Evidence map›Paper›PMID 26903268›Full record

ArticleMolecular psychiatry2016

TSPAN5, ERICH3 and selective serotonin reuptake inhibitors in major depressive disorder: pharmacometabolomics-informed pharmacogenomics.

M Gupta, D Neavin, D Liu, J Biernacka, D Hall-Flavin, W V Bobo, M A Frye, M Skime, G D Jenkins, A Batzler and 10 more

Open access · hybridAbstract read
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 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
4.6field-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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  12. Cancer pathogenesis and therapy · 2025
    Article
  13. Article
  14. Pharmaco-Multiomics: A New Frontier in Precision Psychiatry.International journal of molecular sciences · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article

13 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

20 authors at 6 institutions in 2 countries.

M GuptaDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
D NeavinDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
D LiuDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
J BiernackaDepartment of Biomedical Statistics and Bioinformatics - Genetics and Bioinformatics, Mayo Clinic, Rochester, MN, USA.
D Hall-FlavinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
W V BoboDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
M A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
M SkimeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
G D JenkinsDepartment of Biomedical Statistics and Bioinformatics - Genetics and Bioinformatics, Mayo Clinic, Rochester, MN, USA.
A BatzlerDepartment of Biomedical Statistics and Bioinformatics - Genetics and Bioinformatics, Mayo Clinic, Rochester, MN, USA.
K KalariDepartment of Biomedical Statistics and Bioinformatics - Genetics and Bioinformatics, Mayo Clinic, Rochester, MN, USA.
W MatsonBedford VA Medical Center, Bedford, MA, USA.
S S BhasinBedford VA Medical Center, Bedford, MA, USA.
H ZhuDepartment of Psychiatry and Behavioral Medicine, Duke Institute for Brain Sciences, Duke University, Durham, NC, USA.
T MushirodaRIKEN Center for Genomic Medicine, Yokohama, Japan.
Y NakamuraDepartment of Medicine, University of Chicago, Chicago, IL, USA.
M KuboRIKEN Center for Genomic Medicine, Yokohama, Japan.
L WangDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
R Kaddurah-DaoukDepartment of Psychiatry and Behavioral Medicine, Duke Institute for Brain Sciences, Duke University, Durham, NC, USA.
R M WeinshilboumDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USBedford VA Research Corporation · USDuke University · USRIKEN Center for Integrative Medical Sciences · JPWinnMed · USUniversity of Chicago · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
PHARMACOGENETICS OF PHASE II DRUG METABOLIZING ENZYMESU01GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2000 to 2009
$15.7M
Metabolomic Signatures for Disease Sub-classification and Target Prioritization in AMP-ADU01AG061359 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KASTENMULLER, GABI · 2018 to 2022
$10.0M
Special Scientific Procedures: Statistical Modeling CoreP50MH077083 · NIMH · EMORY UNIVERSITY · PI KUTNER, MICHAEL HENRY · 2006 to 2010
$9.3M
Electrophysiological Biomarkers to Optimize DBS for DepressionUH3NS103550 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MAYBERG, HELEN S, RIVA-POSSE, PATRICIO · 2017 to 2023
$7.7M
INHERITED VARIATIONS IN DRUG-METABOLIZING ENZYMESR01GM028157 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 1985 to 2019
$6.9M
Predictors of Treatment Response Relapse and Recurrence in Major DepressionR01MH080880 · NIMH · EMORY UNIVERSITY · PI CRAIGHEAD, W. EDWARD · 2008 to 2012
$6.6M
Metabolic Signatures Underlying Vascular Risk Factors for Alzheimer-type DementiasRF1AG051550 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KLING, MITCHEL ALLAN · 2015 to 2016
$6.3M
Metabolomics Network for Drug Response PhenotypeRC2GM092729 · NIGMS · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F · 2009 to 2010
$4.5M
Metabolic Networks and Pathways in Alzheimer's DiseaseR01AG046171 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F · 2014 to 2017
$4.4M
Alcohol Use Disorder: Acamprosate Pharmacometabolomics-informed PharmacogenomicsR01AA027486 · NIAAA · MAYO CLINIC ROCHESTER · PI Ming-Fen Ho, Richard M. Weinshilboum · 2018 to 2026
$4.0M
NCI NIH HHS P30 CA015083NIAAA NIH HHS K01 AA028050NIAAA NIH HHS P20 AA017830NIAAA NIH HHS R01 AA027486NIAAA NIH HHS R21 AA025214NIAAA NIH HHS U01 AA027487NIA NIH HHS R01 AG046171NIA NIH HHS RF1 AG051550NIA NIH HHS U01 AG061359NIGMS NIH HHS R01 GM028157NIGMS NIH HHS R24 GM078233NIGMS NIH HHS RC2 GM092729NIGMS NIH HHS T32 GM072474NIGMS NIH HHS U01 GM061388NIGMS NIH HHS U19 GM061388NIMH NIH HHS P50 MH077083NIMH NIH HHS R01 MH080880NIMH NIH HHS R01 MH108348NINDS NIH HHS UH3 NS103550
6 · The paper itself

Abstract

Millions of patients suffer from major depressive disorder (MDD), but many do not respond to selective serotonin reuptake inhibitor (SSRI) therapy. We used a pharmacometabolomics-informed pharmacogenomics research strategy to identify genes associated with metabolites that were related to SSRI response. Specifically, 306 MDD patients were treated with citalopram or escitalopram and blood was drawn at baseline, 4 and 8 weeks for blood drug levels, genome-wide single nucleotide polymorphism (SNP) genotyping and metabolomic analyses. SSRI treatment decreased plasma serotonin concentrations (P<0.0001). Baseline and plasma serotonin concentration changes were associated with clinical outcomes (P<0.05). Therefore, baseline and serotonin concentration changes were used as phenotypes for genome-wide association studies (GWAS). GWAS for baseline plasma serotonin concentrations revealed a genome-wide significant (P=7.84E-09) SNP cluster on chromosome four 5' of TSPAN5 and a cluster across ERICH3 on chromosome one (P=9.28E-08) that were also observed during GWAS for change in serotonin at 4 (P=5.6E-08 and P=7.54E-07, respectively) and 8 weeks (P=1.25E-06 and P=3.99E-07, respectively). The SNPs on chromosome four were expression quantitative trait loci for TSPAN5. Knockdown (KD) and overexpression (OE) of TSPAN5 in a neuroblastoma cell line significantly altered the expression of serotonin pathway genes (TPH1, TPH2, DDC and MAOA). Chromosome one SNPs included two ERICH3 nonsynonymous SNPs that resulted in accelerated proteasome-mediated degradation. In addition, ERICH3 and TSPAN5 KD and OE altered media serotonin concentrations. Application of a pharmacometabolomics-informed pharmacogenomic research strategy, followed by functional validation, indicated that TSPAN5 and ERICH3 are associated with plasma serotonin concentrations and may have a role in SSRI treatment outcomes.

Indexed as

AdultCell LineCitalopramFemaleGenome-Wide Association StudyGenotypeHumansMajor Depressive DisorderMaleMetabolomicsPharmacogeneticsPolymorphism, Single NucleotideSelective Serotonin Reuptake InhibitorsSerotoninTetraspaninsTreatment OutcomeCitalopramSelective Serotonin Reuptake InhibitorsSerotoninTetraspaninsTSPAN5 protein, human

Identifiers

PMID26903268
PMCPMC5003027
OpenAlexW2285148061

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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.