Evidence map›Paper›PMID 31910434›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2020

Circulating PACAP peptide and PAC1R genotype as possible transdiagnostic biomarkers for anxiety disorders in women: a preliminary study.

Rachel A Ross, Susanne S Hoeppner, Samantha N Hellberg, Emily B O'Day, Peter L Rosencrans, Kerry J Ressler, Víctor May, Naomi M Simon

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Lateral septal PACAP signaling regulates stress and anxiety reactions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Article
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  8. PACAP regulates neuroendocrine and behavioral stress responses via CRF-containing neurons of the rat hypothalamic paraventricular nucleus.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  9. Review
  10. Article
  11. Review
  12. Circulating PACAP levels are associated with increased amygdala-default mode network resting-state connectivity in posttraumatic stress disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  13. Article
  14. Role of endocrine PACAP in age-related diseases.Frontiers in endocrinology · 2023
    Review
  15. Why the estrous cycle matters for neuroscience.Biology of sex differences · 2022
    Article
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  17. Review
  18. Article
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  20. 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

8 authors at 6 institutions in 1 country.

Rachel A RossDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA. rross4@partners.org.
Susanne S HoeppnerDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2060-1666
Samantha N HellbergDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0302-2382
Emily B O'DayDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Peter L RosencransDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Kerry J ResslerDepartment of Psychiatry, McLean Hospital, Belmont, MA, USA.
Víctor MayDepartment of Neurological Sciences, University of Vermont, Burlington, VA, USA.
Naomi M SimonDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Harvard University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USUniversity of North Carolina at Chapel Hill · USUniversity of Vermont · USUniversity of Washington · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
SPARED CenterP50MH115874 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA · 2019 to 2023
$13.7M
Training Program in Cardiovascular ResearchT32HL007374 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI MITTLEMAN, MURRAY A · 1985 to 2019
$7.9M
Fostering Research Mentorship & Training during Psychiatry Residency SupplementR25MH094612 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FAVA, MAURIZIO, GREENFIELD, SHELLY F. · 2011 to 2022
$2.3M
Genetic and estrogen-dependent regulation of the human PAC1R receptor and PTSDR01MH096764 · NIMH · MCLEAN HOSPITAL · PI RESSLER, KERRY J. · 2012 to 2016
$2.1M
Dissecting a novel prefrontal cortical pathway regulating feeding behaviorK08DK118201 · NIDDK · MCLEAN HOSPITAL · PI ROSS, RACHEL A · 2019 to 2022
$963k
NCATS NIH HHS UL1 TR001102NHLBI NIH HHS T32 HL007374NIDDK NIH HHS K08 DK118201NIMH NIH HHS P50 MH115874NIMH NIH HHS R01 MH096764NIMH NIH HHS R25 MH094612
6 · The paper itself

Abstract

Pituitary adenylate cyclase activating polypeptide (PACAP, gene Adcyap1) is a neuropeptide and hormone thought to play a critical role in stress response (Stroth et al., Ann NY Acad Sci 1220:49-59, 2011; Hashimoto et al., Curr Pharm Des 17:985-989, 2011). Research in humans implicates PACAP as a useful biomarker for the severity of psychiatric symptoms in response to psychological stressors, and work in rodent models suggests that PACAP manipulation exerts downstream effects on peripheral hormones and behaviors linked to the stress response, providing a potential therapeutic target. Prior work has also suggested a potential sex difference in PACAP effects due to differential estrogen regulation of this pathway. Therefore, we examined serum PACAP and associated PAC1R genotype in a cohort of males and females with a primary diagnosis of generalized anxiety disorder (GAD) and nonpsychiatric controls. We found that, while circulating hormone levels were not associated with a GAD diagnosis overall (p = 0.19, g = 0.25), PACAP may be associated with GAD in females (p = 0.04, g = 0.33). Additionally, among patients with GAD, the risk genotype identified in the PTSD literature (rs2267735, CC genotype) was associated with higher somatic anxiety symptom severity in females but lower somatic anxiety symptom severity in males (-3.27, 95%CI [-5.76, -0.77], adjusted p = 0.03). Taken together, the associations between the risk genotype, circulating PACAP, and somatic anxiety severity were stronger among females than males. These results indicate a potential underlying biological etiology for sex differences in stress-related anxiety disorders that warrants further study.

Indexed as

Anxiety DisordersPituitary Adenylate Cyclase-Activating PolypeptideReceptors, Pituitary Adenylate Cyclase-Activating Polypeptide, Type IBiomarkersFemaleGenotypeHumansMaleBiomarkersPituitary Adenylate Cyclase-Activating PolypeptideReceptors, Pituitary Adenylate Cyclase-Activating Polypeptide, Type I

Identifiers

PMID31910434
PMCPMC7235237
OpenAlexW2997028491

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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.