Evidence map›Paper›PMID 21978546›Full record

ArticleJournal of psychiatric research2012

Two HPA axis genes, CRHBP and FKBP5, interact with childhood trauma to increase the risk for suicidal behavior.

Alec Roy, Colin A Hodgkinson, Vincenzo Deluca, David Goldman, Mary-Anne Enoch

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 5% of its field
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

81 citing papers in PubMed, 4 syntheses or guidelines pooled it, 168 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. The Interaction BetweenBrain sciences · 2025
    Article
  8. Article
  9. Review: Suicide and its relationship to aggression and impulsivity.Cognitive, affective & behavioral neuroscience · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Biomarker-Guided Tailored Therapy in Major Depression.Advances in experimental medicine and biology · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Alec RoyPsychiatry Service, Department of Veterans Affairs, New Jersey VA Health Care System, East Orange, NJ 07018-1095, USA. alec.roy@va.go
Colin A Hodgkinson
Vincenzo Deluca
David Goldman
Mary-Anne Enoch
National Institute on Alcohol Abuse and Alcoholism · USCentre for Addiction and Mental Health · CAVeterans Biomedical Research Institute · US

Funding

Integrative genetics of behavior with high throughput technologiesZIAAA000301 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GOLDMAN, DAVID · 2009 to 2025
$68.6M
Integrative genetics with high throughput, multiplex genZ01AA000301 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GOLDMAN, DAVID · 1999 to 2008
$5.2M
Gene-Environment Interations Underlying Alcoholism Vulnerability DisordersZIAAA000306 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GOLDMAN, DAVID · 2009 to 2016
$839k
PSYCHOPHARMACOLOGY OF ADOLESCENTS WITH AUD AND ADHDK24AA000301 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BUKSTEIN, OSCAR G · 2001 to 2005
$494k
Intermediate Phenotypes for Alcoholism and Whole Genome Linkage ScanZIAAA000280 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI GOLDMAN, DAVID · 2009 to 2012
$218k
RETINAL DOPAMINE--NEUROBIOLOGIC MARKER IN COCAINE PTSR01DA010336 · NIDA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI ROY, ALEC A · 1997 to 1998
–
Intramural NIH HHS Z01 AA000301NIAAA NIH HHS K24 AA000301NIDA NIH HHS R01 DA 10336-02
6 · The paper itself

Abstract

Childhood trauma is associated with hypothalamic-pituitary-adrenal (HPA) axis dysregulation. Both factors increase risk for suicidal behavior. Corticotropin releasing hormone (CRH) regulates the HPA axis and its actions are moderated by a high-affinity binding protein (CRHBP). We hypothesized that CRHBP variation and interaction with childhood trauma might influence suicidal behavior. Moreover, there might be an additive effect with FKPB5, another HPA axis gene previously associated with suicidality in this dataset. African Americans were recruited: 398 treatment seeking patients with substance dependence (90% men; 120 suicide attempters) and 432 non-substance dependent individuals (40% men; 21 suicide attempters). A total of 474 participants (112 suicide attempters) completed the Childhood Trauma Questionnaire (CTQ). Haplotype-tagging SNPs were genotyped across CRHBP and, for completeness, across CRH, CRHR1 and CRHR2. FKBP5 genotypes were available. Three CRHBP SNPs rs6453267, rs7728378 and rs10474485 showed a nominally significant interaction with the continuous CTQ score to predict suicide attempt; rs7728378 remained significant after FDR correction. There was an additive effect with FKBP5: in the group exposed to high trauma, the prevalence of suicide attempt was 0.35-0.30 in carriers of either the FKBP5 rs3800373 major homozygote or the CRHBP rs7728378 major homozygote and 0.58 in carriers of both major homozygotes. Individuals without either major homozygote were resilient to the effects of childhood trauma (suicide attempt prevalence 0.24). Main effects of CRHBP rs6453267 and CRHR1 rs9900679, both unique to African ancestry, were detected. CRHBP variation may predispose, independently and additively, to suicidal behavior in individuals who have experienced childhood trauma.

Indexed as

Gene-Environment InteractionSuicideAdultBlack or African AmericanCarrier ProteinsChildChild AbuseFemaleGene FrequencyGenetic Association StudiesGenotypeHospitals, VeteransHumansLogistic ModelsMaleMiddle AgedCarrier Proteinscorticotropin releasing factor-binding proteinTacrolimus Binding Protein 5Tacrolimus Binding Proteins

Identifiers

PMID21978546
PMCPMC3506169
OpenAlexW2148755719

What OpenQuestion holds

Textmetadata
LicenceTDM
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.