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Causal effects of gut microbiota and blood metabolites on subtypes of perinatal depression classified based on depressive symptom trajectories: a mendelian randomization study - PubMed

6 hours ago
  • #Gut Microbiota
  • #Perinatal Depression
  • #Mendelian Randomization
  • Perinatal depression (PD) is classified into four subtypes based on depressive symptom trajectories: pregnancy, early postpartum, late postpartum, and chronic.
  • The study used Mendelian randomization (MR) to assess causal effects of 341 gut microbial taxa and 67 blood metabolites on four PD subtypes in East Asian cohorts.
  • 21 gut microbial taxa and five blood metabolites showed suggestive causal associations with specific PD subtypes.
  • s_Bacteroides caccae was identified as a potential protective gut microbiota shared between early and late postpartum PD.
  • g_Collinsella was identified as a potential risk-associated gut microbiota shared between early and late postpartum PD.
  • No blood metabolites were shared across PD subtypes.
  • After multiple testing correction, only the protective effect of Bacteroides caccae on early postpartum PD remained statistically significant.
  • Mediation analyses showed that s_Prevotella veroralis increased the risk of pregnancy PD by elevating phenylalanine levels.
  • s_Bacteroides caccae reduced the risk of early postpartum PD by lowering ornithine levels.
  • The study provides evidence for a gut microbiota-blood metabolite-PD subtype regulatory network in East Asian populations.