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July 11, 2017Molecular Psychiatry181 citationsOpen Access

Cross-disorder risk gene CACNA1C differentially modulates susceptibility to psychiatric disorders during development and adulthood

NDNina DedicMPMax L. PöhlmannJRJulia Richter

Key Result

CACNA1C SNPs rs73248708 and rs116625684 significantly interacted with adult trauma exposure to predict current depressive symptoms in a highly traumatized cohort.

Study Design

Type

Observational (n=4,808)

Multicenter

No

Structured PICO

P
Population
4,808 predominantly African American individuals from a highly traumatized, urban population assessed for gene-environment interactions between CACNA1C variants and adult trauma on depressive symptoms.
E
Exposure
Deletion of Cacna1c in forebrain glutamatergic neurons during embryonic development or adulthood (mice); SNPs in CACNA1C interacting with adverse life events (humans).
C
Comparator
Wild-type/control genotypes (mice); individuals without risk SNPs or adverse life events (humans).
O
Outcome
Manifestation of endophenotypes related to psychiatric disorders (cognitive decline, impaired synaptic plasticity, reduced sociability, hyperactivity, increased anxiety, and susceptibility to chronic stress).

Cacna1c acts as a cross-disorder risk gene with differential roles during development and adulthood in shaping cognition, emotional behavior, and stress susceptibility.

Main Result

p-value: p=0.0004

Limitations

  • The Grady Trauma Project includes mostly African Americans, limiting generalizability to European or other populations.
  • The cohort is highly traumatized, so effects might not be found in less traumatized populations.
  • Lack of information on the exact timing of adult trauma precludes evaluation of age effects.

Abstract

Single-nucleotide polymorphisms (SNPs) in CACNA1C, the α1C subunit of the voltage-gated L-type calcium channel Cav1.2, rank among the most consistent and replicable genetics findings in psychiatry and have been associated with schizophrenia, bipolar disorder and major depression. However, genetic variants of complex diseases often only confer a marginal increase in disease risk, which is additionally influenced by the environment. Here we show that embryonic deletion of Cacna1c in forebrain glutamatergic neurons promotes the manifestation of endophenotypes related to psychiatric disorders including cognitive decline, impaired synaptic plasticity, reduced sociability, hyperactivity and increased anxiety. Additional analyses revealed that depletion of Cacna1c during embryonic development also increases the susceptibility to chronic stress, which suggest that Cav1.2 interacts with the environment to shape disease vulnerability. Remarkably, this was not observed when Cacna1c was deleted in glutamatergic neurons during adulthood, where the later deletion even improved cognitive flexibility, strengthened synaptic plasticity and induced stress resilience. In a parallel gene × environment design in humans, we additionally demonstrate that SNPs in CACNA1C significantly interact with adverse life events to alter the risk to develop symptoms of psychiatric disorders. Overall, our results further validate Cacna1c as a cross-disorder risk gene in mice and humans, and additionally suggest a differential role for Cav1.2 during development and adulthood in shaping cognition, sociability, emotional behavior and stress susceptibility. This may prompt the consideration for pharmacological manipulation of Cav1.2 in neuropsychiatric disorders with developmental and/or stress-related origins.

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Cite This Study

Dedic et al. (2017) conducted an observational in Depression symptoms (n=4,808). CACNA1C SNPs (rs73248708 and rs116625684) and adult trauma vs. Major allele carriers and individuals without trauma history was evaluated on Beck Depression Inventory scores (p=0.0004). CACNA1C SNPs rs73248708 and rs116625684 significantly interacted with adult trauma exposure to predict current depressive symptoms in a highly traumatized cohort.

synapsesocial.com/papers/6a205585497d35c09ae725ffhttps://doi.org/10.1038/mp.2017.133
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