Gene interaction with stress linked to treatment-resistant depression

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Major depressive disorder (MDD) is a prevalent mental health condition with genetic and environmental influences.

A new study in Biological Psychiatry explores the interaction between a specific gene and stress exposure in an animal model to shed light on aspects of treatment-resistant MDD.

Understanding this interaction is crucial for unraveling the complexities of MDD.

Stress and Genetic Factors in MDD

The study, led by Dr. Jing Zhang of Fujian Medical University, delves into the intricate interplay between genetic risk factors and environmental stressors in the development of MDD.

The researchers utilized a mouse model known as chronic social defeat stress (CSDS). In this model, mice are subjected to daily encounters with aggressive mice over two weeks, inducing depression-like behaviors.

The focus of the study was on a specific gene called LHPP, which interacts with signaling molecules at neuronal synapses.

LHPP’s Role in Depression-Like Behaviors

Increased LHPP expression in stressed mice exacerbated depression-like behaviors. LHPP acted by decreasing the expression of important proteins involved in neuronal function: BDNF and PSD95.

This effect occurred through dephosphorylation of two protein kinases, CaMKIIα and ERK, in response to stress exposure.

Notably, LHPP mutations (E56K, S57L) in humans were found to enhance CaMKIIα/ERK-BDNF/PSD95 signaling.

This suggests that individuals carrying LHPP mutations may experience an antidepressant effect, indicating the gene’s relevance in the population.

MDD encompasses a diverse range of depression types, influencing treatment response. Many patients with depression do not respond to standard antidepressant medications and exhibit “treatment-resistant” symptoms.

These individuals often require alternative treatments like ketamine or electroconvulsive therapy.

Ketamine and LHPP-Induced Depression:

Esketamine, a medication used to treat depression, significantly alleviated LHPP-induced depression-like behaviors in the study. In contrast, the traditional antidepressant fluoxetine did not show the same effect.

This suggests that the mechanism involving LHPP might be associated with certain types of treatment-resistant depression.

The study’s findings highlight the role of LHPP in stress-induced depression and its potential implications for treatment-resistant MDD. Targeting LHPP could be a promising strategy in future MDD therapeutics.

Conclusion

This research offers insights into the complex relationship between genetics, stress, and depression.

Understanding how genes like LHPP interact with stressors can enhance our comprehension of MDD and potentially lead to more effective treatments for this challenging condition.

If you care about health, please read studies that scientists find a core feature of depression and this metal in the brain strongly linked to depression.

For more information about health, please see recent studies about drug for mental health that may harm the brain, and results showing this therapy more effective than ketamine in treating severe depression.

The research findings can be found in Biological Psychiatry.

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