Evidence map›Paper›PMID 29225330›Full record

ReviewTranslational psychiatry2017

Huntingtin gene repeat size variations affect risk of lifetime depression.

Sarah L Gardiner, Martine J van Belzen, Merel W Boogaard, Willeke M C van Roon-Mom, Maarten P Rozing, Albert M van Hemert, Johannes H Smit, Aartjan T F Beekman, Gerard van Grootheest, Robert A Schoevers and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Translational psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.6field-weighted citation impact, top 10% 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, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Brain communications · 2025
    Article
  9. The pathobiology of depression in Huntington's disease: an unresolved puzzle.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

16 authors at 6 institutions in 4 countries.

Sarah L GardinerDepartments of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Martine J van BelzenDepartments of Clinical Genetics, and Leiden University Medical Centre, Leiden, The Netherlands.
Merel W BoogaardDepartments of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Willeke M C van Roon-MomDepartments of Human Genetics, Leiden University Medical Centre, Leiden, The Netherlands.
Maarten P RozingDepartment of Public Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark.
Albert M van HemertDepartments of Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
Johannes H SmitDepartment of Psychiatry, and EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, Amsterdam, The Netherlands.
Aartjan T F BeekmanDepartment of Psychiatry, and EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, Amsterdam, The Netherlands.
Gerard van GrootheestDepartment of Psychiatry, and EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4350-6661
Robert A SchoeversDepartment of Psychiatry, University Medical Centre Groningen, Groningen, The Netherlands.
Richard C Oude VoshaarDepartment of Psychiatry, University Medical Centre Groningen, Groningen, The Netherlands.
Raymund A C RoosDepartments of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Hannie C ComijsDepartment of Psychiatry, and EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, Amsterdam, The Netherlands.
Brenda W J H PenninxDepartment of Psychiatry, and EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, Amsterdam, The Netherlands.
Roos C van der MastDepartments of Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
N Ahmad AzizDepartments of Neurology, Leiden University Medical Centre, Leiden, The Netherlands. N.A.Aziz@lumc.nl.
Amsterdam Neuroscience · NLLeiden University Medical Center · NLLeiden University · NLUniversity Medical Center Groningen · NLUniversity of Antwerp · BEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Huntington disease (HD) is a severe neuropsychiatric disorder caused by a cytosine-adenine-guanine (CAG) repeat expansion in the HTT gene. Although HD is frequently complicated by depression, it is still unknown to what extent common HTT CAG repeat size variations in the normal range could affect depression risk in the general population. Using binary logistic regression, we assessed the association between HTT CAG repeat size and depression risk in two well-characterized Dutch cohorts─the Netherlands Study of Depression and Anxiety and the Netherlands Study of Depression in Older Persons─including 2165 depressed and 1058 non-depressed persons. In both cohorts, separately as well as combined, there was a significant non-linear association between the risk of lifetime depression and HTT CAG repeat size in which both relatively short and relatively large alleles were associated with an increased risk of depression (β = -0.292 and β = 0.006 for the linear and the quadratic term, respectively; both P < 0.01 after adjustment for the effects of sex, age, and education level). The odds of lifetime depression were lowest in persons with a HTT CAG repeat size of 21 (odds ratio: 0.71, 95% confidence interval: 0.52 to 0.98) compared to the average odds in the total cohort. In conclusion, lifetime depression risk was higher with both relatively short and relatively large HTT CAG repeat sizes in the normal range. Our study provides important proof-of-principle that repeat polymorphisms can act as hitherto unappreciated but complex genetic modifiers of depression.

Indexed as

AdolescentAdultAgedAged, 80 and overCohort StudiesDepressive DisorderFemaleGenetic Predisposition to DiseaseHumansHuntingtin ProteinMaleMiddle AgedPolymorphism, GeneticRisk FactorsTrinucleotide RepeatsYoung AdultHTT protein, humanHuntingtin Protein

Identifiers

PMID29225330
PMCPMC5802693
OpenAlexW2771414080

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.