TY - JOUR A1 - Hommers, Leif A1 - Richter, Jan A1 - Yang, Yunbo A1 - Raab, Annette A1 - Baumann, Christian A1 - Lang, Konstantin A1 - Schiele, Miriam A. A1 - Weber, Heike A1 - Wittmann, André A1 - Wolf, Christiane A1 - Alpers, Georg W. A1 - Arolt, Volker A1 - Domschke, Katharina A1 - Fehm, Lydia A1 - Fydrich, Thomas A1 - Gerlach, Alexander A1 - Gloster, Andrew T. A1 - Hamm, Alfons A1 - Helbig-Lang, Sylvia A1 - Kircher, Tilo A1 - Lang, Thomas A1 - Pané-Farré, Christiane A. A1 - Pauli, Paul A1 - Pfleiderer, Bettina A1 - Reif, Andreas A1 - Romanos, Marcel A1 - Straube, Benjamin A1 - Ströhle, Andreas A1 - Wittchen, Hans-Ulrich A1 - Frantz, Stefan A1 - Ertl, Georg A1 - Lohse, Martin A1 - Lüken, Ulrike A1 - Deckert, Jürgen T1 - A functional genetic variation of SLC6A2 repressor hsa-miR-579-3p upregulates sympathetic noradrenergic processes of fear and anxiety T2 - Translational Psychiatry N2 - Increased sympathetic noradrenergic signaling is crucially involved in fear and anxiety as defensive states. MicroRNAs regulate dynamic gene expression during synaptic plasticity and genetic variation of microRNAs modulating noradrenaline transporter gene (SLC6A2) expression may thus lead to altered central and peripheral processing of fear and anxiety. In silico prediction of microRNA regulation of SLC6A2 was confirmed by luciferase reporter assays and identified hsa-miR-579-3p as a regulating microRNA. The minor (T)-allele of rs2910931 (MAFcases = 0.431, MAFcontrols = 0.368) upstream of MIR579 was associated with panic disorder in patients (pallelic = 0.004, ncases = 506, ncontrols = 506) and with higher trait anxiety in healthy individuals (pASI = 0.029, pACQ = 0.047, n = 3112). Compared to the major (A)-allele, increased promoter activity was observed in luciferase reporter assays in vitro suggesting more effective MIR579 expression and SLC6A2 repression in vivo (p = 0.041). Healthy individuals carrying at least one (T)-allele showed a brain activation pattern suggesting increased defensive responding and sympathetic noradrenergic activation in midbrain and limbic areas during the extinction of conditioned fear. Panic disorder patients carrying two (T)-alleles showed elevated heart rates in an anxiety-provoking behavioral avoidance test (F(2, 270) = 5.47, p = 0.005). Fine-tuning of noradrenaline homeostasis by a MIR579 genetic variation modulated central and peripheral sympathetic noradrenergic activation during fear processing and anxiety. This study opens new perspectives on the role of microRNAs in the etiopathogenesis of anxiety disorders, particularly their cardiovascular symptoms and comorbidities. KW - Clinical genetics KW - Psychiatric disorders Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/50027 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-500276 SN - 2158-3188 N1 - Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. VL - 8 IS - 1, Art. 226 SP - 1 EP - 12 PB - Nature Publishing Group CY - London ER -