Evidence map›Paper›PMID 22414961›Full record

ArticlePsychopharmacology2012

Effects of chronic clozapine administration on markers of arachidonic acid cascade and synaptic integrity in rat brain.

Hyung-Wook Kim, Yewon Cheon, Hiren R Modi, Stanley I Rapoport, Jagadeesh S Rao

Registry-linked trialAbstract read
In one paragraph

Article in Psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02272010 (Targeted Alterations in n-3 and n-6 Fatty Acids for the Management of Mood Variability in the Maintenance Phase of Bipolar Disorder), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 25% 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.

NCT02272010 nacompletednot on this mapstarted 2014, after this paper: background citation

Targeted Alterations in n-3 and n-6 Fatty Acids for the Management of Mood Variability in the Maintenance Phase of Bipolar Disorder

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2014 to 2019Enrolled83ConditionsBipolar DisorderArmsExperimental Diet, Comparator Diet
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Arachidonic acid in aging: New roles for old players.Journal of advanced research · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Does Systemic Inflammation Play a Role in Pediatric Psychosis?Clinical schizophrenia & related psychoses · 2015
    Article
  16. Existing and novel biological therapeutics in suicide prevention.American journal of preventive medicine · 2014
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

5 authors at 4 institutions in 1 country.

Hyung-Wook KimBrain Physiology and Metabolism Section, National Institute on Aging, National Institutes of Health, Bethesda, MD 20892, USA. peterkhw@gmail.com
Yewon Cheon
Hiren R Modi
Stanley I Rapoport
Jagadeesh S Rao
National Institutes of Health · USInstitute on Aging · USNational Institute on Aging · USSeattle University · US

Funding

Psychoactive Drug Effects on Brain Arachidonic Acid Signaling and Metabolism ZIAAG000150 · NIA · NATIONAL INSTITUTE ON AGING · PI RAPOPORT, STANLEY I. · 2009 to 2016
$4.9M
Lipids in Brain Disease: Animal ModelsZIAAG000151 · NIA · NATIONAL INSTITUTE ON AGING · PI RAPOPORT, STANLEY I. · 2009 to 2016
$3.8M
Lipids in Brain Disease: Animal ModelsZ01AG000151 · NIA · NATIONAL INSTITUTE ON AGING · PI RAPOPORT, STANLEY I. · 2008 to 2008
$325k
Intramural NIH HHS Z01 AG000151
6 · The paper itself

Abstract

backgroundThe mode of action of clozapine, an atypical antipsychotic approved for treating schizophrenia (SZ) and used for bipolar disorder (BD) mania, remains unclear. We tested for overlap with the actions of the mood stabilizers, lithium, carbamazepine and valproate, which downregulate arachidonic acid (AA) cascade markers in rat brain and upregulate BDNF. AA cascade markers are upregulated in BD and SZ postmortem BD brain in association with neuroinflammation and synaptic loss, while BDNF is decreased.

methodsRats were injected intraperitoneally with a therapeutically relevant dose of clozapine (10 mg/kg/day) or with saline for 30 days, and AA cascade and synaptic markers and BDNF were measured in the brain.

resultsCompared with saline-injected rats, chronic clozapine increased brain activity, mRNA and protein levels of docosahexaenoic acid (DHA)-selective calcium-independent phospholipase A₂ type VIA (iPLA₂), mRNA and protein levels of BDNF and of the postsynaptic marker, drebrin, while decreasing cyclooxygenase (COX) activity and concentration of prostaglandin E₂ (PGE₂), a proinflammatory AA metabolite. Activity and expression of AA-selective calcium-dependent cytosolic cPLA₂ type IVA and of secretory sPLA₂ Type II were unchanged.

conclusionsThese results show overlap with effects of mood stabilizers with regard to downregulation of COX activity and PGE₂ and to increased BDNF and suggest a common action against the reported neuropathology of BD and SZ. The increased iPLA₂ expression following clozapine suggests increased production of anti-inflammatory DHA metabolites, and, with increased BDNF and drebrin, clear neuroprotective action.

Indexed as

AnimalsAntipsychotic AgentsArachidonic AcidBiomarkersBrainBrain-Derived Neurotrophic FactorClozapineCytoplasmDinoprostoneDocosahexaenoic AcidsDown-RegulationDrug Administration ScheduleMaleNeuropeptidesPhospholipases A2Prostaglandin-Endoperoxide SynthasesAntipsychotic AgentsArachidonic AcidBiomarkersBrain-Derived Neurotrophic FactorClozapineDinoprostoneDocosahexaenoic AcidsdrebrinsNeuropeptidesPhospholipases A2Prostaglandin-Endoperoxide Synthases

Identifiers

PMID22414961
PMCPMC3478065
OpenAlexW2025574739

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.