Evidence map›Paper›PMID 41261141›Full record

SynthesisMolecular psychiatry2026

Genome-wide meta-analyses of non-response to antidepressants provide insights into underlying molecular genetics and suggest potential pharmacotherapies.

Elise Koch, Tuuli Puusepp, Guðmundur Einarsson, Brittany L Mitchell, Arvid Harder, Yuhao Lin, Luis M García-Marín, Kristi Krebs, Alexey A Shadrin, Ying Xiong and 17 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Understanding antidepressant change patterns in the UK Biobank.The British journal of psychiatry : the journal of mental science · 2026
    Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Elise KochCentre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. e.m.koch@medisin.uio.no.ORCID http://orcid.org/0000-0003-3727-4470
Tuuli PuuseppEstonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.
Guðmundur EinarssondeCODE Genetics/Amgen, Reykjavík, Iceland.ORCID http://orcid.org/0000-0002-1326-2339
Brittany L MitchellBrain & Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-9050-1516
Arvid HarderDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Yuhao LinInstitute of Psychiatry, Psychology & Neuroscience; Social, Genetic & Developmental Psychiatry Centre; King's College London, London, UK.
Luis M García-MarínBrain & Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Kristi KrebsEstonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.ORCID http://orcid.org/0000-0003-0494-2751
Alexey A ShadrinCentre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Ying XiongDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0001-7644-014X
Estonian Biobank Research Team
Oleksandr FreiCentre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0002-6427-2625
Yi LuDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0001-9933-3654
Sara HäggDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0002-2452-1500
Miguel E RenteríaBrain & Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-4626-7248
Sarah E MedlandBrain & Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-1382-380X
Naomi R WrayQueensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0001-7421-3357
Nicholas G MartinBrain & Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-4069-8020
Christopher HübelInstitute of Psychiatry, Psychology & Neuroscience; Social, Genetic & Developmental Psychiatry Centre; King's College London, London, UK.
Gerome BreenInstitute of Psychiatry, Psychology & Neuroscience; Social, Genetic & Developmental Psychiatry Centre; King's College London, London, UK.ORCID http://orcid.org/0000-0003-2053-1792
Thorgeir ThorgeirssondeCODE Genetics/Amgen, Reykjavík, Iceland.ORCID http://orcid.org/0000-0002-5149-7040
Hreinn StefánssondeCODE Genetics/Amgen, Reykjavík, Iceland.ORCID http://orcid.org/0000-0002-9331-6666
Kári StefánssondeCODE Genetics/Amgen, Reykjavík, Iceland.ORCID http://orcid.org/0000-0003-1676-864X
Kelli LehtoEstonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.
Lili MilaniEstonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia.ORCID http://orcid.org/0000-0002-5323-3102
Ole A AndreassenCentre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. ole.andreassen@medisin.uio.no.ORCID http://orcid.org/0000-0002-4461-3568
Kevin S O'ConnellCentre for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway. k.s.oconnell@medisin.uio.no.

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 964874Norges Forskningsråd (Research Council of Norway) 223273Norges Forskningsråd (Research Council of Norway) 296030Vetenskapsrådet (Swedish Research Council) 2021-02615_VRVetenskapsrådet (Swedish Research Council) 2021-02732
6 · The paper itself

Abstract

Antidepressants exhibit a considerable variation in efficacy, and increasing evidence suggests that individual genetics contribute to antidepressant treatment response. Here, we combined data on antidepressant non-response measured using rating scales for depressive symptoms, questionnaires of treatment effect, and data from electronic health records, to increase statistical power to detect genomic loci associated with non-response to antidepressants in a total sample of 135,471 individuals prescribed antidepressants (25,255 non-responders and 110,216 responders). We performed genome-wide association meta-analyses, genetic correlation analyses, leave-one-out polygenic prediction, and bioinformatics analyses for genetically informed drug prioritization. We identified one novel locus (rs1106260) associated with non-response to selective serotonin reuptake inhibitors (SSRIs), and one novel locus (rs60847828) associated with non-response to SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) and showed significant polygenic prediction in independent samples. Genetic correlation analyses show positive associations between non-response to antidepressants and most psychiatric traits, and negative associations with cognitive traits and subjective well-being. In addition, we investigated drugs that target proteins likely involved in mechanisms underlying antidepressant non-response, and shortlisted drugs that warrant further replication and validation of their potential to reduce depressive symptoms in individuals who do not respond to first-line antidepressant medications. These results suggest that meta-analyses of GWAS utilizing real-world measures of treatment outcomes can increase sample sizes to improve the discovery of variants associated with non-response to antidepressants.

Indexed as

Antidepressive AgentsAdultDepressionFemaleGenome-Wide Association StudyHumansMajor Depressive DisorderMaleMiddle AgedMultifactorial InheritancePharmacogeneticsPolymorphism, Single NucleotideSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake InhibitorsTreatment OutcomeAntidepressive AgentsSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake Inhibitors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.