Evidence map›Paper›PMID 31582756›Full record

ArticleTranslational psychiatry2019

DNA methylation of HPA-axis genes and the onset of major depressive disorder in adolescent girls: a prospective analysis.

Kathryn L Humphreys, Sarah R Moore, Elena Goetz Davis, Julie L MacIsaac, David T S Lin, Michael S Kobor, Ian H Gotlib

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
12.0field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Neurobiology of resilience to early life stress.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Well-being and biological cost of family members affected by substance use disorder of others.European archives of psychiatry and clinical neuroscience · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Biomarkers in Child and Adolescent Depression.Child psychiatry and human development · 2023
    Review
  19. Review
  20. Multi-level predictors of depression symptoms in the Adolescent Brain Cognitive Development (ABCD) study.Journal of child psychology and psychiatry, and allied disciplines · 2022
    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

7 authors at 3 institutions in 2 countries.

Kathryn L HumphreysDepartment of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA. k.humphreys@vanderbilt.edu.ORCID http://orcid.org/0000-0002-5715-6597
Sarah R MooreBC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Elena Goetz DavisDepartment of Psychology, Stanford University, Stanford, USA.
Julie L MacIsaacBC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
David T S LinBC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-5695-9446
Michael S KoborBC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Ian H GotlibDepartment of Psychology, Stanford University, Stanford, USA.
University of British Columbia · CAStanford University · USVanderbilt University · US

Funding

A BIOBEHAVIORAL RESEARCH TRAINING PROGRAMT32MH019938 · NIMH · STANFORD UNIVERSITY · PI Corey J Keller, RACHEL MANBER · 1994 to 2026
$9.4M
Psychobiological Mechanisms Underlying the Association Between Early Life Stress and Depression Across AdolescenceR37MH101495 · NIMH · STANFORD UNIVERSITY · PI IAN H GOTLIB · 2018 to 2026
$6.6M
Risk for Depression:Identifying and Altering Psychobiological MechanismsR01MH074849 · NIMH · STANFORD UNIVERSITY · PI GOTLIB, IAN H · 2006 to 2015
$6.2M
Telomere Length as a Mediator Between Early Life Stress and Child Health OutcomesF32MH107129 · NIMH · STANFORD UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 2015 to 2017
$169k
NIMH NIH HHS F32 MH107129NIMH NIH HHS R01 MH074849NIMH NIH HHS R37 MH101495NIMH NIH HHS T32 MH019938
6 · The paper itself

Abstract

The stress response system is disrupted in individuals with major depressive disorder (MDD) as well as in those at elevated risk for developing MDD. We examined whether DNA methylation (DNAm) levels of CpG sites within HPA-axis genes predict the onset of MDD. Seventy-seven girls, approximately half (n = 37) of whom were at familial risk for MDD, were followed longitudinally. Saliva samples were taken in adolescence (M age = 13.06 years [SD = 1.52]) when participants had no current or past MDD diagnosis. Diagnostic interviews were administered approximately every 18 months until the first onset of MDD or early adulthood (M age of last follow-up = 19.23 years [SD = 2.69]). We quantified DNAm in saliva samples using the Illumina EPIC chip and examined CpG sites within six key HPA-axis genes (NR3C1, NR3C2, CRH, CRHR1, CRHR2, FKBP5) alongside 59 genotypes for tagging SNPs capturing cis genetic variability. DNAm levels within CpG sites in NR3C1, CRH, CRHR1, and CRHR2 were associated with risk for MDD across adolescence and young adulthood. To rule out the possibility that findings were merely due to the contribution of genetic variability, we re-analyzed the data controlling for cis genetic variation within these candidate genes. Importantly, methylation levels in these CpG sites continued to significantly predict the onset of MDD, suggesting that variation in the epigenome, independent of proximal genetic variants, prospectively predicts the onset of MDD. These findings suggest that variation in the HPA axis at the level of the methylome may predict the development of MDD.

Indexed as

DNA MethylationPolymorphism, Single NucleotideAdolescentCpG IslandsCRF Receptor, Type 1Epigenesis, GeneticFemaleGenotypeHumansHypothalamo-Hypophyseal SystemMajor Depressive DisorderPituitary-Adrenal SystemProportional Hazards ModelsProspective StudiesReceptors, Corticotropin-Releasing HormoneReceptors, GlucocorticoidCRF Receptor, Type 1CRF receptor type 2NR3C1 protein, humanReceptors, Corticotropin-Releasing HormoneReceptors, Glucocorticoid

Identifiers

PMID31582756
PMCPMC6776528
OpenAlexW2979046506

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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.