Evidence map›Paper›PMID 19037205›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2009

Role of variation in the serotonin transporter protein gene (SLC6A4) in trait disturbances in the ventral anterior cingulate in bipolar disorder.

Maulik P Shah, Fei Wang, Jessica H Kalmar, Lara G Chepenik, Karen Tie, Brian Pittman, Monique M Jones, R Todd Constable, Joel Gelernter, Hilary P Blumberg

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Facial emotion recognition deficits in bipolar disorder: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
  2. Pooled it
  3. Article
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  7. Monoamine-sensitive developmental periods impacting adult emotional and cognitive behaviors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Review
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  9. Postnatal day 2 to 11 constitutes a 5-HT-sensitive period impacting adult mPFC function.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2014
    Article
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  18. Stress reactivity and corticolimbic response to emotional faces in adolescents.Journal of the American Academy of Child and Adolescent Psychiatry · 2012
    Article
  19. Article
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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

10 authors at 2 institutions in 1 country.

Maulik P ShahDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA. maulik.p.shah@gmail.com
Fei Wang
Jessica H Kalmar
Lara G Chepenik
Karen Tie
Brian Pittman
Monique M Jones
R Todd Constable
Joel Gelernter
Hilary P Blumberg
Yale University · USVA Connecticut Healthcare System · US

Funding

RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
Genetics of Hippocampal Deficits in Bipolar DisorderR01MH070902 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2005 to 2015
$5.1M
Development of Brain Abnormalities in Bipolar DisorderR01MH069747 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2004 to 2008
$2.0M
Howard Hughes Medical InstituteNCRR NIH HHS UL1 RR0249139NIMH NIH HHS R01 MH069747NIMH NIH HHS R01 MH070902NIMH NIH HHS R01MH070902NIMH NIH HHS R01MH69747NIMH NIH HHS T32 MH014276NIMH NIH HHS T32MH14276PHS HHS K24 15105
6 · The paper itself

Abstract

Bipolar disorder (BD) is associated with abnormalities of the ventral anterior cingulate cortex (vACC) and its connection sites, including the amygdala, which are key components of a corticolimbic neural system that subserves emotional regulation. Decreased functional connectivity from the vACC to the amygdala in healthy individuals is associated with the short 's' allele--as opposed to the long 'l' allele--of a well-known serotonin transporter promoter polymorphism (5-HTTLPR, locus SLC6A4), as are features of BD. This study tests the hypothesis that the s allele influences dysfunction in the vACC-amygdala neural system in BD. A total of 30 euthymic individuals with BD (20 s carriers, 10 ll) and 48 healthy comparison (HC) participants (34 s, 14 ll) participated in an event-related functional magnetic resonance imaging scan while processing fearful, happy, or neutral faces. During fear and happy face processing, vACC activation was significantly lower in the BD compared to the HC group, and in s carriers compared to ll individuals within both the HC and BD groups, such that BD s carriers exhibited the greatest magnitude of vACC dysfunction. No significant differences were detected in amygdala activation. The findings suggest that the 5-HTTLPR s allele may contribute to a trait-related, genetically derived, neurobiological subgroup within BD characterized by prominent vACC dysfunction. Future treatment may be optimized for this BD subgroup by targeting the serotonergic system and the vACC.

Indexed as

AdultAmygdalaBipolar DisorderEmotionsFemaleFrontal LobeGyrus CinguliHeterozygoteHumansLeast-Squares AnalysisMagnetic Resonance ImagingMalePolymorphism, GeneticRacial GroupsSequence Analysis, DNASerotonin Plasma Membrane Transport ProteinsSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID19037205
PMCPMC2826628
OpenAlexW169134997

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.