Evidence map›Paper›PMID 41465113›Full record

ReviewGenes2025

Role of Genetic and Epigenetic Biomarkers in Treatment-Resistant Depression: A Literature Review.

Petra Sulić, Andrea Ražić Pavičić, Biljana Đapić Ivančić, Tamara Božina, Nada Božina, Maja Živković

Abstract readReview
In one paragraph

Review in Genes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Petra SulićClinical Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0002-2474-4763
Andrea Ražić PavičićClinical Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.
Biljana Đapić IvančićDepartment of Neurology, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.
Tamara BožinaDepartment of Medical Chemistry, Biochemistry and Clinical Chemistry, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.ORCID 0000-0001-5883-7979
Nada BožinaSchool of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Maja ŽivkovićClinical Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment-resistant depression (TRD) affects up to 30-40% of patients with major depressive disorder and remains a major therapeutic challenge. Genetic and epigenetic factors are increasingly recognized as key contributors to both vulnerability and treatment response.

methodsWe conducted a narrative review of studies published between 2021 and 2025, focusing exclusively on DNA- and RNA-based biomarkers of TRD. Twelve studies met the inclusion criteria, covering candidate gene analyses, genome-wide association studies (GWAS), neuroimaging-genetic approaches, and microRNA profiling.

resultsGenetic investigations consistently implicate neuroplasticity-related genes (

conclusionsDNA- and RNA-based biomarkers provide promising avenues for improving the understanding and management of TRD. Their integration into clinical frameworks could support patient stratification, individualized treatment selection, and real-time monitoring of therapeutic efficacy. Future research should prioritize replication, methodological harmonization, and longitudinal validation to facilitate the translation of findings into precision psychiatry.

Indexed as

Depressive Disorder, Treatment-ResistantEpigenesis, GeneticMajor Depressive DisorderBiomarkersGenome-Wide Association StudyHumansMicroRNAsBiomarkersMicroRNAsBDNFelectroconvulsive therapyepigeneticsGRIN2AGRIN2BGWASketaminemajor depressive disordermicroRNANTRK2pharmacogeneticstreatment-resistant depression

Identifiers

PMID41465113
PMCPMC12733114

What Socratic holds

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LicenceCC BY
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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 Socratic graph.