Potential clinical value of circular RNAs as peripheral biomarkers for the diagnosis and treatment of major depressive disorder
Open accessAbstract
BACKGROUND: circular RNAs (circRNAs) are expressed abundantly in the brain and are implicated in the pathophysiology of neuropsychiatric disease. However, the potential clinical value of circRNAs in major depressive disorder (MDD) remains unclear. METHODS: RNA sequencing was conducted in whole-blood samples in a discovery set (7 highly homogeneous MDD patients and 7 matched healthy controls [HCs]). The differential expression of circRNAs was verified in an independent validation set. The interventional study was conducted to assess the potential effect of the antidepressive treatment on the circRNA expression. FINDINGS: in the validation set, compared with 52 HCs, significantly decreased circFKBP8 levels (Diff: -0.24; [95% CI -0.39 ~ -0.09]) and significantly elevated circMBNL1 levels (Diff: 0.37; [95% CI 0.09 ~ 0.64]) were observed in 53 MDD patients. The expression of circMBNL1 was negatively correlated with 24-item Hamilton Depression Scale (HAMD-24) scores in 53 MDD patients. A mediation model indicated that circMBNL1 affected HAMD-24 scores through a mediator, serum brain-derived neurotrophic factor. In 53 MDD patients, the amplitude of low-frequency fluctuations in the right orbital part middle frontal gyrus was positively correlated with circFKBP8 and circMBNL1 expression. Furthermore, the interventional study of 53 MDD patients demonstrated that antidepressive treatment partly increased circFKBP8 expression and the change in expression of circFKBP8 was predictive of further reduced HAMD-24 scores. INTERPRETATION: whole-blood circFKBP8 and circMBNL1 may be potential biomarkers for the diagnosis of MDD, respectively, and circFKBP8 may show great potential for the antidepressive treatment.
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circRNAs are abundantly expressed in the brain and are involved in the pathogenesis of neuropsychiatric disorders, impacting neuron development, cognitive function, and synaptic plasticity.
“circRNAs are abundantly expressed in the brain. And also, circRNAs are involved in the pathogenesis of neuropsychiatric disorders, impacting neuron development, cognitive function, and synaptic plasticity290–292.”
From Epigenetic regulation in major depression and other stress-related disorders: molecular mechanisms, clinical relevance and therapeutic potential (2023) · cites this paper as [291]
The Introduction says several circRNAs are abundant in the brain and active at neuronal synapses involved in nervous-system development. The Discussion suggests circMBNL1 may contribute to MDD through neuroplasticity, but the paper does not establish an impact on cognitive function or synaptic plasticity, and it frames a role in disorder pathogenesis as possible rather than established. (LLM, conf=0.87)
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Self-citation
- Authors
- Shi, Y., Song, R., Wang, Z., Zhang, H., Zhu, J., Yue, Y., Zhao, Y., & Zhang, Z.
- Affiliations
- Zhongda Hospital Southeast University (CN)
- Henan Medical University (CN)
- Nanjing Medical University (CN)
- Chinese Academy of Sciences (CN)
- Corresponding author
- Zhao, Yang
- Zhang, Zhijun
- Venue
- eBioMedicine
- Publisher
- Elsevier BV
- Published
- 2021-04
- Volume
- 66
- Pages
- 103337
- ISSN
- 2352-3964 (ISSN-L)
- PMC
- PMC8054154
- OpenAlex
- W3153849416
- Cited by
- 65
- References
- 90
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 12 · 2023: 9 · 2022: 14 · 2021: 9
- FWCI
- 3.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- EBioMedicine (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Key Research and Development Program of China (2016YFC1306700)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Circular RNAs in diseases
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- circular RNA, major depressive disorder, peripheral biomarkers, antidepressant response, brain-derived neurotrophic factor, differentially expressed circRNAs, depression diagnosis
- MeSH terms
- Cell-Free Nucleic Acids, RNA, Circular, Adult, Brain, Brain Mapping, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Prognosis, Biomarkers, Case-Control Studies, Computational Biology, Gene Expression Profiling, Young Adult, High-Throughput Nucleotide Sequencing, Transcriptome
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