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Elevated CYP2C19 expression is associated with depressive symptoms and hippocampal homeostasis impairment.

Identifieur interne : 000D38 ( PubMed/Checkpoint ); précédent : 000D37; suivant : 000D39

Elevated CYP2C19 expression is associated with depressive symptoms and hippocampal homeostasis impairment.

Auteurs : M M Juki [Suède] ; N. Opel [Allemagne] ; J. Ström [Suède] ; T. Carrillo-Roa [Allemagne] ; S. Miksys [Canada] ; M. Novalen [Canada] ; A. Renblom [Suède] ; S C Sim [Suède] ; E M Pe As-Lled [Espagne] ; P. Courtet [France] ; A. Llerena [Canada] ; B T Baune [Australie] ; D J De Quervain [Suisse] ; A. Papassotiropoulos [Suisse] ; R F Tyndale [Canada] ; E B Binder [Allemagne] ; U. Dannlowski [Allemagne] ; M. Ingelman-Sundberg [Suède]

Source :

RBID : pubmed:27895323

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English descriptors

Abstract

The polymorphic CYP2C19 enzyme metabolizes psychoactive compounds and is expressed in the adult liver and fetal brain. Previously, we demonstrated that the absence of CYP2C19 is associated with lower levels of depressive symptoms in 1472 Swedes. Conversely, transgenic mice carrying the human CYP2C19 gene (2C19TG) have shown an anxious phenotype and decrease in hippocampal volume and adult neurogenesis. The aims of this study were to: (1) examine whether the 2C19TG findings could be translated to humans, (2) evaluate the usefulness of the 2C19TG strain as a tool for preclinical screening of new antidepressants and (3) provide an insight into the molecular underpinnings of the 2C19TG phenotype. In humans, we found that the absence of CYP2C19 was associated with a bilateral hippocampal volume increase in two independent healthy cohorts (N=386 and 1032) and a lower prevalence of major depressive disorder and depression severity in African-Americans (N=3848). Moreover, genetically determined high CYP2C19 enzymatic capacity was associated with higher suicidality in depressed suicide attempters (N=209). 2C19TG mice showed high stress sensitivity, impaired hippocampal Bdnf homeostasis in stress, and more despair-like behavior in the forced swim test (FST). After the treatment with citalopram and 5-HT1A receptor agonist 8OH-DPAT, the reduction in immobility time in the FST was more pronounced in 2C19TG mice compared with WTs. Conversely, in the 2C19TG hippocampus, metabolic turnover of serotonin was reduced, whereas ERK1/2 and GSK3β phosphorylation was increased. Altogether, this study indicates that elevated CYP2C19 expression is associated with depressive symptoms, reduced hippocampal volume and impairment of hippocampal serotonin and BDNF homeostasis.

DOI: 10.1038/mp.2016.204
PubMed: 27895323


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pubmed:27895323

Le document en format XML

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<name sortKey="Carrillo Roa, T" sort="Carrillo Roa, T" uniqKey="Carrillo Roa T" first="T" last="Carrillo-Roa">T. Carrillo-Roa</name>
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<nlm:affiliation>Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.</nlm:affiliation>
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<name sortKey="Miksys, S" sort="Miksys, S" uniqKey="Miksys S" first="S" last="Miksys">S. Miksys</name>
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<name sortKey="Courtet, P" sort="Courtet, P" uniqKey="Courtet P" first="P" last="Courtet">P. Courtet</name>
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<nlm:affiliation>CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post-Acute Care Department, Pole Urgence, Montpellier, France.</nlm:affiliation>
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<name sortKey="Llerena, A" sort="Llerena, A" uniqKey="Llerena A" first="A" last="Llerena">A. Llerena</name>
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<nlm:affiliation>Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.</nlm:affiliation>
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<name sortKey="Baune, B T" sort="Baune, B T" uniqKey="Baune B" first="B T" last="Baune">B T Baune</name>
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<nlm:affiliation>Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, SA, Australia.</nlm:affiliation>
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<name sortKey="De Quervain, D J" sort="De Quervain, D J" uniqKey="De Quervain D" first="D J" last="De Quervain">D J De Quervain</name>
<affiliation wicri:level="1">
<nlm:affiliation>Transfaculty Research Platform, Department of Psychology, University Psychiatric Clinics, University of Basel, Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Transfaculty Research Platform, Department of Psychology, University Psychiatric Clinics, University of Basel, Basel</wicri:regionArea>
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<name sortKey="Papassotiropoulos, A" sort="Papassotiropoulos, A" uniqKey="Papassotiropoulos A" first="A" last="Papassotiropoulos">A. Papassotiropoulos</name>
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<nlm:affiliation>Transfaculty Research Platform, Department of Psychology, University Psychiatric Clinics, University of Basel, Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Transfaculty Research Platform, Department of Psychology, University Psychiatric Clinics, University of Basel, Basel</wicri:regionArea>
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<name sortKey="Tyndale, R F" sort="Tyndale, R F" uniqKey="Tyndale R" first="R F" last="Tyndale">R F Tyndale</name>
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<nlm:affiliation>Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<wicri:noRegion>ON</wicri:noRegion>
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<name sortKey="Binder, E B" sort="Binder, E B" uniqKey="Binder E" first="E B" last="Binder">E B Binder</name>
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<nlm:affiliation>Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich</wicri:regionArea>
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<name sortKey="Ingelman Sundberg, M" sort="Ingelman Sundberg, M" uniqKey="Ingelman Sundberg M" first="M" last="Ingelman-Sundberg">M. Ingelman-Sundberg</name>
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<term>Animals</term>
<term>Anxiety (diagnostic imaging)</term>
<term>Anxiety (genetics)</term>
<term>Anxiety Disorders (genetics)</term>
<term>Behavior, Animal (drug effects)</term>
<term>Brain-Derived Neurotrophic Factor (metabolism)</term>
<term>Citalopram (pharmacology)</term>
<term>Cytochrome P-450 CYP2C19 (drug effects)</term>
<term>Cytochrome P-450 CYP2C19 (genetics)</term>
<term>Cytochrome P-450 CYP2C19 (metabolism)</term>
<term>Depression (drug therapy)</term>
<term>Depression (genetics)</term>
<term>Depressive Disorder, Major (diagnostic imaging)</term>
<term>Depressive Disorder, Major (metabolism)</term>
<term>Hippocampus (metabolism)</term>
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<term>Homeostasis (physiology)</term>
<term>Humans</term>
<term>Mice</term>
<term>Mice, Transgenic</term>
<term>Neurogenesis (genetics)</term>
<term>Receptor, Serotonin, 5-HT1A (metabolism)</term>
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<term>Serotonin 5-HT1 Receptor Agonists (pharmacology)</term>
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<term>Agonistes des récepteurs 5-HT1 de la sérotonine (pharmacologie)</term>
<term>Animaux</term>
<term>Anxiété (génétique)</term>
<term>Anxiété (imagerie diagnostique)</term>
<term>Citalopram (pharmacologie)</term>
<term>Comportement animal ()</term>
<term>Cytochrome P-450 CYP2C19 ()</term>
<term>Cytochrome P-450 CYP2C19 (génétique)</term>
<term>Cytochrome P-450 CYP2C19 (métabolisme)</term>
<term>Dépression (génétique)</term>
<term>Dépression (traitement médicamenteux)</term>
<term>Facteur neurotrophique dérivé du cerveau (métabolisme)</term>
<term>Hippocampe (métabolisme)</term>
<term>Homéostasie (génétique)</term>
<term>Homéostasie (physiologie)</term>
<term>Humains</term>
<term>Neurogenèse (génétique)</term>
<term>Récepteur de la sérotonine de type 5-HT1A (métabolisme)</term>
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<term>Cytochrome P-450 CYP2C19</term>
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<term>Anxiété</term>
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<term>Troubles anxieux</term>
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<term>Trouble dépressif majeur</term>
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<term>Depressive Disorder, Major</term>
<term>Hippocampus</term>
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<term>Cytochrome P-450 CYP2C19</term>
<term>Facteur neurotrophique dérivé du cerveau</term>
<term>Hippocampe</term>
<term>Récepteur de la sérotonine de type 5-HT1A</term>
<term>Sérotonine</term>
<term>Trouble dépressif majeur</term>
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<div type="abstract" xml:lang="en">The polymorphic CYP2C19 enzyme metabolizes psychoactive compounds and is expressed in the adult liver and fetal brain. Previously, we demonstrated that the absence of CYP2C19 is associated with lower levels of depressive symptoms in 1472 Swedes. Conversely, transgenic mice carrying the human CYP2C19 gene (2C19TG) have shown an anxious phenotype and decrease in hippocampal volume and adult neurogenesis. The aims of this study were to: (1) examine whether the 2C19TG findings could be translated to humans, (2) evaluate the usefulness of the 2C19TG strain as a tool for preclinical screening of new antidepressants and (3) provide an insight into the molecular underpinnings of the 2C19TG phenotype. In humans, we found that the absence of CYP2C19 was associated with a bilateral hippocampal volume increase in two independent healthy cohorts (N=386 and 1032) and a lower prevalence of major depressive disorder and depression severity in African-Americans (N=3848). Moreover, genetically determined high CYP2C19 enzymatic capacity was associated with higher suicidality in depressed suicide attempters (N=209). 2C19TG mice showed high stress sensitivity, impaired hippocampal Bdnf homeostasis in stress, and more despair-like behavior in the forced swim test (FST). After the treatment with citalopram and 5-HT1A receptor agonist 8OH-DPAT, the reduction in immobility time in the FST was more pronounced in 2C19TG mice compared with WTs. Conversely, in the 2C19TG hippocampus, metabolic turnover of serotonin was reduced, whereas ERK1/2 and GSK3β phosphorylation was increased. Altogether, this study indicates that elevated CYP2C19 expression is associated with depressive symptoms, reduced hippocampal volume and impairment of hippocampal serotonin and BDNF homeostasis.</div>
</front>
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<Month>11</Month>
<Day>29</Day>
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<Year>2017</Year>
<Month>11</Month>
<Day>13</Day>
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<Day>13</Day>
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<Volume>22</Volume>
<Issue>8</Issue>
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<Year>2017</Year>
<Month>Aug</Month>
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</JournalIssue>
<Title>Molecular psychiatry</Title>
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<ArticleTitle>Elevated CYP2C19 expression is associated with depressive symptoms and hippocampal homeostasis impairment.</ArticleTitle>
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</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/mp.2016.204</ELocationID>
<Abstract>
<AbstractText>The polymorphic CYP2C19 enzyme metabolizes psychoactive compounds and is expressed in the adult liver and fetal brain. Previously, we demonstrated that the absence of CYP2C19 is associated with lower levels of depressive symptoms in 1472 Swedes. Conversely, transgenic mice carrying the human CYP2C19 gene (2C19TG) have shown an anxious phenotype and decrease in hippocampal volume and adult neurogenesis. The aims of this study were to: (1) examine whether the 2C19TG findings could be translated to humans, (2) evaluate the usefulness of the 2C19TG strain as a tool for preclinical screening of new antidepressants and (3) provide an insight into the molecular underpinnings of the 2C19TG phenotype. In humans, we found that the absence of CYP2C19 was associated with a bilateral hippocampal volume increase in two independent healthy cohorts (N=386 and 1032) and a lower prevalence of major depressive disorder and depression severity in African-Americans (N=3848). Moreover, genetically determined high CYP2C19 enzymatic capacity was associated with higher suicidality in depressed suicide attempters (N=209). 2C19TG mice showed high stress sensitivity, impaired hippocampal Bdnf homeostasis in stress, and more despair-like behavior in the forced swim test (FST). After the treatment with citalopram and 5-HT1A receptor agonist 8OH-DPAT, the reduction in immobility time in the FST was more pronounced in 2C19TG mice compared with WTs. Conversely, in the 2C19TG hippocampus, metabolic turnover of serotonin was reduced, whereas ERK1/2 and GSK3β phosphorylation was increased. Altogether, this study indicates that elevated CYP2C19 expression is associated with depressive symptoms, reduced hippocampal volume and impairment of hippocampal serotonin and BDNF homeostasis.</AbstractText>
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<ForeName>M M</ForeName>
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<LastName>Opel</LastName>
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<Affiliation>Department of Psychiatry, University of Toronto, Toronto, ON, Canada.</Affiliation>
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<Affiliation>Department of Psychiatry, University of Toronto, Toronto, ON, Canada.</Affiliation>
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<Affiliation>Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Psychiatry, University of Toronto, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
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<LastName>de Quervain</LastName>
<ForeName>D J</ForeName>
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<LastName>Tyndale</LastName>
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<Affiliation>Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Psychiatry, University of Toronto, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
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