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Editorial 
Analyzing Gene Expression in Depression 
The use of DNA microarray technologies has come a long way in the decade and a half 
since their introduction by Schena and colleagues in 1995 (1). In this issue, Sibille and 
colleagues (2) triangulate several techniques based on DNA microarrays to study tran-scriptional 
variation in major depressive disorder compared to normal controls. DNA 
microarrays assay a “snapshot” of the transcriptome (the composition of mRNAs being 
expressed) by measuring the concentration of mRNA molecules after conversion to DNA 
by a bacterial enzyme called reverse transcriptase. The technique can detect which 
genes vary their expression across different experimental conditions or disease states. By 
simultaneously measuring the expression of many genes in a tissue sample, the strategy 
takes an unbiased “discovery science” approach to identifying genes with altered expres-sion 
profiles when compared to normal or control conditions. In psychiatry, microarray 
experiments have identified hundreds of molecules as novel candidates for further re-search 
“In psychiatry, microarray 
experiments have 
identified hundreds of 
molecules as novel 
candidates for further 
research and have seeded 
new directions to better 
understand the molecular 
basis of psychiatric 
illness.” 
Am J Psychiatry 166:9, September 2009 ajp.psychiatryonline.org 
961 
and have seeded new directions to better 
understand the molecular basis of psychiatric ill-ness. 
Below we describe the maturation of mi-croarray- 
based science in brain tissue and place 
the Sibille et al. article in that context. 
Early arrays were fabricated by printing DNA 
fragments representing dozens of genes onto the 
surface of a glass slide and then hybridizing 
them with cDNA molecules derived from the 
mRNA in a sample of interest. Although the con-cept 
of hybridizing samples to surface-fixed 
DNAs has remained consistent, technological 
advances based on microelectronic circuits that 
detect the DNA hybridization allowed the simul-taneous 
assay of tens of thousands of mRNA spe-cies 
at vastly improved sensitivities and accura-cies. 
However, with massive improvements in 
assay density technology came analytical challenges in weeding through the large num-ber 
of false positives and false negatives that are guaranteed to occur with the sheer 
number of transcripts assayed in any given experiment. Therefore, analytical tech-niques 
utilizing bioinformatics and complementary analysis methods have been con-tinuously 
improving. 
A seminal article by Subramanian et al. (3) added significant value to the array analy-sis 
field by formulizing a method (gene set enrichment analysis) to increase the value of 
results for functionally related genes that behave synchronously in the array data. This 
and other, similar approaches allowed us to layer our knowledge of biological systems— 
in other words, our knowledge of genes that work together in the same biological func-tion— 
onto the mathematical assessments of changes in gene expression to further re-fine 
the reduction in false positive and false negative error rates. This approach works 
well if transcripts from the biological system of interest are contained within the sample 
one is analyzing, as is the case for yeast and bacterial cultures or other self-contained 
cell culture systems. However, in complex tissues like those from the brain, this ap-proach 
is not always enough. In neuroscience microarray experiments, one may be an-alyzing 
data from a brain region that provides major afferent projections (for example, 
the serotonergic system in the raphe nucleus), but without simultaneous analysis of tar-get 
regions that provide receptor and signal transduction systems, a large portion of the 
picture is missing. Some laboratories, including our own, have begun to use a broader
EDITORIAL 
approach through complementary analysis of brain regions in an anatomical circuit. In 
the Sibille et al. article, the authors focus on analysis of the amygdala and anterior cin-gulate 
in postmortem tissue from subjects with major depression. Although this cer-tainly 
adds value to understanding the molecular nature of interaction between ana-tomically 
distinct but connected brain regions, a large number of false positive is still 
guaranteed to occur because of the large number of assayed transcripts. 
A second, even more powerful, approach to validating DNA microarray data is the use 
of independent techniques, which were also thoughtfully employed by Sibille et al. In 
today’s microarray literature it is expected that some level of independent confirmation 
of findings will be employed. Often real-time polymerase chain reaction, in situ hybrid-ization, 
or other independent assessments of gene expression are employed to confirm 
differential expression observed in array data sets. A third level of complementary strat-egies 
utilizes animal models to confirm behavioral change correlates with the observed 
expression changes. This approach can place transcripts found differentially expressed 
in human psychiatric illness into a context that tests their role in animal behavior. Our 
own laboratories have successfully used this approach to validate a role for fibroblast 
growth factors in mood regulation (4). Sibille et al. employed such an approach by 
crossing microarray analysis of amydgala and anterior cingulate tissue (implicated in 
major depressive pathology) obtained from human depressed subjects with analysis of 
orthologous tissue from a rodent model of depression (unpredictable mild chronic 
stress) in order to identify shared biological systems altered in both models. The au-thors 
further refined their observations by identifying which of the responsive systems 
were successfully normalized by antidepressant treatment of the animals. Interestingly, 
this left them with transcriptional variations that also correlated with depression sever-ity 
in the human subjects. Such an approach allows biologically important results to 
emerge that would normally be buried in a sea of false positive findings or, alternatively, 
disregarded through the highly stringent statistical analysis required in “standalone” 
microarray experiments. Finally, a fourth level of studies involves the use not only of 
specific pharmacology aimed at the molecules of interest but also of direct genetic al-terations 
allowing more causative inferences about the gene and behaviors in question. 
The systems that were identified in the Sibille et al. study both confirm observations 
from prior studies and add a deeper understanding of the molecular signature of de-pression 
on the brain. The authors describe correlated expression profiles across brain 
regions (amygdala and cingulate cortex) in both human and rodent species, but they 
found correlated expression profiles across species only in the amygdala. The lack of 
correlation between species for the cingulate cortices may, as the authors discuss, be a 
result of significant evolutionary separation between species for this brain region, com-pared 
to a closer phylogenetic relationship for the amygdala. The specific systems im-plicated 
in the overall analysis were decreased oligodendrocyte gene expression in the 
amygdala and glial-neuronal communications. The Sibille et al. study establishes a new 
path for investigating the molecular nature of cell-level communication systems that 
appear to be dysregulated in depression. 
References 
1. Schena M, Shalon D, Davis RW, Brown PO: Quantitative monitoring of gene expression patterns with a com-plementary 
DNA microarray. Science 1995; 270:467–470 
2. Sibille E, Wang Y, Joeyen-Waldorf J, Gaiteri C, Surget A, Oh S, Belzung C, Tseng GC, Lewis DA: A molecular sig-nature 
of depression in the amygdala. Am J Psychiatry 2009; 166:1011–1024 
3. Subramanian A, Tamayo P, Mootha VK, Mukherjee S, Ebert BL, Gillette MA, Paulovich A, Pomeroy SL, Golub 
TR, Lander ES, Mesirov JP: Gene set enrichment analysis: a knowledge-based approach for interpreting ge-nome- 
wide expression profiles. Proc Natl Acad Sci USA 2005; 102:15545–15550 
962 ajp.psychiatryonline.org 
Am J Psychiatry 166:9, September 2009
EDITORIAL 
4. Akil H, Evans SJ, Turner CA, Perez J, Myers RM, Bunney WE, Jones EG, Watson SJ; Pritzker Consortium: The fi-broblast 
growth factor family and mood disorders. Novartis Found Symp 2008; 289:94–96 
SIMON J. EVANS, PH.D. 
HUDA AKIL, PH.D. 
STANLEY J. WATSON, M.D., PH.D. 
Address correspondence and reprint requests to Dr. Watson, Mental Health Research Institute, University of 
Michigan, 205 Zina Pitcher Pl., 1058 MHRI, Ann Arbor, MI 48109-0720; watsons@umich.edu (e-mail). Edito-rial 
accepted for publication June 2009 (doi: 10.1176/appi.ajp.2009.09060806). 
Am J Psychiatry 166:9, September 2009 ajp.psychiatryonline.org 
963 
All authors report no competing interests.

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Analisis de la expresion de genes en la depresion

  • 1. Editorial Analyzing Gene Expression in Depression The use of DNA microarray technologies has come a long way in the decade and a half since their introduction by Schena and colleagues in 1995 (1). In this issue, Sibille and colleagues (2) triangulate several techniques based on DNA microarrays to study tran-scriptional variation in major depressive disorder compared to normal controls. DNA microarrays assay a “snapshot” of the transcriptome (the composition of mRNAs being expressed) by measuring the concentration of mRNA molecules after conversion to DNA by a bacterial enzyme called reverse transcriptase. The technique can detect which genes vary their expression across different experimental conditions or disease states. By simultaneously measuring the expression of many genes in a tissue sample, the strategy takes an unbiased “discovery science” approach to identifying genes with altered expres-sion profiles when compared to normal or control conditions. In psychiatry, microarray experiments have identified hundreds of molecules as novel candidates for further re-search “In psychiatry, microarray experiments have identified hundreds of molecules as novel candidates for further research and have seeded new directions to better understand the molecular basis of psychiatric illness.” Am J Psychiatry 166:9, September 2009 ajp.psychiatryonline.org 961 and have seeded new directions to better understand the molecular basis of psychiatric ill-ness. Below we describe the maturation of mi-croarray- based science in brain tissue and place the Sibille et al. article in that context. Early arrays were fabricated by printing DNA fragments representing dozens of genes onto the surface of a glass slide and then hybridizing them with cDNA molecules derived from the mRNA in a sample of interest. Although the con-cept of hybridizing samples to surface-fixed DNAs has remained consistent, technological advances based on microelectronic circuits that detect the DNA hybridization allowed the simul-taneous assay of tens of thousands of mRNA spe-cies at vastly improved sensitivities and accura-cies. However, with massive improvements in assay density technology came analytical challenges in weeding through the large num-ber of false positives and false negatives that are guaranteed to occur with the sheer number of transcripts assayed in any given experiment. Therefore, analytical tech-niques utilizing bioinformatics and complementary analysis methods have been con-tinuously improving. A seminal article by Subramanian et al. (3) added significant value to the array analy-sis field by formulizing a method (gene set enrichment analysis) to increase the value of results for functionally related genes that behave synchronously in the array data. This and other, similar approaches allowed us to layer our knowledge of biological systems— in other words, our knowledge of genes that work together in the same biological func-tion— onto the mathematical assessments of changes in gene expression to further re-fine the reduction in false positive and false negative error rates. This approach works well if transcripts from the biological system of interest are contained within the sample one is analyzing, as is the case for yeast and bacterial cultures or other self-contained cell culture systems. However, in complex tissues like those from the brain, this ap-proach is not always enough. In neuroscience microarray experiments, one may be an-alyzing data from a brain region that provides major afferent projections (for example, the serotonergic system in the raphe nucleus), but without simultaneous analysis of tar-get regions that provide receptor and signal transduction systems, a large portion of the picture is missing. Some laboratories, including our own, have begun to use a broader
  • 2. EDITORIAL approach through complementary analysis of brain regions in an anatomical circuit. In the Sibille et al. article, the authors focus on analysis of the amygdala and anterior cin-gulate in postmortem tissue from subjects with major depression. Although this cer-tainly adds value to understanding the molecular nature of interaction between ana-tomically distinct but connected brain regions, a large number of false positive is still guaranteed to occur because of the large number of assayed transcripts. A second, even more powerful, approach to validating DNA microarray data is the use of independent techniques, which were also thoughtfully employed by Sibille et al. In today’s microarray literature it is expected that some level of independent confirmation of findings will be employed. Often real-time polymerase chain reaction, in situ hybrid-ization, or other independent assessments of gene expression are employed to confirm differential expression observed in array data sets. A third level of complementary strat-egies utilizes animal models to confirm behavioral change correlates with the observed expression changes. This approach can place transcripts found differentially expressed in human psychiatric illness into a context that tests their role in animal behavior. Our own laboratories have successfully used this approach to validate a role for fibroblast growth factors in mood regulation (4). Sibille et al. employed such an approach by crossing microarray analysis of amydgala and anterior cingulate tissue (implicated in major depressive pathology) obtained from human depressed subjects with analysis of orthologous tissue from a rodent model of depression (unpredictable mild chronic stress) in order to identify shared biological systems altered in both models. The au-thors further refined their observations by identifying which of the responsive systems were successfully normalized by antidepressant treatment of the animals. Interestingly, this left them with transcriptional variations that also correlated with depression sever-ity in the human subjects. Such an approach allows biologically important results to emerge that would normally be buried in a sea of false positive findings or, alternatively, disregarded through the highly stringent statistical analysis required in “standalone” microarray experiments. Finally, a fourth level of studies involves the use not only of specific pharmacology aimed at the molecules of interest but also of direct genetic al-terations allowing more causative inferences about the gene and behaviors in question. The systems that were identified in the Sibille et al. study both confirm observations from prior studies and add a deeper understanding of the molecular signature of de-pression on the brain. The authors describe correlated expression profiles across brain regions (amygdala and cingulate cortex) in both human and rodent species, but they found correlated expression profiles across species only in the amygdala. The lack of correlation between species for the cingulate cortices may, as the authors discuss, be a result of significant evolutionary separation between species for this brain region, com-pared to a closer phylogenetic relationship for the amygdala. The specific systems im-plicated in the overall analysis were decreased oligodendrocyte gene expression in the amygdala and glial-neuronal communications. The Sibille et al. study establishes a new path for investigating the molecular nature of cell-level communication systems that appear to be dysregulated in depression. References 1. Schena M, Shalon D, Davis RW, Brown PO: Quantitative monitoring of gene expression patterns with a com-plementary DNA microarray. Science 1995; 270:467–470 2. Sibille E, Wang Y, Joeyen-Waldorf J, Gaiteri C, Surget A, Oh S, Belzung C, Tseng GC, Lewis DA: A molecular sig-nature of depression in the amygdala. Am J Psychiatry 2009; 166:1011–1024 3. Subramanian A, Tamayo P, Mootha VK, Mukherjee S, Ebert BL, Gillette MA, Paulovich A, Pomeroy SL, Golub TR, Lander ES, Mesirov JP: Gene set enrichment analysis: a knowledge-based approach for interpreting ge-nome- wide expression profiles. Proc Natl Acad Sci USA 2005; 102:15545–15550 962 ajp.psychiatryonline.org Am J Psychiatry 166:9, September 2009
  • 3. EDITORIAL 4. Akil H, Evans SJ, Turner CA, Perez J, Myers RM, Bunney WE, Jones EG, Watson SJ; Pritzker Consortium: The fi-broblast growth factor family and mood disorders. Novartis Found Symp 2008; 289:94–96 SIMON J. EVANS, PH.D. HUDA AKIL, PH.D. STANLEY J. WATSON, M.D., PH.D. Address correspondence and reprint requests to Dr. Watson, Mental Health Research Institute, University of Michigan, 205 Zina Pitcher Pl., 1058 MHRI, Ann Arbor, MI 48109-0720; watsons@umich.edu (e-mail). Edito-rial accepted for publication June 2009 (doi: 10.1176/appi.ajp.2009.09060806). Am J Psychiatry 166:9, September 2009 ajp.psychiatryonline.org 963 All authors report no competing interests.