Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder

Abstract The risk of suicide in patients with major depressive disorder (MDD) poses a major concern, with studies suggesting that genetics may be a contributing factor. Although there are many transcriptomic studies on postmortem brain tissue related to suicidal behavior, the blood transcriptional m...

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Main Authors: Min Wang, Hailin Xiang, Jinxue Wei, Yikai Dou, Yushun Yan, Yue Du, Huanhuan Fan, Liansheng Zhao, Rongjun Ni, Xiao Yang, Xiaohong Ma
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85431-2
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author Min Wang
Hailin Xiang
Jinxue Wei
Yikai Dou
Yushun Yan
Yue Du
Huanhuan Fan
Liansheng Zhao
Rongjun Ni
Xiao Yang
Xiaohong Ma
author_facet Min Wang
Hailin Xiang
Jinxue Wei
Yikai Dou
Yushun Yan
Yue Du
Huanhuan Fan
Liansheng Zhao
Rongjun Ni
Xiao Yang
Xiaohong Ma
author_sort Min Wang
collection DOAJ
description Abstract The risk of suicide in patients with major depressive disorder (MDD) poses a major concern, with studies suggesting that genetics may be a contributing factor. Although there are many transcriptomic studies on postmortem brain tissue related to suicidal behavior, the blood transcriptional mechanisms of suicidal ideation (SI) remain unknown. This study utilized a weighted gene coexpression network analysis (WGCNA) approach to investigate the associations between gene coexpression modules and SI in individuals with MDD using peripheral blood RNA-seq data from 75 MDD patients with SI (MDD_SI), 82 MDD patients without SI (MDD_nSI), and 149 healthy controls (HC). An ANCOVA was conducted to assess differences in gene coexpression modules among groups, with age and sex included as covariates. The gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) databases were used to annotate module functions. Results indicated that the magenta module (associated with RNA splicing processes) differentiated MDD_SI from MDD_nSI (p = 0.021), while the green module (related to immune and inflammatory responses) distinguished MDD_SI from HC (p = 0.004). Additionally, three modules showed differences between MDD_nSI and HC: magenta (p = 0.009), brown (related to innate immunity and mitochondrial metabolism; p = 0.001), and turquoise (associated with energy metabolism and neurodegeneration; p = 0.005). Our findings highlight that gene expression regulation, immune response, and inflammation may be linked to SI in patients with MDD, while pathways associated with innate immunity, energy metabolism, mitochondrial function, and neurodegeneration appear to be more broadly related to MDD.
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spelling doaj-art-0652a7a0a2c749149f889ea0e69e806f2025-01-12T12:19:51ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-025-85431-2Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorderMin Wang0Hailin Xiang1Jinxue Wei2Yikai Dou3Yushun Yan4Yue Du5Huanhuan Fan6Liansheng Zhao7Rongjun Ni8Xiao Yang9Xiaohong Ma10Mental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityMental Health Center, Institute of Psychiatry, West China Hospital, Sichuan UniversityAbstract The risk of suicide in patients with major depressive disorder (MDD) poses a major concern, with studies suggesting that genetics may be a contributing factor. Although there are many transcriptomic studies on postmortem brain tissue related to suicidal behavior, the blood transcriptional mechanisms of suicidal ideation (SI) remain unknown. This study utilized a weighted gene coexpression network analysis (WGCNA) approach to investigate the associations between gene coexpression modules and SI in individuals with MDD using peripheral blood RNA-seq data from 75 MDD patients with SI (MDD_SI), 82 MDD patients without SI (MDD_nSI), and 149 healthy controls (HC). An ANCOVA was conducted to assess differences in gene coexpression modules among groups, with age and sex included as covariates. The gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) databases were used to annotate module functions. Results indicated that the magenta module (associated with RNA splicing processes) differentiated MDD_SI from MDD_nSI (p = 0.021), while the green module (related to immune and inflammatory responses) distinguished MDD_SI from HC (p = 0.004). Additionally, three modules showed differences between MDD_nSI and HC: magenta (p = 0.009), brown (related to innate immunity and mitochondrial metabolism; p = 0.001), and turquoise (associated with energy metabolism and neurodegeneration; p = 0.005). Our findings highlight that gene expression regulation, immune response, and inflammation may be linked to SI in patients with MDD, while pathways associated with innate immunity, energy metabolism, mitochondrial function, and neurodegeneration appear to be more broadly related to MDD.https://doi.org/10.1038/s41598-025-85431-2Major depressive disorderSuicidal ideationTranscriptomeWeighted gene coexpression network analysisImmunityEnergy metabolism
spellingShingle Min Wang
Hailin Xiang
Jinxue Wei
Yikai Dou
Yushun Yan
Yue Du
Huanhuan Fan
Liansheng Zhao
Rongjun Ni
Xiao Yang
Xiaohong Ma
Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
Scientific Reports
Major depressive disorder
Suicidal ideation
Transcriptome
Weighted gene coexpression network analysis
Immunity
Energy metabolism
title Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
title_full Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
title_fullStr Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
title_full_unstemmed Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
title_short Identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
title_sort identification of blood transcriptome modules associated with suicidal ideation in patients with major depressive disorder
topic Major depressive disorder
Suicidal ideation
Transcriptome
Weighted gene coexpression network analysis
Immunity
Energy metabolism
url https://doi.org/10.1038/s41598-025-85431-2
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