The Role of Energy Homeostasis in Depression Pathophysiology and Its Heterogeneity
JAMA Psychiatry 10.1001/jamapsychiatry.2025.1858August 06, 2025 at 11:00 AM EDT
Are dysregulations in energy homeostasis involved in the manifestation of distinct symptom profiles in major depressive disorder?The genetic liability of a homeostatic system encompassing metabolic, interoceptive, and motivational pathways was modeled. A polygenic score capturing this shared genetic liability was more strongly associated with a higher likelihood of manifesting increased appetite and sleep during depression in more than 5000 participants.Altered energy homeostasis is associated with the expression of a specific symptom profile during depression; this bioclinical profile could identify patients with depression at higher metabolic risk and pave the way for the development of targeted treatments.
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