基因表达和表观遗传变化在创伤后应激障碍,抑郁症和焦虑症的第一响应者:一个系统的审查
Rasheed Alahmad1, Liza M Hinchey1, Manahil Shaikh1
1Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, 3901 Chrysler Service Dr., Detroit, MI 48201, USA.
Journal of psychiatric research
|February 1, 2025
概括
首次响应者表现出与创伤相关的基因表达变化,特别是在应激反应和炎症方面,影响PTSD. 在这个人群中,抑郁症和焦虑症的遗传基础存在研究缺口.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 精神病学是一个精神病学.
背景情况:
- 应急人员面临慢性创伤,导致PTSD,抑郁和焦虑的高率.
- 遗传和表观遗传因素显著影响与创伤相关的心理健康状况.
研究的目的:
- 系统地审查与PTSD,抑郁和焦虑相关的第一响应者中的表观遗传和基因表达变化.
- 探索潜在治疗点的共同遗传途径.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索.
- 包括2023年7月至10月期间发表的12项研究 (N=6943).
主要成果:
- 11项关于PTSD的研究涉及压力反应基因 (例如,FKBP5,NR3C1) 和炎症/免疫基因.
- 三项关于抑郁症的研究发现,没有显著的全基因组甲基化差异.
- 没有研究研究了与焦虑相关的表观遗传或基因表达变化.
结论:
- 在第一响应者中,与创伤相关的新基因和途径被确定为潜在的治疗目标.
- 关于第一响应者中创伤暴露的遗传基础研究中的重大缺陷,特别是焦虑和抑郁症,需要进一步调查.
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