Evidence map›Paper›PMID 23689534›Full record

ArticleMolecular psychiatry2014

Antenatal prediction of postpartum depression with blood DNA methylation biomarkers.

J Guintivano, M Arad, T D Gould, J L Payne, Z A Kaminsky

Erratum issued 5 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 5 registered trials, which are not on this map. Cited by 102 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 4 pooled it
16.6field-weighted citation impact, top 1% 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.

NCT03615794 completednot on this mapstarted 2017, after this paper: background citation

A Prospective Study of Pregnant and Postpartum Women With and Without Mood Disorders

TypeobservationalSponsorJohns Hopkins UniversityRan2017 to 2024Enrolled300ConditionsBipolar Disorder, Major Depressive Disorder, Postpartum Depression, Postpartum Psychosis
NCT03638687 completednot on this map

Neuroimaging Epigenetics of Prospective Postpartum Depression Biomarkers

TypeobservationalSponsorJohns Hopkins UniversityRan2014 to 2020Enrolled80ConditionsPost Partum Depression, Bipolar Disorder
NCT03664128 completednot on this mapstarted 2016, after this paper: background citation

Pregnancy and Anxious Thoughts: The Role of the Immune and Endocrine Systems

TypeobservationalSponsorJohns Hopkins UniversityRan2016 to 2022Enrolled157ConditionsPerinatal AnxietyArmsCoping with Anxiety through Living Mindfully (CALM) Pregnancy
NCT03795688 completednot on this mapstarted 2019, after this paper: background citation

The Role of Sex Steroids and Serotonin Brain Dynamics in Perinatal Mental Health

Typeobservational_patient_registrySponsorVibe G Frøkjær, MD, PhDRan2019 to 2020Enrolled100ConditionsMajor Depressive Disorder, Perinatal DepressionArmsPregnancy
NCT03897816 completednot on this map

Maternal Mood, Anxiety or Personality Disorders and Their Offspring Mental Outcomes

TypeobservationalSponsorUniversity of Milano BicoccaRan2011 to 2019Enrolled450ConditionsIntergenerational Relations
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 4 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pharmacologically Induced Sex Hormone Fluctuation Effects on Resting-State Functional Connectivity in a Risk Model for Depression: A Randomized Trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Perinatal Depression: Current Knowledge.Advances in experimental medicine and biology · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

J GuintivanoThe Mood Disorders Center, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
M AradDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
T D Gould1] Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA [2] Department of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, USA [3] Department of Anatomy and Neurobiology, University of Maryland School of Medicine, Baltimore, MD, USA.
J L PayneThe Mood Disorders Center, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Z A KaminskyThe Mood Disorders Center, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USJohns Hopkins Medicine · USUniversity of Baltimore · USUniversity of Maryland, Baltimore · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Prospective Study of Epigenetic Biomarkers of Postpartum DepressionR01MH112704 · NIMH · UNIVERSITY OF VIRGINIA · PI KAMINSKY, ZACHARY AARON, PAYNE, JENNIFER L · 2017 to 2021
$3.2M
Neuroimaging epigenetics of prospective postpartum depression biomarkersR01MH104262 · NIMH · JOHNS HOPKINS UNIVERSITY · PI KAMINSKY, ZACHARY AARON · 2014 to 2018
$2.4M
Genetics of Postpartum Depression in Affective DisordersK23MH074799 · NIMH · JOHNS HOPKINS UNIVERSITY · PI PAYNE, JENNIFER L · 2007 to 2011
$913k
Gonadal Hormones and Depression:The Role of Mood Disorder Risk Gene CACNA1CR21MH093967 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI GOULD, TODD D · 2011 to 2012
$413k
NCI NIH HHS P30 CA006973NIMH NIH HHS K23 MH074799NIMH NIH HHS K23 MH074799-01A2NIMH NIH HHS MH093967NIMH NIH HHS R01 MH104262NIMH NIH HHS R01 MH112704NIMH NIH HHS R21 MH093967
6 · The paper itself

Abstract

Postpartum depression (PPD) affects ∼10-18% of women in the general population and results in serious consequences to both the mother and offspring. We hypothesized that predisposition to PPD risk is due to an altered sensitivity to estrogen-mediated epigenetic changes that act in a cell autonomous manner detectable in the blood. We investigated estrogen-mediated epigenetic reprogramming events in the hippocampus and risk to PPD using a cross-species translational design. DNA methylation profiles were generated using methylation microarrays in a prospective sample of the blood from the antenatal period of pregnant mood disorder patients who would and would not develop depression postpartum. These profiles were cross-referenced with syntenic locations exhibiting hippocampal DNA methylation changes in the mouse responsive to long-term treatment with 17β-estradiol (E2). DNA methylation associated with PPD risk correlated significantly with E2-induced DNA methylation change, suggesting an enhanced sensitivity to estrogen-based DNA methylation reprogramming exists in those at risk for PPD. Using the combined mouse and human data, we identified two biomarker loci at the HP1BP3 and TTC9B genes that predicted PPD with an area under the receiver operator characteristic (ROC) curve (area under the curve (AUC)) of 0.87 in antenatally euthymic women and 0.12 in a replication sample of antenatally depressed women. Incorporation of blood count data into the model accounted for the discrepancy and produced an AUC of 0.96 across both prepartum depressed and euthymic women. Pathway analyses demonstrated that DNA methylation patterns related to hippocampal synaptic plasticity may be of etiological importance to PPD.

Indexed as

DNA MethylationEpigenesis, GeneticAdultAnimalsBiomarkersCohort StudiesDepression, PostpartumEstradiolEstrogensFemaleGenetic LociHippocampusHumansLeukocytesMice, Inbred C57BLPregnancyBiomarkersEstradiolEstrogens

Identifiers

PMID23689534
PMCPMC7039252
OpenAlexW1974144521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.