Evidence map›Paper›PMID 36729133›Full record

ArticleActa neuropathologica2023

Associations of psychiatric disease and ageing with FKBP5 expression converge on superficial layer neurons of the neocortex.

Natalie Matosin, Janine Arloth, Darina Czamara, Katrina Z Edmond, Malosree Maitra, Anna S Fröhlich, Silvia Martinelli, Dominic Kaul, Rachael Bartlett, Amber R Curry and 26 more

Open access · hybridFull text read
In one paragraph

Article in Acta neuropathologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 51 citations in OpenAlex.

  1. FKBP51: A new target for Parkinson's disease.Neural regeneration research · 2026
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  7. Neurobiology of stress · 2025
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  8. Human Brain Cell-Type-Specific Aging Clocks Based on Single-Nuclei Transcriptomics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
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  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 13 institutions in 7 countries.

Natalie MatosinDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany. nmatosin@uow.edu.au.ORCID 0000-0003-3208-1311
Janine ArlothDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Darina CzamaraDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Katrina Z EdmondMolecular Horizons, School of Chemistry and Molecular Biosciences, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, 2522, Australia.
Malosree MaitraMcGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, QC, Canada.
Anna S FröhlichDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Silvia MartinelliDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Dominic KaulMolecular Horizons, School of Chemistry and Molecular Biosciences, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, 2522, Australia.
Rachael BartlettMolecular Horizons, School of Chemistry and Molecular Biosciences, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, 2522, Australia.
Amber R CurryMolecular Horizons, School of Chemistry and Molecular Biosciences, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, 2522, Australia.
Nils C GassenDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Kathrin HafnerDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Nikola S MüllerInstitute of Computational Biology, Helmholtz Zentrum München, 85764, Neuherberg, Germany.
Karolina WorfInstitute of Computational Biology, Helmholtz Zentrum München, 85764, Neuherberg, Germany.
Ghalia RehawiDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Corina NagyMcGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, QC, Canada.
Thorhildur HalldorsdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Cristiana CruceanuDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Miriam GagliardiDepartment of Psychiatry, University of Münster, Münster, Germany.
Nathalie GerstnerDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Maik KödelDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Vanessa MurekDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Michael J ZillerDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Elizabeth ScarrMelbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia.
Ran TaoThe Lieber Institute for Brain Development, Johns Hopkins University Medical Campus, Baltimore, MD, USA.
Andrew E JaffeThe Lieber Institute for Brain Development, Johns Hopkins University Medical Campus, Baltimore, MD, USA.
Thomas ArzbergerDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians University Munich, Nussbaumstrasse 7, 80336, Munich, Germany.
Peter FalkaiDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany.
Joel E KleinmannThe Lieber Institute for Brain Development, Johns Hopkins University Medical Campus, Baltimore, MD, USA.
Daniel R WeinbergerThe Lieber Institute for Brain Development, Johns Hopkins University Medical Campus, Baltimore, MD, USA.
Naguib MechawarMcGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, QC, Canada.
Andrea SchmittDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians University Munich, Nussbaumstrasse 7, 80336, Munich, Germany.
Brian DeanMelbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia.
Gustavo TureckiMcGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, QC, Canada.
Thomas M HydeThe Lieber Institute for Brain Development, Johns Hopkins University Medical Campus, Baltimore, MD, USA.
Elisabeth B BinderDepartment of Translational Research in Psychiatry, Max-Planck Institute of Psychiatry, Munich, Germany. binder@psych.mpg.de.
Max Planck Institute of Psychiatry · DEHelmholtz Zentrum München · DEJohns Hopkins University · USUniversity of Wollongong · AUDouglas Mental Health University Institute · CAUniversity of Münster · DEThe University of Melbourne · AUEmory University · USKarolinska Institutet · SELudwig-Maximilians-Universität München · DEReykjavík University · ISUniversidade de São Paulo · BRUniversity of Bonn · DE

Funding

Brain Tissue Resource Centre for Alcohol ResearchR28AA012725 · NIAAA · UNIVERSITY OF SYDNEY · PI Greg Trevor Sutherland · 2012 to 2026
$7.0M
NIAAA NIH HHS R28 AA012725
6 · The paper itself

Abstract

Identification and characterisation of novel targets for treatment is a priority in the field of psychiatry. FKBP5 is a gene with decades of evidence suggesting its pathogenic role in a subset of psychiatric patients, with potential to be leveraged as a therapeutic target for these individuals. While it is widely reported that FKBP5/FKBP51 mRNA/protein (FKBP5/1) expression is impacted by psychiatric disease state, risk genotype and age, it is not known in which cell types and sub-anatomical areas of the human brain this occurs. This knowledge is critical to propel FKBP5/1-targeted treatment development. Here, we performed an extensive, large-scale postmortem study (n = 1024) of FKBP5/1, examining neocortical areas (BA9, BA11 and ventral BA24/BA24a) derived from subjects that lived with schizophrenia, major depression or bipolar disorder. With an extensive battery of RNA (bulk RNA sequencing, single-nucleus RNA sequencing, microarray, qPCR, RNAscope) and protein (immunoblot, immunohistochemistry) analysis approaches, we thoroughly investigated the effects of disease state, ageing and genotype on cortical FKBP5/1 expression including in a cell type-specific manner. We identified consistently heightened FKBP5/1 levels in psychopathology and with age, but not genotype, with these effects strongest in schizophrenia. Using single-nucleus RNA sequencing (snRNAseq; BA9 and BA11) and targeted histology (BA9, BA24a), we established that these disease and ageing effects on FKBP5/1 expression were most pronounced in excitatory superficial layer neurons of the neocortex, and this effect appeared to be consistent in both the granular and agranular areas examined. We then found that this increase in FKBP5 levels may impact on synaptic plasticity, as FKBP5 gex levels strongly and inversely correlated with dendritic mushroom spine density and brain-derived neurotrophic factor (BDNF) levels in superficial layer neurons in BA11. These findings pinpoint a novel cellular and molecular mechanism that has potential to open a new avenue of FKBP51 drug development to treat cognitive symptoms in psychiatric disorders.

Indexed as

Mental DisordersNeocortexAgingGenotypeHumansNeuronsPolymorphism, Single NucleotideAgeingDepressionFKBP5FKBP51Postmortem brainPsychosisSingle cellStress

Identifiers

PMID36729133
PMCPMC10020280
OpenAlexW4318921735

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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.