Evidence map›Paper›PMID 16402130›Full record

SynthesisMolecular psychiatry2006

The thermolabile variant of MTHFR is associated with depression in the British Women's Heart and Health Study and a meta-analysis.

S J Lewis, D A Lawlor, G Davey Smith, R Araya, N Timpson, I N M Day, S Ebrahim

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Molecular psychiatry, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effect of long-term supplementation with folic acid and B vitamins on risk of depression in older women.The British journal of psychiatry : the journal of mental science · 2015
    Trial
  7. Article
  8. Article
  9. Review
  10. Folate intake,The British journal of nutrition · 2025
    Article
  11. Review
  12. Review
  13. Review
  14. Common Variants in One-Carbon Metabolism Genes (International journal of molecular sciences · 2023
    Article
  15. Article
  16. Plasma homocysteine concentrations and depression: A twin study.Journal of affective disorders reports · 2021
    Article
  17. Association ofFrontiers in psychiatry · 2021
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

S J LewisDepartment of Social Medicine, University of Bristol, Whiteladies Road, Bristol, UK. s.j.lewis@bristol.ac.uk
D A Lawlor
G Davey Smith
R Araya
N Timpson
I N M Day
S Ebrahim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low dietary folate intake has been implicated as a risk factor for depression. However, observational epidemiological studies are plagued by problems of confounding, reverse causality and measurement error. A common polymorphism (C677T) in MTHFR is associated with methyltetrahydrofolate reductase (MTHFR) activity and circulating folate and homocysteine levels and offers insights into whether the association between low folate and depression is causal. We genotyped this polymorphism in 3,478 women in the British Women's Heart and Health Study. In these women, we looked at the association between genotype and three indicators of depression; ever diagnosed as depressed, currently taking antidepressants and the EuroQol mood question. We also carried out a systematic review and meta-analysis of all published studies which have looked at the association between MTHFR C677T genotype and depression. In the British Women's Heart and Health Study, we found evidence of an increased risk of ever being diagnosed as depressed in MTHFR C677T TT individuals compared with CC individuals, odds ratio (OR) 1.35(95% CI: 1.01, 1.80). Furthermore, we identified eight other studies, which have examined the association between depression and MTHFR C677T. We were able to include all of these studies in our meta-analysis together with our results, obtaining an overall summary OR of 1.36 (95% CI: 1.11, 1.67, P=0.003). Since this genotype influences the functioning of the folate metabolic pathway, these findings suggest that folate or its derivatives may be causally related to risk of depression.

Indexed as

Women's HealthAgedAmino Acid SubstitutionDepressive DisorderFemaleFolic AcidGenetic LinkageGenetic Predisposition to DiseaseHumansMethylenetetrahydrofolate Reductase (NADPH2)Middle AgedPolymorphism, Single NucleotideUnited KingdomFolic AcidMethylenetetrahydrofolate Reductase (NADPH2)

Identifiers

PMID16402130

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.