Evidence map›Paper›PMID 33284958›Full record

ArticleThe international journal of neuropsychopharmacology2021

Clinical Correlates of the NR3C1 Gene Methylation at Various Stages of Psychosis.

Błażej Misiak, Jerzy Samochowiec, Anna Konopka, Barbara Gawrońska-Szklarz, Jan Aleksander Beszłej, Elżbieta Szmida, Paweł Karpiński

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in The international journal of neuropsychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 34% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  8. DNA Methylation Pattern of Gene Promoters of MB-COMT, DRD2, and NR3C1 in Turkish Patients Diagnosed with Schizophrenia.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Błażej MisiakDepartment of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
Jerzy SamochowiecDepartment of Psychiatry, Pomeranian Medical University, Szczecin, Poland.
Anna KonopkaIndependent Clinical Psychology Unit, Department of Psychiatry, Pomeranian Medical University, Szczecin, Poland.
Barbara Gawrońska-SzklarzDepartment of Pharmacokinetics and Therapeutic Drug Monitoring, Pomeranian Medical University, Szczecin, Poland.
Jan Aleksander BeszłejDepartment of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
Elżbieta SzmidaDepartment of Genetics, Wroclaw Medical University, Wroclaw, Poland.
Paweł KarpińskiDepartment of Genetics, Wroclaw Medical University, Wroclaw, Poland.
Wroclaw Medical University · PLPomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDysregulation of epigenetic processes might account for alterations of the hypothalamic-pituitary-adrenal axis observed in patients with schizophrenia. Therefore, in this study, we aimed to investigate methylation of the glucocorticoid receptor (NR3C1) gene in patients with schizophrenia-spectrum disorders, individuals at familial high risk of schizophrenia (FHR-P), and healthy controls with respect to clinical manifestation and a history of psychosocial stressors.

methodsWe recruited 40 first-episode psychosis patients, 45 acutely relapsed schizophrenia (SCZ-AR) patients, 39 FHR-P individuals, and 56 healthy controls. The level of methylation at 9 CpG sites of the NR3C1 gene was determined using pyrosequencing.

resultsThe level of NR3C1 methylation was significantly lower in first-episode psychosis patients and significantly higher in SCZ-AR patients compared with other subgroups of participants. Individuals with FHR-P and healthy controls had similar levels of NR3C1 methylation. A history of adverse childhood experiences was associated with significantly lower NR3C1 methylation in all subgroups of participants. Higher methylation of the NR3C1 gene was related to worse performance of attention and immediate memory as well as lower level of general functioning in patients with psychosis.

conclusionsPatients with schizophrenia-spectrum disorders show altered levels of NR3C1 methylation that are significantly lower in first-episode psychosis patients and significantly higher in SCZ-AR patients. Higher methylation of the NR3C1 gene might be related to cognitive impairment observed in this clinical population. The association between a history of adverse childhood experiences and lower NR3C1 methylation is not specific to patients with psychosis. Longitudinal studies are needed to establish causal mechanisms underlying these observations.

Indexed as

Cognitive DysfunctionPsychotic DisordersSchizophreniaAdultAdverse Childhood ExperiencesDisease ProgressionDisease SusceptibilityDNA MethylationFemaleHumansMaleMiddle AgedReceptors, GlucocorticoidRecurrenceRiskYoung AdultNR3C1 protein, humanReceptors, GlucocorticoidChildhood traumacortisolepigeneticspsychotic disorderstress

Identifiers

PMID33284958
PMCPMC8059494
OpenAlexW3112491387

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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.