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A case-control association study of 12 candidate genes and attempted suicide in French adolescents

  • Bojan Mirkovic EMAIL logo , David Cohen , Claudine Laurent , Malaika Lasfar , Christophe Marguet and Prsicille Gerardin
Published/Copyright: September 13, 2017

Abstract

Background

Suicide is the second leading cause of death for 10–19-year-olds. Evidence has shown that attempted suicide is a complex interplay of genes and environmental factors. In the adult population, possible associations between genetic polymorphisms and suicidal behaviors have been investigated for several genes, most often with inconsistent findings and poor replicability of significant associations. This study aimed to identify gene variants conferring risk for adolescent suicide attempt.

Methods

We selected the genes and variants after an analysis of the literature and a selection of the most significant associations identified. We performed analysis on 22 single nucleotide polymorphisms (SNPs) in 12 genes (COMT, CRHR1, FKBP5, SLC6A4, HTR1B, HTR2A, TPH1, TPH2, BDNF, NTRK2, NOS1 and IL28RA) for association with suicide attempt, hopelessness and impulsivity in an independent sample, composed of 98 adolescent suicide attempters who required hospitalization based on emergency assessments, and 150 healthy volunteers. Quality controls, deviations from the Hardy-Weinberg disequilibrium and statistical tests of association (case/control) were calculated using PLINK. Asymptotic p-values were corrected with the Benjamini-Hochberg method. The level of significance was set to 0.05.

Results

We identified four polymorphisms of interest, rs10868235 (NTRK2), rs1659400 (NTRK2), rs2682826 (NOS1) and rs7305115 (TPH2), with significant associations for suicide attempts or for the quantitative hopelessness or impulsivity phenotypes. However, none of the associations withstand statistical correction tests.

Conclusion

Our results do not support the role of the 22 SNPs selected in suicide attempt or hopelessness and impulsivity in adolescent population. However, the relatively small sample size and the probable effect of gene-gene interaction or gene-environment interaction on suicidal behavior could not be ruled out.

Acknowledgments

The authors wish to thank Professor Weber of the Clinical Investigation Center (CIC) of the Rouen University Hospital for his work on recruiting the controls, and the ATMO team in Rouen for their help in the recruitment of the suicidal adolescents.

  1. Authors’ contributions: The study was jointly designed by BM and PG. BM organized the collection of data, performed part of the statistical analysis and prepared the first draft. DC has made substantial contributions to the conception, design, analysis and interpretation of data. CL and ML partially participated in the study design and made substantial contributions to the writing of the manuscript, in data analysis and interpretation of the findings. Overall, all authors were involved in drafting the manuscript or revising it critically for important intellectual content and gave final approval of the version to be published. All authors read and approved the final manuscript.

  2. Competing interests: The authors declare that they have no competing interests.

  3. Availability of data and materials: As all the participants signed a consent form to participate solely in the current study, the present data will be used exclusively for its purpose by the primary authors/researchers according to ethics.

  4. Ethics approval and consent to participate: The study was approved by the Nord-Ouest I Group Ethics and Medical Research Committee (Rouen University Hospital, Rouen, France) and was conducted in accordance with the principles of the Declaration of Helsinki. The genetic nature of the study was discussed with the adolescents and their parents beforehand. They received oral and written explanations of the objectives of the study. They received no remuneration. A written informed consent was obtained from the adolescents and their parents or their legal guardian before they could participate in the study.

  5. Funding: The study was funded by the Charles Nicolle Hospital and the Haute-Normandie Region, France. The authors report no financial interests in any of the subject matter or materials discussed in this manuscript.

Referneces

[1] Organisation for Economic Cooperation and Development Health at a glance: Europe 2012. Paris: OECD Publishing, 2012:154.Search in Google Scholar

[2] CDC Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based injury statistics query and reporting system (WISQARS). Available from: http://www.cdc.gov/violenceprevention/suicide/statistics/index.html. last accessed 12 June 2016.Search in Google Scholar

[3] Hawton K, Saunders KE, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379(9834):2373–82.10.1016/S0140-6736(12)60322-5Search in Google Scholar

[4] World Health Organization. The Second Decade: Improving Adolescent Health and Development. URL: http://whqlibdoc. who.int/hq/1998/WHO_FRH_ADH_98.18_Rev.1.pdf [accessed 2015-05-04] [WebCite Cache ID 6YHiAUizK].Search in Google Scholar

[5] Gould MS, Shaffer D, Fisher P. The clinical prediction of adolescent suicide. In: Maris RW, editor(s). Assessment and prediction of suicide. New York: Guilford Press, 1992.Search in Google Scholar

[6] Mann JJ. Neurobiology of suicidal behaviour. Nat Rev Neurosci. 2003;4(10):819–28.10.1038/nrn1220Search in Google Scholar PubMed

[7] Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47(3–4):372–94.10.1111/j.1469-7610.2006.01615.xSearch in Google Scholar PubMed

[8] Brent DA, Perper JA, Moritz G, Allman C, Friend A, Roth C, et al. Psychiatric risk factors for adolescent suicide: a case-control study. J Am Acad Child Adolesc Psychiatry. 1993;32:521–9.10.1097/00004583-199305000-00006Search in Google Scholar PubMed

[9] Shaffer D, Gould MS, Fisher P, Trautman P, Moreau D, Kleinman M, et al. Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry. 1996;53(4):339–48.10.1001/archpsyc.1996.01830040075012Search in Google Scholar PubMed

[10] Renaud J, Berlim MT, McGirr A, Tousignant M, Turecki G. Current psychiatric morbidity, aggression/impulsivity, and personality dimensions in child and adolescent suicide: a case‒control study. J Affect Disord. 2008;105(1–3):221–8.10.1016/j.jad.2007.05.013Search in Google Scholar PubMed

[11] Consoli A, Peyre H, Speranza M, Hassler C, Falissard B, Touchette E, et al. Suicidal behaviors in depressed adolescents: role of perceived relationships in the family. Child Adolesc Psychiatry Ment Health. 2013;7(1):8.10.1186/1753-2000-7-8Search in Google Scholar PubMed PubMed Central

[12] Brent DA, Bridge J, Johnson BA, Connolly J. Suicidal behavior runs in families. A controlled family study of adolescent suicide victims. Arch Gen Psychiatry. 1996;53:1145–52.10.1001/archpsyc.1996.01830120085015Search in Google Scholar PubMed

[13] Brent DA, Mann JJ. Family genetic studies, suicide, and suicidal behavior. Am J Med Genet C Semin Med Genet. 2005;133C(1):13–24.10.1002/ajmg.c.30042Search in Google Scholar PubMed

[14] Mann JJ, Currier D. A review of prospective studies of biologic predictors of suicidal behavior in mood disorders. Arch Suicide Res. 2007;11:3–16.10.1080/13811110600993124Search in Google Scholar PubMed

[15] Pedersen NL, Fiske A. Genetic influences on suicide and nonfatal suicidal behavior: twin study findings. Eur Psychiatry. 2010;25(5):264–7.10.1016/j.eurpsy.2009.12.008Search in Google Scholar

[16] Roy A, Segal NL, Centerwall BS, Robinette CD. Suicide in twins. Arch Gen Psychiatry. 1991;48:29–32.10.1001/archpsyc.1991.01810250031003Search in Google Scholar

[17] Voracek M, Loibl LM. Genetics of suicide: a systematic review of twin studies. Wien Klin Wochenschr. 2007;119(15–16):463–75.10.1007/s00508-007-0823-2Search in Google Scholar

[18] Hawton K, van Heeringen K. Suicide. Lancet. 2009;373:1372–81.10.1016/S0140-6736(09)60372-XSearch in Google Scholar

[19] Mirkovic B, Laurent C, Podlipski MA, Frebourg T, Cohen C, Gerardin P. Suicidal behaviours and association studies: a review of 10 past years, limits and considerations for future directions. Front Psychiatry. 2016;7:158.10.3389/fpsyt.2016.00158Search in Google Scholar PubMed PubMed Central

[20] Antypa N, Serretti A, Rujescu D. Serotonergic genes and suicide: a systematic review. Eur Neuropsychopharmacol. 2013;23:1125–42.10.1016/j.euroneuro.2013.03.013Search in Google Scholar PubMed

[21] Clayden RC, Zaruk A, Meyre D, Thabane L, Samaan Z. The association of attempted suicide with genetic variants in the SLC6A4 and TPH genes depends on the definition of suicidal behavior: a systematic review and meta-analysis. Transl Psychiatry. 2012;2:e166.10.1038/tp.2012.96Search in Google Scholar PubMed PubMed Central

[22] Calati R, Porcelli S, Giegling I, Hartmann AM, Möller HJ, De Ronchi D, et al. Catechol-o-methyltransferase gene modulation on suicidal behavior and personality traits: review, meta-analysis and association study. J Psychiatr Res. 2011;45:309–21.10.1016/j.jpsychires.2010.07.004Search in Google Scholar PubMed

[23] Brezo J, Klempan T, Turecki G. The genetics of suicide: a critical review of molecular studies. Psychiatr Clin North Am. 2008;31:179–203.10.1016/j.psc.2008.01.008Search in Google Scholar PubMed

[24] Anguelova M, Benkelfat C, Turecki G. A systematic review of association studies investigating genes coding for serotonin receptors and the serotonin transporter: II. Suicidal behavior. Mol Psychiatry. 2003;8:646–53.10.1038/sj.mp.4001336Search in Google Scholar PubMed

[25] Zalsman G. Timing is critical: gene, environment and timing interactions in genetics of suicide in children and adolescents. Eur Psychiatry. 2010;25:284–286.10.1016/j.eurpsy.2010.01.007Search in Google Scholar

[26] Brent D, Melhem N, Ferrell R, Emslie G, Wagner KD, Ryan N, et al. Association of FKBP5 polymorphisms with suicidal events in the Treatment of Resistant Depression in Adolescents (TORDIA) study. Am J Psychiatry. 2010;167:190–7.10.1176/appi.ajp.2009.09040576Search in Google Scholar

[27] Zalsman G, Patya M, Frisch A, Ofek H, Schapir L, Blum I, et al. Association of polymorphisms of the serotonergic pathways with clinical traits of impulsive-aggression and suicidality in adolescents: a multi-center study. World J Biol Psychiatry. 2011;12:33–41.10.3109/15622975.2010.518628Search in Google Scholar

[28] Zalsman G, Frisch A, King RA, Pauls DL, Grice DE, Gelernter J, et al. Case control and family-based studies of tryptophan hydroxylase gene A218C polymorphism and suicidality in adolescents. Am J Med Genet. 2001;105(5):451–7.10.1002/ajmg.1406Search in Google Scholar

[29] Zalsman G, Frisch A, Baruch-Movshovits R, Sher L, Michaelovsky E, King RA, et al. Family-based association study of 5-HT(2A) receptor T102C polymorphism and suicidal behavior in Ashkenazi inpatient adolescents. Int J Adolesc Med Health. 2005;17(3):231–8.10.1515/IJAMH.2005.17.3.231Search in Google Scholar

[30] Posner K, Oquendo MA, Gould M, Stanley B, Davies M. Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants. Am J Psychiatry. 2007;164(7):1035–43.10.1176/ajp.2007.164.7.1035Search in Google Scholar

[31] Mouren-Simeoni M-C. Kiddie-Sads – version vie entière – 6–18 ans (K-SADS-P/L). INSERM. 2002;210.Search in Google Scholar

[32] Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266–77.10.1176/appi.ajp.2011.10111704Search in Google Scholar

[33] Beck AT, Steer R, Brown GK. Manual of the BDI-II, 2nd ed. San Antonio, TX: The Psychological Corporation, 1994.Search in Google Scholar

[34] Beck AT, Steer RA. Manual for the beck hopelessness scale. San Antonio, TX: Psychological Corporation, 1996.Search in Google Scholar

[35] Eysenck SB, Easting G, Pearson PR. Age norms for impulsiveness, venturesomeness and empathy in children. Person Individ Diff. 1984;5(3):315–21.10.1016/0191-8869(84)90070-9Search in Google Scholar

[36] DNA quantification using the Fluorescence/DNase (F/D) assay. Replaced by DNA quantification using SYBR Green I dye and a microplate reader. DNA Genotek. PD-PR-075.Search in Google Scholar

[37] Nazarenko IA, Bhatnagar SK, Hohman RJ. A closed tube format for amplification and detection of DNA based on energy transfer. Nucleic Acids Res. 1997;25:2516–21.10.1093/nar/25.12.2516Search in Google Scholar PubMed PubMed Central

[38] Myakishev MV, Khripin Y, Hu S, Hamer DH. High-throughput SNP genotyping by allele-specific PCR with universal energy-transfer-labeled primers. Genome Res. 2001;11:163–9.10.1101/gr.157901Search in Google Scholar PubMed PubMed Central

[39] Fluidigm. www.fluidigm.com.Search in Google Scholar

[40] Walther DJ, Peter JU, Bashammakh S, Hörtnagl H, Voits M. Synthesis of serotonin by a second tryptophan hydroxylase isoform. Science. 2003;299:76.10.1126/science.1078197Search in Google Scholar PubMed

[41] Bach-Mizrachi H, Underwood MD, Kassir SA, Bakalian MJ, Sibille E, Tamir H, et al. Neuronal tryptophan hydroxylase mRNA expression in the human dorsal and median raphe nuclei: major depression and suicide. Neuropsychopharmacology. 2006;31:814–24.10.1038/sj.npp.1300897Search in Google Scholar PubMed

[42] Perroud N, Jaussent I, Guillaume S, Bellivier F, Baud P, Jollant F, et al. COMT but not serotonin-related genes modulates the influence of childhood abuse on anger traits. Genes Brain Behav. 2010;9:193–202.10.1111/j.1601-183X.2009.00547.xSearch in Google Scholar PubMed PubMed Central

[43] Invernizzi RW. Role of TPH-2 in brain function: news from behavioral and pharmacologic studies. J Neurosci Res. 2007;85:3030–5.10.1002/jnr.21330Search in Google Scholar PubMed

[44] Zill P, Baghai TC, Zwanzger P, Schule C, Eser D, Rupprecht R, et al. SNP and haplotype analysis of a novel tryptophan hydroxylase isoform (TPH2) gene provide evidence for association with major depression. Mol Psychiatry. 2004;9:1030–6.10.1038/sj.mp.4001525Search in Google Scholar PubMed

[45] Zhou Z, Roy A, Lipsky R, Kuchipudi K, Zhu G, Taubman J, et al. Haplotype-based linkage of tryptophan hydroxylase 2 to suicide attempt, major depression, and cerebrospinal fluid 5-hydroxyindoleacetic acid in 4 populations. Arch Gen Psychiatry. 2005;62:1109–18.10.1001/archpsyc.62.10.1109Search in Google Scholar PubMed

[46] De Luca V, Mueller DJ, Tharmalingam S, King N, Kennedy JL. Analysis of the novel TPH2 gene in bipolar disorder and suicidality. Mol Psychiatry. 2004;9:896–7.10.1038/sj.mp.4001531Search in Google Scholar PubMed

[47] De Luca V, Voineskos D, Wong GW, Shinkai T, Rothe C, Strauss J, et al. Promoter polymorphism of second tryptophan hydroxylase isoform (TPH2) in schizophrenia and suicidality. Psychiatry Res. 2005;134:195–8.10.1016/j.psychres.2005.01.005Search in Google Scholar PubMed

[48] Zhang Y, Zhang C, Yuan G, Yao J, Cheng Z, Liu C, et al. Effect of tryptophan hydroxylase-2 rs7305115 SNP on suicide attempts risk in major depression. Behav Brain Funct. 2010;6:49.10.1186/1744-9081-6-49Search in Google Scholar PubMed PubMed Central

[49] Ke L, Qi ZY, Ping Y, Ren CY. Effect of SNP at position 40237 in exon 7 of the TPH2 gene on susceptibility to suicide. Brain Res. 2006;1122:24–6.10.1016/j.brainres.2006.09.007Search in Google Scholar PubMed

[50] Dwivedi Y, Rizavi HS, Conley RR, Roberts RC, Tamminga CA, Pandey GN. Altered gene expression of brain-derived neurotrophic factor and receptor tyrosine kinase B in postmortem brain of suicide subjects. Arch Gen Psychiatry. 2003;60:804–15.10.1001/archpsyc.60.8.804Search in Google Scholar PubMed

[51] Kohli MA, Salyakina D, Pfennig A, Lucae S, Horstmann S, Menke A, et al. Association of genetic variants in the neurotrophic receptorencoding gene NTRK2 and a lifetime history of suicide attempts in depressed patients. Arch Gen Psychiatry. 2010;67:348–59.10.1001/archgenpsychiatry.2009.201Search in Google Scholar PubMed PubMed Central

[52] Murphy TM, Ryan M, Foster T, Kelly C, McClelland R, O’Grady J, et al. Risk and protective genetic variants in suicidal behaviour: association with SLC1A2, SLC1A3, 5-HTR1B &NTRK2 polymorphisms. Behav Brain Funct. 2011;7:22.10.1186/1744-9081-7-22Search in Google Scholar PubMed PubMed Central

[53] Lin E, Hong CJ, Hwang JP, Liou YJ, Yang CH, Cheng D, et al. Gene-gene interactions of the brain-derived neurotrophic-factor and neurotrophic tyrosine kinase receptor 2 genes in geriatric depression. Rejuvenation Res. 2009;12:387–93.10.1089/rej.2009.0871Search in Google Scholar PubMed

[54] Xu K, Anderson TR, Neyer KM, Lamparella N, Jenkins G, Zhou Z, et al. Nucleotide sequence variation within the human tyrosine kinase B neurotrophin receptor gene: association with antisocial alcohol dependence. Pharmacogenomics J. 2007;7:368–79.10.1038/sj.tpj.6500430Search in Google Scholar PubMed PubMed Central

[55] Giedd JN, Blumenthal J, Jeffries NO, Castellanos FX, Liu H, Zijdenbos A, et al. Brain development during childhood and adolescence: a longitudinal MRI study. Nat Neurosci. 1999;2:861–3.10.1038/13158Search in Google Scholar PubMed


Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/ijamh-2017-0089).


Received: 2017-05-17
Accepted: 2017-07-18
Published Online: 2017-09-13

©2020 Walter de Gruyter GmbH, Berlin/Boston

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