Selective DNA Methylation of BDNF Promoter in Bipolar Disorder: Differences Among Patients with BDI and BDII
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The etiology of bipolar disorder (BD) is still poorly understood, involving genetic and epigenetic mechanisms as well as environmental contributions. This study aimed to investigate the degree of DNA methylation at the promoter region of the brain-derived neurotrophic factor (BDNF) gene, as one of the candidate genes associated with major psychoses, in peripheral blood mononuclear cells isolated from 94 patients with BD (BD I=49, BD II=45) and 52 healthy controls. A significant BDNF gene expression downregulation was observed in BD II 0.53±0.11%; P<0.05), but not in BD I (1.13±0.19%) patients compared with controls (CONT: 1±0.2%). Consistently, an hypermethylation of the BDNF promoter region was specifically found in BD II patients (CONT: 24.0±2.1%; BDI: 20.4±1.7%; BDII: 33.3±3.5%, P<0.05). Of note, higher levels of DNA methylation were observed in BD subjects on pharmacological treatment with mood stabilizers plus antidepressants (34.6±4.2%, predominantly BD II) compared with those exclusively on mood-stabilizing agents (21.7±1.8%; P<0.01, predominantly BD I). Moreover, among the different pharmacological therapies, lithium (20.1±3.8%, P<0.05) and valproate (23.6±2.9%, P<0.05) were associated with a significant reduction of DNA methylation compared with other drugs (35.6±4.6%). Present findings suggest selective changes in DNA methylation of BDNF promoter in subjects with BD type II and highlight the importance of epigenetic factors in mediating the onset and/or susceptibility to BD, providing new insight into the mechanisms of gene expression. Moreover, they shed light on possible mechanisms of action of mood-stabilizing compounds vs antidepressants in the treatment of BD, pointing out that BDNF regulation might be a key target for their effects.
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Altered patterns of BDNF DNA methylation have been found in patients with cognitive impairments.
“and altered patterns of BDNF DNA methylation has been found in patients with cognitive impairments [ 167 , 169 , 170 ].”
From DNA methylation: a mechanism linking environmental chemical exposures to risk of autism spectrum disorders? (2016) · cites this paper as [170]
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Thomas, M., Knoblich, N., Wallisch, A., Glowacz, K., Becker-Sadzio, J., Gundel, F., Brückmann, C., & Nieratschker, V. (2018) · Clinical Epigenetics · doi:10.1186/s13148-018-0544-6 · Cited by 51 · see citing works
Wrigglesworth, J., Ryan, J., Vijayakumar, N., & Whittle, S. (2019) · Psychiatry Research: Neuroimaging · doi:10.1016/j.pscychresns.2018.12.012 · Cited by 34 · see citing works
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Self-citationSlyepchenko, A., Brunoni, A. R., McIntyre, R. S., Quevedo, J., & Carvalho, A. F. (2016) · Current Molecular Medicine · doi:10.2174/1566524016666160126144601 · Cited by 14 · see citing works
Ahmed, O. G., Shehata, G. A., Ali, R. M., Makboul, R., Abd Allah, E. S. H., & Abd el-Rady, N. M. (2021) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2020-0923 · Cited by 14 · see citing works
- Authors
- D'Addario, C., Dell'Osso, B., Palazzo, M. C., Benatti, B., Lietti, L., Cattaneo, E., Galimberti, D., Fenoglio, C., Cortini, F., Scarpini, E., Arosio, B., Di Francesco, A., Di Benedetto, M., Romualdi, P., Candeletti, S., Mari, D., Bergamaschini, L., Bresolin, N., Maccarrone, M., & Altamura, A. C.
- Affiliations
- University of Milan (IT)
- University of Bologna (IT)
- University of Teramo (IT)
- ORCID
- Venue
- Neuropsychopharmacology
- Published
- 2012-02-22
- Volume
- 37
- Issue
- 7
- Pages
- 1647-1655
- ISSN
- 0893-133X (ISSN-L)
- 1740-634X
- PMC
- PMC3358733
- OpenAlex
- W1994958608
- Cited by
- 192
- References
- 78
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 9 · 2023: 6 · 2022: 8 · 2021: 12 · 2020: 20 · 2019: 13 · 2018: 12 · 2017: 20 · 2016: 22 · 2015: 12 · 2014: 23 · 2013: 16 · 2012: 5
- FWCI
- 12.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Neuropsychopharmacology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- UniTERAMO Research Catalog (University of Teramo) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion)
- Funders
- Ministero della Salute
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar disorder, brain-derived neurotrophic factor, DNA methylation, promoter hypermethylation, epigenetics, bipolar I disorder, bipolar II disorder, mood stabilizers, antidepressants, lithium, valproic acid, gene downregulation, peripheral blood mononuclear cells
- MeSH terms
- Adult, Aged, Bipolar Disorder, Female, Genotype, Humans, Male, Middle Aged, Promoter Regions, Genetic, Antipsychotic Agents, Down-Regulation, DNA Methylation, Brain-Derived Neurotrophic Factor, Genetic Predisposition to Disease
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