双極性障害のリスク遺伝子(A risk gene for bipolar disorder)

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2024-09-02 マックス・プランク研究所

マックスプランク精神医学研究所の研究者は、双極性障害のリスク遺伝子であるアデニル酸シクラーゼ2(ADCY2)の変異が、マウスにおいて躁病のような行動変化を引き起こすことを実験で証明しました。この発見は、ADCY2の変異が人間でも同様の症状を引き起こす可能性を示唆しており、新しい個別化治療の開発に道を開くかもしれません。研究では、ストレス下での遺伝子変異マウスが躁状態から抑うつ状態に移行することも確認されました。

<関連情報>

双極性障害に関連するミスセンス変異体がアデニルシクラーゼ2活性を変化させ、躁病様行動を促進する A bipolar disorder-associated missense variant alters adenylyl cyclase 2 activity and promotes mania-like behavior

Paromita Sen,Oskar Ortiz,Elena Brivio,Danusa Menegaz,Laura Sotillos Elliott,Ying Du,Clemens Ries,Alon Chen,Wolfgang Wurst,Juan Pablo Lopez,Matthias Eder & Jan M. Deussing
Molecular Psychiatry  Published:13 July 2024
DOI:https://doi.org/10.1038/s41380-024-02663-w

双極性障害のリスク遺伝子(A risk gene for bipolar disorder)

Abstract

The single nucleotide polymorphism rs13166360, causing a substitution of valine (Val) 147 to leucine (Leu) in the adenylyl cyclase 2 (ADCY2), has previously been associated with bipolar disorder (BD). Here we show that the disease-associated ADCY2 missense mutation diminishes the enzyme´s capacity to generate the second messenger 3’,5’-cylic adenosine monophosphate (cAMP) by altering its subcellular localization. We established mice specifically carrying the Val to Leu substitution using CRISPR/Cas9-based gene editing. Mice homozygous for the Leu variant display symptoms of a mania-like state accompanied by cognitive impairments. Mutant animals show additional characteristic signs of rodent mania models, i.e., they are hypersensitive to amphetamine, the observed mania-like behaviors are responsive to lithium treatment and the Val to Leu substitution results in a shifted excitatory/inhibitory synaptic balance towards more excitation. Exposure to chronic social defeat stress switches homozygous Leu variant carriers from a mania- to a depressive-like state, a transition which is reminiscent of the alternations characterizing the symptomatology in BD patients. Single-cell RNA-seq (scRNA-seq) revealed widespread Adcy2 mRNA expression in numerous hippocampal cell types. Differentially expressed genes particularly identified from glutamatergic CA1 neurons point towards ADCY2 variant-dependent alterations in multiple biological processes including cAMP-related signaling pathways. These results validate ADCY2 as a BD risk gene, provide insights into underlying disease mechanisms, and potentially open novel avenues for therapeutic intervention strategies.

医療・健康
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