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Peer-reviewed scientific and practical journal · since 2006

ISSN 2306-4137
Современная терапия психических расстройств

ORIRGINAL RESEARCH

Association Analysis of Polygenic Risk Scores for Cardiovascular Diseases, Associated Biochemistry Characteristics and Depression: Perspectives on the Use of Somatic Drugs in Comorbid Conditions

Author information
G.V. Rukavishnikov
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology
D.E. Bolotova
First St. Petersburg State Medical University named after I.P. Pavlov
E.D. Kasyanov
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology
A.S. Rakitko
«Genotek» Ltd.
N.G. Neznanov
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; First St. Petersburg State Medical University named after I.P. Pavlov
A.O. Kibitov
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; First St. Petersburg State Medical University named after I.P. Pavlov
G.E. Mazo
V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology
Published
March 30, 2025
Pages
2-9

Abstract

The aim of this study was to assess the association between polygenic risk scores (PRS) for a series of cardiovascular diseases (CVDs) and associated biochemistry characteristics with phenotypes of affective disorders.

Material and methods. Data analysis was performed on a sample of 4,520 clients of the Russian private genetic company “Genotek” (women — 50.4 % of the sample; the average age of participants was 36.8 (standard deviation (SD) = 9.8) years). Symptoms of depression and anxiety were assessed using online phenotyping based on DSM-5 criteria and the Hospital Anxiety and Depression Scale (HADS). To search for genetic associations, the main CVDs phenotypes and associated biochemical parameters (lipid spectrum, omega-3 fatty acids) with summary statistics in the UK Biobank were selected.

Results. Polygenic risk score for ischemic stroke was effective against the maximum number of online phenotypes of depression and anxiety — 11 (78.6 %) with a part of phenotypes with depression symptoms of 82 %. Polygenic risk score for omega-3 fatty acid level increased the risk of manifestation of 5 (42.6 %) research phenotypes, 67 % of which reflect symptoms of depression. Polygenic risk score for total cholesterol level increased the risk of manifestation of 2 (14.3 %) phenotypes. At the same time, it is noteworthy that the strongest associations were identified for the phenotypes of atypical depression variants.

Conclusions. The analysis showed а significant genetic associations for both a series of biochemical markers (cholesterol level, omega-3 fatty acids) and certain somatic nosologies (ischemic stroke) with phenotypes of depression and anxiety. The use of a number of somatic drugs, considering their shared pathological “targets” (lipid metabolism, fatty acid metabolism, the renin-angiotensin-aldosterone system, the coagulation system) can become an effective solution for managing comorbid conditions.

Keywords

  • depression
  • cardiovascular diseases
  • lipid metabolism
  • polyunsaturated fatty acids
  • renin-angiotensin-aldosterone system
  • polygenic risk scores

How to Cite

Rukavishnikov, . G., Bolotova, D., Kasyanov, . E., Rakitko, A., Neznanov, N., Kibitov, A., & Mazo, G. (2025). Association Analysis of Polygenic Risk Scores for Cardiovascular Diseases, Associated Biochemistry Characteristics and Depression: Perspectives on the Use of Somatic Drugs in Comorbid Conditions. [Sovremennaa Terapia Psihiceskih Rasstrojstv] = Current Therapy of Mental Disorders, (1), 2–9. https://doi.org/10.48612/psyph/9urd-73g5-z44z

References

  1. Krittanawong C., Maitra N.S., Qadeer Y.K., Wang Z., Fogg S., Storch E.A., Celano C.M., Huffman J.C., Jha M., Charney D.S., Lavie C.J. Association of depression and cardiovascular disease // Am J Med. – 2023. – Vol. 136 (9). – Pp. 881–895. – https://doi.org/10.1016/j.amjmed.2023.04.036
  2. Wong B.C., Chau C.K., Ao F.K., Mo C.H., Wong S.Y., Wong Y.H., So H.C. Differential associa tions of depression-related phenotypes with cardiometabolic risks: Polygenic analyses and exploring shared genetic variants and pathways // Depress Anxiety. – 2019. – Vol. 36 (4). – Pp. 330–344. – https://doi.org/10.1002/da.22861
  3. Zhang L., Bao Y., Tao S., Zhao Y., Liu M. The association between cardiovascular drugs and depression/anxiety in patients with cardiovascular disease: A meta-analysis // Pharmacol Res. – 2022. – Vol. 175. – Art. 106024. https://doi.org/10.1016/j.phrs.2021.106024
  4. Pinto B., Conde T., Domingues I., Domingues M.R. Adaptation of lipid profiling in depres sion disease and treatment: A critical review // Int J Mol Sci. – 2022. – Vol. 23 (4). – Art. 2032. — https://doi.org/10.3390/ijms23042032
  5. Рукавишников Г., касьянов Е., Ракитько А., Ильинский В., малышко Л., Незнанов Н., кибитов А., мазо Г. Связь полигенных шкал риска аутоиммунных заболеваний с фенотипами аффективных расстройств: в поисках новых механизмов для терапевтического воздействия // Современная терапия психических расстройств. – 2023. – № 4. – С. 2–9. – https://doi.org/10.21265/PSYPH.2023.54.33.001
  6. Torgersen K., Rahman Z., Bahrami S., Hindley G.F.L., Parker N., Frei O., Shadrin A., O’Connell K.S., Tesli M., Smeland O.B., Munkhaugen J., Djurovic S., Dammen T., Andreassen O.A. Shared genetic loci between depression and cardiometabolic traits // PLoS Genet. – 2022. – Vol. 18 (5). – e1010161 – https://doi.org/10.1371/journal.pgen.1010161
  7. Cupido A.J., Tromp T.R., Hovingh G.K. The clinical applicability of polygenic risk scores for LDL-cholesterol: Considerations, current evidence and future perspectives // Curr Opin Lipidol. – 2021. – Vol. 32 (2). – Pp. 112–116. – https://doi.org/10.1097/MOL.0000000000000741
  8. Пинахина Д.В., касьянов Е.Д., яковлева я.В., Рукавишников Г.В., кибитов А.О., мазо Г.Э. Перепрофилирование лекарственных препаратов для лечения психических расстройств // Современная терапия психических расстройств. – 2024. – № 2. – С. 2–13. – https://doi.org/10.21265/PSYPH.2024.31.31.00
  9. Касьянов Е.Д., Вербицкая Е.В., Ракитько А.С. и др. Валидация скринингового теста, основанного на критериях DSM-5, методом цифрового фенотипирования на российской популяции // Журнал неврологии и психиатрии имени С.С. корсакова. Спецвыпуски. – 2022. – №. 122 (6–2). – С. 64–70. –https://doi.org/10.17116/jnevro202212206264
  10. Кибитов А.О., Ракитько А.С., касьянов Е.Д. и соавт. Связь онлайн-фенотипов симптомов депрессии с полигенными шкалами риска соматических заболеваний в популяционной когорте // Журнал неврологии и психиатрии имени С.С. корсакова. – 2024. – Т. 124, № 11. – С. 122–131. – https://doi.org/10.17116/jnevro2024124111122
  11. Chen C.J., Liao W.Y., Chattopadhyay A., Lu T.P. Exploring the genetic correlation of cardiovascular diseases and mood disorders in the UK Biobank // Epidemiol Psychiatr Sci. – 2023. – Vol. 10 (32). – e31. – https://doi.org/10.1017/S2045796023000252
  12. Sucato V., Ortello A., Comparato F., Novo G., Galassi A.R. Cholesterol-lowering strategies for cardiovascular disease prevention: The importance of intensive treatment and the simplification of medical therapy // J Clin Med. – 2024. – Vol. 13 (7). – https://doi.org/10.3390/jcm13071882
  13. De Giorgi R., Rizzo Pesci N., Rosso G., Maina G., Cowen P.J., Harmer C.J. The pharmacological bases for repurposing statins in depression: A review of mechanistic studies // Transl Psychiatry. – 2023. – Vol. 13 (1). – Art. 253. – https://doi.org/10.1038/s41398-023-02533-z
  14. De Giorgi R., Cowen P.J., Harmer C.J. Statins in depression: A repurposed medical treatment can provide novel insights in mental health // Int Rev Psychiatry. – 2022. – Vol. 34 (7-8). – Pp. 699–714. – https://doi.org/10.1080/09540261.2022.2113369
  15. Liao Y., Xie B., Zhang H., et al. Efficacy of omega-3 PUFAs in depression: A meta-analysis // Transl Psychiatry. – 2021. – Vol.11 (1). – Art. 465. – https://doi.org/10.1038/s41398-021-01582-6
  16. Arsenyadis F., Ahmad E., Redman E., Yates T., Davies M., Khunti K. The Effects of omega-3 supplementation on depression in adults with cardiometabolic disease: A systematic review of randomised control trials // Nutrients. – 2022. – Vol. 14 (9). – Art. 1827. https://doi.org/10.3390/nu14091827
  17. Guu T.W., Mischoulon D., Sarris J. et al. International Society for Nutritional Psychiatry Research Practice Guidelines for omega-3 fatty acids in the treatment of major depressive disorder // Psychother Psychosom. – 2019. – Vol. 88 (5). – Pp. 263–273. – https://doi.org/10.1159/000502652
  18. Fatima N., Patel S., Hussain T. Angiotensin AT2 Receptor is Anti-inflammatory and renoprotective in lipopolysaccharide mice model: Role of IL-10 // Front Pharmacol. – 2021. – Vol. 12. – Art. 600163. – https://doi.org/10.3389/fphar.2021.600163
  19. Vian J., Pereira C., Chavarria V., Köhler C., Stubbs B., Quevedo J., Kim S.W., Carvalho A.F., Berk M., Fernandes B.S. The renin-angiotensin system: A possible new target for depression // BMC Med. – 2017. – Vol. 15 (1). – Art. 144. – https://doi.org/10.1186/s12916-017-0916-3
  20. Gu P., Wu Q., Ge S., Shi Z. Valsartan reverses depressive/anxiety-like behavior and induces hippocampal neurogenesis and expression of BDNF protein in unpredictable chronic mild stress mice // Pharmacol Biochem Behav. – 2014. – Vol. 124. – Pp. 5–12.
  21. Матвеев Ю.А. Система ангиотензина II коры мозжечка и ее значение в нейро-сосудистой регуляции // Вестник новых медицинских технологий. Электронное издание. – 2020. – № 1. – Публикация 3-2. – https://doi.org/10.24411/2075-4094-2020-16498
  22. Nochaiwong S., Ruengorn C., Awiphan R., Chai-Adisaksopha C., Tantraworasin A., Phosuya C., Kanjanarat P., Chongruksut W., Sood M.M., Thavorn K. Use of serotonin reuptake inhibitor antidepressants and the risk of bleeding complications in patients on anticoagulant or antiplatelet agents: A systematic review and meta-analysis // Ann Med. – 2022. – Vol. 54 (1). – Pp. 80–97. – https://doi.org/10.1080/07853890.2021.2017474

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