Genetic variants in the genes of the sex steroid hormone metabolism and depressive symptoms during and after pregnancy

Purpose The aim of this study was to conduct an association analysis of depressive symptoms and polymorphisms in the ESR1 , PGR , CYP19A1, and COMT genes in pregnant and postpartum women. Methods The Franconian Maternal Health Evaluation Study (FRAMES) recruited healthy pregnant women prospectively...

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Veröffentlicht in:Archives of gynecology and obstetrics 2023-06, Vol.307 (6), p.1763-1770
Hauptverfasser: Schneider, Michael O., Pretscher, Jutta, Goecke, Tamme W., Häberle, Lothar, Engel, Anne, Kornhuber, Johannes, Eichler, Anna, Ekici, Arif B., Beckmann, Matthias W., Fasching, Peter A., Schwenke, Eva
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container_end_page 1770
container_issue 6
container_start_page 1763
container_title Archives of gynecology and obstetrics
container_volume 307
creator Schneider, Michael O.
Pretscher, Jutta
Goecke, Tamme W.
Häberle, Lothar
Engel, Anne
Kornhuber, Johannes
Eichler, Anna
Ekici, Arif B.
Beckmann, Matthias W.
Fasching, Peter A.
Schwenke, Eva
description Purpose The aim of this study was to conduct an association analysis of depressive symptoms and polymorphisms in the ESR1 , PGR , CYP19A1, and COMT genes in pregnant and postpartum women. Methods The Franconian Maternal Health Evaluation Study (FRAMES) recruited healthy pregnant women prospectively for assessment of maternal and fetal health. The German version of the 10-item Edinburgh Postnatal Depression Scale (EPDS) was completed at three time points in this prospective cohort study. Visit 1 was at study entry in the third trimester of pregnancy, visit 2 was shortly after birth, and visit 3 was 6–8 months after birth. Germline DNA and depression measurements from 361 pregnant women were available for analysis. Six single nucleotide polymorphisms (SNPs) in the above-mentioned genes were genotyped. After reconstruction of haplotypes for PGR (rs1042838 and rs10895068) and CYP19A1 (rs10046 and rs4646), a multifactorial linear mixed model was applied to the data to describe the association between haplotypes and depression values. The single SNPs for ESR1 (rs488133) and COMT (rs4680) were analyzed separately using linear mixed models analogously. Results The mean antepartum EPDS measurement was 5.1, the mean postpartal measurement after 48–72 h was 3.5, and the mean value 6–8 months postpartum was 4.2. The SNPs in PGR were reconstructed into three haplotypes. The most common haplotype was GG, with 63.43% of patients carrying two copies and 33.52% carrying one copy. For haplotype GA, the group of carriers of two copies (0.28%) was combined with the carriers of one copy (9.70%). Haplotype reconstruction using CYP19A1 SNPs resulted in three haplotypes. The most common haplotype was TC, with 25.48% of patients carrying two copies and 51.52% one copy. None of the haplotype blocks and neither of the two single SNPs showed any significant associations with EPDS values. Conclusions The candidate haplotypes analyzed in PGR and CYP19A1 and single SNPs in ESR1 and COMT did not show any association with depression scores as assessed by EPDS in this cohort of healthy unselected pregnant women.
doi_str_mv 10.1007/s00404-022-06644-8
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Methods The Franconian Maternal Health Evaluation Study (FRAMES) recruited healthy pregnant women prospectively for assessment of maternal and fetal health. The German version of the 10-item Edinburgh Postnatal Depression Scale (EPDS) was completed at three time points in this prospective cohort study. Visit 1 was at study entry in the third trimester of pregnancy, visit 2 was shortly after birth, and visit 3 was 6–8 months after birth. Germline DNA and depression measurements from 361 pregnant women were available for analysis. Six single nucleotide polymorphisms (SNPs) in the above-mentioned genes were genotyped. After reconstruction of haplotypes for PGR (rs1042838 and rs10895068) and CYP19A1 (rs10046 and rs4646), a multifactorial linear mixed model was applied to the data to describe the association between haplotypes and depression values. The single SNPs for ESR1 (rs488133) and COMT (rs4680) were analyzed separately using linear mixed models analogously. Results The mean antepartum EPDS measurement was 5.1, the mean postpartal measurement after 48–72 h was 3.5, and the mean value 6–8 months postpartum was 4.2. The SNPs in PGR were reconstructed into three haplotypes. The most common haplotype was GG, with 63.43% of patients carrying two copies and 33.52% carrying one copy. For haplotype GA, the group of carriers of two copies (0.28%) was combined with the carriers of one copy (9.70%). Haplotype reconstruction using CYP19A1 SNPs resulted in three haplotypes. The most common haplotype was TC, with 25.48% of patients carrying two copies and 51.52% one copy. None of the haplotype blocks and neither of the two single SNPs showed any significant associations with EPDS values. Conclusions The candidate haplotypes analyzed in PGR and CYP19A1 and single SNPs in ESR1 and COMT did not show any association with depression scores as assessed by EPDS in this cohort of healthy unselected pregnant women.</description><identifier>ISSN: 1432-0711</identifier><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-022-06644-8</identifier><identifier>PMID: 35680688</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Depression - diagnosis ; Depression - genetics ; Depression, Postpartum - diagnosis ; Depression, Postpartum - genetics ; Endocrinology ; Female ; Genotype ; Gynecology ; Haplotypes ; Human Genetics ; Humans ; Maternal-Fetal Medicine ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Obstetrics/Perinatology/Midwifery ; Parturition ; Polymorphism, Single Nucleotide ; Pregnancy ; Prospective Studies ; Womens health</subject><ispartof>Archives of gynecology and obstetrics, 2023-06, Vol.307 (6), p.1763-1770</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-53482ef4df30e8366a1f60c97cfa0f0a1546a969d1dc8e93d9f6c76d0e618fbc3</citedby><cites>FETCH-LOGICAL-c375t-53482ef4df30e8366a1f60c97cfa0f0a1546a969d1dc8e93d9f6c76d0e618fbc3</cites><orcidid>0000-0002-7583-307X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-022-06644-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-022-06644-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35680688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneider, Michael O.</creatorcontrib><creatorcontrib>Pretscher, Jutta</creatorcontrib><creatorcontrib>Goecke, Tamme W.</creatorcontrib><creatorcontrib>Häberle, Lothar</creatorcontrib><creatorcontrib>Engel, Anne</creatorcontrib><creatorcontrib>Kornhuber, Johannes</creatorcontrib><creatorcontrib>Eichler, Anna</creatorcontrib><creatorcontrib>Ekici, Arif B.</creatorcontrib><creatorcontrib>Beckmann, Matthias W.</creatorcontrib><creatorcontrib>Fasching, Peter A.</creatorcontrib><creatorcontrib>Schwenke, Eva</creatorcontrib><title>Genetic variants in the genes of the sex steroid hormone metabolism and depressive symptoms during and after pregnancy</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose The aim of this study was to conduct an association analysis of depressive symptoms and polymorphisms in the ESR1 , PGR , CYP19A1, and COMT genes in pregnant and postpartum women. Methods The Franconian Maternal Health Evaluation Study (FRAMES) recruited healthy pregnant women prospectively for assessment of maternal and fetal health. The German version of the 10-item Edinburgh Postnatal Depression Scale (EPDS) was completed at three time points in this prospective cohort study. Visit 1 was at study entry in the third trimester of pregnancy, visit 2 was shortly after birth, and visit 3 was 6–8 months after birth. Germline DNA and depression measurements from 361 pregnant women were available for analysis. Six single nucleotide polymorphisms (SNPs) in the above-mentioned genes were genotyped. After reconstruction of haplotypes for PGR (rs1042838 and rs10895068) and CYP19A1 (rs10046 and rs4646), a multifactorial linear mixed model was applied to the data to describe the association between haplotypes and depression values. The single SNPs for ESR1 (rs488133) and COMT (rs4680) were analyzed separately using linear mixed models analogously. Results The mean antepartum EPDS measurement was 5.1, the mean postpartal measurement after 48–72 h was 3.5, and the mean value 6–8 months postpartum was 4.2. The SNPs in PGR were reconstructed into three haplotypes. The most common haplotype was GG, with 63.43% of patients carrying two copies and 33.52% carrying one copy. For haplotype GA, the group of carriers of two copies (0.28%) was combined with the carriers of one copy (9.70%). Haplotype reconstruction using CYP19A1 SNPs resulted in three haplotypes. The most common haplotype was TC, with 25.48% of patients carrying two copies and 51.52% one copy. None of the haplotype blocks and neither of the two single SNPs showed any significant associations with EPDS values. 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Methods The Franconian Maternal Health Evaluation Study (FRAMES) recruited healthy pregnant women prospectively for assessment of maternal and fetal health. The German version of the 10-item Edinburgh Postnatal Depression Scale (EPDS) was completed at three time points in this prospective cohort study. Visit 1 was at study entry in the third trimester of pregnancy, visit 2 was shortly after birth, and visit 3 was 6–8 months after birth. Germline DNA and depression measurements from 361 pregnant women were available for analysis. Six single nucleotide polymorphisms (SNPs) in the above-mentioned genes were genotyped. After reconstruction of haplotypes for PGR (rs1042838 and rs10895068) and CYP19A1 (rs10046 and rs4646), a multifactorial linear mixed model was applied to the data to describe the association between haplotypes and depression values. The single SNPs for ESR1 (rs488133) and COMT (rs4680) were analyzed separately using linear mixed models analogously. Results The mean antepartum EPDS measurement was 5.1, the mean postpartal measurement after 48–72 h was 3.5, and the mean value 6–8 months postpartum was 4.2. The SNPs in PGR were reconstructed into three haplotypes. The most common haplotype was GG, with 63.43% of patients carrying two copies and 33.52% carrying one copy. For haplotype GA, the group of carriers of two copies (0.28%) was combined with the carriers of one copy (9.70%). Haplotype reconstruction using CYP19A1 SNPs resulted in three haplotypes. The most common haplotype was TC, with 25.48% of patients carrying two copies and 51.52% one copy. None of the haplotype blocks and neither of the two single SNPs showed any significant associations with EPDS values. Conclusions The candidate haplotypes analyzed in PGR and CYP19A1 and single SNPs in ESR1 and COMT did not show any association with depression scores as assessed by EPDS in this cohort of healthy unselected pregnant women.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35680688</pmid><doi>10.1007/s00404-022-06644-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7583-307X</orcidid></addata></record>
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subjects Depression - diagnosis
Depression - genetics
Depression, Postpartum - diagnosis
Depression, Postpartum - genetics
Endocrinology
Female
Genotype
Gynecology
Haplotypes
Human Genetics
Humans
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Mental depression
Obstetrics/Perinatology/Midwifery
Parturition
Polymorphism, Single Nucleotide
Pregnancy
Prospective Studies
Womens health
title Genetic variants in the genes of the sex steroid hormone metabolism and depressive symptoms during and after pregnancy
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