Evidence map›Paper›PMID 33664235›Full record

ArticleTranslational psychiatry2021

Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape.

Divya Mehta, Karen Grewen, Brenda Pearson, Shivangi Wani, Leanne Wallace, Anjali K Henders, Elisabeth B Binder, Vibe G Frokjaer, Samantha Meltzer-Brody, Naomi R Wray and 1 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 39 citations in OpenAlex.

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  13. Call For Action: The Obstetrician's Role In Peripartum Mental Health.Journal of obstetrics and gynaecology of India · 2024
    Review
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  18. Familial risk of postpartum depression.Acta psychiatrica Scandinavica · 2022
    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

11 authors at 5 institutions in 4 countries.

Divya MehtaQueensland University of Technology (QUT), Centre for Genomics and Personalised Health, Faculty of Health, Institute of Health and Biomedical Innovation, Kelvin Grove, QLD, 4059, Australia. divya.mehta@qut.edu.au.ORCID 0000-0002-7359-348X
Karen GrewenDepartment of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA.
Brenda PearsonDepartment of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA.
Shivangi WaniCenter for Neurostatistics and Statistical Genomics, Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, 4072, Australia.
Leanne WallaceCenter for Neurostatistics and Statistical Genomics, Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, 4072, Australia.
Anjali K HendersCenter for Neurostatistics and Statistical Genomics, Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, 4072, Australia.
Elisabeth B BinderMax Planck Institute of Psychiatry, Munich, 80804, Germany.ORCID 0000-0001-7088-6618
Vibe G FrokjaerNeurobiology Research Unit, Copenhagen University Hospital Rigshospitalet, Copenhagen, 2100, Denmark.
Samantha Meltzer-BrodyDepartment of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA.
Naomi R WrayCenter for Neurostatistics and Statistical Genomics, Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, 4072, Australia.ORCID 0000-0001-7421-3357
Alison M StuebeDivision of Maternal-Fetal Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA.
The University of Queensland · AUUniversity of North Carolina at Chapel Hill · USCopenhagen University Hospital · DKEmory University · USQueensland University of Technology · AU

Funding

Mood, mother, and child: The psychobiology of dyadic resilienceR01HD093901 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MILLS-KOONCE, WILLIAM ROGER, STUEBE, ALISON M · 2018 to 2022
$3.1M
Mood, mother and infant: The psychobiology of impaired dyadic developmentR01HD073220 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STUEBE, ALISON M · 2013 to 2017
$2.9M
NICHD NIH HHS R01 HD073220NICHD NIH HHS R01 HD093901
6 · The paper itself

Abstract

Maternal postpartum depression (PPD) is a significant public health concern due to the severe negative impact on maternal and child health and well-being. In this study, we aimed to identify genes associated with PPD. To do this, we investigated genome-wide gene expression profiles of pregnant women during their third trimester of pregnancy and tested the association of gene expression with perinatal depressive symptoms. A total of 137 women from a cohort from the University of North Carolina, USA were assessed. The main phenotypes analysed were Edinburgh Postnatal Depression Scale (EPDS) scores at 2 months postpartum and PPD (binary yes/no) based on an EPDS cutoff of 10. Illumina NextSeq500/550 transcriptomic sequencing from whole blood was analysed using the edgeR package. We identified 71 genes significantly associated with postpartum depression scores at 2 months, after correction for multiple testing at 5% FDR. These included several interesting candidates including TNFRSF17, previously reported to be significantly upregulated in women with PPD and MMP8, a matrix metalloproteinase gene, associated with depression in a genome-wide association study. Functional annotation of differentially expressed genes revealed an enrichment of immune response-related biological processes. Additional analysis of genes associated with changes in depressive symptoms from recruitment to 2 months postpartum identified 66 genes significant at an FDR of 5%. Of these genes, 33 genes were also associated with depressive symptoms at 2 months postpartum. Comparing the results with previous studies, we observed that 15.4% of genes associated with PPD in this study overlapped with 700 core maternal genes that showed significant gene expression changes across multiple brain regions (P = 7.9e-05) and 29-53% of the genes were also associated with estradiol changes in a pharmacological model of depression (P values range = 1.2e-4-2.1e-14). In conclusion, we identified novel genes and validated genes previously associated with oestrogen sensitivity in PPD. These results point towards the role of an altered immune transcriptomic landscape as a vulnerability factor for PPD.

Indexed as

Depression, PostpartumChildFemaleGene ExpressionGenome-Wide Association StudyHumansPostpartum PeriodPregnancyPregnancy Trimester, ThirdRisk Factors

Identifiers

PMID33664235
PMCPMC7933180
OpenAlexW3133819064

What OpenQuestion holds

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LicenceCC BY
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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.