Evidence map›Paper›PMID 39472813›Full record

ArticleBMC psychiatry2024

Mood disorders and 5-HTR2A genetic variants - the moderator effect of inflammation on expression of affective polarity phenotype.

Maja Pantovic-Stefanovic, Jelena Karanovic, Vladimir Jurisic, Bojana Dunjic-Kostic, Milica Nesic, Sara Dodic, Marta Gostiljac, Marija Puric, Dusanka Savic Pavicevic, Maja Ivkovic

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Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Epigenomics · 2025
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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

10 authors.

Maja Pantovic-StefanovicDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia. majapantovic@yahoo.it.
Jelena KaranovicCentre for Human Molecular Genetics, Faculty of Biology, University of Belgrade, Studentski trg 16, Belgrade, 11000, Serbia.
Vladimir JurisicFaculty of Medical Scinces, University of Kragujevac, Svetozara Markovica 69, Kragujevac, 11000, Serbia.
Bojana Dunjic-KosticFaculty of Medicine, University of Belgrade, Dr Subotica 8, Belgrade, 11000, Serbia.
Milica NesicDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia.
Sara DodicDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia.
Marta GostiljacDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia.
Marija PuricDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia.
Dusanka Savic PavicevicCentre for Human Molecular Genetics, Faculty of Biology, University of Belgrade, Studentski trg 16, Belgrade, 11000, Serbia.
Maja IvkovicDepartment for Bipolar Disorders, Clinic for Psychiatry, University Clinical Centre of Serbia, Pasterova 2, Belgrade, 11000, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough repeatedly confirmed, the molecular nature of gene-environment (GxE) interactions has rarely been investigated in the clinical context of mood disorders. This study assesses the relationship between HTR2A genetic variants and the modulatory effect of inflammation in a collective cohort of patients with major depressive disorder (MDD) and bipolar disorder (BD), as a unified group with two distinct phenotypes.

methodsThe study included 138 patients with acute mood episodes (BD = 83; MDD = 55). HTR2A rs6313 and rs6314 genotyping was performed while measuring platelet-derived indicators of inflammation (platelet count (PLT), mean platelet volume (MPV), plateletcrit, and platelet distribution width) and the MPV/PLT ratio.

resultsThe HTR2A rs6313 variant is a significant predictor of the polarity phenotype in mood disorders, with the MPV/PLT ratio moderating this relationship, but only under low-inflammatory conditions. In more pronounced inflammatory states, genetic influences lose their predictive role.

conclusionsTo our knowledge, this is the first study to investigate the complex interplay between platelet-derived indicators of inflammation and HTR2A variants in the context of mood disorders. Without pro-inflammatory conditions, mood disorders seem to be more genetically determined. Under pro-inflammatory conditions, phenotypic presentation is less dependent on genetic factors. GxE interactions in mood disorders are multifaceted, context-dependent and relevant for assessing their clinical presentation and course.

Indexed as

Bipolar DisorderInflammationMajor Depressive DisorderPhenotypeReceptor, Serotonin, 5-HT2AAdultBlood PlateletsFemaleGene-Environment InteractionGenotypeHumansMaleMean Platelet VolumeMiddle AgedPlatelet CountPolymorphism, Single NucleotideHTR2A protein, humanReceptor, Serotonin, 5-HT2ABipolar disorderGene-environment interactionsHTR2A rs6313Mood disordersUnipolar depression

Identifiers

PMID39472813
PMCPMC11520582

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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.