Xie Chunping, Hu Qingting, Zhang Chunhu, Deng Kuancai
Psychiatry Department, Hengshui Seventh People's Hospital, Hengshui, China.
Department of Neurology, Huai'an Hospital of Huai'an City, Huai'an Cancer Hospital, Huai'an, China.
Mol Syndromol. 2025 May;16(3):216-222. doi: 10.1159/000542064. Epub 2024 Nov 29.
The incidence of depression in adolescents is increasing and is associated with severe cognitive impairment. This paper aimed to investigate the relationship between polymorphisms in microRNA-146a-5p (miR-146a-5p) and cognitive impairment in adolescent depression patients.
Quantitative real-time polymerase chain reaction was used to quantify miR-146a-5p in serum. Detection of miR-146a-5p gene polymorphism was performed by TaqMan SNP Genotyping Assay. Odds ratios and 95% confidence intervals (CIs) were calculated by chi-square test (χ) and logistic regression analysis.
Genotyping of miR-146a rs2910164 showed that CC (OR = 0.443, 95% CI, 0.264-0.741, = 0.002) and GC (OR = 0.445, 95% CI, 0.279-0.712, = 0.001) genotype reduced the risk of cognitive impairment in adolescent depression. The C allele (OR = 0.794, 95% CI, 0.694-0.741, = 0.001) was a protective factor for cognitive impairment in adolescent depression compared to the rs2910164 G allele. Rs2910164 (OR = 0.425, 95% CI = 0.273-0.662, = 0.000) showed a negative correlation with adolescents with cognitive impairment in depression by logistic regression analysis. The level of miR-146a-5p was decreased in carriers of the CC and CG genotypes.
Rs2910164 C allele carriers have a low risk of cognitive impairment in adolescent depression and could reduce miR-146a-5p level.
青少年抑郁症的发病率正在上升,且与严重的认知障碍有关。本文旨在研究微小RNA-146a-5p(miR-146a-5p)基因多态性与青少年抑郁症患者认知障碍之间的关系。
采用定量实时聚合酶链反应定量检测血清中的miR-146a-5p。通过TaqMan SNP基因分型检测法检测miR-146a-5p基因多态性。采用卡方检验(χ)和逻辑回归分析计算优势比及95%置信区间(CI)。
miR-146a rs2910164基因分型显示,CC基因型(优势比=0.443,95%CI为0.264-0.741,P=0.002)和GC基因型(优势比=0.445,95%CI为0.279-0.712,P=0.001)可降低青少年抑郁症患者认知障碍的风险。与rs2910164 G等位基因相比,C等位基因(优势比=0.794,95%CI为0.694-0.741,P=0.001)是青少年抑郁症认知障碍的保护因素。逻辑回归分析显示,rs2910164(优势比=0.425,95%CI=0.273-0.662,P=0.000)与抑郁症伴认知障碍的青少年呈负相关。CC和CG基因型携带者的miR-146a-5p水平降低。
rs2910164 C等位基因携带者在青少年抑郁症中发生认知障碍的风险较低,且可降低miR-146a-5p水平。