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Journal Article

Citation

Knowles EEM, Curran JE, Göring HHH, Mathias SR, Mollon J, Rodrigue A, Olvera RL, Leandro A, Duggirala R, Almasy L, Blangero J, Glahn DC. Brain Behav. Immun. 2019; 80: 292-299.

Affiliation

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Olin Neuropsychiatric Research Center, Institute of Living, Hartford Hospital, Hartford, CT, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.bbi.2019.04.004

PMID

30953777

Abstract

Suicide is major public health concern. It is imperative to find robust biomarkers so that at-risk individuals can be identified in a timely and reliable manner. Previous work suggests mechanistic links between increased inflammation and risk for suicide, but questions remain regarding the etiology of this association, as well as the roles of sex and BMI. Analyses were conducted using a randomly-ascertained extended-pedigree sample of 1884 Mexican-American individuals (60% female, mean age=42.04, range=18-97). Genetic correlations were calculated between IL-6 and IL-8, and lifetime risk for suicide attempt. The potentially confounding effects of sex and BMI were considered. 159 individuals endorse a lifetime suicide attempt. IL-8 and IL-6 shared significant genetic overlap with risk for suicide attempt shared significant genetic overlap (ρg=0.49, pFDR=7.67x10-03; ρg=0.53, pFDR=0.01), but for IL-6 this was attenuated when BMI was included as a covariate (ρg=0.37, se=0.23, pFDR=0.12). Suicide attempts were significantly more common in females (pFDR=0.01) and the genetic overlap between IL-8 and risk for suicide attempt was significant in females (ρg=0.56, pFDR=0.01), but not in males (ρg=0.44, pFDR=0.30). These results demonstrate that: IL-8 shares genetic influences with risk for suicide attempt; females drove this effect; and BMI should be considered when assessing the association between IL-6 and suicide. This finding represents a significant advancement in knowledge by demonstrating that inflammation alterations are not simply a secondary manifestation of suicidal behavior, but rather, the pathophysiology of suicide attempts is, at least partly, underpinned by the same biological mechanisms responsible for regulating inflammatory response.

Copyright © 2019. Published by Elsevier Inc.


Language: en

Keywords

biomarkers; genetics; inflammation; mood; suicide

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