Table 3.
Epigenome-wide DNA methylation at baseline associated with response to cognitive-behavioral therapy (CBT) at T1 (post-treatment) and at T2 (6-month follow-up) with suggestive significance (p ≤ 1E–5) in patients with anxiety disorders (T1: N = 336; T2: N = 306).
| T1 | |||||||
|---|---|---|---|---|---|---|---|
| CpG | Coefficienta | SE | Z-Value | P-Value b | Nearest Gene Annotation | Previous Functional Evidence | References |
| cg14814319 | −4.685 | 0.969 | −4.834 | 1.336E–06 | RPSAP52 | Associated with anxiety disorders in B-cells in a cross-anxiety disorder EWAS | [25] |
| cg10700019 | 4.548 | 0.952 | 4.776 | 1.791E–06 | ZNF251 | – | – |
| cg06730721 | 6.040 | 1.266 | 4.770 | 1.838E–06 | ABCA7 | No involvement in anxiety in Abca7 KO mice, but implicated in synaptic plasticity and cognition, as potentially relevant for CBT | [91, 92] |
| cg17982539 | 3.801 | 0.805 | 4.724 | 2.312E–06 | LTBR | – | – |
| cg02325313 | −2.662 | 0.585 | −4.553 | 5.295E–06 | ADRA2C | Adra2c mRNA levels were modulated by stress in a mouse model | [93] |
| cg01461856 | −2.140 | 0.478 | −4.472 | 7.737E–06 | SLC47A2 | Associated with anxiety disorders in granulocytes and B-cells in a cross-anxiety disorder EWAS | [25] |
| cg11888727 | −4.062 | 0.909 | −4.467 | 7.951E–06 | SH3RF3 | Associated with anxiety disorders in granulocytes in a cross-anxiety disorder EWAS | [25] |
| T2 | |||||||
| cg12069641 | 1.659 | 0.366 | 4.528 | 5.949E–06 | USP47 | – | – |
| cg00032490 | −1.892 | 0.424 | −4.465 | 8.012E–06 | ADGRD1 | – | – |
| cg04793888 | 4.040 | 0.911 | 4.435 | 9.216E–06 | PRSS58 | – | – |
Response to CBT was defined according to a T0–T1 or T0–T2 change of ≥ 50% in Hamilton Anxiety Rating Scale (HAM-A) scores (see “Treatment”).
aa positive coefficient indicates higher methylation to predict increased response to CBT and vice versa.
badjusted for absolute Hamilton Anxiety Rating Scale (HAM-A) score at T0, technical variance, age, sex, smoking status and comorbidity with depression.