Evidence map›Paper›PMID 21443573›Full record

ArticleBipolar disorders2011

Neurochemical deficits in the cerebellar vermis in child offspring of parents with bipolar disorder.

Manpreet K Singh, Daniel Spielman, Allison Libby, Elizabeth Adams, Tenah Acquaye, Meghan Howe, Ryan Kelley, Allan Reiss, Kiki D Chang

Open access · greenAbstract read
In one paragraph

Article in Bipolar disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Consensus Paper: Cerebellum and Reward.Cerebellum (London, England) · 2024
    Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Aberrant cerebellar connectivity in bipolar disorder with psychosis.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2017
    Article
  8. Consensus Paper: Cerebellum and Emotion.Cerebellum (London, England) · 2017
    Article
  9. A review of MR spectroscopy studies of pediatric bipolar disorder.AJNR. American journal of neuroradiology · 2014
    Review
  10. Article
  11. Posterior cerebellar vermal deficits in bipolar disorder.Journal of affective disorders · 2013
    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

9 authors at 2 institutions in 1 country.

Manpreet K SinghPediatric Bipolar Disorders Research Program, Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA. mksingh@stanford.edu
Daniel Spielman
Allison Libby
Elizabeth Adams
Tenah Acquaye
Meghan Howe
Ryan Kelley
Allan Reiss
Kiki D Chang
Stanford University · USStanford Medicine · US

Funding

X-RAY COMPATIBLE RF-COIL FOR MR IMAGINGP41RR009784 · NCRR · STANFORD UNIVERSITY · PI GLOVER, GARY H · 1995 to 2011
$15.0M
TRAINING FOR CHILD PSYCHIATRY AND CHILD DEVELOPMENTT32MH019908 · NIMH · STANFORD UNIVERSITY · PI IAN H GOTLIB, DAVID S HONG · 1993 to 2026
$6.3M
Genetic and Neurobiologic Risk Factors for Bipolar Disorder DevelopmentR01MH077047 · NIMH · STANFORD UNIVERSITY · PI CHANG, KIKI D · 2007 to 2011
$2.9M
Emotion Regulation in Children of Parents with Bipolar DisorderK23MH085919 · NIMH · STANFORD UNIVERSITY · PI SINGH, MANPREET K · 2009 to 2013
$866k
NCRR NIH HHS P41 RR009784NCRR NIH HHS RR 09784NIMH NIH HHS K23 MH085919NIMH NIH HHS R01 MH077047NIMH NIH HHS R01 MH077047-01NIMH NIH HHS T32 MH019908
6 · The paper itself

Abstract

objectivesWe aimed to compare concentrations of N-acetyl aspartate, myo-inositol, and other neurometabolites in the cerebellar vermis of offspring at risk for bipolar disorder (BD) and healthy controls to examine whether changes in these neuronal metabolite concentrations occur in at-risk offspring prior to the onset of mania.

methodsA total of 22 children and adolescents aged 9-17 years with a familial risk for bipolar I or II disorder [at-risk offspring with non-bipolar I disorder mood symptoms (AR)], and 25 healthy controls (HC) were examined using proton magnetic resonance spectroscopy at 3T to study metabolite concentrations in an 8-cc voxel in the cerebellar vermis.

resultsDecreased myo-inositol and choline concentrations in the vermis were seen in the AR group compared to HC (p<0.01).

conclusionsDecreased cellular metabolism and interference with second messenger pathways may be present in the cerebellar vermis in youth at risk for BD as evident by decreased myo-inositol and choline concentrations in this region. These results may be limited by a cross-sectional design, co-occurring diagnoses, and medication exposure. Longitudinal studies are necessary to determine whether early neurochemical changes can predict the development of mania. Improved methods for identifying children with certain neurochemical vulnerabilities may inform preventive and early intervention strategies prior to the onset of mania.

Indexed as

AdolescentAspartic AcidBipolar DisorderBrain ChemistryCerebellumChildCholineFemaleHumansInositolMagnetic Resonance SpectroscopyMaleProtonsPsychiatric Status Rating ScalesAspartic AcidCholineInositolN-acetylaspartateProtons

Identifiers

PMID21443573
PMCPMC3066452
OpenAlexW2152595298

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.