Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents

Abstract Adolescence is marked by the maturation of systems involved in emotional regulation and by an increased risk for internalizing disorders (anxiety/depression), especially in females. Hypothalamic-pituitary-adrenal (HPA)-axis function and redox homeostasis (balance between reactive oxygen spe...

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Main Authors: Zoé Schilliger, Yasser Alemán-Gómez, Mariana Magnus Smith, Zeynep Celen, Ben Meuleman, Pierre-Alain Binz, Pascal Steullet, Kim Q. Do, Philippe Conus, Arnaud Merglen, Camille Piguet, Daniella Dwir, Paul Klauser
Format: Article
Language:English
Published: Nature Publishing Group 2024-01-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-023-02728-4
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author Zoé Schilliger
Yasser Alemán-Gómez
Mariana Magnus Smith
Zeynep Celen
Ben Meuleman
Pierre-Alain Binz
Pascal Steullet
Kim Q. Do
Philippe Conus
Arnaud Merglen
Camille Piguet
Daniella Dwir
Paul Klauser
author_facet Zoé Schilliger
Yasser Alemán-Gómez
Mariana Magnus Smith
Zeynep Celen
Ben Meuleman
Pierre-Alain Binz
Pascal Steullet
Kim Q. Do
Philippe Conus
Arnaud Merglen
Camille Piguet
Daniella Dwir
Paul Klauser
author_sort Zoé Schilliger
collection DOAJ
description Abstract Adolescence is marked by the maturation of systems involved in emotional regulation and by an increased risk for internalizing disorders (anxiety/depression), especially in females. Hypothalamic-pituitary-adrenal (HPA)-axis function and redox homeostasis (balance between reactive oxygen species and antioxidants) have both been associated with internalizing disorders and may represent critical factors for the development of brain networks of emotional regulation. However, sex-specific interactions between these factors and internalizing symptoms and their link with brain maturation remain unexplored. We investigated in a cohort of adolescents aged 13–15 from the general population (n = 69) whether sex-differences in internalizing symptoms were associated with the glutathione (GSH)-redox cycle homeostasis and HPA-axis function and if these parameters were associated with brain white matter microstructure development. Female adolescents displayed higher levels of internalizing symptoms, GSH-peroxidase (GPx) activity and cortisol/11-deoxycortisol ratio than males. There was a strong correlation between GPx and GSH-reductase (Gred) activities in females only. The cortisol/11-deoxycortisol ratio, related to the HPA-axis activity, was associated with internalizing symptoms in both sexes, whereas GPx activity was associated with internalizing symptoms in females specifically. The cortisol/11-deoxycortisol ratio mediated sex-differences in internalizing symptoms and the association between anxiety and GPx activity in females specifically. In females, GPx activity was positively associated with generalized fractional anisotropy in widespread white matter brain regions. We found that higher levels of internalizing symptoms in female adolescents than in males relate to sex-differences in HPA-axis function. In females, our results suggest an important interplay between HPA-axis function and GSH-homeostasis, a parameter strongly associated with brain white matter microstructure.
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spelling doaj.art-47e3353a1db945a29c03518ebe471a642024-01-21T12:36:38ZengNature Publishing GroupTranslational Psychiatry2158-31882024-01-0114111110.1038/s41398-023-02728-4Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescentsZoé Schilliger0Yasser Alemán-Gómez1Mariana Magnus Smith2Zeynep Celen3Ben Meuleman4Pierre-Alain Binz5Pascal Steullet6Kim Q. Do7Philippe Conus8Arnaud Merglen9Camille Piguet10Daniella Dwir11Paul Klauser12Center for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of LausanneConnectomics Lab, Department of Radiology, Lausanne University Hospital and University of LausanneDivision of General Pediatrics, Geneva University Hospitals and Faculty of Medicine, University of GenevaDepartment of Psychiatry, Faculty of Medicine, University of GenevaDepartment of Psychiatry, Faculty of Medicine, University of GenevaService of Clinical Chemistry, Lausanne University Hospital and University of LausanneCenter for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of LausanneCenter for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of LausanneService of General Psychiatry, Department of Psychiatry, Lausanne University Hospital and University of LausanneDivision of General Pediatrics, Geneva University Hospitals and Faculty of Medicine, University of GenevaDivision of General Pediatrics, Geneva University Hospitals and Faculty of Medicine, University of GenevaCenter for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of LausanneCenter for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of LausanneAbstract Adolescence is marked by the maturation of systems involved in emotional regulation and by an increased risk for internalizing disorders (anxiety/depression), especially in females. Hypothalamic-pituitary-adrenal (HPA)-axis function and redox homeostasis (balance between reactive oxygen species and antioxidants) have both been associated with internalizing disorders and may represent critical factors for the development of brain networks of emotional regulation. However, sex-specific interactions between these factors and internalizing symptoms and their link with brain maturation remain unexplored. We investigated in a cohort of adolescents aged 13–15 from the general population (n = 69) whether sex-differences in internalizing symptoms were associated with the glutathione (GSH)-redox cycle homeostasis and HPA-axis function and if these parameters were associated with brain white matter microstructure development. Female adolescents displayed higher levels of internalizing symptoms, GSH-peroxidase (GPx) activity and cortisol/11-deoxycortisol ratio than males. There was a strong correlation between GPx and GSH-reductase (Gred) activities in females only. The cortisol/11-deoxycortisol ratio, related to the HPA-axis activity, was associated with internalizing symptoms in both sexes, whereas GPx activity was associated with internalizing symptoms in females specifically. The cortisol/11-deoxycortisol ratio mediated sex-differences in internalizing symptoms and the association between anxiety and GPx activity in females specifically. In females, GPx activity was positively associated with generalized fractional anisotropy in widespread white matter brain regions. We found that higher levels of internalizing symptoms in female adolescents than in males relate to sex-differences in HPA-axis function. In females, our results suggest an important interplay between HPA-axis function and GSH-homeostasis, a parameter strongly associated with brain white matter microstructure.https://doi.org/10.1038/s41398-023-02728-4
spellingShingle Zoé Schilliger
Yasser Alemán-Gómez
Mariana Magnus Smith
Zeynep Celen
Ben Meuleman
Pierre-Alain Binz
Pascal Steullet
Kim Q. Do
Philippe Conus
Arnaud Merglen
Camille Piguet
Daniella Dwir
Paul Klauser
Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
Translational Psychiatry
title Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
title_full Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
title_fullStr Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
title_full_unstemmed Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
title_short Sex-specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
title_sort sex specific interactions between stress axis and redox balance are associated with internalizing symptoms and brain white matter microstructure in adolescents
url https://doi.org/10.1038/s41398-023-02728-4
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