Evidence map›Paper›PMID 24529801›Full record

ArticleBiological psychiatry2014

Rare copy number variation in treatment-resistant major depressive disorder.

Colm O'Dushlaine, Stephan Ripke, Douglas M Ruderfer, Steven P Hamilton, Maurizio Fava, Dan V Iosifescu, Isaac S Kohane, Susanne E Churchill, Victor M Castro, Caitlin C Clements and 4 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 pooled it
5.8field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Genetics and Neurobiology of Treatment-Resistant Depression-A Review.International journal of molecular sciences · 2025
    Review
  7. Article
  8. Copy Number Variations in Neuropsychiatric Disorders.International journal of molecular sciences · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Characterizing Basic and Complex Usage of i2b2 at an Academic Medical Center.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. The genetics of neuropsychiatric disorders.Brain and neuroscience advances · 2019
    Article
  19. The Genetics of Treatment-Resistant Depression: A Critical Review and Future Perspectives.The international journal of neuropsychopharmacology · 2019
    Review
  20. The Stress-Inducible Protein DRR1 Exerts Distinct Effects on Actin Dynamics.International journal of molecular sciences · 2018
    Article
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

14 authors at 5 institutions in 1 country.

Colm O'DushlaineStanley Center for Psychiatric Research, Broad Institute of Massachusetts Institute of Technology and Harvard University, Cambridge.
Stephan RipkeStanley Center for Psychiatric Research, Broad Institute of Massachusetts Institute of Technology and Harvard University, Cambridge.
Douglas M RuderferIcahn School of Medicine at Mount Sinai, New York, New York.
Steven P HamiltonDepartment of Psychiatry, University of California, San Francisco, California.
Maurizio FavaDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Dan V IosifescuIcahn School of Medicine at Mount Sinai, New York, New York.
Isaac S KohaneInformation Systems, Massachusetts General Hospital, Boston, Massachusetts.
Susanne E ChurchillInformation Systems, Massachusetts General Hospital, Boston, Massachusetts.
Victor M CastroInformation Systems, Massachusetts General Hospital, Boston, Massachusetts; Laboratory of Computer Science and Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Caitlin C ClementsDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Sarah R BlumenthalDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Shawn N MurphyInformation Systems, Massachusetts General Hospital, Boston, Massachusetts; Laboratory of Computer Science and Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Jordan W SmollerStanley Center for Psychiatric Research, Broad Institute of Massachusetts Institute of Technology and Harvard University, Cambridge; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Roy H PerlisStanley Center for Psychiatric Research, Broad Institute of Massachusetts Institute of Technology and Harvard University, Cambridge; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Partners HealthCare System, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: rperlis@partners.org.
Massachusetts General Hospital · USMassachusetts Institute of Technology · USIcahn School of Medicine at Mount Sinai · USBroad Institute · USUniversity of California, San Francisco · US

Funding

Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
Pharmacogenomics of Antidepressant ResponseR01MH072802 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAMILTON, STEVEN P. · 2005 to 2008
$4.6M
Building a Risk Stratification Model for Treatment Resistance in Major DepressiveR01MH086026 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2009 to 2011
$1.3M
NIMH NIH HHS R01 MH072802NIMH NIH HHS R01MH072802NIMH NIH HHS R01 MH086026NIMH NIH HHS R01MH086026NLM NIH HHS 2U54LM008748NLM NIH HHS U54 LM008748
6 · The paper itself

Abstract

backgroundWhile antidepressant treatment response appears to be partially heritable, no consistent genetic associations have been identified. Large, rare copy number variants (CNVs) play a role in other neuropsychiatric diseases, so we assessed their association with treatment-resistant depression (TRD).

methodsWe analyzed data from two genome-wide association studies comprising 1263 Caucasian patients with major depressive disorder. One was drawn from a large health system by applying natural language processing to electronic health records (i2b2 cohort). The second consisted of a multicenter study of sequential antidepressant treatments, Sequenced Treatment Alternatives to Relieve Depression. The Birdsuite package was used to identify rare deletions and duplications. Individuals without symptomatic remission, despite two antidepressant treatment trials, were contrasted with those who remitted with a first treatment trial.

resultsCNV data were derived for 778 subjects in the i2b2 cohort, including 300 subjects (37%) with TRD, and 485 subjects in Sequenced Treatment Alternatives to Relieve Depression cohort, including 152 (31%) with TRD. CNV burden analyses identified modest enrichment of duplications in cases (empirical p = .04 for duplications of 100-200 kilobase) and a particular deletion region spanning gene PABPC4L (empirical p = .02, 6 cases: 0 controls). Pathway analysis suggested enrichment of CNVs intersecting genes regulating actin cytoskeleton. However, none of these associations survived genome-wide correction.

conclusionsContribution of rare CNVs to TRD appears to be modest, individually or in aggregate. The electronic health record-based methodology demonstrated here should facilitate collection of larger TRD cohorts necessary to further characterize these effects.

Indexed as

DNA Copy Number VariationsActin CytoskeletonDepressive Disorder, Treatment-ResistantFemaleGenome-Wide Association StudyHumansMajor Depressive DisorderMaleAntidepressantcopy numberdeletionduplicationpharmacogeneticpharmacogenomicrare genetic variation

Identifiers

PMID24529801
PMCPMC4104153
OpenAlexW1993805321

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.