Evidence map›Paper›PMID 31003785›Full record

SynthesisBiological psychiatry2019

Genome-wide Burden of Rare Short Deletions Is Enriched in Major Depressive Disorder in Four Cohorts.

Xianglong Zhang, Abdel Abdellaoui, James Rucker, Simone de Jong, James B Potash, Myrna M Weissman, Jianxin Shi, James A Knowles, Carlos Pato, Michele Pato and 23 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Copy number variations in the Brazilian High-Risk Cohort for Mental Conditions.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Article
  6. Article
  7. Copy Number Variations in Neuropsychiatric Disorders.International journal of molecular sciences · 2023
    Review
  8. Major depressive disorder.Nature reviews. Disease primers · 2023
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Copy number variation and neuropsychiatric illness.Current opinion in genetics & development · 2021
    Review
  14. Genetic Architecture of Depression: Where Do We Stand Now?Advances in experimental medicine and biology · 2021
    Article
  15. Article
  16. Review
  17. 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

33 authors at 20 institutions in 8 countries.

Xianglong ZhangDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California; Department of Genetics, Stanford University School of Medicine, Stanford, California.
Abdel AbdellaouiDepartment of Biological Psychology, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Department of Psychiatry, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
James RuckerThe Institute of Psychiatry, King's College London, London, United Kingdom.
Simone de JongThe Institute of Psychiatry, King's College London, London, United Kingdom.
James B PotashDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Myrna M WeissmanDepartment of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York, New York.
Jianxin ShiDivision of Cancer Epidemiology and Genetics, Biostatistics Branch, National Cancer Institute, Bethesda, Maryland.
James A KnowlesDepartment of Cell Biology, Brooklyn, New York.
Carlos PatoState University of New York Downstate Medical Center College of Medicine, Brooklyn, New York.
Michele PatoDepartment of Psychiatry, Brooklyn, New York.
Janet SobellDepartment of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, California.
Johannes H SmitAmsterdam Universitair Medische Centra, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Department of Psychiatry, Amsterdam Public Health and GGz inGeest, Amsterdam, the Netherlands.
Jouke-Jan HottengaDepartment of Biological Psychology, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Eco J C de GeusDepartment of Biological Psychology, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Cathryn M LewisMRC Social Genetic and Developmental Psychiatry Centre, King's College London, London, United Kingdom; Department of Medical and Molecular Genetics, King's College London, London, United Kingdom.
Henriette N ButtenschønDepartment of Clinical Medicine, Translational Neuropsychiatry Unit, Aarhus University, Aarhus, Denmark; Centre for Integrative Sequencing, Aarhus University, Aarhus, Denmark.
Nick CraddockDepartment of Psychological Medicine, Cardiff University, Cardiff, United Kingdom.
Ian JonesDepartment of Psychological Medicine, Cardiff University, Cardiff, United Kingdom.
Lisa JonesInstitute of Health and Society, University of Worcester, Worcester, United Kingdom.
Peter McGuffinMRC Social Genetic and Developmental Psychiatry Centre, King's College London, London, United Kingdom.
Ole MorsPsychosis Research Unit, Aarhus University Hospital Risskov, Aarhus, Denmark.
Michael J OwenMedical Research Council Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, United Kingdom.
Martin PreisigDepartment of Psychiatry, University Hospital of Lausanne, Prilly, Switzerland.
Marcella RietschelDepartment of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Mannheim, Germany.
John P RiceDepartment of Psychiatry, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.
Margarita RiveraMRC Social Genetic and Developmental Psychiatry Centre, King's College London, London, United Kingdom; Department of Biochemistry and Molecular Biology II, Institute of Neurosciences, Center for Biomedical Research, University of Granada, Granada, Spain.
Rudolf UherDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
Pablo V GejmanCenter for Psychiatric Genetics, NorthShore University HealthSystem, Chicago, Illinois; Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois.
Alan R SandersCenter for Psychiatric Genetics, NorthShore University HealthSystem, Chicago, Illinois; Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois.
Dorret BoomsmaDepartment of Biological Psychology, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Brenda W J H PenninxAmsterdam Universitair Medische Centra, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands; Department of Psychiatry, Amsterdam Public Health and GGz inGeest, Amsterdam, the Netherlands.
Gerome BreenMRC Social Genetic and Developmental Psychiatry Centre, King's College London, London, United Kingdom; National Institute for Health Research Biomedical Research Center for Mental Health, King's College London, London, United Kingdom.
Douglas F LevinsonDepartment of Genetics, Stanford University School of Medicine, Stanford, California. Electronic address: dflev@stanford.edu.
King's College London · GBGGD Amsterdam · NLCardiff University · GBGGZ inGeest · NLNorthShore University HealthSystem · USAarhus University · DKAarhus University Hospital · DKCentral Institute of Mental Health · DEDalhousie University · CAJohns Hopkins University · USNational Cancer Institute · USNew York Psychoanalytic Society and Institute · USStanford Medicine · USStanford University · USState University of New York · USUniversidad de Granada · ESUniversity Hospital of Lausanne · CHUniversity of Southern California · USUniversity of Worcester · GBWashington University in St. Louis · US

Funding

African Ancestry Genomic Psychiatry CohortR01MH104964 · NIMH · SUNY DOWNSTATE MEDICAL CENTER · PI BIGDELI, TIM BERNARD, FANOUS, AYMAN H · 2015 to 2024
$16.7M
Genomic Psychiatry CohortR01MH085548 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PATO, CARLOS N, PATO, MICHELE T · 2008 to 2012
$16.3M
AN NCRR CENTER FOR HIGH THROUGHPUT SNP GENOTYPING AND ANALYSIS: GAIN NETWORKU54RR020278 · NCRR · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI GABRIEL, STACEY · 2004 to 2008
$14.4M
MOLECULAR GENETICS OF SCHIZOPHRENIAR01MH059571 · NIMH · UNIVERSITY OF CHICAGO · PI GEJMAN, PABLO V. · 1999 to 2007
$8.0M
Latino Ancestry Genomic Psychiatry CohortR01MH123451 · NIMH · SUNY DOWNSTATE MEDICAL CENTER · PI BIGDELI, TIM BERNARD, FANOUS, AYMAN H · 2020 to 2025
$7.1M
A Genome-Wide Association Study of SchizophreniaU01MH079469 · NIMH · NORTHSHORE UNIVERSITY HEALTHSYSTEM · PI GEJMAN, PABLO V. · 2007 to 2009
$4.4M
GENETICS OF RECURRENT EARLY-ONSET DEPRESSIONR01MH061686 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI LEVINSON, DOUGLAS FREDERICK · 1999 to 2008
$3.8M
GENETICS OF EARLY-ONSET MAJOR DEPRESSIONR01MH060912 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI WEISSMAN, MYRNA M · 1999 to 2008
$3.3M
GENETICS OF EARLY ONSET DEPRESSIONR01MH059552 · NIMH · JOHNS HOPKINS UNIVERSITY · PI POTASH, JAMES B. · 1999 to 2008
$2.8M
MOLECULAR GENETICS OF SCHIZOPHRENIAR01MH060879 · NIMH · WASHINGTON UNIVERSITY · PI CLONINGER, C. ROBERT · 1999 to 2006
$2.7M
MOLECULAR GENETICS OF SCHIZOPHRENIAR01MH059586 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SILVERMAN, JEREMY M. · 1999 to 2006
$1.9M
MOLECULAR GENETICS OF SCHIZOPHRENIAR01MH061675 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI LEVINSON, DOUGLAS FREDERICK · 1999 to 2007
$1.8M
Department of Health CS-2017-17-007Medical Research Council G0701420Medical Research Council MR/L010305/1NCRR NIH HHS U54 RR020278NIMH NIH HHS R01 MH059541NIMH NIH HHS R01 MH059542NIMH NIH HHS R01 MH059552NIMH NIH HHS R01 MH059565NIMH NIH HHS R01 MH059571NIMH NIH HHS R01 MH059586NIMH NIH HHS R01 MH059587NIMH NIH HHS R01 MH059588NIMH NIH HHS R01 MH060870NIMH NIH HHS R01 MH060879NIMH NIH HHS R01 MH060912NIMH NIH HHS R01 MH061675NIMH NIH HHS R01 MH061686NIMH NIH HHS R01 MH067257NIMH NIH HHS R01 MH075131NIMH NIH HHS R01 MH081800NIMH NIH HHS R01 MH081802NIMH NIH HHS R01 MH085548NIMH NIH HHS R01 MH104964NIMH NIH HHS R01 MH123451NIMH NIH HHS U01 MH046276NIMH NIH HHS U01 MH046289NIMH NIH HHS U01 MH046318NIMH NIH HHS U01 MH079469NIMH NIH HHS U01 MH079470Wellcome Trust 086635
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is moderately heritable, with a high prevalence and a presumed high heterogeneity. Copy number variants (CNVs) could contribute to the heritable component of risk, but the two previous genome-wide association studies of rare CNVs did not report significant findings.

methodsIn this meta-analysis of four cohorts (5780 patients and 6626 control subjects), we analyzed the association of MDD to 1) genome-wide burden of rare deletions and duplications, partitioned by length (<100 kb or >100 kb) and other characteristics, and 2) individual rare exonic CNVs and CNV regions.

resultsPatients with MDD carried significantly more short deletions than control subjects (p = .0059) but not long deletions or short or long duplications. The confidence interval for long deletions overlapped with that for short deletions, but long deletions were 70% less frequent genome-wide, reducing the power to detect increased burden. The increased burden of short deletions was primarily in intergenic regions. Short deletions in cases were also modestly enriched for high-confidence enhancer regions. No individual CNV achieved thresholds for suggestive or significant association after genome-wide correction. p values < .01 were observed for 15q11.2 duplications (TUBGCP5, CYFIP1, NIPA1, and NIPA2), deletions in or near PRKN or MSR1, and exonic duplications of ATG5.

conclusionsThe increased burden of short deletions in patients with MDD suggests that rare CNVs increase the risk of MDD by disrupting regulatory regions. Results for longer deletions were less clear, but no large effects were observed for long multigenic CNVs (as seen in schizophrenia and autism). Further studies with larger sample sizes are warranted.

Indexed as

Sequence DeletionCohort StudiesDNA Copy Number VariationsFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHumansMajor Depressive DisorderMalePolymorphism, Single NucleotideCopy number variationGeneticsGenome-wide association studyMajor depressive disorderMeta-analysisNeuroscience

Identifiers

PMID31003785
PMCPMC6750266
OpenAlexW2921574596

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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.