Associations of depression with candidate genes associated with atherosclerosisdependent cardiovascular diseases among individuals aged 25–64
https://doi.org/10.52727/2078-256X-2025-21-3-309-319
Abstract
The aim of the study: to identify the most significant associations of depression with candidate genes associated with atherosclerosis-related cardiovascular diseases among individuals aged 25–64 in Novosibirsk. Material and methods. The study of the association of candidate genes with depression in the population of individuals aged 25–64 years in Novosibirsk was carried out using the material of three large-scale epidemiological studies in which residents of the Oktyabrsky district of Novosibirsk participated. This study included: III screening of the WHO MONICA psychosocial program in 1994–1995 (657 men); IV screening “HAPIEE” 2003–2005 (642 men); VI screening of the population in 2013–2017 (403 men and 531 women). Genotyping of the studied polymorphisms was carried out in the laboratory of molecular genetic studies of the Research Institute of Therapeutic Microbiology and Microbiology, branch of the Institute of Cytology and Genetics (Novosibirsk). Results. A reliable association was found between depression and carriage of the following genotypes: SLA and LALA of the SLC6A4 gene, “long” alleles (6 repeats and higher) of the DRD4 gene, 9/9 of the SLC6A3 gene, T/C genotype of the DRD2/ANKK1 Taq1A gene, G/G of the COMT gene, C/G of the IL-6 gene, G/A of the TNF-α gene and ε3/4 of the APOE gene (p < 0.05). Conclusions. The demonstration of a common genetic substrate for depression and atherosclerosis-related cardiovascular diseases may further reveal the bidirectional mechanisms by which depression and cardiovascular diseases potentiate each other.
Keywords
About the Authors
V. V. GafarovRussian Federation
Valery V. Gafarov, doctor of medical sciences, professor, head laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
E. A. Gromova
Russian Federation
Elena A. Gromova, doctor of medical sciences, leading researcher laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
V. N. Maksimov
Russian Federation
Vladimir N. Maksimov, doctor of medical sciences, professor, head laboratory of molecular genetical research
175/1, Boris Bogatkov st., Novosibirsk, 630089
E. V. Shakhtshneider
Russian Federation
Elena V. Shakhtshneider, doctor of medical sciences, leader researcher in the laboratory of molecular genetic studies of therapeutic disease
175/1, Boris Bogatkov st., Novosibirsk, 630089
I. V. Gagulin
Russian Federation
Igor V. Gagulin, senior researcher at the laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
K. V. Likhenko-Logvinenko
Russian Federation
Kristina V. Likhenko-Logvinenko, junior researcher laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
A. V. Gafarova
Russian Federation
Almira V. Gafarova, senior researcher at the laboratory of psychological and sociological problems of therapeutic diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
References
1. Smulevich A.B. Depression in general practice: manual for doctors. Moscow: Medical information agency, 2007. 256 p. (In Russ).
2. Ying Z., Xiaocan J., Yongli Y., Na S., Shuyan S., Wei W. Change in the global burden of depression from 1990–2019 and its prediction for 2030. J. Psychiatr. Res., 2024; 178: 16–22. doi: 10.1016/j.jpsychires.2024.07.054
3. Woody C.A., Ferrari A.J., Siskind D.J., Whiteford H.A., Harris M.G. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J. Affect. Disord. 2017; 219: 86–92. doi: 10.1016/j.jad.2017.05.003
4. Sergienko I.V., Ansheles A.A. Pathogenesis, diagnosis and treatment of atherosclerosis: practical aspects. Russian Cardiology Bulletin, 2021; 16 (1): 64–72. (In Russ.). doi: 10.17116/Cardiobulletin20211601164
5. Piepoli M.F., Hoes A.W., Agewall S., Albus C., Brotons C., Catapano A.L., Cooney M.T., Corrà U., Cosyns B., Deaton C., Graham I., Hall M.S., Hobbs F.D.R., Løchen M.L., Löllgen H., Marques-Vidal P., Perk J., Prescott E., Redon J., Richter D.J., Sattar N., Smulders Y., Tiberi M., van der Worp H.B., van Dis I., Verschuren W.M.M., Binno S.; ESC Scientific Document Group 2016. European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). European Heart Journal, 2016; 37 (29): 2315–2381. doi: 10.1093/eurheartj/ehw106
6. Kuharchuk V.V., Ezhov M.V., Sergienko I.V., Arabidze G.G., Bubnova M.G, Balahonova T.V., Gurevich V.S., Kachkovskij M.A., Konovalov G.A., Konstantinov V.O., Malyshev P.P., Pokrovskij S.D., Sokolov A.A., Sumarokov A.B., Gornyakova N.B., Obrezan A.G., Shaposhnik I.I., Anciferov M.B., Ansheles A.A., Aronov D.M., Ahmedzhanov N.M., Barbarash O.L., Bojcov S.A., Voevoda M.I., Galstyan G.R., Galyavich A.S., Drapkina O.M., Duplyakov D.V., Eregin S.Ya., Karpov R.S., Karpov Yu.A., Koziolova N.A., Kosmachev E.D., Nebieridze D.V., Nedogoda S.V., Olejnikov V.E., Ragino Yu.I., Skibickij V.V., Smolenskaya O.G., Filippov A.E., Halimov Yu.Sh., Chazova IE., Shestakova M.V., Yakushin S.S. Diagnosis and correction of lipid metabolism disorders for the prevention and treatment of atherosclerosis. Russian recommendations. VII revision. The Journal of Atherosclerosis and Dyslipidemias, 2020; 38 (1): 7–40. (In Russ.). doi: 10.34687/2219-8202.JAD.2020.01.0002
7. Yezhov M.V., Chubykina U.V., Dmitriev V.A. Difficulties in achieving target levels of low-density lipoprotein cholesterol in patients with atherosclerotic cardiovascular diseases in real clinical practice. Atherosclerosis and Dyslipidemia, 2023; 4 (53): 27–34. (In Russ).
8. Lozhkina N.G., Voskoboynikov Yu.E., Kopylov V.N., Parkhomenko O.M., Voevoda M.I. Two approaches to modeling the risk of progressive atherosclerosis. Siberian Journal of Clinical and Experimental Medicine, 2023; 38 (2): 89–97. (In Russ.). doi: 10.29001/2073-8552-2023-38-2-89-97
9. Li X., Zhou J., Wang M., Yang C., Sun G. Cardiovascular disease and depression: a narrative review. Front. Cardiovasc. Med., 2023; 10: 1274595. doi: 10.3389/fcvm.2023.1274595
10. Vaccarino V., Badimon L., Bremner J.D., Cenko E., Cubedo J., Dorobantu M., Duncker D.J., Koller A., Manfrini O., Milicic D., Padro T., Pries A.R., Quyyumi A.A., Tousoulis D., Trifunovic D., Vasiljevic Z., de Wit C., Bugiardini R.; ESC Scientific Document Group Reviewers. Depression and coronary heart disease: 2018 position paper of the ESC working group on coronary pathophysiology and microcirculation. Eur. Heart J., 2020; 41 (17): 1687–1696. doi: 10.1093/eurheartj/ehy913
11. Zeng J., Qiu Y., Yang C., Fan X., Zhou X., Zhang C., Zhu S., Long Y., Hashimoto K., Chang L., Wei Y. Cardiovascular diseases and depression: A meta-analysis and Mendelian randomization analysis. Mol. Psychiatry, 2025; 30 (9): 4234–4246. doi: 10.1038/s41380-025-03003-2
12. Zhao S., Zhu L., Yang J. Association between depression and macrovascular disease: a mini review. Front. Psychiatry, 2023; 14: 1215173. doi: 10.3389/fpsyt.2023.1215173
13. Huang P., Yan L., Li Z., Zhao S., Feng Y., Zeng J., Chen L., Huang A., Chen Y., Lei S., Huang X., Deng Y., Xie D., Guan H., Peng W., Yu L., Chen B. Potential shared gene signatures and molecular mechanisms between atherosclerosis and depression: Evidence from transcriptome data. Comput. Biol. Med., 2023; 152: 106450. doi: 10.1016/j.compbiomed.2022.106450
14. Serna-Rodríguez M.F., Bernal-Vega S., de la Barquera J.A.O., Camacho-Morales A., Pérez-Maya A.A. The role of damage associated molecular pattern molecules (DAMPs) and permeability of the bloodbrain barrier in depression and neuroinflammation. J. Neuroimmunol., 2022; 371: 577951. doi: 10.1016/j.jneuroim.2022.577951
15. Peasey A., Bobak M., Kubinova R., Malyutina S., Pajak A., Tamosiunas A., Pikhart H., Nicholson A., Marmot M. Determinants of cardiovascular disease and other non-communicable diseases in Central and Eastern Europe: rationale and design of the HAPIEE study. BMC Public Health, 2006; 6: 255. doi: 10.1186/1471-2458-6-255
16. Buül A., Tsefel P. SPSS: the art of information processing. Analysis of statistical data and restoration of hidden patterns. Saint-Petersburg: DiaSoft, 2002. 608 p. (In Russ.).
17. Glanz S. Biomedical statistics. Moscow: Praktika, 1998. 459 p. (In Russ.).
18. Otte C., Gold S.M., Penninx B.W., Pariante C.M., Etkin A., Fava M., Mohr D.C., Schatzberg A.F. Major depressive disorder. Nat. Rev. Dis. Prim., 2016; 2: 16065. doi: 10.1038/nrdp.2016.65
19. Correia A.S., Cardoso A., Vale N. Highlighting immune system and stress in major depressive disorder, parkinson’s, and alzheimer’s diseases, with a connection with serotonin. Int. J. Mol. Sci., 2021; 22: 8525. doi: 10.3390/ijms22168525
20. Correia A.S., Cardoso A., Vale N. Oxidative stress in depression: the link with the stress response, neuroinflammation, serotonin, neurogenesis and synaptic plasticity. Antioxidants (Basel), 2023; 12 (2): 470. doi: 10.3390/antiox12020470
21. Maes M. Major depression and activation of the inflammatory response system. Adv. Exp. Med. Biol., 1999; 461: 25–46. doi: 10.1007/978-0-585-37970-8_2
22. Schwabe I., Milaneschi Y., Gerring Z., Sullivan P.F., Schulte E., Suppli N.P., Thorp J.G., Derks E.M., Middeldorp C.M. Unraveling the genetic architecture of major depressive disorder: merits and pitfalls of the approaches used in genome-wide association studies. Psychol. Med., 2019; 49 (16): 2646–2656. doi: 10.1017/S0033291719002502
23. Gafarov V.V., Gromova E.A., Panov D.O., Maksimov V.N., Gagulin I.N., Gafarova A.V. Depression and polymorphism G-174C (rs1800795) of the IL-6 gene in an open population of 25–44 year old in Russia/Siberia (WHO international program MONICA-psychosocial). Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics, 2022; 14 (5): 22–27. (In Russ.). doi: 10.14412/2074-2711-2022-5-22-27
24. Gagulin I.V., Gromova E.A., Gafarova A.V., Gafarov V.V. G308A tumor necrosis factor-α gene polymorphism and depression in an open male population aged 25–64 years from Novosibirsk (an epidemiological study according to the WHO MONICA-psychosocial program). Neurology, Neuropsychiatry, Psychosomatics, 2018;10(1):43–46. [(In Russ.). doi: 10.14412/2074-2711-2018-1-43-46
25. Schwabe I., Milaneschi Y., Gerring Z., Sullivan P.F., Schulte E., Suppli N.P., Thorp J.G., Derks E.M., Middeldorp C.M. Unraveling the genetic architecture of major depressive disorder: merits and pitfalls of the approaches used in genome-wide association studies. Psychol. Med., 2019; 49 (16): 2646–2656. doi: 10.1017/S0033291719002502
26. Hare D.L., Toukhsati S.R., Johansson P., Jaarsma T. Depression and cardiovascular disease: a clinical review. Eur. Heart J., 2014; 35 (21): 1365–1372. doi: 10.1093/eurheartj/eht462
27. Baune B.T., Stuart M., Gilmour A., Wersching H., Heindel W., Arolt V., Berger K. The relationship between subtypes of depression and cardiovascular disease: a systematic review of biological models. Transl. Psychiatry, 2012; 2 (3): e92. doi: 10.1038/tp.2012.18
28. Amare A.T., Schubert K.O., Klingler-Hoffmann M., Cohen-Woods S., Baune B.T. The genetic overlap between mood disorders and cardiometabolic diseases: a systematic review of genome wide and candidate gene studies. Transl. Psychiatry, 2017; 7 (1): e1007. doi: 10.1038/tp.2016.261
29. Warnke K., Brandt J., Jörgens S., Arolt V., Beer K., Domschke K., Haverkamp W., Kuhlmann S.L., Müller-Nordhorn J., Rieckmann N., Schwarte K., Ströhle A., Tschorn M., Waltenberger J., Grosse L. Association of 5-HTTLPR/rs25531 with depressive symptoms in patients with coronary heart disease: A prospective study. J. Affect. Disord., 2020; 277: 531‑539. doi: 10.1016/j.jad.2020.08.046
30. Gafarov V.V., Gromova E.A., Gubina M.A., Gagulin I.V., Maksimov V.N., Gafarova A.V. The association of polymorphisms of the serotonin transporter gene SLC6A4 with depression. S.S. Korsakov Journal of Neurology and Psychiatry, 2024; 124 (2): 135‑139. (In Russ.). doi: 10.17116/jnevro2024124021135
31. Heils A., Teufel A., Petri S., Stöber G., Riederer P., Bengel D., Lesch K.P. Allelic variation of human serotonin transporter gene expression. J. Neurochem., 1996; 66 (6): 2621–2624. doi: 10.1046/j.1471-4159.1996.66062621.x
32. Golimbet V.E., Volel B.A., Dolzhikov A.V., Isaeva M.I. Study of the role of 5-HTTLPR polymorphism of the serotonin transporter gene in the development of depression in ischemic heart disease. Korsakov Journal of Neurology and Psychiatry, 2012; 112 (8): 63–69. (In Rus.).
33. Hu X.Z., Lipsky R.H., Zhu G., Akhtar L.A., Taubman J., Greenberg B.D., Xu K., Arnold P.D., Richter M.A., Kennedy J.L., Murphy D.L., Goldman D. Serotonin transporter promoter gain-of-function genotypes are linked to obsessive-compulsive disorder. Am. J. Hum. Genet., 2006; 78: 815–826. doi: 10.1086/503850
34. Wendland J.R., Martin B.J., Kruse M.R., Lesch K.P., Murphy D.L. Simultaneous genotyping of four functional loci of human SLC6A4, with a reappraisal of 5-HTTLPR and rs25531. Mol. Psychiatry, 2006; 11: 224–226. doi: 10.1038/sj.mp.4001789
35. López-León S., Janssens A.C., González-Zuloeta Ladd A.M., Del-Favero J., Claes S.J., Oostra B.A., van Duijn C.M. Meta-analyses of genetic studies on major depressive disorder. Mol. Psychiatry, 2008; 13 (8): 772–785. doi: 10.1038/sj.mp.4002088
36. Gafarov V.V., Voevoda M.I., Gromova E.A., Maksimov V.N., Gagulin I.V. Association of depression with polymorphism of genes of the neurotransmitter system of the brain in an open population among men aged 25–64 years in a metropolis of Western Siberia (Novosibirsk) (Epidemiological study under the WHO program “MONICA-psychosocial”). Review of Psychiatry and Medical Psychology named after V. M. Bekhterev, 2012; 2: 35–40. [(In Rus.).
37. Gafarov V.V., Gromova E.A., Panov D.O., Maximov V.N., Gagulin I.V., Gafarova A.V. Association of DRD2/ANKK1 Taq1A polymorphism with depression in an open 45–64 year-old male population (international epidemiological HAPIEE and WHO MONICA programs). Neurology, Neuropsychiatry, Psychosomatics, 2019;11(2):37–41. (In Rus.). doi: 10.14412/2074-2711-2019-2-37-41
38. Gafarov V.V., Gromova E.A., Panov D.O., Maksimov V.N., Gagulin I.V., Gafarova A.V. Association of polymorphic marker Val158Met of COMT gene with depression in an open population 25–44 years old (WHO international program MONICA, epidemiological study). Neurology, Neuropsychiatry, Psychosomatics. 2021;13(2):19–25. (In Rus.). doi: 10.14412/2074-2711-2021-2-19-25
39. Antypa N., Drago A., Serretti A. The role of COMT gene variants in depression: Bridging neuropsychological, behavioral and clinical phenotypes. Neurosci. Biobehav. Rev., 2013; 37 (8): 1597–1610. doi: 10.1016/j.neubiorev.2013.06.006
40. Elovainio M., Puttonen S., Heponiemi T., Reuter M., Kivimaki M., Viikari J., Keltikangas-Jarvinen L. Relationship between DRD4 polymorphism and lipid metabolism: what is the role of novelty seeking? Neuropsychobiology, 2005; 51 (1): 53–58. doi: 10.1159/000082856
41. Lü W., Ji H., Li Y. Early life adversity and cardiovascular responses to repeated stress among adolescents: Moderating role of COMT gene rs4680 polymorphism. Psychoneuroendocrinology, 2023; 150: 106029. doi: 10.1016/j.psyneuen.2023.106029
42. Shakhtshneider E.V., Ivanoshchuk D.E., Ragino Yu.I., Fishman V.S., Polonskaya Ya.V., Kashtanova E.V., Chernyavsky A.M., Murashov I.S., Voevoda M.I. Analysis of differential expression of lipid metabolism genes in atherosclerotic plaques in patients with coronary atherosclerosis. Siberian Journal of Clinical and Experimental Medicine. 2021; 36 (4): 156–163. (In Russ.). doi: 10.29001/2073-8552-2021-36-4-156-163
43. Voevoda M.I., Schakhtschneider E.V., Maximov V.N., Kulikov I.V., Romaschenko A.G. Polymorphism of apolipoprotein E gene and atherosclerosis. Ateroscleroz, 2008; 4 (1): 11–26. (In Russ.).
44. Shadrina M., Bondarenko E.A., Slominsky P.A. Genetics factors in major depression disease. Front. Psychiatry, 2018; 9: 334. doi: 10.3389/fpsyt.2018.00334
45. Gafarov V.V., Gromova E.A., Shakhtshneider E.V., Gagulin I.V., Gafarova A.V. Molecular genetic markers (APOE gene) and depression among individuals aged 25–64 years (WHO international program “MONICA-PSYCHOSOCIAL”). Atherosclerosis, 2023; 19 (3): 271–274. (In Russ.). doi: 10.52727/2078-256X-2023-19-3-271-274
Review
For citations:
Gafarov V.V., Gromova E.A., Maksimov V.N., Shakhtshneider E.V., Gagulin I.V., Likhenko-Logvinenko K.V., Gafarova A.V. Associations of depression with candidate genes associated with atherosclerosisdependent cardiovascular diseases among individuals aged 25–64. Ateroscleroz. 2025;21(3):309-319. (In Russ.) https://doi.org/10.52727/2078-256X-2025-21-3-309-319