Evidence map›Paper›PMID 32056779›Full record

ArticleJournal of affective disorders2020

Acylcarnitine metabolomic profiles inform clinically-defined major depressive phenotypes.

Ahmed T Ahmed, Siamak MahmoudianDehkordi, Sudeepa Bhattacharyya, Matthias Arnold, Duan Liu, Drew Neavin, M Arthur Moseley, J Will Thompson, Lisa St John Williams, Gregory Louie and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

38 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Editorial: Recognizing Atypical Depression in Youth: Advancing Precision Diagnosis.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  5. Review
  6. Review
  7. [Gender differences in acylcarnitine metabolism among patients with depression disorder].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
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  13. MADD-like pattern of acylcarnitines associated with sertraline use.Molecular genetics and metabolism reports · 2024
    Article
  14. Article
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  16. Article
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  18. Review
  19. Article
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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

24 authors at 8 institutions in 3 countries.

Ahmed T AhmedDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States. Electronic address: ahmed.ahmed1@mayo.edu.
Siamak MahmoudianDehkordiDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; Department of Medicine, Duke University, Durham, NC, United States; Duke Institute of Brain Sciences, Duke University, Durham, NC, United States. Electronic address: siamak.mahmoudiandehkordi@duke.edu.
Sudeepa BhattacharyyaDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: SBhattacharyya2@uams.edu.
Matthias ArnoldDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; Institute of Bioinformatics and Systems Biology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. Electronic address: matthias.arnold@helmholtz-muenchen.de.
Duan LiuDepartment of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN, United States. Electronic address: Liu.Duan@mayo.edu.
Drew NeavinDepartment of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN, United States. Electronic address: Neavin.Drew@mayo.edu.
M Arthur MoseleyDuke Proteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Durham, NC, United States. Electronic address: arthur.moseley@duke.edu.
J Will ThompsonDuke Proteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Durham, NC, United States. Electronic address: will.thompson@duke.edu.
Lisa St John WilliamsDuke Proteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Durham, NC, United States. Electronic address: lisa.stjohn-williams@duke.edu.
Gregory LouieDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States. Electronic address: gregory.louie@duke.edu.
Michelle K SkimeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States. Electronic address: skime.Michelle@mayo.edu.
Liewei WangDepartment of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN, United States. Electronic address: Wang.Liewei@mayo.edu.
Patricio Riva-PosseDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: privapo@emory.edu.
William M McDonaldDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: wmcdona@emory.edu.
William V BoboDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States. Electronic address: Bobo.William@mayo.edu.
W Edward CraigheadDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: ecraigh@emory.edu.
Ranga KrishnanDepartment of Psychiatry, Rush Medical College, Chicago, IL, United States. Electronic address: Ranga_Krishnan@rush.edu.
Richard M WeinshilboumDepartment of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN, United States. Electronic address: Weinshilboum.Richard@mayo.edu.
Boadie W DunlopDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States. Electronic address: bdunlop@emory.edu.
David S MillingtonProfessor Emeritus, Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States. Electronic address: milli014@duke.edu.
A John RushDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; Department of Psychiatry, Health Sciences Center, Texas Tech University, Permian Basin, TX, United States; Duke-National University of Singapore, Singapore.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States. Electronic address: mfrye@mayo.edu.
Rima Kaddurah-DaoukDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; Department of Medicine, Duke University, Durham, NC, United States; Duke Institute of Brain Sciences, Duke University, Durham, NC, United States. Electronic address: rima.kaddurahdaouk@duke.edu.
Mood Disorders Precision Medicine Consortium (MDPMC)
Emory University · USMayo Clinic · USDuke University · USWinnMed · USHelmholtz Zentrum München · DENational University of Singapore · SGRush University Medical Center · USUniversity of Arkansas for Medical Sciences · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 1985 to 2007
$21.3M
Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
Metabolomic Signatures for Disease Sub-classification and Target Prioritization in AMP-ADU01AG061359 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KASTENMULLER, GABI · 2018 to 2022
$10.0M
TRAINING GRANT IN CLINICAL PHARMACOLOGYT32GM008685 · NIGMS · MAYO CLINIC ROCHESTER · PI Liewei Wang · 1998 to 2026
$8.2M
INHERITED VARIATIONS IN DRUG-METABOLIZING ENZYMESR01GM028157 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 1985 to 2019
$6.9M
Metabolic Signatures Underlying Vascular Risk Factors for Alzheimer-type DementiasRF1AG051550 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KLING, MITCHEL ALLAN · 2015 to 2016
$6.3M
Metabolic Networks and Pathways in Alzheimer's DiseaseR01AG046171 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F · 2014 to 2017
$4.4M
Metabolic Network Analysis of Biochemical Trajectories in Alzheimer's DiseaseRF1AG057452 · NIA · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F, KASTENMULLER, GABI · 2017 to 2017
$3.5M
Metabolomic Signatures Predictive of Outcomes to Treatments for Major DepressionR01MH108348 · NIMH · DUKE UNIVERSITY · PI DUNLOP, BOADIE W, KADDURAH-DAOUK, RIMA F · 2016 to 2019
$2.7M
Predoctoral Training Program in Molecular PharmacologyT32GM072474 · NIGMS · MAYO CLINIC ROCHESTER · PI KARNITZ, LARRY M · 2005 to 2020
$2.4M
Neural Correlates of Loss Aversion in Major DepressionK23MH086690 · NIMH · EMORY UNIVERSITY · PI DUNLOP, BOADIE W · 2009 to 2011
$521k
NCRR NIH HHS M01 RR000039NCRR NIH HHS UL1 RR025008NIA NIH HHS R01 AG046171NIA NIH HHS RF1 AG051550NIA NIH HHS RF1 AG057452NIA NIH HHS U01 AG061359NIGMS NIH HHS R01 GM028157NIGMS NIH HHS T32 GM008685NIGMS NIH HHS T32 GM072474NIGMS NIH HHS U19 GM061388NIMH NIH HHS K23 MH086690NIMH NIH HHS R01 MH108348
6 · The paper itself

Abstract

backgroundAcylcarnitines have important functions in mitochondrial energetics and β-oxidation, and have been implicated to play a significant role in metabolic functions of the brain. This retrospective study examined whether plasma acylcarnitine profiles can help biochemically distinguish the three phenotypic subtypes of major depressive disorder (MDD): core depression (CD+), anxious depression (ANX+), and neurovegetative symptoms of melancholia (NVSM+).

methodsDepressed outpatients (n = 240) from the Mayo Clinic Pharmacogenomics Research Network were treated with citalopram or escitalopram for eight weeks. Plasma samples collected at baseline and after eight weeks of treatment with citalopram or escitalopram were profiled for short-, medium- and long-chain acylcarnitine levels using AbsoluteIDQ®p180-Kit and LC-MS. Linear mixed effects models were used to examine whether acylcarnitine levels discriminated the clinical phenotypes at baseline or eight weeks post-treatment, and whether temporal changes in acylcarnitine profiles differed between groups.

resultsCompared to ANX+, CD+ and NVSM+ had significantly lower concentrations of short- and long-chain acylcarnitines at both baseline and week 8. In NVSM+, the medium- and long-chain acylcarnitines were also significantly lower in NVSM+ compared to ANX+. Short-chain acylcarnitine levels increased significantly from baseline to week 8 in CD+ and ANX+, whereas medium- and long-chain acylcarnitines significantly decreased in CD+ and NVSM+.

conclusionsIn depressed patients treated with SSRIs, β-oxidation and mitochondrial energetics as evaluated by levels and changes in acylcarnitines may provide the biochemical basis of the clinical heterogeneity of MDD, especially when combined with clinical characteristics.

Indexed as

Major Depressive DisorderCarnitineHumansPhenotypeRetrospective StudiesacylcarnitineCarnitineAcylcarnitinesAntidepressantsDepressionMetabolomicsP180Phenotypes

Identifiers

PMID32056779
PMCPMC7024064
OpenAlexW2989712497

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.