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Interactions Between Serotonin Transporter Gene and Adverse Childhood Experience in a Generalized Additive Model: A
Kosuke Niitsu1, Chiyoung Lee2, Michael J Rice3
1Kosuke Niitsu, PhD, ARNP, PMHNP-BC, University of Washington Bothell, Bothell, WA, USA.
Adverse Childhood Experiences (ACEs) impact mental health differently based on the serotonin transporter gene (5-HTTLPR/rs25531) variant. The short allele shows a stronger negative association with mental health after up to four ACEs.
Area of Science:
- Psychiatry and Genetics
- Mental Health Research
- Gene-Environment Interactions
Background:
- Potentially traumatic events (PTEs), including Adverse Childhood Experiences (ACEs), have heterogeneous effects on mental health.
- Resilience is a complex interplay of biopsychosocial factors, including gene-environment interactions like the serotonin transporter-linked promoter region (5-HTTLPR/rs25531) and ACEs.
Purpose of the Study:
- To investigate gene-by-environment interactions on mental health outcomes in adults.
- To explore the relationship between 5-HTTLPR/rs25531 gene variants and Adverse Childhood Experiences (ACEs) on mental health.
Main Methods:
- A pilot study utilized a generalized additive model (GAM) with 70 healthcare students.
- Saliva samples analyzed 5-HTTLPR/rs25531 genotypes.
- Participants completed ACE Questionnaire and Mental Health Inventory; GAMs adjusted for age, gender, and race.
Main Results:
- A linear association between ACE score and mental health was observed for the long 5-HTTLPR/rs25531 allele (EDF=1).
- A curved association was found for the short 5-HTTLPR/rs25531 allele (EDF≈2), indicating worsening mental health with up to four ACEs.
- The impact of ACEs on mental health was more pronounced in individuals with the short allele.
Conclusions:
- The short allele of 5-HTTLPR/rs25531 confers greater vulnerability to the negative mental health effects of ACEs.
- This study offers a novel perspective on analyzing gene-environment interactions in mental health research.
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