Negative Emotionality and Epigenetics During Puberty
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Stress.
- Кому может быть актуально
- Состояния в реестре: Puberty, Healthy, Stress. Базовые параметры: 8 лет — 17 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Германия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Negative Emotionality in Relation to Epigenetics of Estrogen Signaling During Puberty
Обзор
Pubertal transition leads to enduring neuroendocrine changes along with changes in the epigenome. The prevalence of psychiatric disorders significantly increases in females compared to males after puberty. There is likely to be an interaction between epigenetics, hormones and neurophysiological processes during puberty, leading to the increased prevalence of mental disorders in females. This study aims to shed light on these interactions underlying the emerging sex differences after puberty. Specifically, it seeks to investigate the epigenetic modifications and subsequent changes in gene expression during the pubertal transition and their association with negative emotionality (e.g., acute stress response and depressive symptoms) at molecular, neuronal, subjective and physiological levels.
Подробное описание
In order to investigate epigenetic and neuroimaging correlates of negative emotionality in pubertal girls, the study employs a cross-sectional design, enrolling 50 pre-pubescent girls (8-10 years) and 50 post-pubescent girls (15-17 years) as healthy participants. Comprehensive data will be collected using self- and parent-report questionnaires on pubertal status, prenatal complications, adverse life events, stress and coping mechanisms, mood and anxiety symptoms, gender identity, and reproductive health. To delve into the neuronal correlates of stress, participants will undergo (f)MRI and MIST. Additionally, physiological stress responses will be assessed through heart rate and skin conductance measurements. Participants will provide blood, saliva, and hair samples for hormone, methylation and expression analysis. DNA methylation analysis will be performed on whole blood and saliva samples using pyrosequencing, focusing on genes that are responsive to estrogen and genes involved in estrogen signaling, based on the previous literature reporting an overrepresentation of estrogen-responsive genes among the differentially methylated sites across the entire genome in girls during puberty. The effects of methylation on gene expression will be measured using reverse transcription real-time PCR. Cortisol levels will be assessed from saliva collected six times during MIST to evaluate the acute stress response and from hair to assess chronic stress. Sex steroids such as estrogen and progesterone from blood will be analyzed using LC-MS/MS. The study aims to provide insights into the intricate relationship between epigenetic modifications, gene expression and negative emotionality (e.g., stress reactivity and internalizing symptoms) during puberty in girls.
Вмешательства
- Поведенческое Stress
Montreal Imaging Stress Task is a stress paradigm in the scanner to examine neuronal correlates of acute psychosocial stress.
Первичные конечные точки
- DNA methylation differences between pre- and post-pubertal girls in candidate genes [Срок оценки: Measured once after MRI measurement (approximately 30 minutes).]
- Correlation between DNA methylation and neuronal activity during acute stress [Срок оценки: Measured once: 3 runs of MIST lasting 20 minutes in total.]
- The mediating role of sex steroids in DNA methlation and negative emotionality [Срок оценки: Measured once for each part: 20 minutes for MIST, 30 minutes for blood and saliva collection, and 1 hour for questionnaires]
Вторичные конечные точки (6)
- Correlation between DNA methylation and gene expression in candidate genes [Срок оценки: Measured once after MRI measurement (approximately 30 minutes)]
- Correlation between DNA methylation and HPA-axis response [Срок оценки: Measured six times: 1 hour before MIST(1), just before(1) and after(1) MIST, and three times more in 20-minute intervals after MIST. Each saliva collection lasts approx. 2 minutes.]
- Correlation between DNA methylation and subjective stress response [Срок оценки: Measured six times: 1 hour before MIST(1), just before(1) and after(1) MIST, and three times more in 20-minute intervals after MIST. Each rating takes approx. 10 minutes.]
- Correlation between DNA methylation and phsiological stress response [Срок оценки: Measured once: 20 minutes for phsiological data during MRI measurement]
- Correlation between DNA methylation and functional connectivity [Срок оценки: Measured once with resting-state functional MRI, approximately 10 mintes]
- Correlation between DNA methylation and brain gray matter structure [Срок оценки: Measured once with MPRAGE MRI, approximately 10 minutes. Analyzed and reported over the course of the study, in average of 1 year]
Критерии участия
Критерии включения
- healthy girls
- aged between 8-10 and having pubertal stage 1 or between 15-17 and having pubertal stage 5
- normal body mass index according to age (between 5th and 85th percentile)
- non-smoking
- German language fluency
- Attending age-appropriate schools
Критерии исключения
- neurological or psychiatric disease
- medical problems such as hormonal, metabolic, developmental or chronic diseases (e.g., congenital disorders, precocious puberty, polycystic ovarian syndrome, diabetes or congestive heart failure)
- any kind of hormonal, pharmacological or psychotropic treatment in the last three months
- engaging in competitive/extreme sports
Additional exclusion criteria for MRI:
- People with non-removable metal objects on or in the body
- Tattoos (if not MRI-incompatible according to expert guidelines)
- Pathological hearing or increased sensitivity to loud noises
- Claustrophobia
- Surgery less than three months ago
- Moderate or severe head injury
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Германия · 1 центр
- University of Tuebingen; Department of Psychiatry & Psychotherapy; Tuebingen — Tübingen
Идентификаторы
NCT: NCT06690866 · IRTG_P01