WHAT CPGS CAN TELL: AN APPROACH TO THE METHYLATION PATTERN OF BDNF PROMOTER IV IN MAJOR DEPRESSION DISORDER AND ITS RELATION TO STRESS

María Marcela Velásquez Toledo, Gómez-Maquet, Y. , Ferro, E. , Arenas, A., Catalina Uribe, Ileana Manzanilla, Claudia Lattig

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Resumen



Methods: Standardized questionnaires (International Neuropsychiatric Interview, Life Events Questionnaire, Schema Questionnaire Short Form) were used to measure negative affectivity in a sample of 100 individuals with a current major depressive disorder (MDD) and 87 healthy controls. All participants signed informed consent. We measured the methylation levels of 15 CpG positions of BDNF promoter IV through direct sequencing of bisulfite-treated DNA (BSP). The DNA methylation analysis was performed using ESME (Epigenetic Sequencing Methylation Software). Bivariate analyses were used to determine the direction and magnitude of the association of the variables with MDD. A stepwise backward elimination method was used to produce a binary logistic regression model, which includes interaction terms for specific epigenetic and psychological variables.

Results: The multivariate logistic regression yielded a model according to which childhood maltreatment (OR = 4.75; 95% CI = 1.31-17.2; p = 0.018), the appraisal of life events as uncontrollable (OR = 5.54; 95% CI = 1.08-28.3; p = 0.04) and the early maladaptive schema domain of Impaired Autonomy and/or Performance (OR = 1.8; 95% CI = 1.44-2.24; p < 0.001), showed a strong association to MDD. Regarding methylation, we found that a specific CpG site (BDNF IV CpG 5: NG_011794.1: 25416) was associated to the disorder (OR = 0.77; 95% CI = 0.63-0.95; p = 0.017), being hypomethylated in cases compared to controls. Additionally, our results suggest a likely interaction between methylation in this CpG site with the appraisal of life events as negative or positive (0R = 1.22; 95% CI = 0.99-1.51; P = 0.057).

Discussion: Our study shows that not only the childhood maltreatment, but the appraisal of life events as uncontrollable and an early maladaptive schema are associated with MDD. This is consistent with the cognitive diathesis stress model of depression, which establishes that negative interpretations of life events influence the development of MDD since it could lead to a bias information processing. It is also coherent with the theory of early maladaptive schemas that emphasizes the importance of the cognitive component as a vulnerability factor for depression. Association results for CpG5 site of BDNF promoter suggests that individuals with elevated methylation levels are less likely to develop MDD, however interaction analysis highlights that this probability diminishes further in individuals with positive appraisal of life events.
Idioma originalInglés
PáginasS1212
Número de páginas1
DOI
EstadoPublicada - 2019
Publicado de forma externa

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