CHICAGO/LONDON (Reuters) - Variations in a gene helped shield adults who
had endured child abuse from becoming depressed as
adults, U.S. researchers said on Monday in a study that helps explain how nature
and nurture give rise to mental illness.
And a British team has found that pregnant women who have a major emotional loss
in the early months of pregnancy give birth
to babies with a higher risk of schizophrenia.
The studies, published in the Archives of General Psychiatry, add to a growing
understanding of how genetics and
environmental distress sometimes act together to produce mental illness.
"It is not a question of genes versus environment. It is a question of how genes
interact with whatever the environmental
factors might be. And that is probably true of all of the disorders that we call
mental illness," said Dr. Thomas Insel,
director of the National Institutes of Mental Health.
"There is going to be a genetic factor that gives you the risk. And it all
depends on what happens in a person's lifetime,"
Insel said in a telephone interview.
In the depression study, Dr. Kerry Ressler of Emory University in Atlanta found
that some variations in a gene that regulates
the stress hormone corticotropin-releasing hormone, or CRH, could protect those
who had been abused as children.
Ressler and colleagues took DNA samples from 422 adults, most of whom were poor
and black, and found about a third of them
had the genetic variations.
People in this group who also had a history of abuse had half the symptoms of
moderate to severe depression as those who did
not have the protective variations of this gene. The researchers repeated the
study in 199 wealthier white adults and came up
with similar results.
The study builds on other research linking genes and stressful events with
depression. A 2003 study in New Zealand found that
people with a short version of a gene that relays the chemical messenger
serotonin were more prone to depression after losing
a job or a loved one.
NURTURE AND NATURE
"What we think these days is there isn't such a divide between nature and
nurture," Dr. Kathryn Abel of the Centre for
Women's Mental Health Research at Britain's University of Manchester said in a
telephone interview.
Abel's schizophrenia study looked at 1.38 million babies born in Denmark between
1973 and 1995. Her team found the risk of
schizophrenia was two-thirds greater among offspring whose mothers experienced
the death of a relative during the first
trimester.
The link disappeared after the first three months, however, perhaps because
barriers are built up between mother and fetus
later on that protect the unborn baby from stress hormones released by the
mother.
Abel said it was possible the mother's hormones may either have a direct impact
on development of the fetus brain or affect
it indirectly by altering the activity of certain genes.
Schizophrenia is known to run in some families, indicating a genetic component
to the disease, yet 90 percent of cases are
still classed as nonfamilial or sporadic.
The new study found the association between a family death and the risk of
schizophrenia was only significant in this
sporadic setting, where a child's parents, grandparents or siblings had no
history of mental illness.