Cited by 59Genetic Associations and EpidemiologySuicide and Self-Harm StudiesStress Responses and Cortisol

GLUCOCORTICOID RECEPTOR-RELATED GENES: GENOTYPE AND BRAIN GENE EXPRESSION RELATIONSHIPS TO SUICIDE AND MAJOR DEPRESSIVE DISORDER: Research Article: Glucocorticoid Receptor-Related Genes and Suicide

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Yin, Honglei, Galfalvy, Hanga, Pantazatos, Spiro P., Huang, Yung-yu, Rosoklija, Gorazd B., Dwork, Andrew J., Burke, Ainsley, Arango, Victoria +2 more·2016·Depression and Anxiety

Abstract

INTRODUCTION: We tested the relationship between genotype, gene expression and suicidal behavior and major depressive disorder (MDD) in live subjects and postmortem samples for three genes, associated with the hypothalamic-pituitary-adrenal axis, suicidal behavior, and MDD; FK506-binding protein 5 (FKBP5), Spindle and kinetochore-associated protein 2 (SKA2), and Glucocorticoid Receptor (NR3C1). MATERIALS AND METHODS: Single-nucleotide polymorphisms (SNPs) and haplotypes were tested for association with suicidal behavior and MDD in a live (N = 277) and a postmortem sample (N = 209). RNA-seq was used to examine gene and isoform-level brain expression postmortem (Brodmann Area 9; N = 59). Expression quantitative trait loci (eQTL) relationships were examined using a public database (UK Brain Expression Consortium). RESULTS: We identified a haplotype within the FKBP5 gene, present in 47% of the live subjects, which was associated with increased risk of suicide attempt (OR = 1.58, t = 6.03, P = .014). Six SNPs on this gene, three SNPs on SKA2, and one near NR3C1 showed before-adjustment association with attempted suicide, and two SNPs of SKA2 with suicide death, but none stayed significant after adjustment for multiple testing. Only the SKA2 SNPs were related to expression in the prefrontal cortex (pFCTX). One NR3C1 transcript had lower expression in suicide relative to nonsuicide sudden death cases (b = -0.48, SE = 0.12, t = -4.02, adjusted P = .004). CONCLUSION: We have identified an association of FKBP5 haplotype with risk of suicide attempt and found an association between suicide and altered NR3C1 gene expression in the pFCTX. Our findings further implicate hypothalamic pituitary axis dysfunction in suicidal behavior.

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Authors
Yin, H., Galfalvy, H., Pantazatos, S. P., Huang, Y.-Y., Rosoklija, G. B., Dwork, A. J., Burke, A., Arango, V., Oquendo, M. A., & Mann, J. J.
Affiliations
  • Nanfang Hospital (CN)
  • Columbia University (US)
  • New York State Psychiatric Institute (US)
  • Department of Psychiatry; Columbia University; New York New York
Corresponding author
Galfalvy, Hanga
Venue
Depression and Anxiety
Published
2016-03-31
Volume
33
Issue
6
Pages
531-540
ISSN
1091-4269 (ISSN-L)
OpenAlex
W2320259336
Cited by
57
References
49
Citations by year
2026: 3 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 4 · 2021: 4 · 2020: 12 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 3
FWCI
5.11
Type
journal article
Language
en
Open access
Locations
  • Depression and Anxiety (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NIMH (5R01MH082041, R01MH40210, P50MH62185)
  • Paul Janssen Translational Neuroscience Postdoctoral Fellowship
  • Astra-Zeneca
  • Bristol Myers Squibb
  • Eli Lilly
  • Janssen
  • Otsuko
  • Pfizer
  • Sanofi-Aventis
  • Shire
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
suicide, major depressive disorder, glucocorticoid receptor, NR3C1, FKBP5, SKA2, hypothalamic-pituitary-adrenal axis, suicide attempts, suicide mortality, prefrontal cortex gene expression, single nucleotide polymorphisms, haplotypes, expression quantitative trait loci, postmortem brain, sudden death
MeSH terms
Tacrolimus Binding Protein 5, Adult, Chromosomal Proteins, Non-Histone, Major Depressive Disorder, Female, Genotype, Humans, Male, Middle Aged, Receptors, Glucocorticoid, Suicide, Prefrontal Cortex, Polymorphism, Single Nucleotide, Tacrolimus Binding Proteins

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