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      Further confirmation of netrin 1 receptor ( DCC) as a depression risk gene via integrations of multi-omics data

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          Abstract

          Genome-wide association studies (GWAS) of major depression and its relevant biological phenotypes have been extensively conducted in large samples, and transcriptome-wide analyses in the tissues of brain regions relevant to pathogenesis of depression, e.g., dorsolateral prefrontal cortex (DLPFC), have also been widely performed recently. Integrating these multi-omics data will enable unveiling of depression risk genes and even underlying pathological mechanisms. Here, we employ summary data-based Mendelian randomization (SMR) and integrative risk gene selector (iRIGS) approaches to integrate multi-omics data from GWAS, DLPFC expression quantitative trait loci (eQTL) analyses and enhancer-promoter physical link studies to prioritize high-confidence risk genes for depression, followed by independent replications across distinct populations. These integrative analyses identify multiple high-confidence depression risk genes, and numerous lines of evidence supporting pivotal roles of the netrin 1 receptor ( DCC) gene in this illness across different populations. Our subsequent explorative analyses further suggest that DCC significantly predicts neuroticism, well-being spectrum, cognitive function and putamen structure in general populations. Gene expression correlation and pathway analyses in DLPFC further show that DCC potentially participates in the biological processes and pathways underlying synaptic plasticity, axon guidance, circadian entrainment, as well as learning and long-term potentiation. These results are in agreement with the recent findings of this gene in neurodevelopment and psychiatric disorders, and we thus further confirm that DCC is an important susceptibility gene for depression, and might be a potential target for new antidepressants.

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          Synaptic plasticity and depression: new insights from stress and rapid-acting antidepressants.

          Depression is a common, devastating illness. Current pharmacotherapies help many patients, but high rates of a partial response or no response, and the delayed onset of the effects of antidepressant therapies, leave many patients inadequately treated. However, new insights into the neurobiology of stress and human mood disorders have shed light on mechanisms underlying the vulnerability of individuals to depression and have pointed to novel antidepressants. Environmental events and other risk factors contribute to depression through converging molecular and cellular mechanisms that disrupt neuronal function and morphology, resulting in dysfunction of the circuitry that is essential for mood regulation and cognitive function. Although current antidepressants, such as serotonin-reuptake inhibitors, produce subtle changes that take effect in weeks or months, it has recently been shown that treatment with new agents results in an improvement in mood ratings within hours of dosing patients who are resistant to typical antidepressants. Within a similar time scale, these new agents have also been shown to reverse the synaptic deficits caused by stress.
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            Synaptic dysfunction in depression: potential therapeutic targets.

            Basic and clinical studies demonstrate that depression is associated with reduced size of brain regions that regulate mood and cognition, including the prefrontal cortex and the hippocampus, and decreased neuronal synapses in these areas. Antidepressants can block or reverse these neuronal deficits, although typical antidepressants have limited efficacy and delayed response times of weeks to months. A notable recent discovery shows that ketamine, a N-methyl-D-aspartate receptor antagonist, produces rapid (within hours) antidepressant responses in patients who are resistant to typical antidepressants. Basic studies show that ketamine rapidly induces synaptogenesis and reverses the synaptic deficits caused by chronic stress. These findings highlight the central importance of homeostatic control of mood circuit connections and form the basis of a synaptogenic hypothesis of depression and treatment response.
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              Transcriptome-wide isoform-level dysregulation in ASD, schizophrenia, and bipolar disorder

              Most genetic risk for psychiatric disease lies in regulatory regions, implicating pathogenic dysregulation of gene expression and splicing. However, comprehensive assessments of transcriptomic organization in diseased brains are limited. In this work, we integrated genotypes and RNA sequencing in brain samples from 1695 individuals with autism spectrum disorder (ASD), schizophrenia, and bipolar disorder, as well as controls. More than 25% of the transcriptome exhibits differential splicing or expression, with isoform-level changes capturing the largest disease effects and genetic enrichments. Coexpression networks isolate disease-specific neuronal alterations, as well as microglial, astrocyte, and interferon-response modules defining previously unidentified neural-immune mechanisms. We integrated genetic and genomic data to perform a transcriptome-wide association study, prioritizing disease loci likely mediated by cis effects on brain expression. This transcriptome-wide characterization of the molecular pathology across three major psychiatric disorders provides a comprehensive resource for mechanistic insight and therapeutic development.
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                Author and article information

                Contributors
                xiaoxiao2@mail.kiz.ac.cn
                limingkiz@mail.kiz.ac.cn
                psylee@163.com
                Journal
                Transl Psychiatry
                Transl Psychiatry
                Translational Psychiatry
                Nature Publishing Group UK (London )
                2158-3188
                17 March 2020
                17 March 2020
                2020
                : 10
                : 98
                Affiliations
                [1 ]ISNI 0000 0004 1792 7072, GRID grid.419010.d, Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province, , Kunming Institute of Zoology, Chinese Academy of Sciences, ; Kunming, Yunnan China
                [2 ]Kunming College of Life Science, University of Chinese Academy of Sciences, Kunming, Yunnan China
                [3 ]ISNI 0000 0004 0368 7223, GRID grid.33199.31, Affiliated Wuhan Mental Health Center, Tongji Medical College, , Huazhong University of Science and Technology, ; Wuhan, Hubei China
                [4 ]ISNI 0000 0004 1760 9015, GRID grid.503241.1, Research Center for Psychological and Health Sciences, , China University of Geosciences, ; Wuhan, Hubei China
                [5 ]ISNI 0000 0001 0198 0694, GRID grid.263761.7, Suzhou Guangji Hospital, , The Affiliated Guangji Hospital of Soochow University, ; Suzhou, Jiangsu China
                [6 ]GRID grid.415444.4, Department of Blood Transfusion, , The Second Affiliated Hospital of Kunming Medical University, ; Kunming, Yunnan China
                Author information
                http://orcid.org/0000-0001-6162-1335
                http://orcid.org/0000-0002-7229-1519
                http://orcid.org/0000-0002-8197-6552
                Article
                777
                10.1038/s41398-020-0777-y
                7078234
                32184385
                3ff40d7f-da9d-47bd-b641-62e39defbd3c
                © The Author(s) 2020

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 26 November 2019
                : 21 February 2020
                : 3 March 2020
                Funding
                Funded by: FundRef https://doi.org/10.13039/501100001809, National Natural Science Foundation of China (National Science Foundation of China);
                Award ID: 81722019
                Award ID: 81771439
                Award ID: 81871067
                Award Recipient :
                Funded by: Hubei Province health and family planning scientific research project (WJ2015Q033 to N.Q.)
                Funded by: Xiao Xiao was supported by the Chinese Academy of Sciences Western Light Program, and Youth Innovation Promotion Association, CAS.
                Categories
                Article
                Custom metadata
                © The Author(s) 2020

                Clinical Psychology & Psychiatry
                depression,comparative genomics
                Clinical Psychology & Psychiatry
                depression, comparative genomics

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