Association Between Promoter Methylation of Serotonin Transporter Gene and Depressive Symptoms: A Monozygotic Twin Study
Open accessAbstract
OBJECTIVE: Epigenetic mechanisms have been implicated in the pathogenesis of psychiatric disorders. The serotonin transporter gene (SLC6A4) is a key candidate gene for depression. We examined the association between SLC6A4 promoter methylation variation and depressive symptoms using 84 monozygotic twin pairs. METHODS: DNA methylation level in the SLC6A4 promoter region was quantified by bisulfite pyrosequencing using genomic DNA isolated from peripheral blood leukocytes. The number of current depressive symptoms was assessed using the Beck Depressive Inventory II (BDI-II). The association between methylation variation and depressive symptoms was examined using matched twin-pair analyses, adjusting for body mass index, smoking, physical activity, and alcohol consumption. Multiple testing was controlled by adjusted false discovery rate (q value). RESULTS: Intrapair difference in DNA methylation variation at 10 of the 20 studied CpG sites is significantly correlated with intrapair difference in BDI scores. Linear regression using intrapair differences demonstrates that intrapair difference in BDI score was significantly associated with intrapair differences in DNA methylation variation after adjusting for potential confounders and correction for multiple testing. On average, a 10% increase in the difference in mean DNA methylation level was associated with 4.4 increase in the difference in BDI score (95% confidence interval = 0.9-7.9, p = .01). CONCLUSIONS: This study provides evidence that variation in methylation level within the promoter region of the serotonin transporter gene is associated with variation in depressive symptoms in a large sample of monozygotic twin pairs. This relationship is not confounded by genetic and shared environment. The 5-HTTLPR genotype also does not modulate this association.
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Candidate gene studies suggest increased SLC6A4 methylation in depression and bipolar disorder.
“with candidate genes studies suggesting an increased in methylation in depression (Kang et al., 2013; Philibert et al., 2008; Zhao, Goldberg, Bremner, & Vaccarino, 2013), BD (Sugawara et al., 2011)”
From Can epigenetics shine a light on the biological pathways underlying major mental disorders? (2022) · cites this paper as Zhao, Goldberg, Bremner, & Vaccarino, 2013
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References 48 · Cited by 122
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- [1]Kessler RC Berglund P Demler O Jin R Merikangas KR Walters EE Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication Arch Gen Psychiatry 2005 62 593 602 15939837
- [2]Sullivan PF Neale MC Kendler KS Genetic epidemiology of major depression: review and meta-analysis Am J Psychiatry 2000 157 1552 62 11007705
- [3]Kendler KS Gatz M Gardner CO Pedersen NL A Swedish national twin study of lifetime major depression Am J Psychiatry 2006 163 109 14 16390897
- [4]Schroeder M Krebs MO Bleich S Frieling H Epigenetics and depression: current challenges and new therapeutic options Curr Opin Psychiatry 2010 23 588 92 20644477
- [5]Mill J Petronis A Molecular studies of major depressive disorder: the epigenetic perspective Mol Psychiatry 2007 12 799 814 17420765
- [6]Autry AE Monteggia LM Epigenetics in suicide and depression Biol Psychiatry 2009 66 812 3 19833253 PMC2770810
- [10]Bredy TW Sun YE Kobor MS How the epigenome contributes to the development of psychiatric disorders Dev Psychobiol 2010 52 331 42 20127889 PMC2946415
- [11]Lesch KP Bengel D Heils A Sabol SZ Greenberg BD Petri S Benjamin J Muller CR Hamer DH Murphy DL Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region Science 1996 274 1527 31 8929413
- [12]Lotrich FE Pollock BG Meta-analysis of serotonin transporter polymorphisms and affective disorders Psychiatr Genet 2004 14 121 9 15318024
- [13]Furlong RA Ho L Walsh C Rubinsztein JS Jain S Paykel ES Easton DF Rubinsztein DC Analysis and meta-analysis of two serotonin transporter gene polymorphisms in bipolar and unipolar affective disorders Am J Med Genet 1998 81 58 63 9514589
- [14]Lasky-Su JA Faraone SV Glatt SJ Tsuang MT Meta-analysis of the association between two polymorphisms in the serotonin transporter gene and affective disorders Am J Med Genet B Neuropsychiatr Genet 2005 133B 110 5 15578606
- [15]Clarke H Flint J Attwood AS Munafo MR Association of the 5-HTTLPR genotype and unipolar depression: a meta-analysis Psychol Med 2010 40 1767 78 20380781
- [18]Philibert R Madan A Andersen A Cadoret R Packer H Sandhu H Serotonin transporter mRNA levels are associated with the methylation of an upstream CpG island Am J Med Genet B Neuropsychiatr Genet 2007 144B 101 5 16958039
- [19]Daxinger L Whitelaw E Transgenerational epigenetic inheritance: more questions than answers Genome Res 2010 20 1623 8 21041414 PMC2989988
- [20]Su S Lampert R Lee F Bremner JD Snieder H Jones L Murrah NV Goldberg J Vaccarino V Common genes contribute to depressive symptoms and heart rate variability: the Twins Heart Study Twin Res Hum Genet 2010 13 1 9 20158303 PMC2905576
- [21]Heim C Binder EB Current research trends in early life stress and depression: review of human studies on sensitive periods, gene-environment interactions, and epigenetics Exp Neurol 2012 233 102 11 22101006
- [22]Goldberg J Curran B Vitek ME Henderson WG Boyko EJ The Vietnam Era Twin Registry Twin Res 2002 5 476 81 12537880
- [23]Shah AJ Su S Veledar E Bremner JD Goldstein FC Lampert R Goldberg J Vaccarino V Is heart rate variability related to memory performance in middle-aged men? Psychosom Med 2011 73 475 82 21715297 PMC3307789
- [25]Richter P Werner J Heerlein A Kraus A Sauer H On the validity of the Beck Depression Inventory A review Psychopathology 1998 31 160 8 9636945
- [26]Osman A Kopper BA Barrios F Gutierrez PM Bagge CL Reliability and validity of the Beck Depression Inventory-II with adolescent psychiatric inpatients Psychol Assess 2004 16 120 32 15222808
- [28]Richardson MT Ainsworth BE Wu HC Jacobs DR Jr Leon AS Ability of the Atherosclerosis Risk in Communities (ARIC)/Baecke Questionnaire to assess leisure-time physical activity Int J Epidemiol 1995 24 685 93 8550264
- [29]Busslinger M Hurst J Flavell RA DNA methylation and the regulation of globin gene expression Cell 1983 34 197 206 6883509
- [30]Su S Zhao J Bremner JD Miller AH Tang W Bouzyk M Snieder H Novik O Afzal N Goldberg J Vaccarino V Serotonin transporter gene, depressive symptoms, and interleukin-6 Circ Cardiovasc Genet 2009 2 614 20 20031642 PMC2802220
- [31]Carlin JB Gurrin LC Sterne JA Morley R Dwyer T Regression models for twin studies: a critical review Int J Epidemiol 2005 34 1089 99 16087687
- [32]Mann JJ Arango V Abnormalities of brain structure and function in mood disorders Charney DS Nestler EJ Bunney BS Neurobiology of Mental Illness New York Oxford University Press 1999 385 93
- [33]Fuks F DNA methylation and histone modifications: teaming up to silence genes Curr Opin Genet Dev 2005 15 490 5 16098738
- [35]Kaminsky Z Wang SC Petronis A Complex disease, gender and epigenetics Ann Med 2006 38 530 44 17438668
- [36]Zhao J Goldberg J Vaccarino V Promoter methylation of serotonin transporter gene is associated with obesity measures: a monozygotic twin study Int J Obes (Lond) 2013 37 140 5 22290534 PMC3539149
- [37]Dempster EL Pidsley R Schalkwyk LC Owens S Georgiades A Kane F Kalidindi S Picchioni M Kravariti E Toulopoulou T Murray RM Mill J Disease-associated epigenetic changes in monozygotic twins discordant for schizophrenia and bipolar disorder Hum Mol Genet 2011 20 4786 96 21908516 PMC3221539
- [38]Rakyan VK Beyan H Down TA Hawa MI Maslau S Aden D Daunay A Busato F Mein CA Manfras B Dias KR Bell CG Tost J Boehm BO Beck S Leslie RD Identification of type 1 diabetes-associated DNA methylation variable positions that precede disease diagnosis PLoS Genet 2011 7 e1002300 21980303 PMC3183089
- [39]Javierre BM Fernandez AF Richter J Al-Shahrour F Martin-Subero JI Rodriguez-Ubreva J Berdasco M Fraga MF O’Hanlon TP Rider LG Jacinto FV Lopez-Longo FJ Dopazo J Forn M Peinado MA Carreno L Sawalha AH Harley JB Siebert R Esteller M Miller FW Ballestar E Changes in the pattern of DNA methylation associate with twin discordance in systemic lupus erythematosus Genome Res 2010 20 170 9 20028698 PMC2813473
- [40]Kaminsky ZA Tang T Wang SC Ptak C Oh GH Wong AH Feldcamp LA Virtanen C Halfvarson J Tysk C McRae AF Visscher PM Mont-gomery GW Gottesman II Martin NG Petronis A DNA methylation profiles in monozygotic and dizygotic twins Nat Genet 2009 41 240 5 19151718
- [42]Feinberg AP Irizarry RA Fradin D Aryee MJ Murakami P Aspelund T Eiriksdottir G Harris TB Launer L Gudnason V Fallin MD Personalized epigenomic signatures that are stable over time and covary with body mass index Sci Transl Med 2010 2 49ra67 PMC3137242 20844285
- [43]Bell CG Teschendorff AE Rakyan VK Maxwell AP Beck S Savage DA Genome-wide DNA methylation analysis for diabetic nephropathy in type 1 diabetes mellitus BMC Med Genomics 2010 3 33 20687937 PMC2924253
- [44]Bell CG Finer S Lindgren CM Wilson GA Rakyan VK Teschendorff AE Akan P Stupka E Down TA Prokopenko I Morison IM Mill J Pidsley R Deloukas P Frayling TM Hattersley AT McCarthy MI Beck S Hitman GA Integrated genetic and epigenetic analysis identifies haplotype-specific methylation in the FTO type 2 diabetes and obesity susceptibility locus PLoS One 2010 5 e14040 21124985 PMC2987816
- [46]Pidsley R Mill J Epigenetic studies of psychosis: current findings, methodological approaches, and implications for postmortem research Biol Psychiatry 2011 69 146 56 20510393
- [47]Probst AV Dunleavy E Almouzni G Epigenetic inheritance during the cell cycle Nat Rev Mol Cell Biol 2009 10 192 206 19234478
- [48]Morgan DK Whitelaw E The case for transgenerational epigenetic inheritance in humans Mamm Genome 2008 19 394 7 18663528
- [49]Relton CL Davey Smith G Epigenetic epidemiology of common complex disease: prospects for prediction, prevention, and treatment PLoS Med 2010 7 e1000356 21048988 PMC2964338
- [50]Fraga MF Ballestar E Paz MF Ropero S Setien F Ballestar ML Heine-Suner D Cigudosa JC Urioste M Benitez J Boix-Chornet M Sanchez-Aguilera A Ling C Carlsson E Poulsen P Vaag A Stephan Z Spector TD Wu YZ Plass C Esteller M Epigenetic differences arise during the lifetime of monozygotic twins Proc Natl Acad Sci U S A 2005 102 10604 9 16009939 PMC1174919
- [51]Rutten BP Mill J Epigenetic mediation of environmental influences in major psychotic disorders Schizophr Bull 2009 35 1045 56 19783603 PMC2762629
- Authors
- Zhao, J., Goldberg, J., Bremner, J. D., & Vaccarino, V.
- Affiliations
- Tulane University (US)
- Corresponding author
- Zhao, Jinying
- Venue
- Psychosomatic Medicine
- Published
- 2013-07
- Volume
- 75
- Issue
- 6
- Pages
- 523-529
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC3848698
- OpenAlex
- W2072289007
- Cited by
- 122
- References
- 48
- Citations by year
- 2025: 7 · 2024: 5 · 2023: 8 · 2022: 9 · 2021: 7 · 2020: 11 · 2019: 4 · 2018: 7 · 2017: 12 · 2016: 14 · 2015: 19 · 2014: 18 · 2013: 1
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (K01AG034259, R01AG026255)
- National Heart, Lung, and Blood Institute (R01HL068630, R21HL092363, K24HL077506, R01HL088726, R01 HL68630)
- National Institute of Mental Health (R01MH056120, K24MH076955)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK091369)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- serotonin transporter, serotonin transporter gene, promoter methylation, DNA methylation, depressive symptoms, depression, monozygotic twins, epigenetics, 5-HTTLPR, CpG sites
- MeSH terms
- Depression, Depressive Disorder, Major, Major Depressive Disorder, Humans, Male, Middle Aged, Promoter Regions, Genetic, Stress Disorders, Post-Traumatic, Twins, Monozygotic, Veterans, Linear Models, CpG Islands, DNA Methylation, Epigenesis, Genetic, Serotonin Plasma Membrane Transport Proteins
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