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Table 4 Early stress-induced epigenetic modifications of candidate genes in humans

From: Epigenetic alterations following early postnatal stress: a review on novel aetiological mechanisms of common psychiatric disorders

Candidate gene

Objective

Model/tissue type

Early stress/assessment age

Epigenetic and expression changes

Interpretation

References

rRNA promoter

Determine the effect of childhood abuse on methylation status of the rRNA promoter

Retrospective

Hippocampus

CA + suicide vs no CA + no suicide

Assessed

Mean age 35 yrs.

N = 30

↑ methylation rRNA promoter and 5′ regulatory region in CA

↑ methylation of 21 of 26 CpG sites in CA

↓ rRNA expression in hippocampus

Childhood abuse ↑ methylation of rRNA promoter in the hippocampus of suicide completers in adulthood

[98]

GR promoter

Determine the effect of childhood abuse on the methylation status of the GR promoter and GR mRNA exp

Retrospective

Hippocampus

Child abuse

Assessed

Mean age 34.6 yrs.

N = 36 M

↑ methylation of CpGs in GR promoter

↓ GR mRNA exp

↓ GR 1F mRNA exp

Childhood abuse ↑ methylation of individual CpGs within the GR promoter and GR1F exon resulting in ↓ GR and GR 1F mRNA expression in adult hippocampus

[19]

Determine the effect of early stress on methylation status of the GR promoter

Retrospective

Peripheral blood WBCs

Early stressa

Assessed: mean age 27.4 yrs.

N = 99

↑ CpG1 methylation w ↓ parental care or loss

↑ CpG3 methylation w maltreatment or parental loss

↔ CpG2, 4, 5–13 methylation w childhood adversity

Early stress ↑ methylation of individual CpGs of the GR promoter in adulthood

[71]

Determine the effect of childhood maltreatment and severity on NR3C1 promoter methylation

Retrospective

Peripheral blood WBCs

Childhood maltreatmentb

Assessed: mean ages and sample size

BPD 30.76 yrs. N = 101

MDD 41.63 yrs. N = 99

MDD + PTSD 37.33 yrs.

N = 15

↑ CpG 2–8 methylation of the NR3C1 gene promoter in maltreated participants

↑ severity of maltreatment ↑ methylation status of NR3C1 except for CpG1 site

Childhood maltreatment was associated with ↑ methylation of the NR3C1 gene promoter in peripheral blood in adulthood.

Number and severity of maltreatment correlated positively with methylation status

[70]

NR3C1 locus (6.5 million base pairs)

Determine the effect of CA on a 6.5 Mbp loci centred on NR3C1

Retrospective

Hippocampus

CA + suicide vs no CA + no suicide

Assessed: adulthood

N = 24

281 DMRs were identified

↑ methylation in 126 DMRs in controls

↑methylation in 155 DMRs in abused

3 clusters of DMRs mapped within α-, β- and γ- protocadherin (PCDH) gene family

DMRs enriched more in α-PCDH in the abused brains

Early stress has a broader epigenomics imprint expanding to promoters of genes both upstream and downstream to the NR3C1 gene and includes the PCDH gene family implicated in synaptic plasticity

[69]

5HTT or SLC6A4

Determine the effect of CA on SLC6A4 promoter methylation and mRNA expression

Retrospective

Peripheral blood DNA

Childhood adversitya

Assessed: adulthood

N = 102 MDD with or without CA

↑average methylation in promoter of SLC6A4 with CpG7 showing higher methylation in CA to no CA

↑ methylation in CpG2 of SLC6A4 associated with physical abuse

Childhood adversities were significantly associated with higher SLC6A4 promoter methylation in people with current MDD

[76]

Determine the effect of CA on the methylation status of SLC6A4 promoter

Retrospective

Lymphoblast cell lines

Childhood maltreatment

Assessed: mean age: M 49 yrs.

F 47 yrs.

N = 192

↑ overall SLC6A4 promoter methylation in abused male and female

↑ methylation of CpG1 and CpG 3 of SLC6A4 in abused females compared to non-abused

↔ in individual CpG sites in males

Childhood abuse increased methylation of CpGs in the promoter of SLC6A4 in adults

[74, 75]

  1. ↑ increased, ↓ decreased, ↔ no change, yrs. years, CA child abuse, DNA deoxyribonucleic acid, mRNA messenger ribonucleic acid, exp expression, rRNA ribosomal ribonucleic acid, GR glucocorticoid receptor, M male, F Female, WBC white blood cell, BPD borderline personality disorder, PTSD post-traumatic stress disorder, MDD major depressive disorder, DMRs differentially methylated regions, PCDH protocadherin, NR3C1 nuclear receptor subfamily 3, group C, member 1, SLC6A4 solute carrier family 6, member 4 (neurotransmitter transporter)
  2. aEarly stress included: low levels of parental care, parental loss and childhood maltreatment
  3. bSexual, physical and emotional abuse; BPD had higher childhood maltreatment; MDD had lower maltreatment