Evidence map›Paper›PMID 21176029›Full record

Trial reportBipolar disorders2010

Short-term administration of uridine increases brain membrane phospholipid precursors in healthy adults: a 31-phosphorus magnetic resonance spectroscopy study at 4T.

Nivedita Agarwal, Young-Hoon Sung, J Eric Jensen, Grace daCunha, David Harper, David Olson, Perry F Renshaw

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Bipolar disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03265964 (Clinical and Imaging Biomarker Trial of Uridine for Veterans With Suicidal Ideation), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT03265964 phase4completednot on this mapstarted 2018, after this paper: background citation

Clinical and Imaging Biomarker Trial of Uridine for Veterans With Suicidal Ideation

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2024Enrolled75ConditionsSuicidal IdeationArmsUridine, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. A defined community of core gut microbiota members promotes cognitive performance in honey bees.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. The Role of Uridine in Health and Disease.Journal of inflammation research · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. 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

7 authors at 4 institutions in 3 countries.

Nivedita AgarwalThe Brain Institute, University of Utah, 383 Colorow Drive, Salt Lake City, UT 84102, USA. niv_aga@yahoo.co.uk
Young-Hoon Sung
J Eric Jensen
Grace daCunha
David Harper
David Olson
Perry F Renshaw
Imagerie et Cerveau · FRUniversity of Utah · USAllen Institute for Brain Science · USMcLean Hospital · US

Funding

PROTON MRSI STUDIES OF BIPOLAR DISORDERR01MH058681 · NIMH · UNIVERSITY OF UTAH · PI RENSHAW, PERRY FRANKLIN · 1999 to 2009
$3.0M
Mentoring in Drug Abuse NeuroimagingK05DA031247 · NIDA · UNIVERSITY OF UTAH · PI RENSHAW, PERRY FRANKLIN · 2011 to 2015
$661k
NIDA NIH HHS K05 DA031247NIMH NIH HHS MH58681NIMH NIH HHS R01 MH058681
6 · The paper itself

Abstract

objectivesAltered metabolism of membrane phospholipids has been implicated in bipolar disorder. In humans, uridine is an important precursor of cytidine diphosphate (CDP)-choline, which plays a critical role in phospholipid synthesis and is currently being evaluated as a potential treatment for bipolar depression.

methodsA total of 17 healthy males (mean age ± SD: 32.73 ± 7.2 years; range: 21.8-46.4 years) were enrolled in this study. Subjects underwent a 31-phosphorus magnetic resonance spectroscopy ((31) P-MRS) acquisition at baseline and then again after seven days of either 2 g of uridine or placebo administration. A two-dimensional chemical shift imaging (31) P-MRS acquisition collected spectral data from a 4 × 4 cluster of voxels acquired in the axial plane encompassing the subcortical structures as well as frontal-temporal cortical gray and white matter. The slab thickness was 3 cm and the approximate total volume of brain sampled was 432 cm(3) . The spectra obtained were analyzed using a fully automated in-house fitting algorithm. A population-averaged generalized estimating equation was used to evaluate changes both in phosphomonoesters (PME) [phosphocholine (PCho) and phosphoethanolamine (PEtn)] and phosphodiesters (PDE) [glycerophosphocholine (GPCho) and glycerophosphethanolamine (GPEtn)]. Metabolite ratios were reported with respect to the total integrated (31) P resonance area.

resultsThe uridine group had significantly increased total PME and PEtn levels over the one-week period [6.32 and 7.17% for PME and PEtn, respectively (p<0.001)]. Other metabolite levels such as PCho, PDE, GPEtn and GPCho showed no significant changes following either uridine or placebo (all p>0.05).

conclusionsThis is the first study to report a direct effect of uridine on membrane phospholipid precursors in healthy adults using (31) P-MRS. Sustained administration of uridine appears to increase PME in healthy subjects. Further investigation is required to clarify the effects of uridine in disorders with altered phospholipid metabolism such as bipolar disorder.

Indexed as

AdultBrainCytidine Diphosphate CholineEthanolaminesFemaleHumansMagnetic Resonance SpectroscopyMaleMiddle AgedPhosphatidylethanolaminesPhospholipidsPhosphorus IsotopesPhosphorylcholineTime FactorsUridineCytidine Diphosphate CholineEthanolaminesglycerophosphoethanolaminePhosphatidylethanolaminesPhospholipidsPhosphorus IsotopesPhosphorylcholinephosphorylethanolamineUridine

Identifiers

PMID21176029
PMCPMC3020593
OpenAlexW2162160044

What OpenQuestion holds

Textmetadata
LicenceTDM
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.