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The effect of an adverse psychological environment on salivary cortisol levels in the elderly differs by 5-HTTLPR genotype

Identifieur interne : 000219 ( Main/Exploration ); précédent : 000218; suivant : 000220

The effect of an adverse psychological environment on salivary cortisol levels in the elderly differs by 5-HTTLPR genotype

Auteurs : Marie-Laure Ancelin [France] ; Jacqueline Scali [France] ; Joanna Norton [France] ; Karen Ritchie [France, Royaume-Uni] ; Anne-Marie Dupuy [France] ; Isabelle Chaudieu [France] ; Joanne Ryan [France, Australie]

Source :

RBID : PMC:5369865

Abstract

Background

An adverse psychological environment (e.g. stressful events or depression) has been shown to influence basal cortisol levels and cortisol response to stress. This differs depending on the adverse stimuli, but also varies across individuals and may be influenced by genetic predisposition. An insertion/deletion polymorphism in the serotonin transporter gene (5-HTTLPR) is a strong candidate in this regard.

Objective

To investigate how stressful life events and depression are associated with diurnal cortisol levels in community-dwelling elderly and determine whether this varies according to genetic variability in the 5-HTTLPR.

Methods

This population-based study included 334 subjects aged 65 and older (mean (SD) = 76.5 (6.3)). Diurnal cortisol was measured on two separate days, under quiet (basal) and stressful conditions. The number of recent major stressful events experienced during the past year was assessed from a 12-item validated questionnaire as an index of cumulative recent stressful events. Lifetime trauma was evaluated using the validated Watson's PTSD inventory, which evaluates the most severe traumatic or frightening experience according to DSM criteria. Depression was defined as having a Mini-International Neuropsychiatric Interview (MINI) diagnosis of current major depressive disorder or high levels of depressive symptoms (Center for Epidemiologic Studies-Depression Scale ≥16). 5-HTTLPR genotyping was performed on blood samples.

Results

Exposure to stressful life events was associated with lower basal evening cortisol levels overall, and in the participants with the 5-HTTLPR L allele but not the SS genotype. The greatest effects (over 50% decrease, p < 0.001) were observed for the LL participants having experienced multiple recent stressful events or severe lifetime traumas. Participants with the L allele also had higher evening cortisol stress response. Conversely, depression tended to be associated with a 42% higher basal morning cortisol in the SS participants specifically, but did not modify the association between stressful events and cortisol levels.

Conclusion

An adverse psychological environment is associated with basal cortisol levels and cortisol stress response, but this differs according to 5-HTTLPR genotype.


Url:
DOI: 10.1016/j.ynstr.2017.03.002
PubMed: 28377990
PubMed Central: 5369865


Affiliations:


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Le document en format XML

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<title level="j">Neurobiology of Stress</title>
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</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>An adverse psychological environment (e.g. stressful events or depression) has been shown to influence basal cortisol levels and cortisol response to stress. This differs depending on the adverse stimuli, but also varies across individuals and may be influenced by genetic predisposition. An insertion/deletion polymorphism in the serotonin transporter gene (
<italic>5-HTTLPR</italic>
) is a strong candidate in this regard.</p>
</sec>
<sec>
<title>Objective</title>
<p>To investigate how stressful life events and depression are associated with diurnal cortisol levels in community-dwelling elderly and determine whether this varies according to genetic variability in the
<italic>5-HTTLPR</italic>
.</p>
</sec>
<sec>
<title>Methods</title>
<p>This population-based study included 334 subjects aged 65 and older (mean (SD) = 76.5 (6.3)). Diurnal cortisol was measured on two separate days, under quiet (basal) and stressful conditions. The number of recent major stressful events experienced during the past year was assessed from a 12-item validated questionnaire as an index of cumulative recent stressful events. Lifetime trauma was evaluated using the validated Watson's PTSD inventory, which evaluates the most severe traumatic or frightening experience according to DSM criteria. Depression was defined as having a Mini-International Neuropsychiatric Interview (MINI) diagnosis of current major depressive disorder or high levels of depressive symptoms (Center for Epidemiologic Studies-Depression Scale ≥16).
<italic>5-HTTLPR</italic>
genotyping was performed on blood samples.</p>
</sec>
<sec>
<title>Results</title>
<p>Exposure to stressful life events was associated with lower basal evening cortisol levels overall, and in the participants with the
<italic>5-HTTLPR L</italic>
allele but not the
<italic>SS</italic>
genotype. The greatest effects (over 50% decrease, p < 0.001) were observed for the
<italic>LL</italic>
participants having experienced multiple recent stressful events or severe lifetime traumas. Participants with the
<italic>L</italic>
allele also had higher evening cortisol stress response. Conversely, depression tended to be associated with a 42% higher basal morning cortisol in the
<italic>SS</italic>
participants specifically, but did not modify the association between stressful events and cortisol levels.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>An adverse psychological environment is associated with basal cortisol levels and cortisol stress response, but this differs according to
<italic>5-HTTLPR</italic>
genotype.</p>
</sec>
</div>
</front>
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<name sortKey="Heim, C" uniqKey="Heim C">C. Heim</name>
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<name sortKey="Gallagher, P" uniqKey="Gallagher P">P. Gallagher</name>
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<analytic>
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<author>
<name sortKey="Norton, J" uniqKey="Norton J">J. Norton</name>
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<author>
<name sortKey="Miller, G E" uniqKey="Miller G">G.E. Miller</name>
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<biblStruct>
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</TEI>
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<list>
<country>
<li>Australie</li>
<li>France</li>
<li>Royaume-Uni</li>
</country>
<region>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Victoria (État)</li>
<li>Écosse</li>
</region>
<settlement>
<li>Melbourne</li>
<li>Montpellier</li>
<li>Édimbourg</li>
</settlement>
<orgName>
<li>Université d'Édimbourg</li>
<li>Université de Melbourne</li>
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<region name="Occitanie (région administrative)">
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<name sortKey="Chaudieu, Isabelle" sort="Chaudieu, Isabelle" uniqKey="Chaudieu I" first="Isabelle" last="Chaudieu">Isabelle Chaudieu</name>
<name sortKey="Chaudieu, Isabelle" sort="Chaudieu, Isabelle" uniqKey="Chaudieu I" first="Isabelle" last="Chaudieu">Isabelle Chaudieu</name>
<name sortKey="Dupuy, Anne Marie" sort="Dupuy, Anne Marie" uniqKey="Dupuy A" first="Anne-Marie" last="Dupuy">Anne-Marie Dupuy</name>
<name sortKey="Dupuy, Anne Marie" sort="Dupuy, Anne Marie" uniqKey="Dupuy A" first="Anne-Marie" last="Dupuy">Anne-Marie Dupuy</name>
<name sortKey="Dupuy, Anne Marie" sort="Dupuy, Anne Marie" uniqKey="Dupuy A" first="Anne-Marie" last="Dupuy">Anne-Marie Dupuy</name>
<name sortKey="Norton, Joanna" sort="Norton, Joanna" uniqKey="Norton J" first="Joanna" last="Norton">Joanna Norton</name>
<name sortKey="Norton, Joanna" sort="Norton, Joanna" uniqKey="Norton J" first="Joanna" last="Norton">Joanna Norton</name>
<name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name>
<name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name>
<name sortKey="Ryan, Joanne" sort="Ryan, Joanne" uniqKey="Ryan J" first="Joanne" last="Ryan">Joanne Ryan</name>
<name sortKey="Ryan, Joanne" sort="Ryan, Joanne" uniqKey="Ryan J" first="Joanne" last="Ryan">Joanne Ryan</name>
<name sortKey="Scali, Jacqueline" sort="Scali, Jacqueline" uniqKey="Scali J" first="Jacqueline" last="Scali">Jacqueline Scali</name>
<name sortKey="Scali, Jacqueline" sort="Scali, Jacqueline" uniqKey="Scali J" first="Jacqueline" last="Scali">Jacqueline Scali</name>
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<country name="Royaume-Uni">
<region name="Écosse">
<name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name>
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</country>
<country name="Australie">
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<name sortKey="Ryan, Joanne" sort="Ryan, Joanne" uniqKey="Ryan J" first="Joanne" last="Ryan">Joanne Ryan</name>
</region>
<name sortKey="Ryan, Joanne" sort="Ryan, Joanne" uniqKey="Ryan J" first="Joanne" last="Ryan">Joanne Ryan</name>
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</record>

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