Evidence map›Paper›PMID 19448189›Full record

Trial reportThe American journal of psychiatry2009

A genomewide association study of response to lithium for prevention of recurrence in bipolar disorder.

Roy H Perlis, Jordan W Smoller, Manuel A R Ferreira, Andrew McQuillin, Nick Bass, Jacob Lawrence, Gary S Sachs, Vishwajit Nimgaonkar, Edward M Scolnick, Hugh Gurling and 2 more

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The American journal of psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
7.9field-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.

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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 163 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. The Mechanisms of Lithium Action: The Old and New Findings.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  10. Review
  11. Article
  12. Review
  13. Lithium rescues dendritic abnormalities in Ank3 deficiency models through the synergic effects of GSK3β and cyclic AMP signaling pathways.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  14. Article
  15. Genetic and Epigenetic Markers of Lithium Response.International journal of molecular sciences · 2022
    Review
  16. Article
  17. Pharmacogenomics of Lithium Response in Bipolar Disorder.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  18. Article
  19. Article
  20. Review

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Roy H PerlisDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. rperlis@partners.org
Jordan W Smoller
Manuel A R Ferreira
Andrew McQuillin
Nick Bass
Jacob Lawrence
Gary S Sachs
Vishwajit Nimgaonkar
Edward M Scolnick
Hugh Gurling
Pamela Sklar
Shaun Purcell
Massachusetts General Hospital · US

Funding

TREATMENT OF BIPOLAR DISORDER-278980001N01MH080001 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · 1998 to 2003
$5.3M
Genetic Determinants of Bipolar DisorderR01MH063420 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NIMGAONKAR, VISHWAJIT LAXMIKANT · 2003 to 2007
$4.3M
Genetic Determinants of Bipolar DisorderR01MH063445 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SMOLLER, JORDAN W · 2003 to 2007
$4.1M
Psychiatric research infrastructure for intervention and implementation in India – TEAMSD43TW009114 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Smita N Deshpande, Mary Elizabeth Hawk · 2014 to 2026
$3.2M
Genetic Determinants of Bipolar DisorderR01MH067288 · NIMH · WHITEHEAD INSTITUTE FOR BIOMEDICAL RES · PI SKLAR, PAMELA · 2003 to 2007
$3.1M
Large scale association studies in bipolar disorderR01MH062137 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SKLAR, PAMELA · 2002 to 2006
$1.6M
FIC NIH HHS D43 TW009114Medical Research Council G0500791Medical Research Council G9623693NNIMH NIH HHS MH-062137NIMH NIH HHS MH-063445NIMH NIH HHS MH-067288NIMH NIH HHS MH63420NIMH NIH HHS N01 MH080001NIMH NIH HHS R01 MH062137NIMH NIH HHS R01 MH063420NIMH NIH HHS R01 MH063445NIMH NIH HHS R01 MH067288
6 · The paper itself

Abstract

objectiveLithium remains a first-line treatment for bipolar disorder, but the mechanisms by which it prevents the recurrence of mood episodes are not known. The authors utilized data from a genomewide association study to examine associations between single nucleotide polymorphisms (SNPs) and the outcome of lithium treatment in two cohorts of patients with bipolar I disorder or bipolar II disorder.

methodThe hazard for mood episode recurrence was examined among 1,177 patients with bipolar I disorder or bipolar II disorder, including 458 individuals treated with lithium carbonate or citrate, who were participants in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) cohort. SNPs showing the greatest evidence of association in Cox regression models were then examined for association with positive lithium response among 359 bipolar I or II disorder patients treated with lithium carbonate or citrate in a second cohort from the University College London.

resultsThe strongest association in the STEP-BD cohort (minimum p=5.5 x 10(-7)) was identified for a region on chromosome 10p15 (rs10795189). Of the regions showing suggestive evidence (p<5 x 10(-4)) of association with lithium response, five were further associated with positive lithium response in the University College London cohort, including SNPs in a region on chromosome 4q32 spanning a gene coding for the glutamate/alpha-amino-3-hydroxy-5-methyl-4-isoxazolpropionate (AMPA) receptor GRIA2.

conclusionsMultiple novel loci merit further examination for association with lithium response in bipolar disorder patients, including one region that spans the GRIA2 gene, for which expression has been shown to be regulated by lithium treatment.

Indexed as

GenomeAdultAllelesAntipsychotic AgentsBipolar DisorderChromosomes, Human, Pair 4Diagnostic and Statistical Manual of Mental DisordersFemaleGenotypeHumansLithium CarbonateMalePolymorphism, Single NucleotideReceptors, AMPASecondary PreventionAntipsychotic Agentsglutamate receptor ionotropic, AMPA 2Lithium CarbonateReceptors, AMPA

Identifiers

PMID19448189
PMCPMC3908470
OpenAlexW2132596780

What OpenQuestion holds

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Registered trials

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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.