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Genomic Validation in the UK Biobank Cohort Suggests a Role of C8B and MFG-E8 in the Pathogenesis of Trigeminal Neuralgia
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and Neuroscience.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and Neuroscience.ORCID iD: 0000-0003-0000-7694
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Neurosurgery.ORCID iD: 0000-0001-6173-8357
Karolinska Inst, Dept Neurosci, Stockholm, Sweden..
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2024 (English)In: Journal of Molecular Neuroscience, ISSN 0895-8696, E-ISSN 1559-1166, Vol. 74, no 4, article id 91Article in journal (Refereed) Published
Abstract [en]

Trigeminal neuralgia (TN) is a severe facial pain disease of uncertain pathophysiology and unclear genetic background. Although recent research has reported a more important role of genetic factors in TN pathogenesis, few candidate genes have been proposed to date. The present study aimed to identify independent genetic variants in the protein-coding genes associated with TN. We focused on genes previously linked to TN based on the results of four proteomic studies conducted by our research team. The goal was to validate these findings on the genetic level to enhance our understanding of the role of genetics in TN. The study is based on the participants from UK Biobank cohort. Following quality control, 175 independent single nucleotide polymorphisms (SNPs) in 17 genes were selected. The study sample comprised of diagnosed TN cases (N = 555) and randomly matched controls (N = 6245) based on specific criteria. Two SNPs corresponding to C8B rs706484 [odds ratio (OR) (95% confidence interval (CI)): 1.357 (1.158–1.590); p: 0.00016] and MFG-E8 rs2015495 [OR (95% CI): 1.313 (1.134–1.521); p: 0.00028] showed significant positive association with TN, indicating a positive effect of the SNP alleles on gene expression and disease risk. Interestingly, both SNPs are Expression Quantitative Trait Loci (eQTLs), and are associated with changes in the expression activity of their corresponding gene. Our findings suggest novel genetic associations between C8B, a key component of the complement system, and MFG-E8, which plays a role in regulating neuroinflammation, in relation to TN. The identified genetic variations may help explain why some individuals develop TN while others do not, indicating a potential genetic predisposition to the condition.

Place, publisher, year, edition, pages
Springer, 2024. Vol. 74, no 4, article id 91
Keywords [en]
Trigeminal neuralgia, Proteome, Independent genetic variants, UK Biobank
National Category
Medical Genetics and Genomics Neurology Genetics and Genomics
Identifiers
URN: urn:nbn:se:uu:diva-540375DOI: 10.1007/s12031-024-02263-xISI: 001325838600001PubMedID: 39361088OAI: oai:DiVA.org:uu-540375DiVA, id: diva2:1906549
Funder
Uppsala UniversitySwedish Research CouncilThe Swedish Brain Foundation
Note

De två sista författarna delar sistaförfattarskapet

Available from: 2024-10-17 Created: 2024-10-17 Last updated: 2025-02-10Bibliographically approved
In thesis
1. Identification of candidate biomarkers in neurological and psychiatric health
Open this publication in new window or tab >>Identification of candidate biomarkers in neurological and psychiatric health
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Psychiatric and neurological diseases present substantial challenges in healthcare, affecting millions of individuals worldwide. Conditions such as depression, trigeminal neuralgia (TN), and narcolepsy have a profound impact on the quality of life for both patients and their families. The complex nature of these conditions necessitates the development of innovative diagnostic and treatment strategies. In recent years, the importance of biomarkers in understanding, diagnosing, and managing psychiatric and neurological diseases has emerged as a promising field of research. In the current thesis, five studies were conducted to identify candidate biomarkers in depression, TN, and narcolepsy. Study I validated depression-associated genetic variants in the UK Biobank (UKB) cohort, with transcriptome and DNA methylation analyses in independent datasets. Eight single nucleotide polymorphisms corresponding to six protein-coding genes (TNXB, NCAM1, LTBP3, BTN3A2, DAG1, FHIT) were strongly linked to depression. Study II analyzed 92 proteins in cerebrospinal fluid and serum from TN patients, compared with multiple sclerosis patients and controls. Several proteins, including SFRP1, FKBP5, and TBCB, were elevated in TN, suggesting their relevance in disease mechanisms. Study III examined protein levels in adolescents assessed for depression in the domestic Psychiatric Health in Adolescent Study (PSY cohort) in Sweden, with transcriptome validation in independent cohorts. Key findings highlighted protein and transcriptomic differences, particularly in PPP3R1, implicating the calcineurin pathway and prefrontal cortex in depression. Study IV explored genetic evidence in the UKB to validate the role of 17 proteins from previous studies in TN. Novel associations were identified with C8B (complement system) and MFGE8 (neuroinflammation regulation), highlighting their roles in TN pathology. Finally, Study V assessed protein biomarkers in narcolepsy using Swedish and Finnish cohorts, with transcriptome validation in an independent dataset. The identified candidate proteins were indicative of neural development involving survival, growth, and differentiation (UNC5C, VWC2, GFR-alpha-1, ADAM23), oxidative stress (HAGH), immune response (CLEC10A), and cell cycle regulation (ILKAP). Collectively, these studies identify potential biomarkers across these conditions, offering insights into their underlying mechanisms. The findings expand our understanding of psychiatric and neurological health and may inform future research and therapeutic strategies.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. p. 64
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2119
Keywords
Biomarkers, genomics, transcriptomics, proteomics, depression, trigeminal neuralgia, narcolepsy
National Category
Neurosciences Neurology Psychiatry
Research subject
Medical Science
Identifiers
urn:nbn:se:uu:diva-548490 (URN)978-91-513-2364-0 (ISBN)
Public defence
2025-03-21, H:son Holmdahlsalen, Akademiska sjukhuset, Ingång 100/101, Dag Hammarskjölds Väg 8, Uppsala, 09:00 (English)
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Available from: 2025-02-26 Created: 2025-01-25 Last updated: 2025-03-17

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Lafta, Muataz S.Rukh, GullAbu Hamdeh, SamiSokolov, Aleksandr V.Rostami, ElhamSchiöth, Helgi B.

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