Table 1 Methylome-wide association studies of Anxiety meeting inclusion criteria.

From: A systematic review of methylome-wide associations with anxiety disorders

Study

Study Design / Cohort Type

Sample Sizea

Outcome/ Diagnostic Instrument

Ethnicity/ % Female

Mean age

DNAm Platform

MTC/ Inflation Reported

Covariates / Comorbidities

Main MWAS Findings

Internal Replication

Data Availability

Iurato et al. [51]

Case-Control / Clinical

165 (89/76)

Panic / SCID I & II

European/ 59%

Cases: 36.0; Controls: 37.0

Illumina 450k

5% FDR / Yes

Age, Sex, CTC, Smoking

No significant CpGs in both sexes. In females, cg07308824 in HECA hypermethylated in cases.

Replication of cg07308824 successful in independent sample of females

Iurato: available in GEO at GSE102468

Shimada-Sugimoto et al. [55]

Case-Control / Clinical

96 (48/48)

Panic / MINI

Japanese/ 65%

Cases: 38.1; Controls: 38.2

Illumina 450k

5% FDR / Yes

Age, Sex, CTC, Smoking

40 significant CpGs; Annotated to 42 genes.

Not attempted

Data available from the National Bioscience Database Center

Ziegler et al. [56]

Case-Control / Clinical

116 (56/60)

Panic / SCID I

European/ 78%

Cases: 34.0; Controls: 33.3

Illumina EPIC

Bonferroni / Yes

Age, Smoking, CTC, 3 PCs from control probes

No significant CpGs identified.

Not attempted

No data availability statement.

Petersen et al. [54]

Case-Control & Meta-Analysis / Clinical

251 (133/118)b

Panic / SCID I & II or MINI

European & Japanese/ 61%

Cases: 37.8; Controls: 40.0

Illumina 450k

Bonferroni / No

Age, Sex, CTC, Smoking, random effect of study

61 significant CpGs; Annotated to 50 genes.

Not attempted

See respective studies

Emeny et al. 2017

Cohort / Pop.

1,522

GAD symptoms / GAD-7

European/ 52%

58.6

Illumina 450k

Bonferroni / No

Age, Sex, CTC, BMI, Smoking, Alcohol

cg12701571 in ASB1 was hypermethylated

cg12701571 associated with panic symptoms in panic disorder patients

No data availability statement

Ciuculete et al. [46]

Case-Control / Pop.

221 (55, 164)

GAD symptoms / DAWBA

European/ 74%

Low symptom: 15.4; High symptom: 15.7

Illumina 450k

Bonferroni / No

Age, Sex, CTC, BMI, analysis time point, 2 PCS from most variable CpGs

cg16333992 inSTK32B was hypermethylated

cg16333992 replicated in independent sample of adults

No data availability statement

Guo et al. [49]

Case-Control and Meta-Analysis / Clinical

460 (158, 302)c

GAD and OCD / SCID I

Han Chinese/ 50%

GAD: 36.9; OCD: 29.3; Controls: 24.5

Illumina 450k and EPIC

Benjamini-Hochberg / No

Age, Sex, CTC, PCs to explain 95% of variance in linear model

1,070 significant CpGs in case group of GAD & OCD; Annotated to 473 genes. 397 CpGs differentially methylated between GAD and OCD; Annotated to 166 genes.

Not attempted

No data availability statement

Wiegand et al. [23]

Case-Control / Pop

143 (66/77)

SAD and Severity / SCID & LSAS

European/ 66%

Ce: 25.0; CE: 27.0; Se: 23.9; SE: 28.0

Illumina EPIC

5% FDR / No

Age, Sex, CTC

5 significant CpGs in SLC43A2 and 3 CpGs in TNXB

Not attempted

No data availability statement

Ohi et al. [53]

Case-Control / Clinical and Pop

143 SAD (66/77); 263 panicd (182/81)

SAD and Panic / SCID I & II

European/ 65%

SAD cases: 25.8; SAD controls: 25.8; Panic cases: 41.1; Panic controls: 41.4

Illumina 450k and EPIC

p < 9 × 10āˆ’8 / No

Age, Sex, CTC, PCs related to slides

cg18515031 in ANAPC16 hypermethylated in individuals with SAD compared to controls. No CpG sites associated with panic disorder.

Not attempted

Data sets available upon reasonable request. IDAT files available on GEO

Hettema et al. [50]

Case-Control / Clinical

1132 (618/514)

Lifetime Anxiety / CIDI

European/ 65%

Cases; 41.9; Controls: 41.2

MBD-seq

10% FDR / Yes

Age, Sex, CTC, Smoking, Lab technical variables, 3 PCs for unmeasured variation / Depression

One significant CpG in APC2 in whole blood, 280 in monocytes, 82 in granulocytes. Annotated to 114 genes. No CpGs associated in T-cells or B-cells.

Replicated two CpGs in FZR1 in monocytes. Enrichment of Discovery findings in monocytes, T-cells and B-cells.

Full results available upon request. NESDA and GSMS data available through corresponding institutions

Kwon et al. [52]

Case-Control / Clinical

390 (66/207)

Current Anxietye / CIDI

Korean/ 55%

Cases: 43.0; Controls: 40.4

Targeted Methyl-Seq

Benjamini-Hochberg / No

Age, Sex

18 significant CpGs; Annotated to 11 genes.

Not attempted

Data available upon reasonable request

Domschke et al. [47]

Case-Control / Clinical

673 (378/295)

Current Anxietyf / CIDI

European/ 56%

Cases: 33.2; Controls: 35.2

Illumina EPIC

Bonferroni / Yes

Age, Sex, 10 control probe PCs, CTC, Smoking / Depression

148 significant CpGs; Annotated to 145 genes.

Not attempted

Full summary results available upon request

  1. BMI body mass index, CTC cell-type composition, FDR false discovery rate, GAD generalized anxiety disorder, GEO gene expression omnibus, MTC multiple testing correction, OCD obsessive compulsive disorder, PC principal component, Pop population-based, SAD social anxiety disorder, Ce controls with low levels of early life adversity (ELA). CE controls with high levels of ELA. Se = SAD cases with low levels of ELA. SE = SAD cases with high levels of ELA.
  2. aSample size presented as total N (N cases/N controls) for studies with a case-control design.
  3. b155 samples from Iurato et. al. and 96 samples from Shimada-Sugimoto et. al.
  4. cIncludes 93 participants with generalized anxiety disorder and 65 participants with obsessive-compulsive disorder.
  5. dSocial anxiety disorder participants from Wiegand et. al. and panic disorder participants from Iurato et. al. sample.
  6. fCases include participants with panic disorder, social anxiety disorder, and generalized anxiety disorder.
  7. eCases include participants with panic disorder, social anxiety disorder, agoraphobia, and multiple specific phobias.