Evidence map›Paper›PMID 33654056›Full record

ArticleTranslational psychiatry2021

Alterations in acylcarnitines, amines, and lipids inform about the mechanism of action of citalopram/escitalopram in major depression.

Siamak MahmoudianDehkordi, Ahmed T Ahmed, Sudeepa Bhattacharyya, Xianlin Han, Rebecca A Baillie, Matthias Arnold, Michelle K Skime, Lisa St John-Williams, M Arthur Moseley, J Will Thompson and 11 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
4.8field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 95 citations in OpenAlex.

  1. Metabolomic correlates of intravenous racemic ketamine in treatment-resistant major depressive disorder: the Bio-K/NNDC multicenter trial.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2026
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  8. [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
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  19. MADD-like pattern of acylcarnitines associated with sertraline use.Molecular genetics and metabolism reports · 2024
    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

21 authors at 14 institutions in 3 countries.

Siamak MahmoudianDehkordi *Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Durham, NC, USA.
Ahmed T Ahmed *Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Sudeepa BhattacharyyaDepartment of Biological Sciences and Arkansas Biosciences Institute, Arkansas State University, Jonesboro, AR, USA.
Xianlin HanUniversity of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Rebecca A BaillieRosa & Co LLC, San Carlos, CA, USA.ORCID 0000-0003-3966-6320
Matthias ArnoldDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Durham, NC, USA.ORCID 0000-0002-4666-0923
Michelle K SkimeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Lisa St John-WilliamsProteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Duke University, Durham, NC, 27710, USA.
M Arthur MoseleyProteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Duke University, Durham, NC, 27710, USA.
J Will ThompsonProteomics and Metabolomics Shared Resource, Center for Genomic and Computational Biology, Duke University, Durham, NC, 27710, USA.
Gregory LouieDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Durham, NC, USA.ORCID 0000-0002-3267-7070
Patricio Riva-PosseDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
W Edward CraigheadDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-9957-0027
William McDonaldDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Ranga KrishnanDepartment of Psychiatry, Rush Medical College, Chicago, IL, USA.
A John RushDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Durham, NC, USA.ORCID 0000-0003-2004-2382
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Boadie W DunlopDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-4653-0483
Richard M WeinshilboumDepartment of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4911-7985
Rima Kaddurah-DaoukDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, Durham, NC, USA. kaddu001@mc.duke.edu.ORCID 0000-0003-1858-5732
Mood Disorders Precision Medicine Consortium (MDPMC)
Duke University · USEmory University · USMayo Clinic · USDuke Medical Center · USMayo Clinic in Arizona · USMount Sinai Hospital · USArkansas State University · USRosa (United States) · USRush University Medical Center · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas of the Permian Basin · USUniversity of California, Davis · USUniversity of Oxford · GBHelmholtz Zentrum München · DE

Funding

Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
TRAININGU54GM114838 · NIGMS · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI HAN, JIAWEI, SINHA, SAURABH · 2014 to 2017
$10.8M
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
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
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
NIA NIH HHS R01 AG046171NIA NIH HHS RF1 AG051550NIA NIH HHS U01 AG061359NIGMS NIH HHS R01 GM028157NIGMS NIH HHS T32 GM072474NIGMS NIH HHS U19 GM061388NIGMS NIH HHS U54 GM114838NIMH NIH HHS R01 MH108348U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH108348U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG046171U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) RF1AG051550U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) U01AG061359
6 · The paper itself

Abstract

Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for major depressive disorder (MDD), yet their mechanisms of action are not fully understood and their therapeutic benefit varies among individuals. We used a targeted metabolomics approach utilizing a panel of 180 metabolites to gain insights into mechanisms of action and response to citalopram/escitalopram. Plasma samples from 136 participants with MDD enrolled into the Mayo Pharmacogenomics Research Network Antidepressant Medication Pharmacogenomic Study (PGRN-AMPS) were profiled at baseline and after 8 weeks of treatment. After treatment, we saw increased levels of short-chain acylcarnitines and decreased levels of medium-chain and long-chain acylcarnitines, suggesting an SSRI effect on β-oxidation and mitochondrial function. Amines-including arginine, proline, and methionine sulfoxide-were upregulated while serotonin and sarcosine were downregulated, suggesting an SSRI effect on urea cycle, one-carbon metabolism, and serotonin uptake. Eighteen lipids within the phosphatidylcholine (PC aa and ae) classes were upregulated. Changes in several lipid and amine levels correlated with changes in 17-item Hamilton Rating Scale for Depression scores (HRSD

Indexed as

Major Depressive DisorderAminesAntidepressive AgentsCarnitineCitalopramDepressionHumansLipidsSelective Serotonin Reuptake InhibitorsacylcarnitineAminesAntidepressive AgentsCarnitineCitalopramLipidsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID33654056
PMCPMC7925685
OpenAlexW3135759638

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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.