Evidence map›Paper›PMID 39025838›Full record

SynthesisTranslational psychiatry2024

Metabolic activity of CYP2C19 and CYP2D6 on antidepressant response from 13 clinical studies using genotype imputation: a meta-analysis.

Danyang Li, Oliver Pain, Chiara Fabbri, Win Lee Edwin Wong, Chris Wai Hang Lo, Stephan Ripke, Annamaria Cattaneo, Daniel Souery, Mojca Z Dernovsek, Neven Henigsberg and 19 more

Erratum issuedAbstract readMeta-Analysis
In one paragraph

Synthesis in Translational psychiatry, 2024. 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Obstetric pharmacogenomics.Journal of basic and clinical physiology and pharmacology · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Observational
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  9. Review
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  11. Quo Vadis translational neuroscience?Translational neuroscience · 2026
    Review
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  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Danyang LiSocial, Genetic and Developmental Psychiatry Centre, King's College London, London, GB, UK.ORCID 0000-0001-7470-6645
Oliver PainMaurice Wohl Clinical Neuroscience Institute, Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, GB, UK.ORCID 0000-0001-5680-3281
Chiara FabbriSocial, Genetic and Developmental Psychiatry Centre, King's College London, London, GB, UK.ORCID 0000-0003-0276-7865
Win Lee Edwin WongSocial, Genetic and Developmental Psychiatry Centre, King's College London, London, GB, UK.ORCID 0000-0001-6905-6449
Chris Wai Hang LoSocial, Genetic and Developmental Psychiatry Centre, King's College London, London, GB, UK.
Stephan RipkeDepartment of Psychiatry and Psychotherapy, Universitätsmedizin Berlin Campus Charité Mitte, Berlin, DE, Germany.ORCID 0000-0003-3622-835X
Annamaria CattaneoBiological Psychiatry Laboratory, IRCCS Fatebenefratelli, Brescia, Italy.ORCID 0000-0002-9963-848X
Daniel SoueryLaboratoire de Psychologie Medicale, Universitè Libre de Bruxelles and Psy Pluriel, Centre Européen de Psychologie Medicale, Brussels, Italy.
Mojca Z DernovsekUniversity Psychiatric Clinic, University of Ljubliana, Ljubljana, Slovenia.ORCID 0000-0001-5344-7007
Neven HenigsbergDepartment of Psychiatry, Croatian Institute for Brain Research, University of Zagreb Medical School, Zagreb, HR, Croatia.ORCID 0000-0002-5303-1834
Joanna HauserPsychiatric Genetic Unit, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0002-6621-3493
Glyn LewisDivision of Psychiatry, University College London, London, GB, UK.ORCID 0000-0001-5205-8245
Ole MorsPsychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus, Denmark.
Nader PerroudDepartment of Psychiatry, Geneva University Hospitals, Geneva, CH, Switzerland.
Marcella RietschelDepartment of Genetic Epidemiology in Psychiatry, Medical Faculty Mannheim, University of Heidelberg, Central Institute of Mental Health, Mannheim, Denmark.ORCID 0000-0002-5236-6149
Rudolf UherDepartment of Psychiatry, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-2998-0546
Wolfgang MaierDepartment of Psychiatry and Psychotherapy, University of Bonn, Bonn, Denmark.
Bernhard T BauneDepartment of Psychiatry, University of Münster, Münster, Denmark.
Joanna M BiernackaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-9350-4440
Guido BondolfiDepartment of Psychiatry, Geneva University Hospitals, Geneva, CH, Switzerland.
Katharina DomschkeDepartment of Psychiatry and Psychotherapy, Medical Center, University of Freiburg, Freiburg, Denmark.ORCID 0000-0002-2550-9132
Masaki KatoDepartment of Neuropsychiatry, Kansai Medical University, Osaka, Japan.
Yu-Li LiuCenter for Neuropsychiatric Research, National Health Research Institutes, Miaoli, Taiwan.ORCID 0000-0001-7519-2965
Alessandro SerrettiDepartment of Medicine and Surgery, Kore University of Enna, Enna, Italy.
Shih-Jen TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0002-9987-022X
Richard WeinshilboumDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4911-7985
GSRD Consortium, the Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium
Andrew M McIntoshDivision of Psychiatry, University of Edinburgh, Edinburgh, GB, UK.ORCID 0000-0002-0198-4588
Cathryn M LewisSocial, Genetic and Developmental Psychiatry Centre, King's College London, London, GB, UK. cathryn.Lewis@kcl.ac.uk.ORCID 0000-0002-8249-8476

Funding

Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
7/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109532 · NIMH · WASHINGTON UNIVERSITY · PI AGRAWAL, ARPANA, EDENBERG, HOWARD J · 2016 to 2020
$3.1M
5/7 Psychiatric Genomics Consortium: Advancing Discovery and ImpactR01MH124873 · NIMH · CARDIFF UNIVERSITY · PI LEWIS, CATHRYN, O'DONOVAN, MICHAEL · 2021 to 2025
$2.6M
1/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109528 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2016 to 2020
$2.5M
Medical Research Council G0701420NIGMS NIH HHS U19 GM061388NIMH NIH HHS R01 MH124873NIMH NIH HHS U01 MH109528NIMH NIH HHS U01 MH109532U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) MH124873Wellcome TrustWellcome Trust (Wellcome) 226770/Z/22/Z
6 · The paper itself

Abstract

Cytochrome P450 enzymes including CYP2C19 and CYP2D6 are important for antidepressant metabolism and polymorphisms of these genes have been determined to predict metabolite levels. Nonetheless, more evidence is needed to understand the impact of genetic variations on antidepressant response. In this study, individual clinical and genetic data from 13 studies of European and East Asian ancestry populations were collected. The antidepressant response was clinically assessed as remission and percentage improvement. Imputed genotype was used to translate genetic polymorphisms to metabolic phenotypes (poor, intermediate, normal, and rapid+ultrarapid) of CYP2C19 and CYP2D6. CYP2D6 structural variants cannot be imputed from genotype data, limiting the determination of metabolic phenotypes, and precluding testing for association with response. The association of CYP2C19 metabolic phenotypes with treatment response was examined using normal metabolizers as the reference. Among 5843 depression patients, a higher remission rate was found in CYP2C19 poor metabolizers compared to normal metabolizers at nominal significance but did not survive after multiple testing correction (OR = 1.46, 95% CI [1.03, 2.06], p = 0.033, heterogeneity I

Indexed as

Antidepressive AgentsCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6Asian PeopleFemaleGenotypeHumansMajor Depressive DisorderMalePhenotypeTreatment OutcomeWhite PeopleAntidepressive AgentsCYP2C19 protein, humanCYP2D6 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6

Identifiers

PMID39025838
PMCPMC11258238

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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.