Al-Kachak Amni, Di Salvo Giuseppina, Fulton Sasha L, Chan Jennifer C, Farrelly Lorna A, Lepack Ashley E, Bastle Ryan M, Kong Lingchun, Cathomas Flurin, Newman Emily L, Menard Caroline, Ramakrishnan Aarthi, Safovich Polina, Lyu Yang, Covington Herbert E, Shen Li, Gleason Kelly, Tamminga Carol A, Russo Scott J, Maze Ian
Nash Family Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), Maastricht University, Maastricht, The Netherlands.
Nat Commun. 2024 Jun 13;15(1):5042. doi: 10.1038/s41467-024-49336-4.
Mood disorders are an enigmatic class of debilitating illnesses that affect millions of individuals worldwide. While chronic stress clearly increases incidence levels of mood disorders, including major depressive disorder (MDD), stress-mediated disruptions in brain function that precipitate these illnesses remain largely elusive. Serotonin-associated antidepressants (ADs) remain the first line of therapy for many with depressive symptoms, yet low remission rates and delays between treatment and symptomatic alleviation have prompted skepticism regarding direct roles for serotonin in the precipitation and treatment of affective disorders. Our group recently demonstrated that serotonin epigenetically modifies histone proteins (H3K4me3Q5ser) to regulate transcriptional permissiveness in brain. However, this non-canonical phenomenon has not yet been explored following stress and/or AD exposures. Here, we employed a combination of genome-wide and biochemical analyses in dorsal raphe nucleus (DRN) of male and female mice exposed to chronic social defeat stress, as well as in DRN of human MDD patients, to examine the impact of stress exposures/MDD diagnosis on H3K4me3Q5ser dynamics, as well as associations between the mark and depression-related gene expression. We additionally assessed stress-induced/MDD-associated regulation of H3K4me3Q5ser following AD exposures, and employed viral-mediated gene therapy in mice to reduce H3K4me3Q5ser levels in DRN and examine its impact on stress-associated gene expression and behavior. We found that H3K4me3Q5ser plays important roles in stress-mediated transcriptional plasticity. Chronically stressed mice displayed dysregulated H3K4me3Q5ser dynamics in DRN, with both AD- and viral-mediated disruption of these dynamics proving sufficient to attenuate stress-mediated gene expression and behavior. Corresponding patterns of H3K4me3Q5ser regulation were observed in MDD subjects on vs. off ADs at their time of death. These findings thus establish a neurotransmission-independent role for serotonin in stress-/AD-associated transcriptional and behavioral plasticity, observations of which may be of clinical relevance to human MDD and its treatment.
情绪障碍是一类神秘的使人衰弱的疾病,影响着全球数百万人。虽然慢性应激明显增加了情绪障碍的发病率,包括重度抑郁症(MDD),但导致这些疾病的应激介导的脑功能破坏在很大程度上仍不清楚。血清素相关的抗抑郁药(ADs)仍然是许多有抑郁症状患者的一线治疗药物,然而低缓解率以及治疗与症状缓解之间的延迟引发了人们对血清素在情感障碍的发生和治疗中直接作用的怀疑。我们小组最近证明,血清素通过表观遗传修饰组蛋白(H3K4me3Q5ser)来调节大脑中的转录许可。然而,在应激和/或接触抗抑郁药后,这种非经典现象尚未得到探索。在这里,我们对暴露于慢性社会挫败应激的雄性和雌性小鼠的中缝背核(DRN)以及人类MDD患者的DRN进行了全基因组和生化分析相结合的研究,以检查应激暴露/MDD诊断对H3K4me3Q5ser动态变化的影响,以及该标记与抑郁相关基因表达之间的关联。我们还评估了抗抑郁药暴露后应激诱导/MDD相关的H3K4me3Q5ser调节,并在小鼠中采用病毒介导的基因疗法来降低DRN中的H3K4me3Q5ser水平,并检查其对应激相关基因表达和行为的影响。我们发现H3K4me3Q5ser在应激介导的转录可塑性中起重要作用。长期应激的小鼠在DRN中表现出H3K4me3Q5ser动态变化失调,抗抑郁药和病毒介导的对这些动态变化的破坏都足以减弱应激介导的基因表达和行为。在死亡时服用或未服用抗抑郁药的MDD受试者中观察到了H3K4me3Q5ser调节的相应模式。因此,这些发现确立了血清素在应激/抗抑郁药相关的转录和行为可塑性中的神经传递非依赖性作用,这些观察结果可能与人类MDD及其治疗具有临床相关性。