Evidence map›Paper›PMID 17921251›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2007

Impaired glutathione synthesis in schizophrenia: convergent genetic and functional evidence.

René Gysin, Rudolf Kraftsik, Julie Sandell, Pierre Bovet, Céline Chappuis, Philippe Conus, Patricia Deppen, Martin Preisig, Viviane Ruiz, Pascal Steullet and 4 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 147 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% of its field
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.

NCT06957808 narecruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Effect of Diroximel Fumarate on Glutathione in Schizophrenia

TypeinterventionalSponsorKing's College LondonRan2025 to 2027Enrolled30ConditionsSchizophrenia DisordersArmsDiroximel fumarate (DRF), Placebo
NCT07759895 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Combination Therapy of Deferiprone and N-Acetylcysteine for Treating Negative Symptoms in Schizophrenia

TypeinterventionalSponsorAmit LotanRan2026 to 2029Enrolled80ConditionsSchizoaffecitve Disorder, Schizophrenia and Schizoaffective Disorder, Schizophrenia and Predominant Negative SymptomsArmsDeferiprone (DFP), N-Acetyl Cysteine (NAC)
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 2 syntheses or guidelines pooled it, 304 citations in OpenAlex.

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  19. Schizophrenia bulletin open · 2024
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87 more citing papers are in PubMed but not listed here.

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

14 authors at 3 institutions in 3 countries.

René GysinCenter for Psychiatric Neuroscience, Department of Psychiatry, University Hospital Center and University of Lausanne, 1008 Prilly-Lausanne, Switzerland. rene.gysin@chuv.ch
Rudolf Kraftsik
Julie Sandell
Pierre Bovet
Céline Chappuis
Philippe Conus
Patricia Deppen
Martin Preisig
Viviane Ruiz
Pascal Steullet
Mirjana Tosic
Thomas Werge
Michel Cuénod
Kim Q Do
Center for Neurosciences · USUniversity of Lausanne · CHSankt Hans Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schizophrenia is a complex multifactorial brain disorder with a genetic component. Convergent evidence has implicated oxidative stress and glutathione (GSH) deficits in the pathogenesis of this disease. The aim of the present study was to test whether schizophrenia is associated with a deficit of GSH synthesis. Cultured skin fibroblasts from schizophrenia patients and control subjects were challenged with oxidative stress, and parameters of the rate-limiting enzyme for the GSH synthesis, the glutamate cysteine ligase (GCL), were measured. Stressed cells of patients had a 26% (P = 0.002) decreased GCL activity as compared with controls. This reduction correlated with a 29% (P < 0.001) decreased protein expression of the catalytic GCL subunit (GCLC). Genetic analysis of a trinucleotide repeat (TNR) polymorphism in the GCLC gene showed a significant association with schizophrenia in two independent case-control studies. The most common TNR genotype 7/7 was more frequent in controls [odds ratio (OR) = 0.6, P = 0.003], whereas the rarest TNR genotype 8/8 was three times more frequent in patients (OR = 3.0, P = 0.007). Moreover, subjects with disease-associated genotypes had lower GCLC protein expression (P = 0.017), GCL activity (P = 0.037), and GSH contents (P = 0.004) than subjects with genotypes that were more frequent in controls. Taken together, the study provides genetic and functional evidence that an impaired capacity to synthesize GSH under conditions of oxidative stress is a vulnerability factor for schizophrenia.

Indexed as

Case-Control StudiesCells, CulturedFemaleFibroblastsGlutamate-Cysteine LigaseGlutathioneHumansMaleOxidative StressPolymorphism, GeneticProtein SubunitsSchizophreniaSkinTrinucleotide RepeatsGlutamate-Cysteine LigaseGlutathioneProtein Subunits

Identifiers

PMID17921251
PMCPMC2034265
OpenAlexW2043523067

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.