Evidence map›Paper›PMID 30240446›Full record

SynthesisPloS one2018

Polygenic risk scores for major depressive disorder and neuroticism as predictors of antidepressant response: Meta-analysis of three treatment cohorts.

Joey Ward, Nicholas Graham, Rona J Strawbridge, Amy Ferguson, Gregory Jenkins, Wenan Chen, Karen Hodgson, Mark Frye, Richard Weinshilboum, Rudolf Uher and 3 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Genetic contributions to alcohol use disorder treatment outcomes: a genome-wide pharmacogenomics study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Pooled it
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  6. Genetic underpinnings of YMRS and MADRS scores variations in a bipolar sample.European archives of psychiatry and clinical neuroscience · 2026
    Article
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  17. Review
  18. Article
  19. Relationship between Polygenic Risk Score and the Hypnotics in Bipolar I Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
    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

13 authors.

Joey WardInstitute of Health And Wellbeing, University of Glasgow, Glasgow, Scotland.ORCID 0000-0003-0951-8511
Nicholas GrahamInstitute of Health And Wellbeing, University of Glasgow, Glasgow, Scotland.
Rona J StrawbridgeInstitute of Health And Wellbeing, University of Glasgow, Glasgow, Scotland.ORCID 0000-0001-8506-3585
Amy FergusonInstitute of Health And Wellbeing, University of Glasgow, Glasgow, Scotland.
Gregory JenkinsMayo Clinic, Rochester, MN, United States of America.
Wenan ChenSt. Jude Children's Research Hospital, Memphis, TN, United States of America.
Karen HodgsonKing's College London, London, England.
Mark FryeMayo Clinic, Rochester, MN, United States of America.
Richard WeinshilboumMayo Clinic, Rochester, MN, United States of America.
Rudolf UherDalhousie University, Halifax, Canada.
Cathryn M LewisKing's College London, London, England.
Joanna BiernackaMayo Clinic, Rochester, MN, United States of America.
Daniel J SmithInstitute of Health And Wellbeing, University of Glasgow, Glasgow, Scotland.

Funding

Chief Scientist Office CGA/16/03Medical Research Council MR/K501335/1Medical Research Council MR/S003061/1
6 · The paper itself

Abstract

There are currently no reliable approaches for correctly identifying which patients with major depressive disorder (MDD) will respond well to antidepressant therapy. However, recent genetic advances suggest that Polygenic Risk Scores (PRS) could allow MDD patients to be stratified for antidepressant response. We used PRS for MDD and PRS for neuroticism as putative predictors of antidepressant response within three treatment cohorts: The Genome-based Therapeutic Drugs for Depression (GENDEP) cohort, and 2 sub-cohorts from the Pharmacogenomics Research Network Antidepressant Medication Pharmacogenomics Study PRGN-AMPS (total patient number = 760). Results across cohorts were combined via meta-analysis within a random effects model. Overall, PRS for MDD and neuroticism did not significantly predict antidepressant response but there was a consistent direction of effect, whereby greater genetic loading for both MDD (best MDD result, p < 5*10-5 MDD-PRS at 4 weeks, β = -0.019, S.E = 0.008, p = 0.01) and neuroticism (best neuroticism result, p < 0.1 neuroticism-PRS at 8 weeks, β = -0.017, S.E = 0.008, p = 0.03) were associated with less favourable response. We conclude that the PRS approach may offer some promise for treatment stratification in MDD and should now be assessed within larger clinical cohorts.

Indexed as

Antidepressive AgentsCohort StudiesFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMajor Depressive DisorderMaleMultifactorial InheritanceNeuroticismPharmacogenomic VariantsPolymorphism, Single NucleotidePrincipal Component AnalysisRisk FactorsSelective Serotonin Reuptake InhibitorsAntidepressive AgentsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID30240446
PMCPMC6150505

What OpenQuestion holds

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Registered trials

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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.