of genetic and environmental factors (e.g., stress) could initially lead to glial cell pathology and consequently contribute to neuronal pathology later in life, as depressive illnesses progresses [13].For these reasons, the present study sought to (i) examine the potential impact of CPN on general functioning, adult depressive symptoms and antidepressant treatment response, and (ii) test whether genetic polymorphisms related to ODC and myelin function interact with CPN to affect adult depressive symptoms and antidepressant response.
Methods
Study design and subjectsSubjects were Chinese Han individuals aged between 18 to 60 years, with a diagnosis of new or recently relapsed major depression disorder (MDD). The baseline scores on the 17-item Hamilton Depression Rating Scale (HAMD-17) were>17. Exclusion criteria used for this study have been previously reported [14]. All of the subjects were informed of the potential risks and benefits of the study and gave their informed consent prior to their participation in the study.
AbstractObjective: Childhood physical neglect (CPN) is a common but often overlooked form of abuse that may contribute to depression. We aimed at examining the potential impact of CPN and its interactions with genes related to oligodendrocytes (ODCs) and myelin function on adult depressive symptoms and antidepressant treatment response.Methods: A group of 209 Chinese Han patients with major depressive disorder (MDD) completed the Hamilton Depression Scale-17 (HAMD-17) at baseline and after 8 weeks antidepressant treatment. The Childhood Trauma Questionnaire was used to evaluate the occurrence of childhood physical neglect. Twelve single nucleotide polymorphisms (SNPs) in functional regions were successfully genotyped in seven genes associated with ODCs and myelin function.
Results:Childhood physical neglect is related to education and social support, especially the subjective social support of those who experience CPN. The GG genotype of the 3'UTR functional polymorphism rs715020 in the QKI gene showed significant association with diminished effects of childhood physical neglect on adult depressive symptoms(P=.003) even after the Bonferroni correction. No significant interactions between candidate genes and CPN on antidepressant response were observed.
Conclusion:These results indicate that CPN are potentially associated with ODCs and myelin-related gene QKI, and may influence adult depressive symptoms in major depression disorder (MDD) patients. This finding needs to be further replicated in a larger sample.