The DNA methylome in panic disorder: a case-control and longitudinal psychotherapy-epigenetic study

Translational Psychiatry - Tập 9 Số 1
Christiane Ziegler1, Franziska Grundner-Culemann2, Miriam A. Schiele1, Pascal Schlosser2, Leonie Kollert3, Marina Mahr3, Agnieszka Gajewska3, Klaus‐Peter Lesch4, Jürgen Deckert3, Anna Köttgen2, Katharina Domschke5
1Department of Psychiatry and Psychotherapy, Medical Center, University of Freiburg, Faculty of Medicine University of Freiburg, Freiburg, Germany
2Institute of Genetic Epidemiology, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany
3Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany
4Division of Molecular Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany
5Center for Basics in NeuroModulation, Faculty of Medicine, University of Freiburg, Freiburg, Germany

Tóm tắt

AbstractIn panic disorder (PD), epigenetic mechanisms such as DNA methylation of candidate genes have been suggested to play a key role at the intersection of genetic and environmental factors. On an epigenome-wide level, however, only two studies in PD patients have been published so far, while to date no study has intra-individually analyzed dynamic epigenetic correlates of treatment-response in PD on a DNA methylome level. Here, an epigenome-wide association study (EWAS) was performed in a sample of 57 PD patients and matched healthy controls using the Illumina MethylationEPIC BeadChip, along with a longitudinal approach assessing changes on the DNA methylome level corresponding to clinical effects of a manualized six-week cognitive-behavioral therapy (CBT) in PD. While no epigenome-wide significant hits could be discerned, top suggestive evidence was observed for decreased methylation in PD at cg19917903 in the Cilia and Flagella Associated Protein 46 (CFAP46) gene, and for an increase in methylation after CBT at cg06943668 in the Interleukin 1 Receptor Type 1 (IL1R1) gene in treatment responders to CBT. Additional exploratory analyses based on biological validity and a combined statistical/biological ranking point to further new potential PD risk genes such as the CCL4L1 or GMNN genes, and suggest dynamic methylation of, e.g., the ZFP622 and the SLC43A2 genes along with response to CBT. These EWAS and first longitudinal epigenome-wide pilot data in PD add to the emerging candidate gene-based body of evidence for epigenetic mechanisms to be involved in PD pathogenesis and to possibly constitute dynamic biological correlates of therapeutic interventions.

Từ khóa


Tài liệu tham khảo

Wittchen, H. U. et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur. Neuropsychopharmacol. 21, 655–679 (2011).

Hettema, J. M., Neale, M. C. & Kendler, K. S. A review and meta-analysis of the genetic epidemiology of anxiety disorders. Am. J. Psychiatry 158, 1568–1578 (2001).

Bystritsky, A. Treatment-resistant anxiety disorders. Mol. Psychiatry 11, 805–814 (2006).

Klengel, T. & Binder, E. B. Epigenetics of stress-related psychiatric disorders and gene x environment interactions. Neuron 86, 1343–1357 (2015).

Schiele, M. A. & Domschke, K. Epigenetics at the crossroads between genes, environment and resilience in anxiety disorders. Genes Brain Behav. 17, e12423 (2018).

Esler, M. et al. The neuronal noradrenaline transporter, anxiety and cardiovascular disease. J. Psychopharmacol. 20, 60–66 (2006).

Domschke, K. et al. Monoamine oxidase A gene DNA hypomethylation - a risk factor for panic disorder? Int J. Neuropsychopharmacol. 15, 1217–1228 (2012).

Ziegler, C. et al. MAOA gene hypomethylation in panic disorder-reversibility of an epigenetic risk pattern by psychotherapy. Transl. Psychiatry 6, e773 (2016).

Domschke, K. et al. Epigenetic signature of panic disorder: a role of glutamate decarboxylase 1 (GAD1) DNA hypomethylation? Prog. Neuropsychopharmacol. Biol. Psychiatry 46, 189–196 (2013).

Schartner, C. et al. CRHR1 promoter hypomethylation: An epigenetic readout of panic disorder? Eur. Neuropsychopharmacol. 27, 360–371 (2017).

Prelog, M. et al. Hypermethylation of FOXP3 promoter and premature aging of the immune system in female patients with panic disorder? PLoS ONE 11, e0157930 (2016).

Gottschalk, M. G. & Domschke, K. Novel developments in genetic and epigenetic mechanisms of anxiety. Curr. Opin. Psychiatry 29, 32–38 (2016).

Ziegler, C. & Domschke, K. Epigenetic signature of MAOA and MAOB genes in mental disorders. J. Neural Transm. 125, 1581–1588 (2018).

Iurato, S. et al. DNA Methylation signatures in panic disorder. Transl. Psychiatry 7, 1287 (2017).

Shimada-Sugimoto, M. et al. Epigenome-wide association study of DNA methylation in panic disorder. Clin. Epigenet. 9, 6 (2017).

Gloster, A. T. et al. Psychological treatment for panic disorder with agoraphobia: a randomized controlled trial to examine the role of therapist-guided exposure in situ in CBT. J. Consult Clin. Psychol. 79, 406–420 (2011).

Hamilton, M. The assessment of anxiety states by rating. Br. J. Med. Psychol. 32, 50–55 (1959).

Lehne, B. et al. Erratum to: A coherent approach for analysis of the Illumina HumanMethylation450 BeadChip improves data quality and performance in epigenome-wide association studies. Genome Biol. 17, (73 (2016).

Houseman, E. A. et al. DNA methylation arrays as surrogate measures of cell mixture distribution. BMC Bioinforma. 13, 86 (2012).

Aryee, M. J. et al. Minfi: a flexible and comprehensive Bioconductor package for the analysis of Infinium DNA methylation microarrays. Bioinformatics 30, 1363–1369 (2014).

Devlin, B. & Roeder, K. Genomic control for association studies. Biometrics 55, 997–1004 (1999).

Assenov, Y. et al. Comprehensive analysis of DNA methylation data with RnBeads. Nat. Methods 11, 1138–1140 (2014).

Dempster, E. L. et al. Disease-associated epigenetic changes in monozygotic twins discordant for schizophrenia and bipolar disorder. Hum. Mol. Genet. 20, 4786–4796 (2011).

Phipson, B., Maksimovic, J. & Oshlack, A. missMethyl: an R package for analyzing data from Illumina’s HumanMethylation450 platform. Bioinformatics 32, 286–288 (2016).

Edgar, R. D., Jones, M. J., Meaney, M. J., Turecki, G. & Kobor, M. S. BECon: a tool for interpreting DNA methylation findings from blood in the context of brain. Transl. Psychiatry 7, e1187 (2017).

Braun, P. R. et al. Genome-wide DNA methylation comparison between live human brain and peripheral tissues within individuals. Transl. Psychiatry 9, 47 (2019).

Fagerberg, L. et al. Analysis of the human tissue-specific expression by genome-wide integration of transcriptomics and antibody-based proteomics. Mol. Cell Proteom. 13, 397–406 (2014).

Lepanto, P., Badano, J. L. & Zolessi, F. R. Neuron’s little helper: The role of primary cilia in neurogenesis. Neurogenesis 3, e1253363 (2016).

Lee, J. E. & Gleeson, J. G. Cilia in the nervous system: linking cilia function and neurodevelopmental disorders. Curr. Opin. Neurol. 24, 98–105 (2011).

Lee, J. H. & Gleeson, J. G. The role of primary cilia in neuronal function. Neurobiol. Dis. 38, 167–172 (2010).

Youn, Y. H. & Han, Y. G. Primary cilia in brain development and diseases. Am. J. Pathol. 188, 11–22 (2018).

Miyoshi, K., Kasahara, K., Miyazaki, I. & Asanuma, M. Lithium treatment elongates primary cilia in the mouse brain and in cultured cells. Biochem. Biophys. Res. Commun. 388, 757–762 (2009).

Munoz-Estrada, J., Lora-Castellanos, A., Meza, I., Alarcon Elizalde, S. & Benitez-King, G. Primary cilia formation is diminished in schizophrenia and bipolar disorder: a possible marker for these psychiatric diseases. Schizophr. Res 195, 412–420 (2018).

Taouki, I. et al. Geminin participates in differentiation decisions of adult neural stem cells transplanted in the hemiparkinsonian mouse brain. Stem Cells Dev. 26, 1214–1222 (2017).

Suzuki, M. M. & Bird, A. DNA methylation landscapes: provocative insights from epigenomics. Nat. Rev. Genet 9, 465–476 (2008).

Brenet, F. et al. DNA methylation of the first exon is tightly linked to transcriptional silencing. PLoS ONE 6, e14524 (2011).

Konsman, J. P., Blond, D. & Vigues, S. Neurobiology of interleukin-1 receptors: getting the message. Eur. Cytokine Netw. 11, 699–702 (2000).

Engler, H. et al. Acute amygdaloid response to systemic inflammation. Brain Behav. Immun. 25, 1384–1392 (2011).

Brambilla, F. et al. Plasma interleukin-1 beta concentrations in panic disorder. Psychiatry Res. 54, 135–142 (1994).

Hoge, E. A. et al. Broad spectrum of cytokine abnormalities in panic disorder and posttraumatic stress disorder. Depress. Anxiety 26, 447–455 (2009).

Tang, Z. et al. Peripheral proinflammatory cytokines in Chinese patients with generalised anxiety disorder. J. Affect Disord. 225, 593–598 (2018).

Amitai, M. et al. The relationship between plasma cytokine levels and response to selective serotonin reuptake inhibitor treatment in children and adolescents with depression and/or anxiety disorders. J. Child Adolesc. Psychopharmacol. 26, 727–732 (2016).

Murray, C. L., Obiang, P., Bannerman, D. & Cunningham, C. Endogenous IL-1 in cognitive function and anxiety: a study in IL-1RI-/- mice. PLoS One 8, e78385 (2013).

Koo, J. W. & Duman, R. S. Interleukin-1 receptor null mutant mice show decreased anxiety-like behavior and enhanced fear memory. Neurosci. Lett. 456, 39–43 (2009).

Wohleb, E. S. et al. beta-Adrenergic receptor antagonism prevents anxiety-like behavior and microglial reactivity induced by repeated social defeat. J. Neurosci. 31, 6277–6288 (2011).

Wohleb, E. S. et al. Knockdown of interleukin-1 receptor type-1 on endothelial cells attenuated stress-induced neuroinflammation and prevented anxiety-like behavior. J. Neurosci. 34, 2583–2591 (2014).

Chiu, G. S. et al. Adenosine through the A2A adenosine receptor increases IL-1beta in the brain contributing to anxiety. Brain Behav. Immun. 41, 218–231 (2014).

Hou, R. & Baldwin, D. S. A neuroimmunological perspective on anxiety disorders. Hum. Psychopharmacol. 27, 6–14 (2012).

Stafford, J. M. & Lattal, K. M. Is an epigenetic switch the key to persistent extinction? Neurobiol. Learn Mem. 96, 35–40 (2011).

Whittle, N. & Singewald, N. HDAC inhibitors as cognitive enhancers in fear, anxiety and trauma therapy: where do we stand? Biochem Soc. Trans. 42, 569–581 (2014).

Schiele, M. A. et al. Plasticity of Functional MAOA Gene Methylation in Acrophobia. Int J. Neuropsychopharmacol. 21, 822–827 (2018).

Roberts, S. et al. Serotonin transporter [corrected] methylation and response to cognitive behaviour therapy in children with anxiety disorders. Transl. Psychiatry 4, e444 (2014).

Roberts, S. et al. Hpa axis related genes and response to psychological therapies: genetics and epigenetics. Depress Anxiety 32, 861–870 (2015).

Provençal, N. et al. The signature of maternal rearing in the methylome in rhesus macaque prefrontal cortex and T cells. J. Neurosci. 32, 15626–15642 (2012).

Wang, D. et al. Peripheral SLC6A4 DNA methylation is associated with in vivo measures of human brain serotonin synthesis and childhood physical aggression. PLoS ONE 7, e39501 (2012).

Ursini, G. et al. Stress-related methylation of the catechol-O-methyltransferase Val158 allele predicts human prefrontal cognition and activity. J. Neurosci. 31, 6692–6698 (2011).

Wahl, S. et al. Epigenome-wide association study of body mass index, and the adverse outcomes of adiposity. Nature 541, 81–86 (2017).

Chu, A. Y. et al. Epigenome-wide association studies identify DNA methylation associated with kidney function. Nat. Commun. 8, 1286 (2017).

Michopoulos, V., Powers, A., Gillespie, C. F., Ressler, K. J. & Jovanovic, T. Inflammation in fear- and anxiety-based disorders: PTSD, GAD, and beyond. Neuropsychopharmacology 42, 254–270 (2017).