(A) Two-way mixed multivariable ANOVA indicates a significant interaction between clinical response (responders/non-responders; between-factor) and treatment course (T0/T8; within factor). Nine snoRNAs displayed significant effects in the discovery cohort. Five out of the nine snoRNAs were replicated in replication cohort 1 with SNORD90 and SCARNA3 further replicated in replication cohort 2. (B) Log2 fold-change of the expression of SNORD90 before and after antidepressant treatment for all three clinical cohorts. SNORD90 displayed significantly increased expression after eight weeks of antidepressant treatment specifically in those who responded across all three clinical cohorts. See Figure 1—figure supplement 1A for SCARNA3 expression (C) SNORD90 expression in human post-mortem ACC. Using toxicology screens, each sample was separated into the following groups: MDD with presence of antidepressants (MDD +AD; n=7), MDD with presence of non-antidepressant drugs (MDD +nonAD drugs; n=18), MDD with negative toxicology screen (MDD; n=8), controls with non-antidepressant drugs (control +nonAD drugs; n=15), and controls with negative toxicology screens (control; n=26). No control samples were positive for antidepressant drugs. (D) Snord90 expression in the ACC of mice that underwent unpredictable chronic mild stress (UCMS) and fluoxetine (flx) administration (UCMS + flx, n=5; UCMS, n=7; control +flx, n=6; control, n=5). (E) SNORD90 expression in human neuronal cultures exposed to various psychotropic drugs (n=4 per group). All bar plots represent the mean with individual data points as dots. Error bars represent S.E.M. One-way ANOVA with Bonferroni post-hoc (unless otherwise indicated on the graph). *p<0.05, **p<0.01, ***p<0.001.