and Domestic Violence( SVSeD), Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20100 Milan, Italy.
Healthcare (Basel). 2023 Jan 6;11(2):173. doi: 10.3390/healthcare11020173.
Violence against women is a relevant health and social problem with negative consequences on women's health. The interaction between genome and environmental factors, such as violence, represents one of the major challenges in molecular medicine. The Epigenetics for WomEn (EpiWE) project is a multidisciplinary pilot study that intends to investigate the epigenetic signatures associated with intimate partner and sexual violence-induced stress-related disorders.
In 2020, 62 women exposed to violence (13 women suffering from sexual violence and 49 from Intimate Partner Violence, IPV) and 50 women with no history of violence were recruited at the Service for Sexual and Domestic Violence. All women aged 18-65 were monitored for their physical and psychological conditions. Blood samples were collected, and DNAs were extracted and underwent the epigenetic analysis of 10 stress-related genes.
PTSD prevalence in victims was assessed at 8.1%. Quantitative methylation evaluation of the ten selected trauma/stress-related genes revealed the differential iper-methylation of brain-derived neurotrophic factor, dopamine receptor D2 and insulin-like growth factor 2 genes. These genes are among those related to brain plasticity, learning, and memory pathways.
The association of early detection of posttraumatic distress and epigenetic marker identification could represent a new avenue for addressing women survivors toward resilience. This innovative approach in gender-based violence studies could identify new molecular pathways associated with the long-term effects of violence and implement innovative protocols of precision medicine.
针对妇女的暴力是一个相关的健康和社会问题,对妇女健康产生负面影响。基因组与环境因素(如暴力)之间的相互作用是分子医学的主要挑战之一。女性表观遗传学(EpiWE)项目是一项多学科试点研究,旨在调查与亲密伴侣暴力和性暴力所致应激相关障碍相关的表观遗传特征。
2020年,在性暴力和家庭暴力服务机构招募了62名遭受暴力的女性(13名遭受性暴力,49名遭受亲密伴侣暴力)和50名无暴力史的女性。对所有年龄在18 - 65岁的女性进行身体和心理状况监测。采集血样,提取DNA,并对10个与应激相关的基因进行表观遗传分析。
受害者中创伤后应激障碍(PTSD)患病率评估为8.1%。对十个选定的创伤/应激相关基因进行定量甲基化评估,发现脑源性神经营养因子、多巴胺受体D2和胰岛素样生长因子2基因存在差异超甲基化。这些基因属于与大脑可塑性、学习和记忆通路相关的基因。
创伤后应激早期检测与表观遗传标志物识别之间的关联可能为帮助女性幸存者恢复心理弹性提供一条新途径。这种基于性别的暴力研究中的创新方法可以识别与暴力长期影响相关的新分子途径,并实施精准医学的创新方案。