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Bi H, Jin J, Sun M, Chen M, Li X, Wang Y. Epigenetic changes caused by early life stress in the pathogenesis of depression. Eur J Pharmacol 2025; 999:177671. [PMID: 40288560 DOI: 10.1016/j.ejphar.2025.177671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2024] [Revised: 04/16/2025] [Accepted: 04/24/2025] [Indexed: 04/29/2025]
Abstract
Major depressive disorder (MDD) is a severe psychiatric disorder with a complex and poorly understood pathogenesis. Epigenetics, a rapidly advancing field of biology, has been implicated in various psychiatric conditions, including schizophrenia, anxiety, substance addiction, and autism. Furthermore, substantial research indicates that epigenetic modifications play a crucial role in the etiology of depression. Early life stress (ELS) refers to adverse experiences occurring during prenatal development (e.g., maternal physical and mental health complications during pregnancy) and/or postnatal life (e.g., abuse, neglect, poverty, parental loss, family conflict, violence, and malnutrition). These early-life adversities can lead to epigenetic modifications, which, in turn, influence key biological processes and contribute to the pathogenesis of MDD. This review provides an overview of the regulatory mechanisms and functions of various epigenetic modifications, including non-coding RNAs, DNA methylation, and histone modifications. We then examine ELS-induced epigenetic alterations and their biological consequences, such as dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, neurogenesis, and neuroplasticity. Finally, we explore their potential implications for both the pathogenesis and treatment of MDD. We hypothesize that ELS-induced epigenetic changes may serve as biomarkers for MDD diagnosis and offer novel therapeutic targets for its treatment.
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Affiliation(s)
- Hongsheng Bi
- Department of Psychiatry, The First Hospital of China Medical University, China; The Third Hospital of Daqing, Psychiatric Ward No. 2, China
| | - Jingyan Jin
- Department of Psychiatry, The First Hospital of China Medical University, China
| | - Mingyuan Sun
- Department of Psychiatry, The First Hospital of China Medical University, China
| | - Mingrui Chen
- Department of Psychiatry, The First Hospital of China Medical University, China
| | - Xiaobai Li
- Department of Psychiatry, The First Hospital of China Medical University, China.
| | - Yan Wang
- Center for Psychological Development, China Medical University, China.
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Faugere M, Maakaron É, Achour V, Verney P, Andrieu-Haller C, Obadia J, Fond G, Lançon C, Korchia T. Vitamin D, B9, and B12 Deficiencies as Key Drivers of Clinical Severity and Metabolic Comorbidities in Major Psychiatric Disorders. Nutrients 2025; 17:1167. [PMID: 40218925 PMCID: PMC11990871 DOI: 10.3390/nu17071167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2025] [Revised: 03/21/2025] [Accepted: 03/25/2025] [Indexed: 04/14/2025] Open
Abstract
Background/Objectives: Severe mental illnesses such as schizophrenia, major depressive disorder, and bipolar disorder are often accompanied by metabolic comorbidities. While the role of vitamins in physical health is well-established, their involvement in psychiatric disorders has garnered increasing attention in recent years. Methods: We conducted a cross-sectional analysis of 1003 patients diagnosed with severe mental illnesses. Vitamin D, B9, and B12 serum levels were measured, and deficiencies were defined using established clinical cutoffs. Multivariate regression analyses were performed to identify associations between vitamin deficiencies and clinical outcomes. Results: Our findings revealed that vitamin deficiencies were prevalent across all diagnostic groups, with particularly high rates in patients with schizophrenia and major depressive disorder. Vitamin D deficiency was significantly associated with worse psychiatric outcomes, including increased depressive symptoms (adjusted OR = 1.89, p = 0.018), lower Global Assessment of Functioning scores (adjusted OR = -0.18, p < 0.001), and higher rates of metabolic syndrome (adjusted OR = 1.97, p = 0.007). Folate and B12 deficiencies were also linked to greater psychiatric symptom severity and metabolic disturbances, including increased risks of obesity and dyslipidemia. Conclusions: Our study highlights the critical role of vitamins deficiencies in both psychiatric and metabolic health of patients with severe mental illnesses. These findings underscore the importance of routine screening and correction of these deficiencies as part of comprehensive care in psychiatric populations. The integration of nutritional interventions may offer a novel and holistic approach to improving both mental and physical health outcomes.
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Affiliation(s)
- Mélanie Faugere
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
- Groupement de Coopération Sanitaire, Centre de Recherche en Santé Mentale et Psychiatrie de la Région PACA, 13100 Aix en Provence, France
- Service du Pr Christophe Lançon, CHU Sainte Marguerite, Pavillon Solaris, 270 Boulevard de Sainte Marguerite, 13009 Marseille, France
| | - Éloïse Maakaron
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Vincent Achour
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Pierre Verney
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Christelle Andrieu-Haller
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Jade Obadia
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Guillaume Fond
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
| | - Christophe Lançon
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
- Groupement de Coopération Sanitaire, Centre de Recherche en Santé Mentale et Psychiatrie de la Région PACA, 13100 Aix en Provence, France
| | - Théo Korchia
- Department of Academic Psychiatry, Sainte Marguerite University Hospital, Assistance Publique des Hôpitaux de Marseille, 13009 Marseille, France; (É.M.); (V.A.); (P.V.); (C.A.-H.); (J.O.); (G.F.); (C.L.); (T.K.)
- Assistance Publique des Hôpitaux de Marseille, Aix-Marseille University, UR3279: Health Service Research and Quality of Life Center—CEReSS, 13005 Marseille, France
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Zhai W, Fu Y, Liu L, Huang X, Wang S. Metabolomics Reveal Key Metabolic Pathway Responses to Anxiety State Regulated by Serotonin in Portunus trituberculatus. Metabolites 2024; 14:568. [PMID: 39452949 PMCID: PMC11509519 DOI: 10.3390/metabo14100568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2024] [Revised: 10/12/2024] [Accepted: 10/15/2024] [Indexed: 10/26/2024] Open
Abstract
BACKGROUND Anxiety refers to the pathological persistence and intensification of emotional responses to danger, affecting health from psychological and physical aspects. Serotonin is an important neurotransmitter involved in the onset of anxiety. METHODS AND RESULTS To explore the biological changes in the formation of anxiety in crustaceans under the regulation of serotonin, we applied the open field-like test method for assessing anxiety states of larval Portunus trituberculatus, a highly aggressive crustacean species with a more simple neural structure compared with rodents and mammals. Compared with the control group, serotonin treatment resulted in a significant decrease in the time spent by the larvae in the central zone, suggesting anxiety-like behavior. Clonazepam treatment reversed this result and provided further evidence that the behavior of larval P. trituberculatus displayed anxiety. Moreover, a non-targeted metabolomic analysis found a significant alteration in the metabolites involved in tryptophan metabolism pathways associated with anxiety, including L-kynurenine, N-acetyl serotonin, and serotonin. These metabolites are involved in the serotonin pathway, the kynurenine pathway, and other pathways that affect anxiety through tryptophan metabolism. There were no significant differences in tryptophan metabolism levels between the control and clonazepam treatment groups. CONCLUSIONS Our results demonstrate the possible existence of anxiety-like behavior in the larvae of P. trituberculatus from two perspectives. Being a species with a simpler neural structure than that of mammals, the larvae of P. trituberculatus offer a convenient model for studying the mechanisms of anxiety in crustaceans.
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Affiliation(s)
- Wei Zhai
- School of Marine Sciences, Ningbo University, Ningbo 315211, China; (W.Z.); (X.H.); (S.W.)
| | - Yuanyuan Fu
- Ningbo Institute of Oceanography, Ningbo 315832, China;
| | - Lei Liu
- School of Marine Sciences, Ningbo University, Ningbo 315211, China; (W.Z.); (X.H.); (S.W.)
| | - Xinlian Huang
- School of Marine Sciences, Ningbo University, Ningbo 315211, China; (W.Z.); (X.H.); (S.W.)
| | - Sixiang Wang
- School of Marine Sciences, Ningbo University, Ningbo 315211, China; (W.Z.); (X.H.); (S.W.)
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Yang X, Miao J, Huang Y, Li L, Zhuang G. Preventive and therapeutic effect of vitamin D on depression-like behavior in a mouse adolescent depression model and its association with BDNF protein expression. Front Psychiatry 2024; 15:1425681. [PMID: 39135986 PMCID: PMC11317463 DOI: 10.3389/fpsyt.2024.1425681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 07/05/2024] [Indexed: 08/15/2024] Open
Abstract
Introduction Previous studies in different populations have shown that vitamin D supplementation may reduce depression levels. In adolescents, vitamin D deficiency has been identified as a factor contributing to the onset of depression. This study aimed to establish a model of adolescent depression in mice by using the scientific unpredictable chronic mild stress (UCMS) model and to preliminarily evaluate the effect of vitamin D on the occurrence and development of depression and whether it is related to the protein expression of the BDNF pathway. Methods The UCMS method was used to establish a model of adolescent depression in 4-week-old C57BL/6 male mice, randomly divided into five groups: Control group, Stress group, Stress+ low-dose group, Stress+ medium-dose group, Stress+ high-dose group. At the same time as chronic stress, the administration groups were given intramuscular injections of different doses of vitamin D. After 8 weeks, behavioral tests, including the forced swimming test (FST) and open field test (OFT), were performed on each group of mice, along with recording of indicators, blood vitamin D level detection, and brain tissue western blot analysis. Results The results showed a significant difference in vitamin D levels among mice in different groups after 8 weeks (P=0.012). The results of behavioral testing showed a significant difference in the static time of forced swimming among the groups (P<0.001). Compared with the UCMS group, the static time of mice with vitamin D injection was significantly reduced (P<0.001). The total number of times mice entered the central area, the total distance of movement, and the time spent in the central area significantly increased after vitamin D injection compared with the UCMS-only group (all P<0.001). There was no significant difference in the expression of BDNF in the brain tissues of experimental mice (P>0.05). Discussion In conclusion, in the mouse adolescent depression model, appropriate vitamin D supplementation can reduce the occurrence of stress-induced depression. Furthermore, vitamin D deficiency may also serve as a potential risk factor for depression.
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Affiliation(s)
- Xueping Yang
- Department of Psychology, The People’s Hospital of Liaoning Province, The people’s hospital of China Medical University, Shenyang, Liaoning, China
| | - Junxiao Miao
- Department of Psychology, The People’s Hospital of Liaoning Province, The people’s hospital of China Medical University, Shenyang, Liaoning, China
| | - Yinglin Huang
- Department of Psychiatry, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Lili Li
- Department of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
| | - Gengsen Zhuang
- Department of Psychiatry and Mental Health, The Medical University of Dalian, Dalian, Liaoning, China
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Nohesara S, Abdolmaleky HM, Zhou JR, Thiagalingam S. Microbiota-Induced Epigenetic Alterations in Depressive Disorders Are Targets for Nutritional and Probiotic Therapies. Genes (Basel) 2023; 14:2217. [PMID: 38137038 PMCID: PMC10742434 DOI: 10.3390/genes14122217] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/08/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023] Open
Abstract
Major depressive disorder (MDD) is a complex disorder and a leading cause of disability in 280 million people worldwide. Many environmental factors, such as microbes, drugs, and diet, are involved in the pathogenesis of depressive disorders. However, the underlying mechanisms of depression are complex and include the interaction of genetics with epigenetics and the host immune system. Modifications of the gut microbiome and its metabolites influence stress-related responses and social behavior in patients with depressive disorders by modulating the maturation of immune cells and neurogenesis in the brain mediated by epigenetic modifications. Here, we discuss the potential roles of a leaky gut in the development of depressive disorders via changes in gut microbiota-derived metabolites with epigenetic effects. Next, we will deliberate how altering the gut microbiome composition contributes to the development of depressive disorders via epigenetic alterations. In particular, we focus on how microbiota-derived metabolites such as butyrate as an epigenetic modifier, probiotics, maternal diet, polyphenols, drugs (e.g., antipsychotics, antidepressants, and antibiotics), and fecal microbiota transplantation could positively alleviate depressive-like behaviors by modulating the epigenetic landscape. Finally, we will discuss challenges associated with recent therapeutic approaches for depressive disorders via microbiome-related epigenetic shifts, as well as opportunities to tackle such problems.
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Affiliation(s)
- Shabnam Nohesara
- Department of Medicine (Biomedical Genetics), Boston University Chobanian & Avedisian School of Medicine, Boston, MA 02118, USA;
| | - Hamid Mostafavi Abdolmaleky
- Nutrition/Metabolism Laboratory, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boson, MA 02215, USA;
| | - Jin-Rong Zhou
- Nutrition/Metabolism Laboratory, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boson, MA 02215, USA;
| | - Sam Thiagalingam
- Department of Medicine (Biomedical Genetics), Boston University Chobanian & Avedisian School of Medicine, Boston, MA 02118, USA;
- Department of Pathology & Laboratory Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA 02118, USA
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Ren Q, Zhang G, Yan R, Zhou D, Huang L, Zhang Q, Li W, Huang G, Li Z, Yan J. SAM/SAH Mediates Parental Folate Deficiency-Induced Neural Cell Apoptosis in Neonatal Rat Offspring: The Expression of Bcl-2, Bax, and Caspase-3. Int J Mol Sci 2023; 24:14508. [PMID: 37833955 PMCID: PMC10573037 DOI: 10.3390/ijms241914508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 09/20/2023] [Accepted: 09/22/2023] [Indexed: 10/15/2023] Open
Abstract
Research demonstrated that folate deficiency in either the mother or father could impact the biological functions of the offspring's of neural cells. Folate deficiency can also impair the methionine cycle, thus contributing to the conversion of S-adenosylmethionine (SAM) to S-adenosylhomocysteine (SAH), which could potentially cause damage to the central nervous system. The study focused on the effect of parental folate deficiency on neural cell apoptosis in offspring neonatal rats and whether it is mediated by the levels of SAM and SAH in brains. The experimental design was conducted by feeding female and male Sprague Dawley (SD) rats with either folate-deficient or folate-normal diets, sacrificing the offspring within 24 h and isolating their brain tissue. Rats were divided into four groups: the maternal-folate-deficient and paternal-folate-deficient (D-D) group; the maternal-folate-deficient and paternal-folate-normal (D-N) group; the maternal-folate-normal and paternal-folate-deficient (N-D) group; and the maternal-folate-normal and paternal-folate-normal (N-N) group. There was down-regulation of B-cell lymphoma 2 (Bcl-2) expression, up-regulation of Bcl-2-associated X protein (Bax) and Caspase-3 expression of neural cells, and pathological changes in the brain ultrastructure, as well as decreased SAM levels, increased SAH levels, and a decreased SAM/SAH ratio in the rat fetal brain via parental folate deficiency. In conclusion, parental folate deficiency could induce the apoptosis of neural cells in neonatal offspring rats, while biparental folate deficiency had the greatest effect on offspring, and the unilateral effect was greater in mothers than in fathers. This process may be mediated by the levels of SAM and SAH in the rat fetal brain.
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Affiliation(s)
- Qinghan Ren
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Guoquan Zhang
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Ruiting Yan
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Dezheng Zhou
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Li Huang
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Qianwen Zhang
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
| | - Wen Li
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China
| | - Guowei Huang
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China
| | - Zhenshu Li
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin 300070, China; (Q.R.); (G.Z.); (R.Y.); (D.Z.); (L.H.); (Q.Z.); (W.L.); (G.H.)
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China
| | - Jing Yan
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin 300070, China
- Department of Social Medicine and Health Administration, School of Public Health, Tianjin Medical University, Tianjin 300070, China
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