Differentiation value of miR-26b for major depressive disorder, schizophrenia, generalized anxiety disorder.

Introduction: First episode and drug naive schizophrenia (SZ) patients comorbid with major depressive episode and generalized anxiety disorder (GAD) comorbid with major depressive disorder (MDD) are common in clinical practice, overlapping symptomatology during first presentation of MDD, SZ and GAD challenged the diagnostic process. Materials and Methods: This study aimed to investigate the differentiation value of peripheral microRNA-26b expression in 52 patients of MDD, SZ, and GAD, respectively, and 52 controls. Quantitative real-time reverse transcription polymerase chain reaction was used to further verify aberrant miRNAs of previous identified in MDD and investigate expression level of these peripheral miRNAs in SZ and GAD. Results: The expression levels of miR-26b and miR-4743 were significantly upregulated and of miR-4498, miR-4485, and miR-1972 had no significant difference. There were no significant differences of expression levels of miR-26b, miR-4498, miR-4485, and miR-1972 except miR-4743 between SZ patients and control group and of miR-26b, miR-1972, miR-4498, and miR-4485 between GAD group and the controls. The receiver operating characteristic (ROC) curve of miR-26b in MDD patients showed that its sensitivity and specificity for diagnosis were 0.540 and 0.830, respectively, with the area under curve (AUC) being 0.728; the ROC of miR-26b for SZ and MDD differentiation showed that its sensitivity and specificity were 0.580 and 0.710, respectively, with AUC being 0.631; the ROC of miR-26b for GAD and MDD differentiation suggested that sensitivity and specificity were 0.560 and 0.750, respectively, with AUC being 0.637. Conclusion: MiR-26b might have potential value of differentiation biomarker for MDD, SZ, and GAD.

Altered temporoparietal junction activity during reflected self-evaluation in sub-clinical depression.

Negative self-schema is a core symptom of depression. According to social psychological theories, two types of self-evaluations play important roles in forming the negative self-view: direct self-evaluation (that is, evaluating the self directly through one's first-person perspective introspection) and reflected self-evaluation (which requires theory of mind (ToM) ability, and is evaluating the self through reflecting on a third person's perspective). Although many previous studies have investigated the processing of the direct self-evaluation in depression, few have extended research on the reflected self-evaluation. In the current study, functional magnetic resonance imaging scans were acquired in 26 dysphoric (individuals with elevated number of depressive symptoms) and 28 control participants during both direct and reflected self-evaluation tasks. Two regions of interest were defined within bilateral temporoparietal junctions (TPJs) because their significant role in ToM. Results showed that the dysphoric participants evaluated themselves more negatively than the control participants, regardless of whose perspective they were taking. More importantly, the enhanced TPJs' activations were observed in the control group during the reflected self-evaluation task versus the direct self-evaluation task, whereas no such difference was observed in the dysphoric participants. The results are interpreted in the framework of impaired ToM ability in sub-clinical depression.  General Scientific Summary (GSS) Negative self-schema is one of the core symptoms of depression. This study suggests that the negative self-schema reflects not only in direct self-evaluation (i.e. evaluating the self via one's own introspection) but also in reflected self-evaluation (i.e. evaluating the self via others' perspective). Importantly, altered TPJ activity was found during a reflected self-evaluation task among individuals with depressive symptoms. These changes in brain function might be associated with impaired ToM ability in sub-clinical depression.

Temporal dynamic patterns of the ventromedial prefrontal cortex underlie the association between rumination and depression.

As a major contributor to the development of depression, rumination has proven linked with aberrant default-mode network (DMN) activity. However, it remains unclear how the spontaneous spatial and temporal activity of DMN underlie the association between rumination and depression. To illustrate this issue, behavioral measures and resting-state functional magnetic resonance images were connected in 2 independent samples (NSample1 = 100, NSample2 = 95). Fractional amplitude of low-frequency fluctuations (fALFF) and regional homogeneity (ReHo) were used to assess spatial characteristic patterns, while voxel-wise functional concordance (across time windows) (VC) and Hurst exponent (HE) were used to assess temporal dynamic patterns of brain activity. Results from both samples consistently show that temporal dynamics but not spatial patterns of DMN are associated with rumination. Specifically, rumination is positively correlated with HE and VC (but not fALFF and ReHo) values, reflecting more consistent and regular temporal dynamic patterns in DMN. Moreover, subregion analyses indicate that temporal dynamics of the ventromedial prefrontal cortex (VMPFC) reliably predict rumination scores. Furthermore, mediation analyses show that HE and VC of VMPFC mediate the association between rumination and depression. These findings shed light on neural mechanisms of individual differences in rumination and corresponding risk for depression.

Increased motivational intensity leads to preference for distraction over reappraisal during emotion regulation: Mediated by attentional breadth.

Motivation is considered important in the study of emotion regulation. However, it remains unknown whether and how varied motivation may influence people's emotion regulation choice. To address this question, 51 participants first performed a global-local task that measures attentional breadth. Then, they were required to choose emotion regulation strategies, reappraisal, or distraction, to regulate their emotion in emotional contexts that varied in motivational direction and intensity. We found that distraction was chosen more often over reappraisal in high-intensity-motivated emotion, while the reverse pattern was observed in low-intensity motivated emotion. Besides, withdrawal-motivated emotion was associated with more reappraisal choices than approach-motivated emotion, an effect that, however, vanished when valence was controlled. Furthermore, participants made fewer global choices, which is indicative of narrowed attentional breadth, during high- relative to low-intensity motivated emotional contexts, and attentional breadth partially mediated the effect of motivational intensity on emotion regulation choice. These findings suggest that increased motivation promotes one's choice of distraction over reappraisal during emotion regulation, by narrowing attentional breadth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Functional coupling of the orbitofrontal cortex and the basolateral amygdala mediates the association between spontaneous reappraisal and emotional response.

Emotional regulation is known to be associated with activity in the amygdala. The amygdala is an emotion-generative region that comprises of structurally and functionally distinct nuclei. However, little is known about the contributions of different frontal-amygdala sub-region pathways to emotion regulation. Here, we investigated how functional couplings between frontal regions and amygdala sub-regions are involved in different spontaneous emotion regulation processes by using an individual-difference approach and a generalized psycho-physiological interaction (gPPI) approach. Specifically, 50 healthy participants reported their dispositional use of spontaneous cognitive reappraisal and expressive suppression in daily life and their actual use of these two strategies during the performance of an emotional-picture watching task. Results showed that functional coupling between the orbitofrontal cortex (OFC) and the basolateral amygdala (BLA) was associated with higher scores of both dispositional and actual uses of reappraisal. Similarly, functional coupling between the dorsolateral prefrontal cortex (dlPFC) and the centromedial amygdala (CMA) was associated with higher scores of both dispositional and actual uses of suppression. Mediation analyses indicated that functional coupling of the right OFC-BLA partially mediated the association between reappraisal and emotional response, irrespective of whether reappraisal was measured by dispositional use (indirect effect(SE)=-0.2021 (0.0811), 95%CI(BC)= [-0.3851, -0.0655]) or actual use (indirect effect(SE)=-0.1951 (0.0796), 95%CI(BC)= [-0.3654, -0.0518])). These findings suggest that spontaneous reappraisal and suppression involve distinct frontal- amygdala functional couplings, and the modulation of BLA activity from OFC may be necessary for changing emotional response during spontaneous reappraisal.

Functional Decoupling of Emotion Coping Network Subsides Automatic Emotion Regulation by Implementation Intention.

Automatic emotion regulation (AER) plays a vital role in the neuropathology underlying both suicide and self-harm via modifying emotional impact effortlessly. However, both the effortless account and the neural mechanisms of AER are undetermined. To investigate the neural changes at AER, we collected functional MRI (fMRI) in 31 participants who attended to neutral and disgust pictures in three conditions: watching, goal intention (GI), and reappraisal by implementation intention (RII). Results showed that RII (but not GI) decreased negative feelings and bilateral amygdala activity without increasing cognitive efforts, evidenced by the reduced effort rating and less prefrontal engagement during RII compared with during watching and GI. These emotion-regulatory effects of RII cannot be explained by emotional habituation, as the supplementary experiment (N = 31) showed no emotional habituation effects when the same disgust pictures were presented repeatedly three times for each watching and GI condition. Task-based network analysis showed both RII and GI relative to watching increased functional connectivities (FCs) of the ventral anterior cingulate cortex to the left insula and right precuneus during conditions, two FCs subserving goal setup. However, RII relative to GI exhibited weaker FCs in brain networks subserving effortful control, memory retrieval, aversive anticipation, and motor planning. In these FCs, the FC intensity of putamen-operculum/lingual and paracentral-superior temporal gyri positively predicted regulatory difficulty ratings. These findings suggest that the setup of implementation intention automatizes emotion regulation by reducing the online mobilization of emotion-coping neural systems.

Automatic Reappraisal-Based Implementation Intention Produces Early and Sustainable Emotion Regulation Effects: Event-Related Potential Evidence.

Implementation intention has proven effective in regulating intense emotions but is found to be difficult when instructed regulation is used. Here, we aim to test whether automatic reappraisal-based implementation intention (RII) downregulates intense negative emotion more efficiently than controlled reappraisal (CR) using a two-phase event-related potential (ERP) experiment. In the regulation phase, both RII and CR decreased subjective experiences of negative emotion relative to passive watching, irrespective of emotional intensity. Moreover, RII reduced the central-parietal late positive potential (LPP) amplitudes for both intensities in the 300-1,700-ms epoch after picture onset, whereas CR reduced LPP amplitudes just in the 500-700-ms interval. Moreover, the application of RII but not CR produced a reliable long-term LPP attenuation compared to passive watching in the unexpected re-exposure phase. These findings demonstrate that reappraisal-based implementation intention yields an earlier and more sustainable emotion regulatory effects than controlled reappraisal.

Emotion regulation by implementation intention is generalizable to unspecified situations: The nature of the underlying goal matters.

Implementation intentions (II), which specify how to respond in a given situation based on the goal, is known for its automaticity of regulating emotion to the specified situation. However, it is unknown whether such regulatory effects can be generalized to unspecified situations. For this purpose, we performed four experiments, each consisting of specified (bloody) and unspecified (non-bloody) stimuli with the goal of disgust (Exp.1-2) or unpleasant (Exp.3) regulation. Results showed that II reduced negative feelings for both bloody and non-bloody situations (Exp.1). This generalization effect was absent for goal-unrelated, frightening situations (Exp.2). However, broadening the goal extended the generalization effect to the frightening situation, an effect further amplified when a flexible response was used (Exp.3). Moreover, the II buildup did not disrupt feelings for pleasant situations (Exp.4). These results provide the first evidence that II-based emotion regulation is generalizable to unspecified, goal-related situations and that increasing goal coverage expands the generalization.

Benefits of Implicit Regulation of Instructed Fear: Evidence From Neuroimaging and Functional Connectivity.

Instructed fear, which denotes fearful emotions learned from others' verbal instructions, is an important form of fear acquisition in humans. Maladaptive instructed fear produces detrimental effects on health, but little is known about performing an efficient regulation of instructed fear and its underlying neural substrates. To address this question, 26 subjects performed an instructed fear task where emotional experiences and functional neuroimages were recorded during watching, explicit regulation (calmness imagination), and implicit regulation (calmness priming) conditions. Results indicated that implicit regulation decreased activity in the left amygdala and left insula for instructed fear; however, these effects were absent in explicit regulation. The implementation of implicit regulation did not increase activity in the frontoparietal control regions, while explicit regulation increased dorsolateral prefrontal cortex activity. Furthermore, implicit regulation increased functional connectivity between the right amygdala and right fusiform gyrus, and decreased functional connectivity between the right medial temporal gyrus and left inferior frontal gyrus, which are key nodes of memory retrieval and cognitive control networks, respectively. These findings suggest a favourable effect of implicit regulation on instructed fear, which is subserved by less involvement of control-related brain mechanisms.

A novel anammox reactor with a nitrogen gas circulation: performance, granule size, activity, and microbial community.

Anammox process was regarded to be one of the vital links to achieve energy-saving or energy-producing wastewater treatment plant. In the study, an anammox reactor with the nitrogen gas circulation was constructed to culture anammox granules, and the performance, granule size distribution, and microbial community were investigated. Dissolved oxygen loading is found to be an important factor for the start-up of the anammox process, and the nitrogen removal rate of 2.12 kg N m-3 day-1 was achieved under the average nitrogen loading rate of 2.6 kg N m-3 day-1. The activity test showed that the highest specific anammox activity of 345.9 mg N gVSS-1 day-1 was achieved for granules with size of 0.5-1.0 mm. The Illumina high-throughput sequencing analysis revealed the consistent variation of Candidatus Brocadia and Denitratisoma abundance in granues of all sizes, suggesting possible synergistic mechanism between heterotrophic bacteria Denitratisoma and anammox bacteria Ca. Brocadia. Furthermore, the results indicated the reactor with the nitrogen gas circulation is an efficient strategy to start-up anammox.

Androgyny eliminates sex differences in emotional reactivity: ERP and network coupling evidences.

The role of gender role in interpreting sex differences in emotion is unknown. The present study examined how gender role moderates sex differences in emotional reactivity. Event-related potentials (ERP) were recorded in sixty-eight subjects with typical or androgynous gender roles when they passively observed neutral and negative pictures. Behaviorally, typical females (feminine females) reported higher emotional rating than typical males (masculine males), while androgynous males and androgynous females reported no significant differences. Electrophysiologically, we found higher late positive potential (LPP) amplitude in typical females compared to typical males, while this pattern of sex difference was absent in androgynous subjects. The network analysis of EEG data indicates that typical males showed enhanced network coupling strengths between frontal/prefrontal and parietal areas than typical females, which was again absent in androgynous subjects. These findings suggest that gender role is an important determinant in the interpretation of sex differences in emotional reactivity.

Experimental investigation and mathematical modeling of the competition among the fast-growing "r-strategists" and the slow-growing "K-strategists" ammonium-oxidizing bacteria and nitrite-oxidizing bacteria in nitrification.

Based on their differences in the kinetic values, the nitrifiers could be classified into the fast-growing "r-strategists" and the slow-growing "K-strategists" bacteria. However, the difference in the kinetic values originated not only from the intrinsic differences among the nitrifier species, but also from other factors, i.e. sludge floc morphology, and the environment in which the nitrifiers were cultivated. It is not clear how these factors interact and affect the measured kinetic parameters and the competition among the "r-strategists" and the "K-strategists" bacteria. In this study, the kinetic parameters of nitrifiers cultivated in the SBR (sequencing batch reactor) under different substrate concentrations were monitored, together with the identification of nitrifier species and sludge floc morphology characterization. The results showed that the r-AOB and r-NOB ("r-strategists" ammonium-oxidizing bacteria and nitrite-oxidizing bacteria, i.e., Nitrosomonas and Nitrospira) were the dominant nitrifiers in the SBR reactor. A mathematical model describing the competition between r/K AOB and NOB showed that r-AOB and r-NOB could be enriched in the SBR. The experimental investigation supported the model simulation results. The model simulation also revealed that the different r/K AOB and NOB species could be enriched in different DO concentrations and SRT conditions, which could be manipulated to promote the growth of r-AOB and NO2- accumulation for the autotrophic nitrogen removal using ANAMMX.

Automatic self-focused and situation-focused reappraisal of disgusting emotion by implementation intention: an ERP study.

Detachment (self-focused) and positive reinterpretation (situation-focused) are two important forms of cognitive reappraisal during emotion regulation. Previous research shows situation-focused reappraisal to be more effective than self-focused reappraisal for intentional emotion regulation. How the two differ in emotional consequences as components of automatic emotion regulation is however unclear. In the current study, event-related potentials were recorded to clarify this problem, while participants passively viewed disgusting or neutral scenes or formed implementation intentions based on self-focused or situation-focused reappraisal. Behavioural results showed fewer negative emotions during self-focused reappraisal than during either situation-focused reappraisal or free viewing (which had similar emotion ratings). In addition, self-reported cognitive cost was not enhanced during the two forms of reappraisal compared to passive viewing. Late positive potential (LPP) amplitudes for disgusting stimuli were larger than those elicited for neutral stimuli, at both frontal and posterior-parietal regions. This amplitude enhancement effect, irrespective of whether frontal or parietal LPP were involved, was found to be weaker during self-focused reappraisal than when participants were engaged in situation-focused reappraisal or passive viewing. The latter two conditions showed similar amplitude enhancement. These findings suggest that automatic self-focused reappraisal by implementation intention produces more favourable emotion regulation than situation-focused reappraisal, without enhancing cognitive cost.

Regulatory Role of lncRNA NONHSAT089447 in the Dopamine Signaling Pathway in Schizophrenic Patients.

BACKGROUND We previously discovered that 3 long non-coding RNAs (lncRNAs) NONHSAT089447, NONHSAT021545, and NONHSAT041499 were differentially expressed in the peripheral blood of patients with schizophrenia, in comparison to those in normal healthy controls. In this study, we conducted bioinformatic analysis of these 3 lncRNAs and the regulatory role of lncRNA NONHSAT089447 in the dopamine signaling pathway in patients with schizophrenia. MATERIAL AND METHODS There lncRNAs in peripheral blood mononuclear cells (PBMCs) were screened using microarray analysis. Pearson's correlation analysis was performed to assess the levels of co-expressed mRNAs of respective lncRNAs. The Database for Annotation, Visualization and Integrated Discovery (DAVID) software was used to perform Gene Ontology (GO) and Kyoto Encyclopedia of Genes or Genomes (KEGG) enrichment analysis for these lncRNAs. Human neuroblastoma cell lines (SK-N-SH) were cultured and treated with dopamine or olanzapine (OLP), or transfected with siRNA targeting NONHSAT089447 or plasmid expressing NONHSAT089447. Levels of lncRNAs were detected by quantitative real-time reverse transcription polymerase chain reaction (RT-PCR). Then, mRNA and protein expression of the dopamine receptors DRD1, DRD2, DRD3, DRD4, and DRD5 were measured by RT-PCR and western blot analysis, respectively. RESULTS OLP treatment significantly inhibited the expression of NONHSAT089447. Knockdown of NONHSAT089447 by siRNA decreased DRD3 and DRD5 expression, while overexpression of NONHSAT089447 significantly upregulated expression of DRD3 and DRD5. Western blot analysis confirmed that levels of NONHSAT089447 regulated downstream DRD signaling. CONCLUSIONS Our results revealed that the lncRNA NONHSAT089447 participated in the dopamine signaling pathway via upregulation of DRDs.

Regulatory effect of implicit acceptance during outcome evaluation: The temporal dynamics in an event-related potential study.

The acceptance of emotion is important for humans' wellbeing and social functioning. Despite its regulatory advantages, the temporal dynamics of acceptance for regulating decision-related emotion remains unclear. For this purpose, Event-related potentials were recorded for outcome presentation, when participants either in explicit or implicit acceptance condition performed a Gambling Task. Results showed that acceptance effectively regulated emotional experiences, irrespective of how it was realized (explicit/implicit). Compared to viewing condition, explicit acceptance increased overall amplitudes of feedback-related negativity (FRN,180-240 ms) at the early stage and reduced P3 amplitude (240-440 ms) in general at the late stage, regardless of feedback valence or magnitude. By contrast, implicit acceptance did not influence the FRN amplitudes but increased the P3 amplitudes globally, an effect unaffected by feedback valence and magnitude. In addition, the P3 amplitude for explicit acceptance was negatively correlated with the ratio of risky choices, regardless of outcome valence. These results suggest that explicit acceptance is associated with cognitive conflict and resource depletion, while these adverse effects are not engendered during implicit acceptance. These regulatory effects are independent of specific feedback valence and magnitude. These findings highlight the role of implicit acceptance in cognitive demanding context, such as decision-making.

hsa_circRNA_104597: a novel potential diagnostic and therapeutic biomarker for schizophrenia.

Aim: To assess whether expression of circular RNAs (circRNAs) in peripheral blood mononuclear cells can serve as a biomarker for diagnosis and/or therapeutic response in people living with schizophrenia (SZ). Materials & methods: Differentially expressed circRNAs were screened via microarray in nine individuals living with SZ and nine healthy controls, then quantified using real-time quantitative reverse transcription PCR in SZ (n = 102) and healthy control (n = 103) groups. CircRNAs were re-assessed twice in 30 randomly selected individuals living with SZ after 4- and 8-week antipsychotic treatments. Results: Five circRNAs were differentially expressed between groups. Only hsa_circRNA_104597, which was downregulated in the SZ group, was significantly upregulated after 8-week treatment. Conclusion: Dysregulation of hsa_circRNA_104597 may serve as a novel potential diagnostic and therapeutic biomarker for SZ.

Temporal dynamics of spontaneous default-mode network activity mediate the association between reappraisal and depression.

Cognitive reappraisal is associated with major depressive disorder (MDD), while spontaneous activity patterns of the default mode network (DMN) is implicated in reappraisal and MDD. However, neural mechanisms subserving the close association of spontaneous reappraisal and depression are unclear. Spontaneous reappraisal, depression and resting-state functional magnetic resonance imaging (rsfMRI) were measured from 105 healthy subjects. We assessed the temporal complexity (Hurst exponent), Regional Homogeneity (ReHo) and fractional Amplitude of Low Frequency Fluctuation (fALFF) profiles of DMN, a network involved in both reappraisal and depression. Mediation effects of these standard measures on the relationship between reappraisal and depression, and the contributions of each DMN subregion, were assessed. Results indicated that Hurst exponent (H) of DMN, whether extracted by independent component analysis (ICA) or region of interest (ROI), was significantly associated with reappraisal scores. An individual with a higher reappraisal score has a lower Hurst value of DMN. Mediation analyses suggest that H of DMN partially mediates the association between reappraisal and the degree of depression, and this mediation effect arises from the contribution of medial prefrontal cortex. Neither ReHo nor fALFF showed a similar correlation or mediation effect. These findings suggest that temporal dynamics of DMN play an important role in emotion regulation and its association with depression. H of DMN may serve as a neural marker mediating the association between reappraisal and depression.

Facial Expression Enhances Emotion Perception Compared to Vocal Prosody: Behavioral and fMRI Studies.

Facial and vocal expressions are essential modalities mediating the perception of emotion and social communication. Nonetheless, currently little is known about how emotion perception and its neural substrates differ across facial expression and vocal prosody. To clarify this issue, functional MRI scans were acquired in Study 1, in which participants were asked to discriminate the valence of emotional expression (angry, happy or neutral) from facial, vocal, or bimodal stimuli. In Study 2, we used an affective priming task (unimodal materials as primers and bimodal materials as target) and participants were asked to rate the intensity, valence, and arousal of the targets. Study 1 showed higher accuracy and shorter response latencies in the facial than in the vocal modality for a happy expression. Whole-brain analysis showed enhanced activation during facial compared to vocal emotions in the inferior temporal-occipital regions. Region of interest analysis showed a higher percentage signal change for facial than for vocal anger in the superior temporal sulcus. Study 2 showed that facial relative to vocal priming of anger had a greater influence on perceived emotion for bimodal targets, irrespective of the target valence. These findings suggest that facial expression is associated with enhanced emotion perception compared to equivalent vocal prosodies.

Long noncoding RNA expression in peripheral blood mononuclear cells and suicide risk in Chinese patients with major depressive disorder.

BACKGROUND: WHO stated that nearly one million people commit suicide every year worldly, and 40% of the suicide completer suffered from depression. The primary aim of this study was to explore the association between long noncoding RNAs (lncRNAs) expression in peripheral blood mononuclear cells (PBMCs) and suicide risk of patients with major depressive disorder (MDD). METHODS: Using Human LncRNA 3.0 microarray profiling which includes 30,586 human lncRNAs and RT-PCR, six down-regulated lncRNAs were identified differentially expressed in MDD patients. According to suicidal ideation and suicidal attempt, the suicide risk of MDD patients was classified into suicidal ideation versus no suicidal ideation groups, and past attempt versus no past attempt groups, respectively. The expression of six lncRNAs in MDD patients and controls were examined by RT-PCR. RESULTS: The expression of six lncRNAs had significant differences between no suicidal ideation, suicidal ideation, and controls; corresponding lncRNAs associated with suicidal attempt had remarkable differences between no past attempt, past attempt, and controls. Additionally, only the expression of lncRNAs in suicidal ideation group and past attempt group markedly declined compared with controls. CONCLUSIONS: This study indicated that the expression of six down-regulated lncRNAs had a negative association with suicide risk in MDD patients, and the expression of lncRNAs in PBMCs could have the potential to help clinician judge the suicide risk of MDD patients to provide timely treatment and prevent suicide.

Long noncoding RNAs: New evidence for overlapped pathogenesis between major depressive disorder and generalized anxiety disorder.

BACKGROUND: About half of patients with major depressive disorder (MDD) have clinically meaningful levels of anxiety. Greater severity of depressive illness and functional impairment has been reported in patients with high levels of anxiety accompanying depression. The pathogenesis for the comorbidity was still unsure. AIM: This study aimed to determine whether there would be molecular link for overlapped pathogenesis between MDD and anxiety disorder. MATERIALS AND METHODS: Using long noncoding RNA (lncRNA) microarray profiling and reverse transcription polymerase chain reaction, six downregulated lncRNAs and three upregulated lncRNAs had been identified to be the potential biomarkers for MDD and generalized anxiety disorder (GAD), respectively. Then, the lncRNAs were cross-checked in forty MDD patients, forty GAD patients, and forty normal controls. RESULTS: Compared with normal controls, six downregulated MDD lncRNAs also had a significantly lower expression in GAD (P < 0.01), and there was no significant difference between GAD and MDD (P > 0.05). In addition, three upregulated GAD lncRNAs had no different expression in MDD (P > 0.05), but there was remarkable difference between MDD and GAD (P < 0.01). CONCLUSIONS: These results indicated that lncRNAs in peripheral blood mononuclear cells could be potential molecular link between MDD and GAD, which added new evidence to the overlapped pathogenesis and suggested that anxious depression could be a valid diagnostic subtype of MDD.