Researchers
have identified specific genes that may trigger the development of
sleep problems, and have also demonstrated a genetic link between
insomnia and psychiatric disorders such as depression, or physical
conditions such as type 2 diabetes. The study in the journalMolecular
Psychiatry, which is published by Springer Nature, was led by
Murray Stein of the University of California San Diego and the VA San
Diego Healthcare System.
Up to 20
percent of Americans and up to 50 percent of US military veterans are
said to have trouble sleeping. The effects insomnia has on a person’s
health can be debilitating and place a strain on the healthcare system.
Chronic insomnia goes hand in hand with various long-term health issues
such as heart disease and type 2 diabetes, as well as mental illness
such as post-traumatic stress disorder (PTSD) and suicide.Twin studies
have in the past shown that various sleep-related traits, including
insomnia, are heritable. Based on these findings, researchers have
started to look into the specific gene variants involved. Stein says
such studies are important, given the vast range of reasons why people
suffer from insomnia, and the different symptoms and varieties of
sleeplessness that can be experienced.
“A better
understanding of the molecular bases for insomnia will be critical for
the development of new treatments,” he adds.
In this
study, Stein’s research team conducted genome-wide association studies
(GWAS). DNA samples obtained from more than 33,000 soldiers participating
in the Army Study To Assess Risk and Resilience in Service members
(STARRS) were analyzed. Data from soldiers of European, African and
Latino descent were grouped separately as part of efforts to identify
the influence of specific ancestral lineages. Stein and his colleagues
also compared their results with those of two recent studies that used
data from the UK Biobank.
Overall,
the study confirms that insomnia has a partially heritable basis. The
researchers also found a strong genetic link between insomnia and type
2 diabetes. Among participants of European descent, there was
additionally a genetic tie between sleeplessness and major depression.
“The
genetic correlation between insomnia disorder and other psychiatric
disorders, such as major depression, and physical disorders such as
type 2 diabetes suggests a shared genetic diathesis for these commonly
co-occurring phenotypes,” says Stein, who adds that the findings
strengthen similar conclusions from prior twin and genome-wide
association studies.
Insomnia
was linked to the occurrence of specific variants on chromosome 7. In
people of European descent, there were also differences on chromosome
9. The variant on chromosome 7, for instance, is close to AUTS2,
a gene that has been linked to alcohol consumption, as well as others
that relate to brain development and sleep-related electric signaling.
“Several of
these variants rest comfortably among locations and pathways already
known to be related to sleep and circadian rhythms,” Stein elaborates.
“Such insomnia associated loci may contribute to the genetic risk
underlying a range of health conditions including psychiatric disorders
and metabolic disease.”
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