Shared genetic influences on depression and menopause symptoms
Joeri J Meijsen1,2, Hanyang Shen1, Mytilee Vemuri1
1Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA 94305, USA.
Psychological Medicine
|December 6, 2021
Summary
This study found shared genetic influences between menopause symptoms and depression. The TACR3 gene was linked to hot flashes and may play a role in these conditions.
Area of Science:
- Genetics
- Psychiatry
- Women's Health
Background:
- Women have higher rates of depression and PTSD than men.
- Estrogen influences sex differences in psychiatric disorders and menopause symptoms like hot flashes.
- Estrogen therapy is used to manage menopause symptoms.
Purpose of the Study:
- To investigate shared genetic influences between menopause symptoms and psychiatric disorders.
- To conduct a genome-wide association study (GWAS) of estrogen medication use as a proxy for menopause symptoms.
Main Methods:
- Analysis of 232,993 women in the UK Biobank, aged 39-71.
- GWAS of estrogen medication use (excluding hormonal contraceptives) and trans-ancestry meta-analyses.
- Genetic correlation and association analyses with depression and PTSD.
Main Results:
- A locus in the TACR3 gene was associated with estrogen medication use and hot flashes.
- Shared genetic influences were found between menopause symptoms and depression (rg = 0.231, p = 2.8 × 10⁻⁵).
- Women using estrogen medications reported higher psychiatric symptom scores.
Conclusions:
- Menopause symptoms share a complex genetic etiology with depression.
- The TACR3 gene has clinical relevance for treating hot flashes.
- Neurokinin 3 receptor antagonists show potential for hot flash treatment.
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