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. 2022 Oct 3;12(1):423.
doi: 10.1038/s41398-022-02159-7.

Blood levels of T-Cell Receptor Excision Circles (TRECs) provide an index of exposure to traumatic stress in mice and humans

Affiliations

Blood levels of T-Cell Receptor Excision Circles (TRECs) provide an index of exposure to traumatic stress in mice and humans

Kenneth M McCullough et al. Transl Psychiatry. .

Abstract

Exposure to stress triggers biological changes throughout the body. Accumulating evidence indicates that alterations in immune system function are associated with the development of stress-associated illnesses such as major depressive disorder and post-traumatic stress disorder, increasing interest in identifying immune markers that provide insight into mental health. Recombination events during T-cell receptor rearrangement and T-cell maturation in the thymus produce circular DNA fragments called T-cell receptor excision circles (TRECs) that can be utilized as indicators of thymic function and numbers of newly emigrating T-cells. Given data suggesting that stress affects thymus function, we examined whether blood levels of TRECs might serve as a quantitative peripheral index of cumulative stress exposure and its physiological correlates. We hypothesized that chronic stress exposure would compromise thymus function and produce corresponding decreases in levels of TRECs. In male mice, exposure to chronic social defeat stress (CSDS) produced thymic involution, adrenal hypertrophy, and decreased levels of TRECs in blood. Extending these studies to humans revealed robust inverse correlations between levels of circulating TRECs and childhood emotional and physical abuse. Cell-type specific analyses also revealed associations between TREC levels and blood cell composition, as well as cell-type specific methylation changes in CD4T + and CD8T + cells. Additionally, TREC levels correlated with epigenetic age acceleration, a common biomarker of stress exposure. Our findings demonstrate alignment between findings in mice and humans and suggest that blood-borne TRECs are a translationally-relevant biomarker that correlates with, and provides insight into, the cumulative physiological and immune-related impacts of stress exposure in mammals.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1. Chronic Social Defeat Stress (CSDS) effects on adrenal gland, thymus, and TREC levels in male mice.
A Simplified schematic of the 10-day and 21-day CSDS regimens. B Simplified schematic of HPA axis activation and resulting adrenal hypertrophy and thymic involution. C The 10-day CSDS regimen led to thymic involution, indicated by decreased thymus weight, but D it did not affect TREC levels in whole blood. In contrast, E the 21-day CSDS regimen led to thymic involution and F decreased TREC levels. Note that TREC data are depicted as -dCT to clarify that higher dCT integer values indicate lower levels of TRECs. *p < 0.05, **p < 0.01, ****p < 0.0001, N’s = 6–11/group.
Fig. 2
Fig. 2. Associations between TREC levels and age and childhood trauma in humans (men and women).
Note that TREC data are depicted as -dCT to clarify that higher dCT integer values indicate lower levels of TRECs. A TREC dCT values were normally distributed. B TREC levels were negatively correlated with age, and lower in subjects that experienced C childhood physical abuse or D childhood emotional abuse; for details, refer to Table 2. *p < 0.05, ** p < 0.01, ***p < 0.001, N = 297.
Fig. 3
Fig. 3. Associations between TREC levels and measures of leukocyte cell composition in humans (men and women).
Note that TREC data are depicted as -dCT to clarify that higher dCT integer values indicate lower levels of TRECs. Levels of TRECs were positively correlated with proportions of A CD8T cells, B CD4T cells, and C B-cells, and D negatively correlated with proportions of neutrophils. TREC levels were not correlated with proportions of E NK cells or F monocytes. N = 276.
Fig. 4
Fig. 4. Associations between TREC levels and measures of epigenetic age acceleration in humans (men and women).
Note that TREC data are depicted as -dCT to clarify that higher dCT integer values indicate lower levels of TRECs. Levels of TRECs were negatively correlated with A HannumAge acceleration, B PheonAge acceleration and C extrinsic epigenetic age acceleration (EEEA). TREC levels were not correlated with D DNAmAge acceleration, E GrimAge acceleration, or F intrinsic epigenetic age acceleration (IEAA). N = 276.
Fig. 5
Fig. 5. Associations between TREC levels and cell-type specific epigenome-wide association analysis (EWAS) in CD4T and CD8T cells in humans (men and women).
A QQ plots of CD8T cell specific EWAS for the comparison of 276 samples for which both TREC expression levels and methylation data were available. B Manhattan plot of CD8T cell specific EWAS of TREC levels. The y-axis is the –log10 of the unadjusted p-value for the association with TREC expression level. The red line indicates genome-wide EWAS statistical significance at FDR < 0.05; for details, refer to Table 3. C QQ plots of CD4T cell specific EWAS for the comparison of 276 samples for which both TREC expression level and methylation data were available. D Manhattan plot of CD4T cell specific EWAS of TREC level. The y-axis is the –log10 of the unadjusted p-value for the association with TREC expression level. The red line indicates genome-wide EWAS statistical significance at FDR < 0.05; for details, refer to Table 4.

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