Alterations in leukocyte transcriptional control pathway activity associated with major depressive disorder and antidepressant treatment

Autor: Owen M. Wolkowitz, Victor I. Reus, Elissa S. Epel, D Stamatiou, Rebecca Rosser, C C Liew, Synthia H. Mellon, Marcus D. Schonemann, Steve W. Cole, Laura Mahan, H B Burke
Rok vydání: 2016
Předmět:
Male
medicine.disease_cause
Transcriptome
Glucocorticoid
0302 clinical medicine
Glucocorticoid receptor
Receptors
Leukocytes
2.1 Biological and endogenous factors
Psychology
Aetiology
Sertraline
biology
Depression
NF-kappa B
Middle Aged
Antidepressive Agents
3. Good health
Psychiatry and Mental health
Mental Health
Early Growth Response Transcription Factors
Public Health and Health Services
Major depressive disorder
Antidepressant
Original Article
Female
medicine.drug
Adult
NF-E2-Related Factor 2
Major Depressive Disorder
Clinical Sciences
CREB
03 medical and health sciences
Cellular and Molecular Neuroscience
Receptors
Glucocorticoid

Clinical Research
Genetics
medicine
Humans
Early Growth Response Protein 3
Early Growth Response Protein 2
Biological Psychiatry
Early Growth Response Protein 1
Depressive Disorder
Major

Depressive Disorder
Gene Expression Profiling
Prevention
Major
Immune dysregulation
medicine.disease
NFE2L2
Brain Disorders
030227 psychiatry
Immunology
biology.protein
Neuroscience
030217 neurology & neurosurgery
Transcription Factors
Zdroj: Mellon, SH; Wolkowitz, OM; Schonemann, MD; Epel, ES; Rosser, R; Burke, HB; et al.(2016). Alterations in leukocyte transcriptional control pathway activity associated with major depressive disorder and antidepressant treatment. Translational psychiatry, 6, e821. doi: 10.1038/tp.2016.79. UCSF: Retrieved from: http://www.escholarship.org/uc/item/0mk8m1fc
Translational psychiatry, vol 6, iss 5
Translational Psychiatry
ISSN: 2158-3188
DOI: 10.1038/tp.2016.79
Popis: Major depressive disorder (MDD) is associated with a significantly elevated risk of developing serious medical illnesses such as cardiovascular disease, immune impairments, infection, dementia and premature death. Previous work has demonstrated immune dysregulation in subjects with MDD. Using genome-wide transcriptional profiling and promoter-based bioinformatic strategies, we assessed leukocyte transcription factor (TF) activity in leukocytes from 20 unmedicated MDD subjects versus 20 age-, sex- and ethnicity-matched healthy controls, before initiation of antidepressant therapy, and in 17 of the MDD subjects after 8 weeks of sertraline treatment. In leukocytes from unmedicated MDD subjects, bioinformatic analysis of transcription control pathway activity indicated an increased transcriptional activity of cAMP response element-binding/activating TF (CREB/ATF) and increased activity of TFs associated with cellular responses to oxidative stress (nuclear factor erythroid-derived 2-like 2, NFE2l2 or NRF2). Eight weeks of antidepressant therapy was associated with significant reductions in Hamilton Depression Rating Scale scores and reduced activity of NRF2, but not in CREB/ATF activity. Several other transcriptional regulation pathways, including the glucocorticoid receptor (GR), nuclear factor kappa-B cells (NF-κB), early growth response proteins 1–4 (EGR1–4) and interferon-responsive TFs, showed either no significant differences as a function of disease or treatment, or activities that were opposite to those previously hypothesized to be involved in the etiology of MDD or effective treatment. Our results suggest that CREB/ATF and NRF2 signaling may contribute to MDD by activating immune cell transcriptome dynamics that ultimately influence central nervous system (CNS) motivational and affective processes via circulating mediators.
Databáze: OpenAIRE