Abstract
Major Depressive Disorder (MDD) is a complex psychiatric condition characterized by neuronal and functional disruptions in the dorsolateral prefrontal cortex (dlPFC). We integrated MDD-associated multi-omics data, including two single-cell RNA sequencing (scRNA-seq) datasets, GWAS summary data, and depression-related proteomic data from UK Biobank. We identified 273 MDD-associated eQTL, while the single-cell disease-relevance score (scDRS) algorithm revealed that excitatory neurons, inhibitory neurons, and oligodendrocyte precursor cells (OPCs) are significantly associated with MDD. Non-negative matrix factorization (NMF) identified four meta-programs (MPs) in excitatory and inhibitory neurons, reflecting functional impairments related to synaptic plasticity, neuronal connectivity, and epigenetic regulation. Differentiation trajectory analysis revealed distinct pathological states of neuronal subtypes. We identified CXCL14+ inhibitory neurons and investigated their role in stress perception and intercellular communication. Plasma proteomics data validated 33 risk genes, five of which encoded proteins predictive of patient survival in CoxBoost regression models. These findings provide a comprehensive understanding of the cellular and molecular underpinnings of MDD, offering potential diagnostic and therapeutic targets and advancing the development of precision medicine approaches for MDD.
Competing Interest Statement
The authors have declared no competing interest.
Funding Statement
This study was funded by grants from the National Natural Science Foundation of China (U21A20364) and National Key Research and Development Project of China (Grant No. 2024YFC3308400).
Author Declarations
I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.
Yes
The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
All data were obtained from the publicly accessible GEO database under accession number GSE213982 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE213982). Brain-region-specific eQTL results can be accessed via Supplementary File S1. The GWAS summary data can be accessed via martinjzhang/scDRS. Proteomics data can be accessed via UK Biobank at https://www.ukbiobank.ac.uk/.
I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.
Yes
I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).
Yes
I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.
Yes
Data Availability
All data produced in the present study are available upon reasonable request to the authors.