Authors: Liangkun Guo; Zhaojun Ni; Guiming Wei; Weiqiu Cheng; Xuebing Huang; Weihua Yue · Research

How Do DNA Methylation Changes Help Distinguish Between Anxiety and OCD?

Study examines DNA methylation differences between anxiety disorder and OCD to improve diagnosis and treatment

Source: Guo, L., Ni, Z., Wei, G., Cheng, W., Huang, X., & Yue, W. (2022). Epigenome-wide DNA methylation analysis of whole blood cells derived from patients with GAD and OCD in the Chinese Han population. Translational Psychiatry, 12, 465. https://doi.org/10.1038/s41398-022-02236-x

What you need to know

  • DNA methylation patterns can help distinguish between generalized anxiety disorder (GAD) and obsessive-compulsive disorder (OCD) with high accuracy
  • The study identified specific genes where DNA methylation changes were linked to either GAD or OCD development
  • People with GAD and OCD showed different patterns of epigenetic aging compared to healthy individuals

Understanding DNA Methylation

DNA methylation is a process that can turn genes “on” or “off” without changing the DNA sequence itself. Think of it like a dimmer switch that can make genes more or less active. This process is influenced by both genetics and environmental factors.

Key Findings

The researchers examined DNA methylation patterns in blood samples from:

  • 93 people with GAD
  • 65 people with OCD
  • 302 healthy individuals

They found several important differences in methylation between:

  • People with GAD/OCD versus healthy controls
  • People with GAD versus those with OCD

The changes involved genes related to brain development, inflammation, and stress response. Some key affected genes include:

  • RIOK3: linked to Alzheimer’s disease
  • PSMB4: involved in depression
  • CPLX1: important for brain development and function
  • MEST: influenced by stress during pregnancy

Epigenetic Age Differences

The study also looked at “epigenetic age” - a measure of biological aging based on DNA methylation patterns. They found:

  • Both GAD and OCD patients showed signs of delayed epigenetic aging compared to healthy people
  • GAD patients showed more delayed aging than OCD patients
  • These differences suggest distinct developmental trajectories for each condition

Implications for Diagnosis

The methylation patterns were accurate enough to:

  • Distinguish between patients and healthy controls with 90-99% accuracy
  • Differentiate between GAD and OCD with 89-99% accuracy

This suggests DNA methylation testing could potentially help diagnose these conditions more accurately in the future.

Conclusions

  • DNA methylation changes can help explain the biological differences between GAD and OCD
  • These changes affect genes involved in brain development and function
  • The findings could lead to better diagnostic tests and more personalized treatments
  • Further research is needed to validate these results in larger and more diverse populations
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