Evidence map›Paper›PMID 30909076›Full record

ArticleEpilepsy & behavior : E&B2019

BDNF and COMT, but not APOE, alleles are associated with psychiatric symptoms in refractory epilepsy.

Christine Doherty, Olivia Hogue, Darlene P Floden, Jessica B Altemus, Imad M Najm, Charis Eng, Robyn M Busch

Open access · greenAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  11. Depression and Anxiety in the Epilepsies: from Bench to Bedside.Current neurology and neuroscience reports · 2020
    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

7 authors at 2 institutions in 1 country.

Christine DohertyCleveland Clinic Lerner College of Medicine, Cleveland, OH, United States of America. Electronic address: dohertc@ccf.org.
Olivia HogueDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States of America. Electronic address: hogueo@ccf.org.
Darlene P FlodenCenter for Neurological Restoration, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States of America; Department of Psychiatry & Psychology, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States of America. Electronic address: flodend@ccf.org.
Jessica B AltemusGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States of America. Electronic address: altemuj@ccf.org.
Imad M NajmCleveland Clinic Epilepsy Center, Neurological Institute, Cleveland, OH, United States of America; Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States of America. Electronic address: najmi@ccf.org.
Charis EngGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States of America; Department of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, United States of America. Electronic address: engc@ccf.org.
Robyn M BuschDepartment of Psychiatry & Psychology, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States of America; Cleveland Clinic Epilepsy Center, Neurological Institute, Cleveland, OH, United States of America. Electronic address: buschr@ccf.org.
Cleveland Clinic Lerner College of Medicine · USCleveland Clinic · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Neurophysiology of response inhibition in PDK23NS091344 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI FLODEN, DARLENE · 2015 to 2019
$843k
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NINDS NIH HHS K23 NS091344
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine whether three common genetic polymorphisms [apolipoprotein (APOE) ε4 (rs42938 and rs7412), brain derived neurotrophic factor (BDNF) Met (rs6265), and catechol-O-methyltransferase (COMT) Val (rs4680)] are associated with increased psychiatric symptomatology in individuals with pharmacoresistant epilepsy.

methodsOne hundred forty-eight adults (M

resultsAs a group, BDNF Met carriers reported greater symptoms of depression on the Personality Assessment Inventory (PAI) than those without a Met allele (p = 0.004); COMT Val carriers reported greater symptoms on the PAI Schizophrenia (p = 0.007), Antisocial Features (p = 0.04), and Alcohol Problems (p = 0.03) scales than noncarriers. On the individual level, a significantly greater proportion of BDNF Met carriers demonstrated elevated PAI Depression scores compared to those without a Met allele (p = 0.046). There was also a larger proportion of COMT Val carriers with elevated PAI Anxiety scores as compared to those without a Val allele (p = 0.036). SIGNIFICANCE: This retrospective cross-sectional study provides preliminary evidence for a genetic basis of psychiatric comorbidities in epilepsy and suggests that BDNF and COMT may play an important role in the pathophysiology of mental health problems in this vulnerable population.

Indexed as

AllelesAdultApolipoproteins EBrain-Derived Neurotrophic FactorCatechol O-MethyltransferaseCross-Sectional StudiesDrug Resistant EpilepsyFemaleGenotypeHumansMaleMental DisordersMiddle AgedRetrospective StudiesApolipoproteins EBDNF protein, humanBrain-Derived Neurotrophic FactorCatechol O-MethyltransferaseCOMT protein, humanDepressionEpilepsyGenetic associationNeuropsychologyPsychiatric comorbiditiesSeizures

Identifiers

PMID30909076
PMCPMC8299517
OpenAlexW2924167104

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.