Evidence map›Paper›PMID 26324098›Full record

ArticleMolecular psychiatry2016

Allelic variation in CRHR1 predisposes to panic disorder: evidence for biased fear processing.

H Weber, J Richter, B Straube, U Lueken, K Domschke, C Schartner, B Klauke, C Baumann, C Pané-Farré, C P Jacob and 20 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
4.5field-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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  14. Article
  15. The genetics of human personality.Genes, brain, and behavior · 2018
    Review
  16. Article
  17. "DNA Methylation signatures in panic disorder".Translational psychiatry · 2017
    Article
  18. Article
  19. Article
  20. Anxiety disorders.Nature reviews. Disease primers · 2017
    Review
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

30 authors at 13 institutions in 2 countries.

H WeberDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.ORCID 0000-0002-9421-1292
J RichterInstitute of Psychology, University of Greifswald, Greifswald, Germany.
B StraubeDepartment of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.ORCID 0000-0002-9837-0944
U LuekenDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
K DomschkeDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
C SchartnerDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
B KlaukeDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
C BaumannDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
C Pané-FarréInstitute of Psychology, University of Greifswald, Greifswald, Germany.
C P JacobDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
C-J ScholzMicroarray Core Unit, IZKF Würzburg, University Hospital of Würzburg, Würzburg, Germany.
P ZwanzgerDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
T LangChristoph-Dornier-Foundation for Clinical Psychology, Bremen, Germany.
L FehmDepartment of Psychology, Humboldt-University of Berlin, Berlin, Germany.
A JansenDepartment of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.
C KonradDepartment of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.
T FydrichDepartment of Psychology, Humboldt-University of Berlin, Berlin, Germany.
A WittmannDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité-Universitätsmedizin, Berlin, Germany.
B PfleidererDepartment of Clinical Radiology, University of Münster, Münster, Germany.
A StröhleDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité-Universitätsmedizin, Berlin, Germany.
A L GerlachInstitute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany.
G W AlpersChair of Clinical and Biological Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.
V AroltDepartment of Psychiatry and Psychotherapy, University of Münster, Münster, Germany.
P PauliDepartment of Psychology, Center of Mental Health, University of Würzburg, Würzburg, Germany.
H-U WittchenInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.
L KentSchool of Medicine, University of St Andrews, St Andrews, Scotland, UK.
A HammInstitute of Psychology, University of Greifswald, Greifswald, Germany.
T KircherDepartment of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany.
J DeckertDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.
A ReifDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany.ORCID 0000-0002-0992-634X
University of Würzburg · DEPhilipps University of Marburg · DEUniversity of Münster · DEUniversität Greifswald · DECharité - Universitätsmedizin Berlin · DEDornier Flugzeugwerke (Germany) · DEGoethe University Frankfurt · DEHumboldt-Universität zu Berlin · DETechnische Universität Dresden · DEUniversitätsklinikum Würzburg · DEUniversity of Cologne · DEUniversity of Mannheim · DEUniversity of St Andrews · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corticotropin-releasing hormone (CRH) is a major regulator of the hypothalamic-pituitary-adrenal axis. Binding to its receptor CRHR1 triggers the downstream release of the stress response-regulating hormone cortisol. Biochemical, behavioral and genetic studies revealed CRHR1 as a possible candidate gene for mood and anxiety disorders. Here we aimed to evaluate CRHR1 as a risk factor for panic disorder (PD). Allelic variation of CRHR1 was captured by 9 single-nucleotide polymorphisms (SNPs), which were genotyped in 531 matched case/control pairs. Four SNPs were found to be associated with PD, in at least one sub-sample. The minor allele of rs17689918 was found to significantly increase risk for PD in females after Bonferroni correction and furthermore decreased CRHR1 mRNA expression in human forebrains and amygdalae. When investigating neural correlates underlying this association in patients with PD using functional magnetic resonance imaging, risk allele carriers of rs17689918 showed aberrant differential conditioning predominantly in the bilateral prefrontal cortex and safety signal processing in the amygdalae, arguing for predominant generalization of fear and hence anxious apprehension. Additionally, the risk allele of rs17689918 led to less flight behavior during fear-provoking situations but rather increased anxious apprehension and went along with increased anxiety sensitivity. Thus reduced gene expression driven by CRHR1 risk allele leads to a phenotype characterized by fear sensitization and hence sustained fear. These results strengthen the role of CRHR1 in PD and clarify the mechanisms by which genetic variation in CRHR1 is linked to this disorder.

Indexed as

AdultAllelesAnxietyAnxiety DisordersBiasCorticotropin-Releasing HormoneCRF Receptor, Type 1FearFemaleGenetic Predisposition to DiseaseGenetic VariationGenotypeHumansHydrocortisoneHypothalamo-Hypophyseal SystemMaleCorticotropin-Releasing HormoneCRF Receptor, Type 1HydrocortisoneReceptors, Corticotropin-Releasing Hormone

Identifiers

PMID26324098
OpenAlexW2269958514

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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.