对产后抑郁症的全基因组协会研究的元分析
Jerry Guintivano1, Enda M Byrne1, Jacqueline Kiewa1
1Department of Psychiatry (Guintivano, Bauer, Watson, Krohn, Rubinow, Meltzer-Brody, Sullivan), Department of Genetics (Raffield, Li, Sullivan), and Department of Biostatistics (Li), University of North Carolina at Chapel Hill; Child Health Research Centre (Byrne, Kiewa), Institute for Molecular Bioscience (Byrne, Walker), Frazer Institute (Olsen), School of Public Health (Whiteman), and Queensland Brain Institute (Wray), University of Queensland, Brisbane, Australia; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm (Yao, Lu, Xiong, Viktorin, Sullivan); Center for Biomarker Research and Precision Medicine, Virginia Commonwealth University, Richmond (Aberg, van den Oord); Division of Psychiatry (Adams, McIntosh), Centre for Genomic and Experimental Medicine, Institute of Genetics and Cancer (A. Campbell), and Usher Institute for Population Health Sciences and Informatics (A. Campbell), University of Edinburgh, Edinburgh; MRC Genomic and Precision Medicine Research Unit, Division of Human Genetics, Institute for Infectious Diseases and Molecular Medicine (M.L. Campbell), SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, and Neuroscience Institute (Koen, Stein), and Department of Paediatrics and Child Health and MRC Unit on Child and Adolescent Health (Zar), University of Cape Town, Cape Town, South Africa; Global Initiative for Neuropsychiatric Genetics Education in Research (M.L. Campbell) and Stanley Center for Psychiatric Research (Sealock), Broad Institute, Cambridge, Mass.; Center for Precision Psychiatry, Department of Psychiatry (Choi, Feng, Smoller), Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine (Choi, Feng, Smoller), and Analytic and Translational Genetics Unit (Sealock), Massachusetts General Hospital, Boston; Department of Psychiatry, Harvard Medical School, Boston (Choi, Feng, Smoller); Department of Mental Disorders (Corfield, Reichborn-Kjennerud, Tesli) and Center for Genetic Epidemiology and Mental Health (Havdahl), Norwegian Institute of Public Health, Oslo; Nic Waals Institute, Lovisenberg Diaconal Hospital, Oslo (Corfield, Havdahl); Department of Psychology, PROMENTA Research Center (Havdahl), NORMENT Center (Andreassen), K.G. Jebsen Center for Neurodevelopmental Disorders (Andreassen, Westlye), Institute of Clinical Medicine (Reichborn-Kjennerud), and Department of Psychology (Westlye), University of Oslo, Oslo; Department of Medicine (Hucks, Davis), Division of Genetic Medicine (Hucks, Davis), and Vanderbilt Genetics Institute (Hucks), Vanderbilt University Medical Center, Nashville; National Center for Register-Based Research (Mægbæk, Munk-Olsen) and Department of Economics and Business Economics (Mægbæk), Aarhus University, Aarhus, Denmark; Department of Epidemiology, Biostatistics, and Clinical Research, AP-HP Nord-Université Paris Cité, Paris (Mullaert); UMR 1137 IAME, INSERM, Paris (Mullaert); Department of Psychiatry and Behavioral Sciences (Peterson), Institute for Genomics in Health (Peterson), and Department of Psychiatry and Behavioral Sciences (Bigdeli), SUNY Downstate Health Sciences University, Brooklyn; Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, U.K. (Sallis); Discipline of Psychology, Curtin University, Perth, Australia (Watson); Division of Paediatrics, University of Western Australia, Perth (Watson); Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, U.K. (Yang, Anney, Hubbard, I. Jones, Pardiñas, Di Florio); Psychological Medicine, University of Worcester, Worcester, U.K. (Gordon-Smith, L.A. Jones, Perry); Department of Psychiatry, Catharina Hospital, Eindhoven, the Netherlands (Mihaescu); Department of Health Science and Technology, Aalborg University, Aalborg, Denmark (Nyegaard); Department of Clinical Sciences, Sulaiman AlRajhi University, Bukairiyah, Saudi Arabia (Saquib); Department of Epidemiology, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla (Shadyab); Division of Mental Health and Addiction (Andreassen), Center for Research and Education in Forensic Psychiatry, Department of Mental Health and Addiction (Tesli), and NORMENT, Division for Mental Health and Addiction (Westlye), Oslo University Hospital, Oslo; Research Service, VA New York Harbor Healthcare System, New York (Bigdeli); Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto (Dennis); INSERM U1266, Université de Paris, Paris (Dubertret); Department of Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, France (Dubertret, Tebeka); Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario (Frey, Van Lieshout); Women's Health Concerns Clinic, St. Joseph's Healthcare Hamilton, Hamilton, Canada (Frey); Department of Psychiatry, Sunnybrook Health Science Centre and Research Institute, Toronto (Grigoriadis); Department of Psychiatry, University of Toronto, Toronto (Grigoriadis, Kennedy, Vigod); Hôpital Bichat, Department of Epidemiology, Biostatistics, and Clinical Research, AP-HP, Paris (Gloaguen); Molecular Brain Science Department, Centre for Addiction and Mental Health, Toronto (Kennedy); Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden (Kunovac Kallak, Skalkidou); Genetic Epidemiology (Martin) and Population Health Program (Olsen, Whiteman), QIMR Berghofer Medical Research Institute, Brisbane, Australia; Parent-Infant Research Institute, Heidelberg Heights, Australia (Milgrom); University of Melbourne, Melbourne, Australia (Milgrom); Department of Clinical Research, Psychiatric Research Unit, University of Southern Denmark, Odense (Munk-Olsen); BC Children's Hospital, Vancouver (Oberlander); Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver (Oberlander); Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM UMR1266, Team "Genetic vulnerability to addictive and psychiatric disorders," Paris (Ramoz); GHU Paris Psychiatrie et Neurosciences, CMME, Hôpital Sainte-Anne, Paris (Ramoz); Behavioral Sciences and Social Medicine, Florida State University, Daytona Beach (Robertson Blackmore); Department of Psychiatry, University of Wisconsin, Madison (Stowe); Department of Psychiatry, University of Calgary, Calgary, Canada (Taylor); INSERM U1266, Université Paris Cité, Paris (Tebeka); Department of Psychiatry, Women's College Hospital, Toronto (Vigod); Institute of Biological Psychiatry, Mental Health Services, Copenhagen University Hospital, Copenhagen (Werge); Department of Clinical Medicine and LF Center for Geogenetics, Globe Institute, University of Copenhagen, Copenhagen (Werge); iPSYCH, Lundbeck Foundation Initiative for Integrative Psychiatric Research, Copenhagen (Werge).
产后抑郁症 (PPD) 是一种遗传性多遗传性疾病. 遗传分析表明,与主要抑郁症 (MDD) 独立的独特成分,涉及特定的大脑细胞类型.
科学领域:
- 精神病学遗传学 精神病学遗传学
- 神经科学是一个神经科学.
- 基因组学就是基因组学.
背景情况:
- 产后抑郁症 (PPD) 是一种主要抑郁症 (MDD) 的常见亚型.
- 后遗症是高度遗传的,但在精神病遗传学中仍未得到充分研究.
- 研究PPD的遗传结构对于理解其病因至关重要.
研究的目的:
- 对PPD进行全基因组关联研究 (GWAS) 的元分析.
- 为了研究PPD的遗传结构.
- 为了确定PPD的遗传相关性和组织特异性丰富物.
主要方法:
- 欧洲,东亚和非洲祖先的GWAS的元分析.
- 总共有18770例PPD病例和58461例对照病例.
- 后GWAS分析包括遗传性,遗传相关性和细胞类型丰富.
主要成果:
- 没有单个核酸多态 (SNP) 达到全基因组意义.
- 预后遗传症的遗传性估计为0.14.
- 发现与MDD,双相情感障碍,焦虑,PTSD,失眠,初潮时的年龄和PCOS有显著的遗传相关性.
- 细胞类型的丰富涉及lamus中的抑制神经元和下丘脑中的胆能神经元.
结论:
- PPD是一种多基因和可遗传的表型.
- PPD可能具有与MDD不同的独特遗传组件.
- 细胞丰富的发现表明GABAergic神经元的作用,可能与布雷克萨诺龙的机制联系在一起.
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