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    what should we never do?

Is there a

genetic basis

for

suicidal thoughts and behavior

?

This is the question that led to a study led by researchers at the Duke University Medical Center and Durham VA, in North Carolina, United States, in which

four genes have been identified that appear regularly

among people who have had documented cases of

suicidal thoughts or actions

after analyzing their entire genome.

Suicide is one of the leading causes of death;

however, the

molecular genetic basis

of suicidal thoughts and behaviors

remains unknown

, so identifying novel and replicable genomic risk loci [physical location of a specific gene on a chromosome] for these behaviors may be helpful.

This work, published in JAMA Psychiatry, has been carried out on

633,778 United States military veterans

and has identified 7

significant cross-ancestry

risk loci throughout the genome through a meta-analysis.

The main loci were replicated independently in a large international cohort.

Although multiple

novel cross-ancestry

candidate risk genes for this type of behavior have been identified, the authors believe that further work and evidence is needed to replicate these findings and determine whether these genes could have a significant impact on

clinical care.

.

Union with life events

"While more data is needed to determine whether the identification of genetic markers could lead to

targeted treatments

, it is clear that the findings advance our understanding of how

inherited risk factors

play a role

in the pathology of suicidal thoughts and actions." ", they point out in the article.

Nathan Kimbrel, from the Department of Psychiatry and Behavioral Sciences at Duke University and co-senior author of the study, believes that it is important to note that

these genes do not predestine

anyone to have or develop these disorders

, but it is also important to understand that " may confer increased risk, particularly when

combined with life events

. "

Krimbel's team, which also includes co-senior author Allison Ashley-Koch, a professor in Duke's Department of Medicine, conducted an extensive and diverse whole-genome analysis using data from 633,778 US veterans.

Of the participants,

71.4% were of European descent

;

19.1% of African

descent

;

8.1% Hispanic

and

1.3%

Asian

.

They were mainly men, with

only 9% being women

.

Within that group of veterans,

121,211 cases of suicidal thoughts or actions were identified

from medical records.

Participants were classified as controls if they had no documented lifetime history of self-injurious behaviors.

Through a genome-wide analysis of blood samples, the researchers identified

numerous genes

that were evident among participants with documented cases of suicidal thoughts or actions,

regardless of their ancestral background

.

the magnificent four

Four genes

had the strongest links and have previously been associated with

psychiatric conditions

:

ESR1

, an estrogen receptor, was previously identified as a causative gene drive gene

for post-traumatic stress disorder (PTSD)

and

depression

, both of which are risk factors. of suicidal behavior among veterans.

"Estrogen is also suspected to be the cause of

sex differences in rates of depression

, and loss of ESR1 has been found to produce effects in brain tissue in men," explains Krimbel.

Another gene,

DRD2

, is a dopamine receptor and has been associated with

suicide

attempts ,

schizophrenia

, mood disorders, ADHD, risk behaviors, and

alcohol use

disorder .

The

third gene, DCC

, is expressed in brain tissue throughout life, has been associated with multiple psychiatric conditions, and is

elevated in the brain

of people who

die by suicide

.

Lastly,

TRAF3

is associated with

antisocial behavior

,

substance use, and ADHD

.

Lithium, the

gold standard

treatment for bipolar disorder that has been shown to reduce suicide risk, modulates the expression of TRAF3 and several other inflammatory genes.

In addition to those genes, the researchers also identified nine additional

ancestry-

specific risk genes .

According to Kimbrel, while genes pose a

small amount of risk

relative to other factors, "we need to better understand the

biological pathways

that underlie a person's risk of engaging in suicidal behavior."

The author emphasizes that suicide is the cause of more than 700,000 deaths a year and is the fourth leading cause of death among people between the ages of

15 and 29

.

"So the more we know, the better we can

prevent these tragic deaths

. "

According to the criteria of The Trust Project

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  • Mental health

  • Genetics