Lowered plasma paraoxonase (PON)1 activity is a trait marker of major depression and PON1 Q192R gene polymorphism–smoking interactions differentially predict the odds of major depression and bipolar disorder
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Background Major depression and bipolar disorder are accompanied by the activation of immune-inflammatory and Oxidative and Nitrosative Stress (O&NS) pathways and lowered levels of antioxidants. Paraoxonase (PON)1 (EC 3.1.8.1) is an antioxidant bound to High Density Lipoprotein (HDL). Polymorphisms in the PON1 Q192R coding sequence determine three functional genotypes, i.e. 192QQ, 192QR and 192RR.Aims This study was carried out to delineate the associations of plasma PON1 activity and functional PON1 Q192R genotypes in major depression and bipolar disorder.Methods PON1 status that is plasma PON1 abundance and three functional PON1 Q192R genotypes were assayed in 91 major depressed and 45 bipolar patients and compared to 199 normal controls.Results Major depression, but not bipolar disorder, was accompanied by lowered PON1 activity. PON1 activity was decreased by smoking and a diagnosis by genotype interaction (i.e. lower PON1 in major depression with the QQ genotype). Logistic regression showed that smoking by QQ genotype significantly increased the odds of bipolar disorder and that major depression was predicted by plasma PON1 activity, serum HDL cholesterol and interactions between genotype×smoking.Discussion The results suggest that lowered plasma PON1 activity is a trait marker of major depression and that PONQ192R gene-environment (smoking) interactions differentially predict the odds of depression and bipolar disorder.Limitations Association studies are prone to a risk of false positive findings and replication is essential.Conclusions The findings suggest that there are differential PON1 Q192R functional genotype×environment interactions in major depression and bipolar disorder. The effects of lowered PON1 activity may contribute to increased O&NS and immune-inflammatory burden in depression. PON1 status may contribute to the comorbidity between depression and other immune- and O&NS-related disorders, e.g. cardiovascular disorder.
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There is a strong comorbidity between mood disorders, including depression, and tobacco use disorder.
“There is a strong comorbidity between mood disorders, including depression, and tobacco use disorder.15,16”
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- Bortolasci, C. C., Vargas, H. O., Souza-Nogueira, A., Barbosa, D. S., Moreira, E. G., Vargas Nunes, S. O., Berk, M., Dodd, S. & Maes, M. (2014). Lowered plasma paraoxonase (PON)1 activity is a trait marker of major depression and PON1 Q192R gene polymorphism-smoking interactions differentially predict the odds of major depression and bipolar disorder. JOURNAL OF AFFECTIVE DISORDERS, 159, pp.23-30. https://doi.org/10.1016/j.jad.2014.02.018. Persistent Link: http://hdl.handle.net/11343/43865
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- Authors
- Bortolasci, C. C., Vargas, H. O., Souza-Nogueira, A., Barbosa, D. S., Moreira, E. G., Nunes, S. O. V., Berk, M., Dodd, S., & Maes, M.
- Affiliations
- Universidade Estadual de Londrina (BR)
- Deakin University (AU)
- Corresponding author
- Maes, Michael
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 159
- Pages
- 23-30
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2111022101
- Cited by
- 83
- References
- 62
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 1 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 9 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 1 · 2015: 8 · 2014: 8
- FWCI
- 6.20
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- National Health and Medical Research Council (1059660)
- Division of Graduate Education
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- paraoxonase 1, PON1 Q192R polymorphism, major depressive disorder, bipolar disorder, smoking, gene-environment interaction, HDL cholesterol, antioxidant status, depression biomarkers
- MeSH terms
- Adult, Bipolar Disorder, Major Depressive Disorder, Female, Genetic Markers, Genotype, Humans, Male, Middle Aged, Polymorphism, Genetic, Smoking, Biomarkers, Logistic Models, Aryldialkylphosphatase, Gene-Environment Interaction
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