期刊论文详细信息
BMC Psychiatry
Interaction between a serotonin transporter gene promoter region polymorphism and stress predicts depressive symptoms in Chinese adolescents: a multi-wave longitudinal study
Shu-qiao Yao2  Jin-yao Yi1  Xiong-zhao Zhu1  Lin Cai1  Yu-ping Wang1  Meng-cheng Wang1  Chan-juan Hou1  Hai-yan Chen1  Qiao-lian Chai1  Yun Zhang1  Qing-sen Ming1 
[1]Medical Psychological Institute, The Second Xiangya Hospital, Central South University, NO.139 Middle Renmin Road, Changsha, Hunan, 410011, P.R. China
[2]Hunan Province Technology, Institute of Psychiatry, Changsha, Hunan, 410011, P.R. China
关键词: China;    Adolescent;    Serotonin transporter;    Depressive symptom;   
Others  :  1124051
DOI  :  10.1186/1471-244X-13-142
 received in 2013-02-25, accepted in 2013-05-14,  发布年份 2013
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【 摘 要 】

Background

The serotonin transporter (5-HTT) gene may play an important role in the onset and development of mental disorders. Past studies have tested whether a functional polymorphism in the 5-HTT gene linked promoter region (5-HTTLPR) moderated the association between stress and depressive symptoms, but the results of these studies were inconsistent. Thus, the aim of the current study was to examine the interaction between 5-HTTLPR and stress that predict depressive symptoms in Chinese adolescents.

Methods

A total of 252 healthy adolescents (131 females and 121 males, aged from 14 to 18, mean = 16.00, standard deviation = 0.60) participated in this study. During the initial assessment, all participants completed the Center for Epidemiological Studies Depression Scale (CES-D) and Adolescent Life Events Questionnaire (ALEQ) and were genotyped for the 5-HTTLPR polymorphism. Participants subsequently completed CES-D and ALEQ once every three months during the subsequent 24 months. A multilevel model was used to investigate the 5-HTTLPR × stress interaction in predicting depressive symptoms.

Results

The results indicated no main effect of 5-HTTLPR and a significant 5-HTTLPR × stress interaction in females only. Females with at least one 5-HTTLPR S allele exhibited more depressive symptoms under stressful situations. No significant 5-HTTLPR × stress interaction was found in males.

Conclusions

In Chinese adolescents, there are gender differences on the interaction between 5-HTTLPR and stress that predict depressive symptoms. The association between stress and depressive symptoms is moderated by 5-HTTLPR in Chinese female adolescents.

【 授权许可】

   
2013 Ming et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Kendler KS, Gardner CO, Prescott CA: Toward a comprehensive developmental model for major depression in women. Am J Psychiatry 2002, 159(7):1133-1145.
  • [2]Levinson DF: The genetics of depression: a review. Biol Psychiatry 2006, 60(2):84-92.
  • [3]Kendler KS, Karkowski LM, Prescott CA: Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry 1999, 156(6):837-841.
  • [4]Farmer A, Harris T, Redman K, Sadler S, Mahmood A, McGuffin P: Cardiff depression study. A sib-pair study of life events and familiality in major depression. Br J Psychiatry 2000, 176:150-155.
  • [5]Pine DS, Cohen P, Johnson JG, Brook JS: Adolescent life events as predictors of adult depression. J Affect Disord 2002, 68(1):49-57.
  • [6]Yang J, Yao S, Zhu X, Zhang C, Ling Y, Abela JRZ, Esseling PG, McWhinnie C: The impact of stress on depressive symptoms is moderated by social support in Chinese adolescents with subthreshold depression: A multi-wave longitudinal study. J Affect Disord 2010, 127(1–3):113-121.
  • [7]Schloss P, Williams DC: The serotonin transporter: a primary target for antidepressant drugs. J Psychopharmacol 1998, 12(2):115-121.
  • [8]Tamminga CA, Nemeroff CB, Blakely RD, Brady L, Carter CS, Davis KL, Dingledine R, Gorman JM, Grigoriadis DE, Henderson DC, Innis RB B, Killen J, Laughren TP, McDonald WM, Murphy GM M Jr, Paul SM, Rudorfer MV, Sausville E, Schatzberg AF, Scolnick EM, Suppes T: Developing novel treatments for mood disorders: accelerating discovery. Biol Psychiatry 2002, 52(6):589-609.
  • [9]Heils A, Teufel A, Petri S, Stober G, Riederer P, Bengel D, Lesch KP: Allelic variation of human serotonin transporter gene expression. J Neurochem 1996, 66(6):2621-2624.
  • [10]Lesch KP, Bengel D, Heils A, Sabol SZ, Greenberg BD, Petri S, Benjamin J, Muller CR, Hamer DH, Murphy DL: Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 1996, 274(5292):1527-1531.
  • [11]Caspi A, Sugden K, Moffitt TE, Taylor A, Craig IW, Harrington H, McClay J, Mill J, Martin J, Braithwaite A, Poulton R: Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 2003, 301(5631):386-389.
  • [12]Wilhelm K, Mitchell PB, Niven H, Finch A, Wedgwood L, Scimone A, Blair IP, Parker G, Schofield R: Life events, first depression onset and the serotonin transporter gene. Br J Psychiatry 2006, 188(3):210-215.
  • [13]Cervilla JA, Molina E, Rivera M, Torres-González F, Bellón JA, Moreno B, Luna JD, Lorente JA, Mayoral F, King M, Nazareth I, Gutiérrez B: The risk for depression conferred by stressful life events is modified by variation at the serotonin transporter 5HTTLPR genotype: evidence from the Spanish PREDICT-Gene cohort. Mol Psychiatry 2007, 12(8):748-755.
  • [14]Gillespie NA, Whitfield JB, Williams BEN, Heath AC, Martin NG: The relationship between stressful life events, the serotonin transporter (5-HTTLPR) genotype and major depression. Psychol Med 2005, 35(1):101-111.
  • [15]Chipman P, Jorm AF, Prior M, Sanson A, Smart D, Tan X, Easteal S: No interaction between the serotonin transporter polymorphism (5-HTTLPR) and childhood adversity or recent stressful life events on symptoms of depression: Results from two community surveys. Am J Med Genet B Neurop 2007, 144B(4):561-565.
  • [16]Karg K, Burmeister M, Shedden K, Sen S: The serotonin transporter promoter variant (5-HTTLPR), stress, and depression meta-analysis revisited: evidence of genetic moderation. Arch Gen Psychiatry 2011, 68(5):444-454.
  • [17]Solomon A, Haaga DA, Arnow BA: Is clinical depression distinct from subthreshold depressive symptoms? A review of the continuity issue in depression research. J Nerv Ment Dis 2001, 189(8):498-506.
  • [18]Hankin BL, Fraley RC, Lahey BB, Waldman ID: Is Depression Best Viewed as a Continuum or Discrete Category? A Taxometric Analysis of Childhood and Adolescent Depression in a Population-Based Sample. J Abnorm Psychol 2005, 114(1):96-110.
  • [19]Angold A: Childhood and adolescent depression. I. Epidemiological and aetiological aspects. Br J Psychiatry 1988, 152:601-617.
  • [20]Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE: Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 1998, 107(1):128-140.
  • [21]Brummett BH, Boyle SH, Siegler IC, Kuhn CM, Ashley-Koch A, Jonassaint CR, Züchner S, Collins A, Williams RB: Effects of Environmental Stress and Gender on Associations among Symptoms of Depression and the Serotonin Transporter Gene Linked Polymorphic Region (5-HTTLPR). Behav Genet 2007, 38(1):34-43.
  • [22]Priess-Groben HA, Hyde JS: 5-HTTLPR X Stress in Adolescent Depression: Moderation by MAOA and Gender. J Abnorm Child Psychol 2013, 41(2):281-294.
  • [23]Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N: Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997, 36(7):980-988.
  • [24]Radloff LS: The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Appl Psychol Meas 1977, 1(3):385-401.
  • [25]Hankin BL, Abramson LY: Measuring cognitive vulnerability to depression in adolescence: reliability, validity, and gender differences. J Clin Child Adolesc Psychol 2002, 31(4):491-504.
  • [26]Yang H, Soong W, Kuo P, Chang H, Chen W: Using the CES-D in a two-phase survey for depressive disorders among nonreferred adolescents in Taipei: a stratum-specific likelihood ratio analysis. J Affect Disord 2004, 82(3):419-430.
  • [27]Li Y, Nie Y, Xie J, Tang W, Liang P, Sha W, Yang H, Zhou Y: The association of serotonin transporter genetic polymorphisms and irritable bowel syndrome and its influence on tegaserod treatment in Chinese patients. Dig Dis Sci 2007, 52(11):2942-2949.
  • [28]Shen Y, Li H, Gu N, Tan Z, Tang J, Fan J, Li X, Sun W, He L: Relationship between suicidal behavior of psychotic inpatients and serotonin transporter gene in Han Chinese. Neurosci Lett 2004, 372(1–2):94-98.
  • [29]Liu XC, Ma DD, Kurita H, Tang MQ: Self-reported depressive symptoms among Chinese adolescents. Soc Psychiatry Psychiatr Epidemiol 1999, 34:44-47.
  • [30]Tepper P, Liu X, Guo C, Zhai J, Liu T, Li C: Depressive symptoms in Chinese children and adolescents: parent, teacher, and self reports. J Affect Disord 2008, 111(2–3):291-298.
  • [31]Araya R, Hu X, Heron J, Enoch M-A, Evans J, Lewis G, Nutt D, Goldman D: Effects of stressful life events, maternal depression and 5-HTTLPR genotype on emotional symptoms in pre-adolescent children. Am J Med Genet B Neurop 2009, 150B(5):670-682.
  • [32]Hankin BL, Jenness J, Abela JRZ, Smolen A: Interaction of 5-HTTLPR and Idiographic Stressors Predicts Prospective Depressive Symptoms Specifically Among Youth in a Multiwave Design. J Clin Child Adolesc Psychol 2011, 40(4):572-585.
  • [33]Nobile M, Cataldo MG, Giorda R, Battaglia M, Baschirotto C, Bellina M, Marino C, Molteni M: A case–control and family-based association study of the 5-HTTLPR in pediatric-onset depressive disorders. Biol Psychiatry 2004, 56(4):292-295.
  • [34]Clarke H, Flint J, Attwood AS, Munafò MR: Association of the 5- HTTLPR genotype and unipolar depression: a meta-analysis. Psychol Med 2010, 40(11):1767-1778.
  • [35]Eley TC, Sugden K, Corsico A, Gregory AM, Sham P, McGuffin P, Plomin R, Craig IW: Gene–environment interaction analysis of serotonin system markers with adolescent depression. Mol Psychiatry 2004, 9(10):908-915.
  • [36]Sjöberg RL, Nilsson KW, Nordquist N, Öhrvik J, Leppert J, Lindström L, Oreland L: Development of depression: sex and the interaction between environment and a promoter polymorphism of the serotonin transporter gene. Int J Neuropsychopharmacol 2005, 9(4):443.
  • [37]Hammen C, Brennan PA, Keenan-Miller D, Hazel NA, Najman JM: Chronic and acute stress, gender, and serotonin transporter gene-environment interactions predicting depression symptoms in youth. J Child Psychol Psychiatr 2010, 51(2):180-187.
  • [38]Biegon A, McEwen BS: Modulation by estradiol of serotonin receptors in brain. J Neurosci 1982, 2(2):199-205.
  • [39]Halbreich U, Rojanshy N, Palter S, Tworek H, Hissin P, Wang K: Estrogen augments serotonergic activity in postmenopausal women. Biol Psychiatry 1995, 37(7):434-441.
  • [40]Fink G, Sumner BE, Rosie R, Grace O, Quinn JP: Estrogen control of central neurotransmission: effect on mood, mental state, and memory. Cell Mol Neurobiol 1996, 16(3):325-344.
  • [41]Pecins-Thompson M, Brown NA, Bethea CL: Regulation of serotonin re-uptake transporter mRNA expression by ovarian steroids in rhesus macaques. Brain Res Mol Brain Res 1998, 53(1–2):120-129.
  • [42]Hanmmen C, Brennan PA, Keenan-Miller D, Hazel NA, Najman JM: Chronic and acute stress, gender, and serotonin transporter gene-environment interactions predicting depression symptoms in youth. J Child Psychol Psychiatry 2010, 51(2):180-187.
  • [43]Wüst S, Kumsta R, Treutlein J, Frank J, Entringer S, Schulze TG, Rietschel M: Sex-specific association between the 5-HTT gene-linked polymorphic region and basal cortisol secretion. Psychoneuroendocrinol 2009, 34(7):972-982.
  • [44]Risch N, Herrel R, Lehner T, Liang K-Y, Eaves L, Hoh J, Grien A, Kovacs M, Ott J, Merikangas KR: Interaction between the serotonin transporter gene (5-HTTLPR), stressful life events, and risk of depression: a meta-analysis. JAMA 2009, 301(23):2462-2471.
  • [45]Zhang K, Xu Q, Xu Y, Yang H, Luo J, Sun Y, Sun N, Wang S, Shen Y: The combined effects of the 5-HTTLPR and 5-HTR1A genes modulates the relationship between negative life events and major depressive disorder in a Chinese population. J Affect Disord 2009, 114:224-231.
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