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    脑源性神经营养因子和抑郁症因果关系的两样本孟德尔随机化研究

    The causal relationship between brain-derived neurotrophic factor and depression: a two-sample Mendelian randomization analysis

    • 摘要: 目的 采用两样本孟德尔随机化研究(TSMR)探索脑源性神经营养因子(BDNF)与抑郁症的因果关系。方法 利用旷场实验(OFT)和强迫游泳实验(FST)检测对照组、慢性温和不可预知性应激(CUMS)组小鼠的行为表现。利用免疫印迹检测小鼠海马区BDNF的蛋白表达量。从BDNF的全基因组关联研究中提取出与BDNF密切相关的单核苷酸多态性位点(SNP)作为工具变量,通过TSMR方法中的MR-Egger回归、加权中位数(WM1)、权重模式(WM2)和逆方差加权(IVW)方法,评价BDNF与抑郁症之间的因果关系。结果 CUMS组小鼠在OFT中心区域的探索时间较对照组明显缩短(P<0.001),在FST中的水面不动时间明显长于对照组(P<0.05)。CUMS组小鼠海马区BDNF蛋白表达量明显低于对照组。TSMR分析结果显示BDNF与抑郁症之间无因果关系(IVW:OR=1.007,95% CI=0.962~1.054,P=0.760;WM1:OR=1.011,95% CI=0.985~1.038,P=0.411;WM2:OR=1.028,95% CI=0.996~1.026,P=0.173)。在IVW分析中,观察到3个SNP之间存在明显的异质性(Q=10.4972,P=0.005 2)。结论 小鼠经CUMS处理后抑郁样行为指标增强,海马区域BDNF蛋白表达量下调,以SNP作为工具变量预测BDNF与抑郁症之间不存在因果关系。

       

      Abstract: Objective To explore the causal relationship between brain-derived neurotrophic factor (BDNF) and depression through the two-sample Mendelian randomization(TSMR). Methods The open field test (OFT) and forced swimming test (FST) were used to detect the behavior of the control group and the chronic unpredictable mild stress (CUMS) group. Western blot was used to measure the expression of BDNF in the hippocampus of mice. The single-nucleotide polymorphisms (SNPs) closely related to BDNF were extracted from the whole genome-wide association study of BDNF as instrumental variables. The causal relationship between BDNF and depression was evaluated using the MR-Egger regression, weighted median (WM1), weighted model (WM2) and inverse variance weighting (IVW) methods of TSMR. Results The CUMS group showed remarkable shorter exploration time in the central area of OFT, longer time of immobility in FST, and a lower level of BNDF protein in the hippocampus than the control group. According to TSMR, no causal relationship was found between BDNF and depression (IVW, OR=1.007, 95%CI=0.962~1.054, P=0.760; WM1, OR= 1.011, 95%CI=0.985~1.038, P=0.411 and WM2, OR= 1.028, 95%CI=0.996~1.026, P=0.173). However, through IVW analysis, significant heterogeneity was observed among the three SNPs (Q = 10.4972, P=0.005 2). Conclusions Treatment with CUMS resulted in depression-like behavior. The expression of hippocampal BDNF protein was down-regulated. SNPs as a tool variable predicts that there is no causal relationship between BDNF and depression.

       

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