Evidence map›Paper›PMID 22158016›Full record

ArticleMolecular psychiatry2013

Assessment of a multi-assay, serum-based biological diagnostic test for major depressive disorder: a pilot and replication study.

G I Papakostas, R C Shelton, G Kinrys, M E Henry, B R Bakow, S H Lipkin, B Pi, L Thurmond, J A Bilello

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 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

85 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Testing the predictive value of peripheral gene expression for nonremission following citalopram treatment for major depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
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  19. Deconstructing depression by machine learning: the POKAL-PSY study.European archives of psychiatry and clinical neuroscience · 2024
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25 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

9 authors.

G I PapakostasMassachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. gpapakostas@partners.org
R C Shelton
G Kinrys
M E Henry
B R Bakow
S H Lipkin
B Pi
L Thurmond
J A Bilello

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite decades of intensive research, the development of a diagnostic test for major depressive disorder (MDD) had proven to be a formidable and elusive task, with all individual marker-based approaches yielding insufficient sensitivity and specificity for clinical use. In the present work, we examined the diagnostic performance of a multi-assay, serum-based test in two independent samples of patients with MDD. Serum levels of nine biomarkers (alpha1 antitrypsin, apolipoprotein CIII, brain-derived neurotrophic factor, cortisol, epidermal growth factor, myeloperoxidase, prolactin, resistin and soluble tumor necrosis factor alpha receptor type II) in peripheral blood were measured in two samples of MDD patients, and one of the non-depressed control subjects. Biomarkers measured were agreed upon a priori, and were selected on the basis of previous exploratory analyses in separate patient/control samples. Individual assay values were combined mathematically to yield an MDDScore. A 'positive' test, (consistent with the presence of MDD) was defined as an MDDScore of 50 or greater. For the Pilot Study, 36 MDD patients were recruited along with 43 non-depressed subjects. In this sample, the test demonstrated a sensitivity and specificity of 91.7% and 81.3%, respectively, in differentiating between the two groups. The Replication Study involved 34 MDD subjects, and yielded nearly identical sensitivity and specificity (91.1% and 81%, respectively). The results of the present study suggest that this test can differentiate MDD subjects from non-depressed controls with adequate sensitivity and specificity. Further research is needed to confirm the performance of the test across various age and ethnic groups, and in different clinical settings.

Indexed as

Adultalpha 1-AntitrypsinApolipoprotein C-IIIBiomarkersCase-Control StudiesEpidermal Growth FactorFemaleHumansHydrocortisoneMajor Depressive DisorderMalePeroxidasePilot ProjectsProlactinReceptors, Tumor Necrosis Factor, Type IIResistinalpha 1-AntitrypsinApolipoprotein C-IIIBiomarkersEpidermal Growth FactorHydrocortisonePeroxidaseProlactinReceptors, Tumor Necrosis Factor, Type IIResistin

Identifiers

PMID22158016

What OpenQuestion holds

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Registered trials

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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.