Genes, Environment, & Gene-Environment Interplay The Future - - PowerPoint PPT Presentation

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Genes, Environment, & Gene-Environment Interplay The Future - - PowerPoint PPT Presentation

Genes, Environment, & Gene-Environment Interplay The Future of Mental Health Treatment? Christopher P Monceaux , Master of Biomedical Sciences Counseling Psychology Graduate Student, LSU in Shreveport Email: monceauxc49@lsus.edu


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 Genes, Environment, & Gene-Environment Interplay

The Future of Mental Health Treatment?

Christopher P Monceaux, Master of Biomedical Sciences Counseling Psychology Graduate Student, LSU in Shreveport Email: monceauxc49@lsus.edu Meredith Nelson, PhD, LPC, LMFT, NCC Associate Professor, LSU in Shreveport Email: mnelson@lsus.edu Louisiana Counseling Association 2013 Conference September 17, 2013

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Outline

 Biology of Mental Health  Environmental Effects on

Mental Health

 Gene-Environment Interplay  Mental Health Treatment

Implications

http://psychcentral.com/news/u/2010/06/dna-man-abstract.jpg

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The Biology of Mental Health

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Central Dogma of Molecular Biology

 DNA  RNA  Protein  What is a gene?

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Mutations

“Heritable change in the nucleotide sequence of a chromosome” (Alberts et al., 2002, p. G:23).

What causes changes in the DNA sequence?

Spontaneous changes of bases

Reactive metabolites

Environmental chemicals

UV radiation

Recombination

http://mthfr.net/mthfr-mutations-and-the-conditions-they-cause/2011/09/07/

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Molecular Biology & Mental Health

Genetic mutations and dysfunctional cellular signaling play some role in the etiology of disorders

Schizophrenia

ADHD

Mood disorders

Anxiety disorders & PTSD 

The genetic and signaling components of mental health

  • ften overlap, including multiple

genes and signaling pathways.

http://blogs.scientificamerican.com/observations/2010/05/10/schizophrenia-shares-genetic- links-with-autism-genome-study-shows/

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Environmental Effects on Mental Health

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Gene-Environment Interplay

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What exactly is gene-environment interplay?

 Three categories (Brendgen et al., 2009; Rutter, Moffitt, & Caspi,

2006)

Interaction between specific genes and environment (GXE)

Epigenetics

Gene-environment correlations (rGE)

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Gene-Environment Interactions

 Works via three mechanisms (Brendgen et al., 2009)

Diathesis-stress

Compensation

Control  Evidence/Examples

Anxiety and depressive disorders (Petersen et al., 2012)

Schizophrenia (van Winkel et al., 2010)

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Epigenetics

 DNARNAProtein  Regulations above the level

  • f genetic code lead to

alterations in gene expression

 Exposure to certain

environments can change the regulation (Champagne & Mashoodh, 2009)

http://www.medscape.com/viewarticle/772252_5

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Epigenetics (Ctd)

DNA RNA transcript mRNA mRNA Inactive mRNA protein Inactive protein

  • 1. Transcriptional Control
  • 2. RNA Processing Control
  • 3. RNA Transport & Localization

Control

  • 4. Translation Control
  • 5. mRNA Degradation Control
  • 6. Protein Activity Control

1 2 3 4 5 6

Nucleus Cytoplasm

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Gene-Environment Correlations (rGE)

 Three types:

Passive, Active, & Evocative (Rutter, Moffitt, & Caspi, 2006)

Parent’s Genes Individual’s Genes Exposure to Particular Environments

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Interplay Between Different Types

 Different types of gene-

environment interplay can

  • ccur at the same time

 Example

Peer acceptance/rejection and depressive behavior (Brendgen et al., 2009)

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Resilience

 Genetics  Environment  Gene-environment

interplay

http://cognitive-edge.com/blog/entry/5873/cynefin-strategy-building-resilience/

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Implications for Counseling/Mental Health Treatment

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Implications for Treatment

Main clinical benefit will likely be from an understanding of the biological pathways of the interactions (Rutter, 2010).

Once understood, drug treatments could be used for environmentally insensitive individuals and psychotherapy used for environmentally sensitive individuals (Rutter, 2010).

Understanding the form of gene- environment interplay at work in a disorder could help pick prevention and intervention strategies (Jaffee & Price, 2007).

Overall, will help to further tailor the treatment to each individual.

http://www.prevention.com/health/healthy-living/dna-testing-genetic-diseases

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Ethical Considerations

 Fatalism  Privacy and confidentiality  Environmental conditions

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Hope or Hype

 Epigenetics is not “all or

none.”

 Depends on many factors,

including cell type, differentiation, etc.

 Changeable

http://www.proginosko.com/2013/01/the-most-important-question/

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Changes in Classification

 NIMH Research Domain Criteria

Project

“facilitate translation of modern molecular biology, neuroscience, and behavioral approaches toward explicating the pathophysiology of disorders (Cuthbert & Insel, p. 1062)”

http://www.ipgcounseling.com/blogs/margie-nichols/dsm-and-nimh- why-insel-got-it-right-and-what-it-means-sexology

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Conclusions

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Conclusions

 Both genes and the environment play an important role in

mental health.

 One mechanism by which this may take place is gene-

environment interplay.

 Interplay can occur in different forms that may often be at work

together.

 Learning more about these interactions could lead to the

development of tailored treatment options.

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References & Recommended Readings

Alberts, B., Johnson, A., Lewis, J., Raff, M., Roberts, K., & Walter, P. (2002). Molecular Biology of the Cell. (4th ed.). New York: Garland Science.

Bagdy, G., Juhasz, G., & Gonda, X. (2012). A new clinical evidence-based gene-environment interaction model of depression. Neuropsychopharmacologia Hungarica: a Magyar Pszichofarmakológiai Egyesület lapja = official journal of the Hungarian Association of Psychopharmacology, 14(4), 213–220.

Brendgen, M., Vitaro, F., Boivin, M., Girard, A., Bukowski, W. M., Dionne, G.,…Perusse, D. (2009). Gene-environment interplay between peer rejection and depressive behavior in children. Journal of Child Psychology and Psychiatry, 50(8), 1009-1017. doi: 10.1111/j.1469-7610.2009.02052.x

Champagne, F. A., & Mashoodh, R. (2009). Genes in context: gene-environment interplay and the origins of individual differences in behavior. Current Directions in Psychological Science, 18(3), 127-131.

Craddock, N., & Sklar, P. (2013). Genetics of bipolar disorder. Lancet, 381(9878), 1654–1662. doi:10.1016/S0140-6736(13)60855-7

Doherty, J. L., O’Donovan, M. C., & Owen, M. J. (2012). Recent genomic advances in schizophrenia. Clinical genetics, 81(2), 103–109. doi:10.1111/j.1399-0004.2011.01773.x

Heinrich, A., Nees, F., Lourdusamy, A., Tzschoppe, J., Meier, S., Vollstädt-Klein, S., … The IMAGEN consortium. (2013). From gene to brain to behavior: schizophrenia-associated variation in AMBRA1 alters impulsivity-related traits. The European journal of neuroscience. doi:10.1111/ejn.12201

Ikegame, T., Bundo, M., Murata, Y., Kasai, K., Kato, T., & Iwamoto, K. (2013). DNA methylation of the BDNF gene and its relevance to psychiatric disorders. Journal of human genetics. doi:10.1038/jhg.2013.65

Jaffee, S. R., & Price, T. S. (2007). Gene-environment correlations: a review of the evidence and implications for prevention of mental illness. Molecular Psychiatry, 12, 432-442.

Kim-Cohen, J., & Gold, A. L. (2009). Measured Gene–Environment Interactions and Mechanisms Promoting Resilient Development. Current Directions in Psychological Science (Wiley-Blackwell), 18(3), 138–142. doi:10.1111/j.1467-8721.2009.01624.x

Klengel, T. (2013). Gene-Environment Interactions in Major Depressive Disorder. Interactions gène-environnement dans le trouble dépressif majeur., 58(2), 76–83.

Logue, M. W., Solovieff, N., Leussis, M. P., Wolf, E. J., Melista, E., Baldwin, C., … Miller, M. W. (2013). The ankyrin-3 gene is associated with posttraumatic stress disorder and externalizing

  • comorbidity. Psychoneuroendocrinology. doi:10.1016/j.psyneuen.2013.04.013
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References & Recommended Readings

Murdoch, J. D., & State, M. W. (2013). Recent developments in the genetics of autism spectrum disorders. Current opinion in genetics & development, 23(3), 310–315. doi:10.1016/j.gde.2013.02.003

Northoff, G. (2013). Gene, brains, and environment—genetic neuroimaging of depression. Current Opinion in Neurobiology, 23(1), 133–142. doi:10.1016/j.conb.2012.08.004

Petersen, I. T., Bates, J. E., Goodnight, J. A., Dodge, K. A., Lansford, J. E., Pettit, G. S.,…Dick, D. M. (2012). Interaction between serotonin transporter polymorphism (5-HTTLPR) and stressful life events in adolescents’ trajectories of anxious/depressed

  • symptoms. Developmental Psychology, 48(5), 1463-1475. doi: 10.1037/a0027471

Rutter, M. (2010). Gene-environment interplay. Depression and Anxiety, 27, 1-4. doi: 10.1002/da.20641

Rutter, M., Moffitt, T. E., & Caspi, A. (2006). Gene-environment interplay and psychopathology: multiple varieties but real effects. Journal of Child Psychology and Psychiatry, 47(3/4), 226-261. doi:10.1111/j.1469-7610.2005.01557.x

Suls, J., & Rothman, A. (2004). Evolution of the biopsychosocial model: prospects and challenges for health psychology. Health Psychology, 23(2), 119-125. doi: 10.1037/0278-6133.23.2.119

Suomi, S. J. (2011). Risk, Resilience, and Gene-Environment Interplay in Primates. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(4), 289–297.

Van Winkel, R., Esquivel, G., Kenis, G., Wichers, M., Collip, D., Peerbooms, O.,…Van Os, J. (2010). Genome-wide findings in schizophrenia and the role of gene-environment interplay. CNS Neuroscience & Therapeutics, 16, e185-e192. doi: 10.1111/j.1755- 5949.2010.00155.x

Williams, N. M., Zaharieva, I., Martin, A., Langley, K., Mantripragada, K., Fossdal, R., … Thapar, A. (2010). Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: a genome-wide analysis. Lancet, 376(9750), 1401–1408. doi:10.1016/S0140-6736(10)61109-9

Xu, Q., Wu, X., Xiong, Y., Xing, Q., He, L., & Qin, S. (2013). Pharmacogenomics can improve antipsychotic treatment in schizophrenia. Frontiers of medicine, 7(2), 180–190. doi:10.1007/s11684-013-0249-3

Yin, D.-M., Chen, Y.-J., Lu, Y.-S., Bean, J. C., Sathyamurthy, A., Shen, C., … Mei, L. (2013). Reversal of behavioral deficits and synaptic dysfunction in mice overexpressing neuregulin 1. Neuron, 78(4), 644–657. doi:10.1016/j.neuron.2013.03.028

Zhang, R., Zhang, H., Li, M., Li, H., Li, Y., Valenzuela, R. K., … Ma, J. (2013). Genetic analysis of common variants in the CMYA5 (cardiomyopathy-associated 5) gene with schizophrenia. Progress in neuro-psychopharmacology & biological psychiatry. doi:10.1016/j.pnpbp.2013.05.015

Zovkic, I. B., Meadows, J. P., Kaas, G. A., & Sweatt, J. D. (2013). Interindividual Variability in Stress Susceptibility: A Role for Epigenetic Mechanisms in PTSD. Frontiers in Psychiatry, 4. doi:10.3389/fpsyt.2013.00060

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Questions

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