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A functional genomic perspective on human well-being
Open accessAbstract
To identify molecular mechanisms underlying the prospective health advantages associated with psychological well-being, we analyzed leukocyte basal gene expression profiles in 80 healthy adults who were assessed for hedonic and eudaimonic well-being, as well as potentially confounded negative psychological and behavioral factors. Hedonic and eudaimonic well-being showed similar affective correlates but highly divergent transcriptome profiles. Peripheral blood mononuclear cells from people with high levels of hedonic well-being showed up-regulated expression of a stress-related conserved transcriptional response to adversity (CTRA) involving increased expression of proinflammatory genes and decreased expression of genes involved in antibody synthesis and type I IFN response. In contrast, high levels of eudaimonic well-being were associated with CTRA down-regulation. Promoter-based bioinformatics implicated distinct patterns of transcription factor activity in structuring the observed differences in gene expression associated with eudaimonic well-being (reduced NF-κB and AP-1 signaling and increased IRF and STAT signaling). Transcript origin analysis identified monocytes, plasmacytoid dendritic cells, and B lymphocytes as primary cellular mediators of these dynamics. The finding that hedonic and eudaimonic well-being engage distinct gene regulatory programs despite their similar effects on total well-being and depressive symptoms implies that the human genome may be more sensitive to qualitative variations in well-being than are our conscious affective experiences.
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“The CTRA can also be activated by modernday social, symbolic, anticipated, and imagined threats, however, leading to increased risk for several inflammation-related conditions, including depression”
From From stress to inflammation and major depressive disorder: A social signal transduction theory of depression. (2014) · cites this paper as Fredrickson et al., 2013
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“they can also be separated in that they seem to correlate with different neurobiological systems (Fredrickson et al., 2013).”
From Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL) (2020) · cites this paper as Fredrickson et al., 2013
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“Finally, a small study analyzed leukocyte basal gene expression profiles and reported distinct gene expression profiles for hedonic (positive affect) versus eudaimonic (striving, purpose) wellbeing (Fredrickson et al. 2013)”
From Genetics of Wellbeing and Its Components Satisfaction with Life, Happiness, and Quality of Life: A Review and Meta-analysis of Heritability Studies (2015) · cites this paper as Fredrickson et al. 2013
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“Additionally, a study that examined gene transcriptional profiles found that eudaimonic well-being (an overarching umbrella term that includes purpose) was associated with enhanced expression of antiviral response genes and reduced expression of proinflammatory genes (31).”
From Purpose in life and use of preventive health care services (2014) · cites this paper as [31]
In the citing paper
“Fredrickson and colleagues found that high levels of eudaimonic well-being were associated with significantly lower levels of CTRA-related gene expression (i.e., a more favorable, or less threatened, molecular profile) [54].”
From Human Social Genomics (2014) · cites this paper as [54]
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“In contrast, people who showed comparatively high levels of hedonic well-being relative to their level of eudaimonic well-being showed significantly elevated CTRA gene expression (above and beyond any effects of hedonistic behavioral factors such as smoking, alcohol consumption, or adiposity).”
From Human Social Genomics (2014) · cites this paper as [54]
In the citing paper
“the conserved transcriptional response to adversity (CTRA), and is characterized by increased proinflammatory and reduced antiviral skewing of the basal gene expression profile”
From Sleep health: Reciprocal regulation of sleep and innate immunity (2017) · cites this paper as Fredrickson et al, 2013
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“which increases an individual's risk for both viral infection and inflammation-related disease”
From Sleep health: Reciprocal regulation of sleep and innate immunity (2017) · cites this paper as Fredrickson et al, 2013
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“The impetus for this research was inspired by a wealth of research showing e that developing caring and compassion-focused motives for self and others has a range of benefits: on genetic expression [14, 31, 109], physiological processes [9, 68, 71, 73, 107, 108], psychological processes [63, 64, 66, 108], and social relationships [16, 18, 100].”
From The development of compassionate engagement and action scales for self and others (2017) · cites this paper as [31]
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BackgroundNature Contact and Human Health: A Research Agenda
Frumkin, H., Bratman, G. N., Breslow, S. J., Cochran, B., Kahn Jr, P. H., Lawler, J. J., Levin, P. S., Tandon, P. S., Varanasi, U., Wolf, K. L., et al. (2017) · Environmental Health Perspectives · doi:10.1289/ehp1663 · Cited by 1,237
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BackgroundPositive Psychology: A Personal History
Seligman, M. E. P. (2018) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095653 · Cited by 571
“People who prefer meaning (eudaimonia) to pleasure (hedonia) have a distinguishable genetic profile (Fredrickson et al. 2013).”
BackgroundCompassion interventions: The programmes, the evidence, and implications for research and practice
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Purpose in life and use of preventive health care services
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“Additionally, a study that examined gene transcriptional profiles found that eudaimonic well-being (an overarching umbrella term that includes purpose) was associated with enhanced expression of antiviral response genes and reduced expression of proinflammatory genes (31).”
BackgroundChallenges and opportunities for grounding cognition.
Barsalou, L. W. (2020) · Journal of Cognition · doi:10.5334/joc.116 · Cited by 319
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“Year 5, 7, and 8 samples were assayed by Ref8 arrays (Gene Expression Omnibus Series GSE65213, GSE65298, and GSE65317), year 9–10 samples were assayed by HT-12 BeadArrays (GSE65341 and GSE65403), and CTRA gene expression was analyzed using mixed effect linear models (43) testing association between average expression…”
MethodSelf-citationEntrepreneurship and eudaimonic well-being: Five venues for new science
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“Finally, a small study analyzed leukocyte basal gene expression profiles and reported distinct gene expression profiles for hedonic (positive affect) versus eudaimonic (striving, purpose) wellbeing (Fredrickson et al. 2013), but replication is warranted, especially since distinguishing hedonic versus eudaimonic wellbe…”
BackgroundThe conserved transcriptional response to adversity
Cole, S. W. (2019) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2019.01.008 · Cited by 294
“It has sometimes been assumed that the CTRA is defined by the 53-gene contrast used in several high-visibility studies [33,34].”
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Activation of the reward system boosts innate and adaptive immunity
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Clinical characterization of allostatic overload
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Eudaimonic and Hedonic Well-Being
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“…well- being predicted down- regulation of the conserved transcriptional response to adversity (CTRA; Cole, 2013), marked by higher expression of pro- inflammatory genes and lower expression of antibody synthesis genes across multiple studies (Cole et al., 2015; Fredrickson et al., 2013, 2015).”
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Psychological well‐being and the human conserved transcriptional response to adversity
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BackgroundMethodResultInfluentialSelf-citationLoneliness, eudaimonia, and the human conserved transcriptional response to adversity
Cole, S. W., Levine, M. E., Arevalo, J. M. G., Ma, J., Weir, D. R., & Crimmins, E. M. (2015) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.07.001 · Cited by 238
“…anuscript loom so large in the psychobiological regulation of leukocyte gene transcription that they overwhelm any salutary effects of positive psychological conditions such as eudaimonic well-being (Fredrickson et al., 2015; Fredrickson et al., 2013; Friedman, 2012; Ryff, 2014; Ryff et al., 2004)?”
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“…gene expression changes in response to social adversity; reduction in perceived loneliness; decreased inflammation; improved immune regulation; mental flourishing; and decreased all-cause mortality independent of other variables (Keyes and Simoes, 2012; Fredrickson et al., 2013; Cole et al., 2015).”
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“In data from leukocytes of 80 controls 22 , there was only a weak correlation between the expression levels of CD69 and CASP-3 ( R 2 ¼ 0.13), suggesting that the high correlation observed at the protein level is either because of post transcriptional regulation, for example, epigenetic regulation,…”
InfluentialThe Emerging Science of Virtue
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“In summary, there is a good deal of evidence supporting the relationships among many virtues and subjective assessments of HWB.”
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“[70] Fredrickson BL, Grewen KM, Coffey KA, Algoe SB, Firestine AM, Arevalo JM, et al.”
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“Transcriptional activity was analyzed with methods employed and validated in our previous research (Cole et al., 2003, 2005, 2011; Fredrickson et al., 2013; Miller et al., 2008).”
Self-citationIrwin, M. R., Olmstead, R., Breen, E. C., Witarama, T., Carrillo, C., Sadeghi, N., Arevalo, J. M. G., Ma, J., Nicassio, P. M., Ganz, P. A., et al. (2014) · JNCI Monographs · doi:10.1093/jncimonographs/lgu028 · Cited by 168
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“SWB correlates with healthier biological profiles, suggesting that it may exert beneficial effects on health through optimising biological function (Fredrickson et al., 2013; Kok and Fredrickson, 2010; Pressman and Cohen, 2005).”
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“There is now considerable evidence that being the giver and recipient of caring behaviors, particularly compassion, has a range of health benefits (29, 30) and can affect genetic expression (31, 32).”
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“Research has begun to map the molecular pathways through which negative social and psychological processes can influence disease risk by altering the pattern of gene expression by the human genome (Cole, 2014; Slavich and Cole, 2013).”
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“…MCP-4, chemokine C-X-C motif ligand (CXCL)-1, CXCL-2, CXCL-3, granulocyte macrophage colony-stimulating factor (GMCSF), intracellular adhesion molecule (ICAM)-1) that promote disease (Effros, 2005; Campisi and d’Adda di Fagagna, 2007; Erusalimsky, 2009; Coppé et al., 2010; Freund et al., 2010).”
Self-citationAntoni, M. H., Moreno, P. I., & Penedo, F. J. (2023) · Annual Review of Psychology · doi:10.1146/annurev-psych-030122-124119 · Cited by 132
“To do so, they used the previously described CTRA gene expression composite (Fredrickson et al. 2013) at baseline, 6 months, and 12 months.”
BackgroundMethodPurposeful Engagement, Healthy Aging, and the Brain
Ryff, C. D., Heller, A. S., Schaefer, S. M., van Reekum, C. M., & Davidson, R. J. (2016) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-016-0096-z · Cited by 141
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“…functional connectivity within the brain and benefit fluid intelligence as well as improving function in aging (Gard et al., 2014a; Gard et al., 2014b) and meaning and purpose in life also has benefits for overall health and cognitive function (Carlson et al., 2009; Fredrickson et al., 2013).”
Experienced discrimination and racial differences in leukocyte gene expression
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“The profile of transcriptional/gene expression differences observed here is consistent with patterns previously observed in studies exploring the relationship between perceptions of the social environment and CTRA gene expression (Fredrickson et al. 2013; Miller et al. 2008, 2009, 2014; Powell et al. 2013).”
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Antoni, M. H., Bouchard, L. C., Jacobs, J. M., Lechner, S. C., Jutagir, D. R., Gudenkauf, L. M., Carver, C. S., Lutgendorf, S., Cole, S. W., Lippman, M., et al. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.09.012 · Cited by 89
Self-citationRelationship of eudaimonia and hedonia with work outcomes
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“…some evidence indicates they have a different pattern of relationships with the outcomes 1008 JMP 31,6 D ow nl oa de d by U ni ve rs ity o f M is so ur iC ol um bi a, D an ie l T ur ba n A t 0 7: 39 2 6 A ug us t 2 01 6 (P T ) (Fredrickson et al., 2013; Ryan et al., 2008; Waterman, 2007).”
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Inflammation in multimorbidity and disability: An integrative review.
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“Recent evidence suggests that differences in psychological well-being are reflected in differential expression of genes related to inflammation and immune function (Fredrickson et al., 2013), and engaging in behaviors that promote some forms of well-being produce changes in the expression of these genes in ways that s…”
BackgroundKnight, J. M., Rizzo, J. D., Logan, B. R., Wang, T., Arevalo, J. M. G., Ma, J., & Cole, S. W. (2015) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-15-1344 · Cited by 87
“Primary analyses tested an a priori–defined contrast score represent- ing the 53-gene CTRA profile of upregulated expression of 19 proinflammatory genes (IL1A, IL1B, IL6, IL8, TNF, PTGS1, PTGS2, FOS, FOSB, FOSL1, FOSL2, JUN, JUNB, JUND, NFKB1, NFKB2, REL, RELA, and RELB) and downregulated expression of 31 genes involv…”
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“Data analyses examined inflammatory and type I IFN gene regulation at three distinct levels of biological function: 1) expression of apriori-defined sets of inflammatory and type I IFN indicator genes (42); 2) activity of transcription factors involved in mediating inflammatory, type I IFN, SNS, and neuroendocrine res…”
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“Social Ties, Health and Wellbeing: A Literature Review and Model”,
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Halamová, J., Kanovský, M., Gilbert, P., Troop, N. A., Zuroff, D. C., Hermanto, N., Petrocchi, N., Sommers‐Spijkerman, M., Kirby, J. N., Shahar, B., et al. (2018) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-018-9686-2 · Cited by 86
“Compassion training may impact physiological indicators of well-being and even impact processes such as telomere length – bits of chromosomes that are a biological indicator of aging (Fredrickson et al. 2013).”
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Matos, M., Albuquerque, I., Galhardo, A. B., Cunha, M. I. V. A., de Lima, M. P., Palmeira, L., Petrocchi, N., McEwan, K., Maratos, F. A., & Gilbert, P. (2022) · PLoS ONE · doi:10.1371/journal.pone.0263480 · Cited by 93
Boyle, C. C., Cole, S. W., Dutcher, J. M., Eisenberger, N. I., & Bower, J. E. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.01.024 · Cited by 75
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Kitayama, S., Akutsu, S., Uchida, Y., & Cole, S. W. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.07.004 · Cited by 71
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“Positive psychological factors contribute to reduced CTRA activity (Fredrickson et al., 2013; Kitayama et al., 2016; Kohrt et al., 2016; Nelson-Coffey et al., 2017).”
Positive emotional well-being, health Behaviors, and inflammation measured by C-Reactive protein
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“(3) defined in terms of eudaimonic and hedonic well-being.”
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Optimism and the conserved transcriptional response to adversity.
Uchida, Y., Kitayama, S., Akutsu, S., Park, J., & Cole, S. W. (2018) · Health Psychology · doi:10.1037/hea0000675 · Cited by 61
“…of association between z-score standardized optimism scores and an a priori-specified CTRA composite score computed over 53 indicator genes (Fredrickson et al., 2013), with 19 proinflammatory genes weighted 1 and 34 antiviral and antibody-related genes weighted 1 (to reflect their inverse…”
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Affiliative and prosocial motives and emotions in mental health
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McDade, T. W., M. Ross, K., L. Fried, R., Arevalo, J. M. G., Ma, J., Miller, G. E., & Cole, S. W. (2016) · Biodemography and Social Biology · doi:10.1080/19485565.2016.1185600 · Cited by 55
“Analyses used an a priori-defined contrast among differential gene expression estimates for 53 canonical CTRA indicator genes (Cole et al. 2015; Fredrickson et al. 2013, 2015; Vedhara et al. 2015), including 19 pro-inflammatory genes (IL1A, IL1B, IL6, IL8, TNF, PTGS1, PTGS2, FOS, FOSB, FOSL1,…”
InfluentialSelf-citationSubjective social status and inflammatory gene expression.
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“…and differentially expressed genes were identified as those showing 1.5-fold difference in mean expression levels (as in previous research, e.g., Fredrickson et al., 2013) over the range from 2 SD to 2 SD relative to mean level of SSS in standard linear model analyses that additionally…”
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“…salud es más sólida que la del bienestar afectivo e incluso los resultados de análisis genéticos revelan que la fisiología molecular correspondiente al bienestar hedónico resulta adversa, lo cual parece no registrarse en el nivel de afecto que experimentan las personas (Fredrickson et al., 2013).”
BackgroundNatural language indicators of differential gene regulation in the human immune system
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“the 50 available CTRA indicator transcripts (10, 27, 28) and a priori-specified”
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“Initial studies have suggested that PPF is associated with specific gene expression patterning that signals antiinf lammatory activity (Bhasin et al., 2013; Fredrickson et al., 2013).”
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The Neuroscience of Resilience
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Happiness and meaning in life: Unique, differential, and indirect associations with mental health
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Knight, J. M., Rizzo, J. D., Hari, P., Pasquini, M. C., Giles, K. E., D’Souza, A., Logan, B. R., Hamadani, M., Chhabra, S., Dhakal, B., et al. (2020) · Blood Advances · doi:10.1182/bloodadvances.2019000765 · Cited by 53
“Primary analyses tested for change in an a priori–defined composite score representing the CTRA profile of upregulated expression of proinflammatory genes (19 indicator transcripts positively weighted: IL1A, IL1B, IL6, IL8/CXCL8, TNF, PTGS1, PTGS2, FOS, FOSB, FOSL1, FOSL2, JUN, JUNB, JUND, NFKB1, NFKB2, REL, RELA, and…”
ResultSelf-citationHedonic and eudaimonic motives to pursue well-being in three samples of youth
Gentzler, A. L., DeLong, K. L., Palmer, C. A., & Huta, V. (2021) · Motivation and Emotion · doi:10.1007/s11031-021-09882-6 · Cited by 55
Metadata
- Authors
- Fredrickson, B. L., Grewen, K. M., Coffey, K. A., Algoe, S. B., Firestine, A. M., Arevalo, J. M. G., Ma, J., & Cole, S. W.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- University of California, Los Angeles (US)
- University of California, Los Angeles, School of Medicine, Los Angeles, CA 90095; and
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2013-07-29
- Volume
- 110
- Issue
- 33
- Pages
- 13684-13689
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3746929
- OpenAlex
- W2155399165
- Cited by
- 512
- References
- 72
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 16 · 2023: 36 · 2022: 37 · 2021: 36 · 2020: 47 · 2019: 38 · 2018: 76 · 2017: 48 · 2016: 59 · 2015: 34 · 2014: 28 · 2013: 7
- FWCI
- 63.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health
- National Institute on Aging (P30AG107265, P30AG017265)
- NIH Office of the Director (R01NR012899)
- National Cancer Institute (R01CA116778)
- National Institute of Nursing Research (R01NR012899)
- Common Fund
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- psychological well-being, hedonic well-being, eudaimonic well-being, leukocyte gene expression, peripheral blood mononuclear cells, conserved transcriptional response to adversity, pro-inflammatory genes, type I interferon response, NF-κB signaling, AP-1 signaling, transcription factor activity, monocytes, plasmacytoid dendritic cells, B cells, depressive symptoms, stress response
- MeSH terms
- Adult, Antibodies, Happiness, Humans, Interferon Type I, Leukocytes, Mononuclear, Middle Aged, Models, Psychological, North Carolina, Quality of Life, Surveys and Questionnaires, Transcription Factors, Genome, Human, NF-kappa B, Transcription Factor AP-1, Computational Biology, Gene Regulatory Networks, Pleasure, Transcriptome
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