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Genome-wide association study of antidepressant treatment resistance in a population-based cohort using health service prescription data and meta-analysis with GENDEP

Authors: Cathryn M. Lewis; Rudolf Uher; Rudolf Uher; Lauren Navrady; Chiara Fabbri; Chiara Fabbri; Ian J. Deary; +23 Authors

Genome-wide association study of antidepressant treatment resistance in a population-based cohort using health service prescription data and meta-analysis with GENDEP

Abstract

Antidepressants demonstrate modest response rates in the treatment of major depressive disorder (MDD). Despite previous genome-wide association studies (GWAS) of antidepressant treatment response, the underlying genetic factors are unknown. Using prescription data in a population and family-based cohort (Generation Scotland: Scottish Family Health Study; GS:SFHS), we sought to define a measure of (a) antidepressant treatment resistance and (b) stages of antidepressant resistance by inferring antidepressant switching as non-response to treatment. GWAS were conducted separately for antidepressant treatment resistance in GS:SFHS and the Genome-based Therapeutic Drugs for Depression (GENDEP) study and then meta-analysed (meta-analysis n = 4213, cases = 358). For stages of antidepressant resistance, a GWAS on GS:SFHS only was performed (n = 3452). Additionally, we conducted gene-set enrichment, polygenic risk scoring (PRS) and genetic correlation analysis. We did not identify any significant loci, genes or gene sets associated with antidepressant treatment resistance or stages of resistance. Significant positive genetic correlations of antidepressant treatment resistance and stages of resistance with neuroticism, psychological distress, schizotypy and mood disorder traits were identified. These findings suggest that larger sample sizes are needed to identify the genetic architecture of antidepressant treatment response, and that population-based observational studies may provide a tractable approach to achieving the necessary statistical power.

Countries
United Kingdom, Italy, United Kingdom, Denmark
Keywords

/dk/atira/pure/subjectarea/asjc/1300/1313, VENLAFAXINE, Adult, Data Analysis, Male, /dk/atira/pure/subjectarea/asjc/1300/1311, name=Genetics, 610, Adult; Antidepressive Agents; Cohort Studies; Depressive Disorder, Treatment-Resistant; Drug Prescriptions; Female; Genetic Predisposition to Disease; Genome-Wide Association Study; Humans; Male; Middle Aged; Scotland; Data Analysis; Health Services; Population Surveillance, name=Pharmacology, Drug Prescriptions, Article, Cohort Studies, Depressive Disorder, Treatment-Resistant, 616, SCHIZOPHRENIA, name=Molecular Medicine, SYSTEMATIC ANALYSIS, Humans, Genetic Predisposition to Disease, PREDICTORS, Genetic association study, RISK, PHARMACOGENETICS, /dk/atira/pure/subjectarea/asjc/3000/3004, MAJOR DEPRESSION, GLOBAL BURDEN, Health Services, Middle Aged, Antidepressive Agents, DEFINITION, Scotland, HPA AXIS, Population Surveillance, Female, Pharmacogenomics, Genome-Wide Association Study

  • BIP!
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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    63
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
63
Top 10%
Top 10%
Top 10%
Green
hybrid