Tsai Ming-Chen, Tsai Chia-Lin, Liang Chih-Sung, Lin Yu-Kai, Lin Guan-Yu, Tsai Chia-Kuang, Yeh Po-Kuan, Liu Yi, Hung Kuo-Sheng, Yang Fu-Chi
Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.
Department of Psychiatry, Beitou Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan.
Front Psychiatry. 2023 Jan 10;13:1067503. doi: 10.3389/fpsyt.2022.1067503. eCollection 2022.
The genetic association between depression and migraine has not been well investigated in Asian populations. Furthermore, the genetic basis of depression and comorbid migraine subtypes remains nebulous. Hence, in the current study we investigate the susceptibility loci associated with depression and migraine comorbidity in the Han Chinese population in Taiwan.
We perform a genome-wide association study involving 966 migraine patients, with or without comorbid depression. Genotyping is performed using participant genomic DNA. Association analyses are performed for the entire migraine cohort (subgroups: episodic migraine, chronic migraine, and migraine with or without aura).
Results show that the single nucleotide polymorphism variants of the intron region (rs78063755), downstream region (rs57729223), and between and (rs2679891) are suggestively associated with depression. Twenty additional susceptibility loci occur within the subgroups. A multivariate association study demonstrated that a variant in the intron region of rs78063755 was associated with Beck Depression Inventory and Migraine Disability Assessment scores.
The findings of this study identify several genetic loci suggestively associated with depression among migraine patients in the Han Chinese population. Moreover, a potential genetic basis has been characterized for depression and migraine comorbidity, thus providing genetic candidates for further investigation.
抑郁症与偏头痛之间的遗传关联在亚洲人群中尚未得到充分研究。此外,抑郁症和合并偏头痛亚型的遗传基础仍不明确。因此,在本研究中,我们调查了台湾汉族人群中与抑郁症和偏头痛合并症相关的易感基因座。
我们进行了一项全基因组关联研究,涉及966名偏头痛患者,无论是否合并抑郁症。使用参与者的基因组DNA进行基因分型。对整个偏头痛队列(亚组:发作性偏头痛、慢性偏头痛以及有无先兆的偏头痛)进行关联分析。
结果显示,内含子区域(rs78063755)、下游区域(rs57729223)以及两者之间(rs2679891)的单核苷酸多态性变异与抑郁症存在提示性关联。在亚组中还发现了另外20个易感基因座。一项多变量关联研究表明,rs78063755内含子区域的一个变异与贝克抑郁量表和偏头痛残疾评估得分相关。
本研究结果确定了几个在台湾汉族偏头痛患者中与抑郁症存在提示性关联的基因座。此外,还确定了抑郁症和偏头痛合并症的潜在遗传基础,从而为进一步研究提供了遗传候选对象。