Evidence map›Paper›PMID 20351719›Full record

ArticleMolecular psychiatry2011

Genetic variation in cholinergic muscarinic-2 receptor gene modulates M2 receptor binding in vivo and accounts for reduced binding in bipolar disorder.

D M Cannon, J K Klaver, S K Gandhi, G Solorio, S A Peck, K Erickson, N Akula, J Savitz, W C Eckelman, M L Furey and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Molecular psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04211961 (A Randomised Double-Blinded Placebo-Controlled Trial to Assess the Efficacy and Safety of Scopolamine Compared to Placebo in Individuals With Bipolar Disorder Who Are Experiencing a Depressive Episode), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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.

NCT04211961 phase2completednot on this mapstarted 2021, after this paper: background citation

A Randomised Double-Blinded Placebo-Controlled Trial to Assess the Efficacy and Safety of Scopolamine Compared to Placebo in Individuals With Bipolar Disorder Who Are Experiencing a Depressive Episode

TypeinterventionalSponsorDr. Brian HallahanRan2021 to 2024Enrolled55ConditionsBipolar Disorder DepressionArmsPlacebo / Saline, Scopolamine
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. The effect of scopolamine on memory and attention: a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Normalization of impaired emotion inhibition in bipolar disorder mediated by cholinergic neurotransmission in the cingulate cortex.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Multiple Nicotinic Acetylcholine Receptor Subtypes in the Mouse Amygdala Regulate Affective Behaviors and Response to Social Stress.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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

13 authors at 4 institutions in 3 countries.

D M CannonClinical Neuroimaging Laboratory, Department of Psychiatry, National University of Ireland, Galway, Co. Galway, Ireland. dara.cannon@nuigalway.ie
J K Klaver
S K Gandhi
G Solorio
S A Peck
K Erickson
N Akula
J Savitz
W C Eckelman
M L Furey
B J Sahakian
F J McMahon
W C Drevets
United States Department of Health and Human Services · USOllscoil na Gaillimhe – University of Galway · IETracer Technologies (United States) · USUniversity of Cambridge · GB

Funding

Mapping genes that contribute to bipolar disorderZIAMH002810 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI MCMAHON, FRANCIS J · 2009 to 2025
$31.2M
Cholinergic Modulation of Cognition and Emotion in Mood DisordersZIAMH002813 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2009 to 2014
$3.4M
Muscarinic Cholinergic Receptor Imaging in DepressionZ01MH002811 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI DREVETS, WAYNE C · 2003 to 2008
$823k
Muscarinic Cholinergic Receptor Imaging in DepressionZIAMH002811 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI DREVETS, WAYNE C · 2009 to 2009
$196k
Intramural NIH HHS Z01 MH002811
6 · The paper itself

Abstract

Genetic variation in the cholinergic muscarinic-2 (M(2)) receptor gene (CHRM2) has been associated with the risk for developing depression. We previously reported that M(2)-receptor distribution volume (V(T)) was reduced in depressed subjects with bipolar disorder (BD) relative to depressed subjects with major depressive disorder (MDD) and healthy controls (HCs). In this study, we investigated the effects of six single-nucleotide polymorphisms (SNPs) for CHRM2 on M(2)-receptor binding to test the hypotheses that genetic variation in CHRM2 influences M(2)-receptor binding and that a CHRM2 polymorphism underlies the deficits in M(2)-receptor V(T) observed in BD. The M(2)-receptor V(T) was measured using positron emission tomography and [(18)F]FP-TZTP in unmedicated, depressed subjects with BD (n=16) or MDD (n=24) and HCs (n=25), and the effect of genotype on V(T) was assessed. In the controls, one SNP (with identifier rs324650, in which the ancestral allele adenine (A) is replaced with one or two copies of thymine (T), showed a significant allelic effect on V(T) in the pregenual and subgenual anterior cingulate cortices in the direction AA<AT<TT. In contrast, in BD subjects with the TT genotype, V(T) was significantly lower than in BD subjects with the AT genotype in these regions. The BD subjects homozygous for the T -allele also showed markedly lower V(T) (by 27 to 37% across regions) than HCs of the same genotype. Post hoc analyses suggested that T homozygosity was associated with a more severe illness course, as manifested by lower socioeconomic function, poorer spatial recognition memory and a greater likelihood of having attempted suicide. These data represent novel preliminary evidence that reduced M(2)-receptor V(T) in BD is associated with genetic variation within CHRM2. The differential impact of the M(2)-receptor polymorphism at rs324650 in the BD and HC samples suggests interactive effects with an unidentified vulnerability factor for BD.

Indexed as

AdolescentAdultBipolar DisorderBrainCognition DisordersFemaleFluorine RadioisotopesGenome-Wide Association StudyGenotypeHumansMaleMiddle AgedNeuropsychological TestsPolymorphism, Single NucleotidePositron-Emission TomographyProtein BindingCHRM2 protein, humanFluorine RadioisotopesReceptor, Muscarinic M2

Identifiers

PMID20351719
PMCPMC2895691
OpenAlexW2036864116

What OpenQuestion holds

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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.