In a subset of participants (n=8 HC, n=8 MDD), two 3 mm cutaneous vascular tissue samples were obtained from the ventral forearm under local anesthesia (2% lidocaine without epinephrine) via punch biopsy, immediately snap frozen in liquid nitrogen, and stored at −80°C until analysis34 (link), 40 (link). Protein abundance/expression was determined by Western blot and total reactive oxygen species and reactive nitrogen species (ROS+RNS) production was quantified fluorometrically (Cell Biolabs Inc, San Diego, CA, USA). The relative contribution of superoxide to total ROS+RNS was assessed by pretreatment with the SOD mimetic MnTBAP (Sigma-Aldrich). Details are provided in the Online Data Supplement.