Paper accepted in Endocrinology!

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Apr 182014
 

Our paper entitled “A polymorphism in the crhr1 gene determines stress vulnerability in male mice” has been accepted by Endocrinology!

Abstract:
Chronic stress is a risk factor for psychiatric disorders but does not necessarily lead to uniform longterm effects on mental health, suggesting modulating factors such as genetic predispositions. Here we address the question whether natural genetic variations in the mouse corticotropin releasing hormone receptor 1 (crhr1) locus modulate the effects of adolescent chronic social stress (ACSS) on long-term stress hormone dysregulation in outbred CD1 mice, which allows us a better understanding of the currently reported GxE interactions of early trauma and crhr1 in humans. We identified an intronic genetic variant in the mouse crhr1 locus, rs27040842, that modulates the long-term effects of ACSS on basal hypothalamic-pituitary-adrenal axis activity. This effect is likely mediated by higher levels of CRHR1, as crhr1 mRNA expression and CRHR1 receptor binding was enhanced in these animals. Furthermore, a CRHR1 receptor antagonist normalized these long-term effects. Deep-sequencing of the crhr1 locus in CD1 mice revealed a large number of linked variants with some located in important regulatory regions, similar to the location of human crhr1 variants implicated in modulating GxE interactions. Our data support that the described gene x stress exposure interaction in this animal model is based on naturally occurring genetic variations in the crhr1 gene associated with enhanced CRHR1 mediated signaling. Our results suggest that patients with a specific genetic predisposition in the crhr1 gene together with an exposure to chronic stress may benefit from a treatment selectively antagonizing CRHR1 hyperactivity.

 Posted by at 19:03

Paper published in Annals of Neurology

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Apr 152014
 

Our paper was published in Annals of Neurology!

Click here for Stanford’s Press release.

Title: Sex modifies the APOE-related risk of developing Alzheimer disease

Abstract:

Objective
The APOE4 allele is the strongest genetic risk factor for sporadic Alzheimer disease (AD). Case–control studies suggest the APOE4 link to AD is stronger in women. We examined the APOE4-by-sex interaction in conversion risk (from healthy aging to mild cognitive impairment (MCI)/AD or from MCI to AD) and cerebrospinal fluid (CSF) biomarker levels.

Methods
Cox proportional hazards analysis was used to compute hazard ratios (HRs) for an APOE-by-sex interaction on conversion in controls (n = 5,496) and MCI patients (n = 2,588). The interaction was also tested in CSF biomarker levels of 980 subjects from the Alzheimer’s Disease Neuroimaging Initiative.

Results
Among controls, male and female carriers were more likely to convert to MCI/AD, but the effect was stronger in women (HR = 1.81 for women; HR = 1.27 for men; interaction: p = 0.011). The interaction remained significant in a predefined subanalysis restricted to APOE3/3 and APOE3/4 genotypes. Among MCI patients, both male and female APOE4 carriers were more likely to convert to AD (HR = 2.16 for women; HR = 1.64 for men); the interaction was not significant (p = 0.14). In the subanalysis restricted to APOE3/3 and APOE3/4 genotypes, the interaction was significant (p = 0.02; HR = 2.17 for women; HR = 1.51 for men). The APOE4-by-sex interaction on biomarker levels was significant for MCI patients for total tau and the tau-to-Aβ ratio (p = 0.009 and p = 0.02, respectively; more AD-like in women).

Interpretation
APOE4 confers greater AD risk in women. Biomarker results suggest that increased APOE-related risk in women may be associated with tau pathology. These findings have important clinical implications and suggest novel research approaches into AD pathogenesis

 Posted by at 08:26