Abstract
Disruptions in circadian rhythms have been described in mood disorders (MD), but the involvement of genetic variation in genes pertaining to the molecular circadian machinery in the susceptibility to MD has not been conclusively determined. We examined 209 single-nucleotide polymorphisms (SNPs) covering 19 circadian genes (ADCYAP1, ARNTL, ARNTL2, BHLHB2, BHLHB3, CLOCK, CRY1, CRY2, CSNK1E, DBP, NPAS2, NR1D1, PER1, PER2, PER3, RORA, TIMELESS, VIP, and VIPR2) in a sample of 534 MD patients (335 with unipolar major mood depression (MDD) and 199 with bipolar disorder (BD)) and 440 community-based screened controls. Nominally, statistically significant associations were found in 15 circadian genes. The gene-wide test, corrected for the number of SNPs analyzed in each gene, identified significant associations in CRY1 (rs2287161), NPAS2 (rs11123857), and VIPR2 (rs885861) genes with the combined MD sample. In the MDD subsample, the same SNPs in CRY1 and NPAS2 of the combined sample remained associated, whereas in the BD subsample CLOCK (rs10462028) and VIP (rs17083008) were specifically associated. The association with an SNP located 3′ near CRY1 gene in MDD remained statistically significant after permutation correction at experiment level (p=0.007). Significant additive effects were found between the SNPs that were statistically significant at the gene-wide level. We also found evidence of associations between two-marker haplotypes in CRY1 and NPAS2 genes and MD. Our data support the contribution of the circadian system to the genetic susceptibility to MD and suggest that different circadian genes may have specific effects on MD polarity.
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References
Abe M, Herzog ED, Block GD (2000). Lithium lengthens the circadian period of individual suprachiasmatic nucleus neurons. Neuroreport 11: 3261–3264.
Akiskal H, Pinto O (2000). The soft bipolar spectrum: footnotes to Kraepelin on the interface of hypomania, temperament and depression. In: Marneros A, Angst J (eds). Bipolar Disorders. Kluwer Academic: Dordrecht, the Netherlands. pp 37–62.
Akiskal HS, Maser JD, Zeller PJ, Endicott J, Coryell W, Keller M et al (1995). Switching from ‘unipolar’ to bipolar II. An 11-year prospective study of clinical and temperamental predictors in 559 patients. Arch Gen Psychiatry 52: 114–123.
Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H et al (2004). Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 420: 21–27.
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Press: Washington, DC.
Artioli P, Lorenzi C, Pirovano A, Serretti A, Benedetti F, Catalano M et al (2007). How do genes exert their role? Period 3 gene variants and possible influences on mood disorder phenotypes. Eur Neuropsychopharmacol 17: 587–594.
Asher G, Gatfield D, Stratmann M, Reinke H, Dibner C, Kreppel F et al (2008). SIRT1 regulates circadian clock gene expression through PER2 deacetylation. Cell 134: 317–328.
Bailer U, Wiesegger G, Leisch F, Fuchs K, Leitner I, Letmaier M et al (2005). No association of clock gene T3111C polymorphism and affective disorders. Eur Neuropsychopharmacol 15: 51–55.
Barret JC, Fry B, Maller J, Daly MJ (2005). Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21: 263–265.
Baum AE, Akula N, Cabanero M, Cardona I, Corona W, Klemens B et al (2008). A genome-wide association study implicates diacylglycerol kinase eta (DGKH) and several other genes in the etiology of bipolar disorder. Mol Psychiatry 13: 197–207.
Beck-Friis J, Ljunggren JG, Thoren M, von Rosen D, Kjellman BF, Wetterberg L (1985). Melatonin, cortisol and ACTH in patients with major depressive disorder and healthy humans with special reference to the outcome of the dexamethasone suppression test. Psychoneuroendocrinology 10: 173–186.
Belmaker RH, Agam G (2008). Major depressive disorder. N Engl J Med 358: 55–68.
Benazzi F (2007). Is there a continuity between bipolar and depressive disorders? Psychother Psychosom 76: 70–76.
Benedetti F, Bernasconi A, Lorenzi C, Pontiggia A, Serretti A, Colombo C et al (2004). A single nucleotide polymorphism in glycogen synthase kinase 3-beta promoter gene influences onset of illness in patients affected by bipolar disorder. Neurosci Lett 355: 37–40.
Benedetti F, Dallaspezia S, Colombo C, Pirovano A, Marino E, Smeraldi E (2008a). A length polymorphism in the circadian clock gene Per3 influences age at onset of bipolar disorder. Neurosci Lett 445: 184–187.
Benedetti F, Dallaspezia S, Fulgosi MC, Lorenzi C, Serretti A, Barbini B et al (2007). Actimetric evidence that CLOCK 3111 T/C SNP influences sleep and activity patterns in patients affected by bipolar depression. Am J Med Genet B Neuropsychiatr Genet 144B: 631–635.
Benedetti F, Radaelli D, Bernasconi A, Dallaspezia S, Falini A, Scotti G et al (2008b). Clock genes beyond the clock: CLOCK genotype biases neural correlates of moral valence decision in depressed patients. Genes Brain Behav 7: 20–25.
Benedetti F, Serretti A, Colombo C, Barbini B, Lorenzi C, Campori E et al (2003). Influence of CLOCK gene polymorphism on circadian mood fluctuation and illness recurrence in bipolar depression. Am J Med Genet B Neuropsychiatr Genet 123B: 23–26.
Berrettini WH, Nurnberger JI, Hotvedt P, Simmons-Alling S, Gershon ES (1985). Vasoactive intestinal peptide and bipolar affective illness. Evidence for an effect of lithium. J Affect Disord 8: 55–59.
Blumberg HP, Kaufman J, Martin A, Whiteman R, Zhang JH, Gore JC et al (2003). Amygdala and hippocampal volumes in adolescents and adults with bipolar disorder. Arch Gen Psychiatry 60: 1201–1208.
Bunney WE, Bunney BG (2000). Molecular clock genes in man and lower animals: possible implications for circadian abnormalities in depression. Neuropsychopharmacology 22: 335–345.
Campbell H, Manolio T (2007). Commentary: rare alleles, modest genetic effects and the need for collaboration. Int J Epidemiol 36: 445–448.
Carlson CS, Eberle MA, Rieder MJ, Yi Q, Kruglyak L, Nickerson DA (2004). Selecting a maximally informative set of single-nucleotide polymorphisms for association analyses using linkage disequilibrium. Am J Hum Genet 74: 106–120.
Cassano GB, Rucci P, Frank E, Fagiolini A, Dell’Osso L, Shear MK et al (2004). The mood spectrum in unipolar and bipolar disorder: arguments for a unitary approach. Am J Psychiatry 161: 1264–1269.
Colwell CS, Michel S, Itri J, Rodriguez W, Tam J, Lelievre V et al (2003). Disrupted circadian rhythms in VIP- and PHI-deficient mice. Am J Physiol Regul Integr Comp Physiol 285: R939–R949.
Curtis D, Kalsi G, Brynjolfsson J, McInnis M, O’Neill J, Smyth C et al (2003). Genome scan of pedigrees multiply affected with bipolar disorder provides further support for the presence of a susceptibility locus on chromosome 12q23–q24, and suggests the presence of additional loci on 1p and 1q. Psychiatr Genet 13: 77–84.
Dardente H, Cermakian N (2007). Molecular circadian rhythms in central and peripheral clocks in mammals. Chronobiol Int 24: 195–213.
Dardente H, Fortier EE, Martineau V, Cermakian N (2007). Cryptochromes impair phosphorylation of transcriptional activators in the clock: a general mechanism for circadian repression. Biochem J 402: 525–536.
Dawson E, Parfitt E, Roberts Q, Daniels J, Lim L, Sham P et al (1995). Linkage studies of bipolar disorder in the region of the Darier's disease gene on chromosome 12q23–24.1. Am J Med Genet 60: 94–102.
Degn B, Lundorf MD, Wang A, Vang M, Mors O, Kruse TA et al (2001). Further evidence for a bipolar risk gene on chromosome 12q24 suggested by investigation of haplotype sharing and allelic association in patients from the Faroe Islands. Mol Psychiatry 6: 450–455.
Desan PH, Oren DA, Malison R, Price LH, Rosenbaum J, Smoller J et al (2000). Genetic polymorphism at the CLOCK gene locus and major depression. Am J Med Genet 96: 418–421.
Detera-Wadleigh SD (1999). Chromosomes 12 and 16 workshop. Am J Med Genet 88: 255–259.
Ebisawa T, Uchiyama M, Kajimura N, Mishima K, Kamei Y, Katoh M et al (2001). Association of structural polymorphisms in the human period3 gene with delayed sleep phase syndrome. EMBO Rep 2: 342–346.
Ferreira MA, O’Donovan MC, Meng YA, Jones IR, Ruderfer DM, Jones L et al (2008). Collaborative genome-wide association analysis supports a role for ANK3 and CACNA1C in bipolar disorder. Nat Genet 40: 1056–1058.
First MB, Spitzer RL, Gibbon M, Williams JBW (1997). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID). American Psychiatric Press: Washington, DC.
Frank E, Swartz HA, Kupfer DJ (2000). Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Biol Psychiatry 48: 593–604.
Franken P, Dudley CA, Estill SJ, Barakat M, Thomason R, O’Hara BF et al (2006). NPAS2 as a transcriptional regulator of non-rapid eye movement sleep: genotype and sex interactions. Proc Natl Acad Sci USA 103: 7118–7123.
Garcia JA, Zhang D, Estill SJ, Michnoff C, Rutter J, Reick M et al (2000). Impaired cued and contextual memory in NPAS2-deficient mice. Science 288: 2226–2230.
Gauderman W, Morrison J (2006). QUANTO 1.1: A computer program for power and sample size calculations for genetic-epidemiology studies, http://hydra.usc.edu/gxe.
Gauderman WJ (2002). Sample size calculations for matched case-control studies of gene-environment interaction. Stat Med 21: 35–50.
Ghaemi SN, Rosenquist KJ, Ko JY, Baldassano CF, Kontos NJ, Baldessarini RJ (2004). Antidepressant treatment in bipolar versus unipolar depression. Am J Psychiatry 161: 163–165.
Gonzalez JR, Armengol L, Sole X, Guino E, Mercader JM, Estivill X et al (2007). SNPassoc: an R package to perform whole genome association studies. Bioinformatics 23: 644–645.
Grandin LD, Alloy LB, Abramson LY (2006). The social zeitgeber theory, circadian rhythms, and mood disorders: review and evaluation. Clin Psychol Rev 26: 679–694.
Hamilton M (1960). A rating scale for depression. J Neurol Neurosurg Psychiatry 23: 56–62.
Hampp G, Ripperger JA, Houben T, Schmutz I, Blex C, Perreau-Lenz S et al (2008). Regulation of monoamine oxidase A by circadian-clock components implies clock influence on mood. Curr Biol 18: 678–683.
Harmar AJ, Marston HM, Shen S, Spratt C, West KM, Sheward WJ et al (2002). The VPAC(2) receptor is essential for circadian function in the mouse suprachiasmatic nuclei. Cell 109: 497–508.
Healy D (1987). Rhythm and blues. Neurochemical, neuropharmacological and neuropsychological implications of a hypothesis of circadian rhythm dysfunction in the affective disorders. Psychopharmacology (Berl) 93: 271–285.
Humphreys D, Schlesinger L, Lopez M, Araya AV (2006). Interleukin-6 production and deregulation of the hypothalamic-pituitary-adrenal axis in patients with major depressive disorders. Endocrine 30: 371–376.
Johansson C, Willeit M, Smedh C, Ekholm J, Paunio T, Kieseppa T et al (2003). Circadian clock-related polymorphisms in seasonal affective disorder and their relevance to diurnal preference. Neuropsychopharmacology 28: 734–739.
Kato T (2007). Molecular genetics of bipolar disorder and depression. Psychiatry Clin Neurosci 61: 3–19.
Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR et al (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 289: 3095–3105.
Kishi T, Kitajima T, Ikeda M, Yamanouchi Y, Kinoshita Y, Kawashima K et al (2008). Association analysis of nuclear receptor Rev-erb alpha gene (NR1D1) with mood disorders in the Japanese population. Neurosci Res 62: 211–215.
Kishi T, Kitajima T, Ikeda M, Yamanouchi Y, Kinoshita Y, Kawashima K et al (2009a). Association study of clock gene (CLOCK) and schizophrenia and mood disorders in the Japanese population. Eur Arch Psychiatry Clin Neurosci 259: 293–297.
Kishi T, Kitajima T, Ikeda M, Yamanouchi Y, Kinoshita Y, Kawashima K et al (2009b). CLOCK may predict the response to fluvoxamine treatment in japanese major depressive disorder patients. Neuromolecular Med 11: 53–57.
Kishi T, Kitajima T, Ikeda M, Yamanouchi Y, Kinoshita Y, Kawashima K et al (2009c). Orphan nuclear receptor Rev-erb alpha Gene (NR1D1) and fluvoxamine response in major depressive disorder in the japanese population. Neuropsychobiology 59: 234–238.
Kishi T, Kitajima T, Tsunoka T, Ikeda M, Yamanouchi Y, Kinoshita Y et al (2009d). Genetic association analysis of serotonin 2A receptor gene (HTR2A) with bipolar disorder and major depressive disorder in the Japanese population. Neurosci Res 64: 231–234.
Kishi T, Kitajima T, Tsunoka T, Okumura T, Ikeda M, Okochi T et al (2009e). Possible association of prokineticin 2 receptor gene (PROKR2) with mood disorders in the Japanese population. Neuromolecular Med 11: 114–122.
Kissling C, Retz W, Wiemann S, Coogan AN, Clement RM, Hunnerkopf R et al (2008). A polymorphism at the 3′-untranslated region of the CLOCK gene is associated with adult attention-deficit hyperactivity disorder. Am J Med Genet B Neuropsychiatr Genet 147: 333–338.
Lake SL, Lyon H, Tantisira K, Silverman EK, Weiss ST, Laird NM et al (2003). Estimation and tests of haplotype-environment interaction when linkage phase is ambiguous. Hum Hered 55: 56–65.
Linkowski P, Mendlewicz J, Kerkhofs M, Leclercq R, Golstein J, Brasseur M et al (1987). 24-h profiles of adrenocorticotropin, cortisol, and growth hormone in major depressive illness: effect of antidepressant treatment. J Clin Endocrinol Metab 65: 141–152.
Lobo A, Perez-Echeverria MJ, Artal J (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychol Med 16: 135–140.
Loh DH, Abad C, Colwell CS, Waschek JA (2008). Vasoactive intestinal peptide is critical for circadian regulation of glucocorticoids. Neuroendocrinology 88: 246–255.
Mansour HA, Wood J, Logue T, Chowdari KV, Dayal M, Kupfer DJ et al (2006). Association study of eight circadian genes with bipolar I disorder, schizoaffective disorder and schizophrenia. Genes Brain Behav 5: 150–157.
Maywood ES, Reddy AB, Wong GK, O’Neill JS, O’Brien JA, McMahon DG et al (2006). Synchronization and maintenance of timekeeping in suprachiasmatic circadian clock cells by neuropeptidergic signaling. Curr Biol 16: 599–605.
McClung CA (2007a). Circadian genes, rhythms and the biology of mood disorders. Pharmacol Ther 114: 222–232.
McClung CA (2007b). Circadian rhythms, the mesolimbic dopaminergic circuit, and drug addiction. Scientific World J 7: 194–202.
McGuffin P, Katz R (1989). The genetics of depression and manic-depressive disorder. Br J Psychiatry 155: 294–304.
McGuffin P, Rijsdijk F, Andrew M, Sham P, Katz R, Cardno A (2003). The heritability of bipolar affective disorder and the genetic relationship to unipolar depression. Arch Gen Psychiatry 60: 497–502.
Mitterauer B (2000). Clock genes, feedback loops and their possible role in the etiology of bipolar disorders: an integrative model. Med Hypotheses 55: 155–159.
Morin LP (1999). Serotonin and the regulation of mammalian circadian rhythmicity. Ann Med 31: 12–33.
Morissette J, Villeneuve A, Bordeleau L, Rochette D, Laberge C, Gagne B et al (1999). Genome-wide search for linkage of bipolar affective disorders in a very large pedigree derived from a homogeneous population in quebec points to a locus of major effect on chromosome 12q23–q24. Am J Med Genet 88: 567–587.
Nestler EJ, Barrot M, DiLeone RJ, Eisch AJ, Gold SJ, Monteggia LM (2002). Neurobiology of depression. Neuron 34: 13–25.
Nestler EJ, Carlezon Jr WA (2006). The mesolimbic dopamine reward circuit in depression. Biol Psychiatry 59: 1151–1159.
Nievergelt CM, Kripke DF, Barrett TB, Burg E, Remick RA, Sadovnick AD et al (2006). Suggestive evidence for association of the circadian genes PERIOD3 and ARNTL with bipolar disorder. Am J Med Genet B Neuropsychiatr Genet 141B: 234–241.
Partonen T, Treutlein J, Alpman A, Frank J, Johansson C, Depner M et al (2007). Three circadian clock genes Per2, Arntl, and Npas2 contribute to winter depression. Ann Med 39: 229–238.
Phelps EA (2004). Human emotion and memory: interactions of the amygdala and hippocampal complex. Curr Opin Neurobiol 14: 198–202.
Prosser HM, Bradley A, Chesham JE, Ebling FJ, Hastings MH, Maywood ES (2007). Prokineticin receptor 2 (Prokr2) is essential for the regulation of circadian behavior by the suprachiasmatic nuclei. Proc Natl Acad Sci USA 104: 648–653.
Reynolds 3rd CF, Kupfer DJ (1987). Sleep research in affective illness: state of the art circa 1987. Sleep 10: 199–215.
Roybal K, Theobold D, Graham A, DiNieri JA, Russo SJ, Krishnan V et al (2007). Mania-like behavior induced by disruption of CLOCK. Proc Natl Acad Sci USA 104: 6406–6411.
Serretti A, Cusin C, Benedetti F, Mandelli L, Pirovano A, Zanardi R et al (2005). Insomnia improvement during antidepressant treatment and CLOCK gene polymorphism. Am J Med Genet B Neuropsychiatr Genet 137B: 36–39.
Severino G, Manchia M, Contu P, Squassina A, Lampus S, Ardau R et al (2009). Association study in a Sardinian sample between bipolar disorder and the nuclear receptor REV-ERBalpha gene, a critical component of the circadian clock system. Bipolar Disord 11: 215–220.
Sheline YI (2003). Neuroimaging studies of mood disorder effects on the brain. Biol Psychiatry 54: 338–352.
Shi J, Wittke-Thompson JK, Badner JA, Hattori E, Potash JB, Willour VL et al (2008). Clock genes may influence bipolar disorder susceptibility and dysfunctional circadian rhythm. Am J Med Genet B Neuropsychiatr Genet 147B: 1047–1055.
Sklar P, Smoller JW, Fan J, Ferreira MA, Perlis RH, Chambert K et al (2008). Whole-genome association study of bipolar disorder. Mol Psychiatry 13: 558–569.
Sprouse J, Braselton J, Reynolds L (2006). Fluoxetine modulates the circadian biological clock via phase advances of suprachiasmatic nucleus neuronal firing. Biol Psychiatry 60: 896–899.
Terman M, Terman JS (2005). Light therapy for seasonal and nonseasonal depression: efficacy, protocol, safety, and side effects. CNS Spectr 10: 647–663; quiz 672.
Toh KL, Jones CR, He Y, Eide EJ, Hinz WA, Virshup DM et al (2001). An hPer2 phosphorylation site mutation in familial advanced sleep phase syndrome. Science 291: 1040–1043.
Ustun TB, Ayuso-Mateos JL, Chatterji S, Mathers C, Murray CJ (2004). Global burden of depressive disorders in the year 2000. Br J Psychiatry 184: 386–392.
Uz T, Ahmed R, Akhisaroglu M, Kurtuncu M, Imbesi M, Dirim Arslan A et al (2005). Effect of fluoxetine and cocaine on the expression of clock genes in the mouse hippocampus and striatum. Neuroscience 134: 1309–1316.
Vosko AM, Schroeder A, Loh DH, Colwell CS (2007). Vasoactive intestinal peptide and the mammalian circadian system. Gen Comp Endocrinol 152: 165–175.
Walker MP (2009). The role of sleep in cognition and emotion. Ann NY Acad Sci 1156: 168–197.
Wirz-Justice A (1987). Circadian rhythms in mammalian neurotransmitter receptors. Prog Neurobiol 29: 219–259.
Wisor JP, O’Hara BF, Terao A, Selby CP, Kilduff TS, Sancar A et al (2002). A role for cryptochromes in sleep regulation. BMC Neurosci 3: 20.
WTCCC (2007). Genome-wide association study of 14 000 cases of seven common diseases and 3000 shared controls. Nature 447: 661–678.
Wu JC, Bunney WE (1990). The biological basis of an antidepressant response to sleep deprivation and relapse: review and hypothesis. Am J Psychiatry 147: 14–21.
Yatham LN, Srisurapanont M, Zis AP, Kusumakar V (1997). Comparative studies of the biological distinction between unipolar and bipolar depressions. Life Sci 61: 1445–1455.
Acknowledgements
We are very grateful to all the study participants and clinicians and nurses from the Psychiatry Department of the ‘Hospital Universitari de Bellvitge’ and ‘Hospital de la Santa Creu i Sant Pau’ who helped to collect the sample of this study. Also to technicians from the Biobanc IISPV of Reus and Center for Genomic Regulation (CRG). This research project was supported in part by the Spanish Ministry of Health, Instituto de Salud Carlos III (Centro de Investigación en Red de Salud Mental, CIBERSAM; Centro de Investigación en Red en Epidemiología y Salud Pública CIBERESP; PI050960; PI000954), the Ministerio de Ciencia y Innovación (SAF2008-00357), and Genome Spain to the Barcelona node of the Spanish National Genotyping Center (CEGEN).
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Related to this work: The authors have no biomedical financial interests or potential conflicts of interest regarding this work.
Related to other compensations: Over the past 3 years authors Crespo, Menchón, Pérez, Urretavizcaya, and Vallejo have received compensation for lectures, advisories, or non-restricted grants from Almirall, AstraZeneca, Boehringer, GlaxoSmithKline, Lilly, Lundbeck, Janssen-Cilag, and Wyeth.
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Soria, V., Martínez-Amorós, È., Escaramís, G. et al. Differential Association of Circadian Genes with Mood Disorders: CRY1 and NPAS2 are Associated with Unipolar Major Depression and CLOCK and VIP with Bipolar Disorder. Neuropsychopharmacol 35, 1279–1289 (2010). https://doi.org/10.1038/npp.2009.230
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