Evidence map›Paper›PMID 24465804›Full record

ArticlePloS one2014

Elevated levels of plasma phenylalanine in schizophrenia: a guanosine triphosphate cyclohydrolase-1 metabolic pathway abnormality?

Olaoluwa Okusaga, Olesja Muravitskaja, Dietmar Fuchs, Ayesha Ashraf, Sarah Hinman, Ina Giegling, Annette M Hartmann, Bettina Konte, Marion Friedl, Jason Schiffman and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.8field-weighted citation impact, top 33% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

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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

16 authors at 6 institutions in 3 countries.

Olaoluwa OkusagaMood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland, United States of America ; Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, Texas, United States of America.
Olesja MuravitskajaMood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Dietmar FuchsDivision of Biological Chemistry, Biocenter Innsbruck Medical University, Innsbruck, Austria.
Ayesha AshrafMood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Sarah HinmanMood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Ina GieglingSection of Molecular and Clinical Neurobiology, Ludwig Maximilians University, Munich, Germany.
Annette M HartmannSection of Molecular and Clinical Neurobiology, Ludwig Maximilians University, Munich, Germany.
Bettina KonteSection of Molecular and Clinical Neurobiology, Ludwig Maximilians University, Munich, Germany.
Marion FriedlSection of Molecular and Clinical Neurobiology, Ludwig Maximilians University, Munich, Germany.
Jason SchiffmanDepartment of Psychology, University of Maryland, Baltimore, Maryland, United States of America.
Elliot HongMaryland Psychiatric Research Center (MPRC), Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Gloria ReevesDivision of Child and Adolescent Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, United States of America ; University of Maryland Child and Adolescent Mental Health Innovations Center, Baltimore, Maryland, United States of America.
Maureen GroerUniversity of South Florida, Tampa, Florida, United States of America.
Robert DantzerThe University of Texas, MD Anderson Cancer Center, Houston, Texas, United States of America.
Dan RujescuSection of Molecular and Clinical Neurobiology, Ludwig Maximilians University, Munich, Germany ; Department of Psychiatry, University of Halle-Wittenberg, Halle, Germany.
Teodor T PostolacheMood and Anxiety Program, University of Maryland School of Medicine, Baltimore, Maryland, United States of America ; University of Maryland Child and Adolescent Mental Health Innovations Center, Baltimore, Maryland, United States of America ; VISN 5 Capitol Health Care Network Mental Illness Research Education and Clinical Center (MIRECC), Baltimore, Maryland, United States of America ; VISN 19 MIRECC, Denver, Colorado, United States of America.
University of Maryland, Baltimore · USLudwig-Maximilians-Universität München · DEInnsbruck Medical University · ATMental Illness Research, Education and Clinical Centers · USThe University of Texas MD Anderson Cancer Center · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhenylalanine and tyrosine are precursor amino acids required for the synthesis of dopamine, the main neurotransmitter implicated in the neurobiology of schizophrenia. Inflammation, increasingly implicated in schizophrenia, can impair the function of the enzyme Phenylalanine hydroxylase (PAH; which catalyzes the conversion of phenylalanine to tyrosine) and thus lead to elevated phenylalanine levels and reduced tyrosine levels. This study aimed to compare phenylalanine, tyrosine, and their ratio (a proxy for PAH function) in a relatively large sample of schizophrenia patients and healthy controls.

methodsWe measured non-fasting plasma phenylalanine and tyrosine in 950 schizophrenia patients and 1000 healthy controls. We carried out multivariate analyses to compare log transformed phenylalanine, tyrosine, and phenylalanine:tyrosine ratio between patients and controls.

resultsCompared to controls, schizophrenia patients had higher phenylalanine (p<0.0001) and phenylalanine: tyrosine ratio (p<0.0001) but tyrosine did not differ between the two groups (p = 0.596).

conclusionsElevated phenylalanine and phenylalanine:tyrosine ratio in the blood of schizophrenia patients have to be replicated in longitudinal studies. The results may relate to an abnormal PAH function in schizophrenia that could become a target for novel preventative and interventional approaches.

Indexed as

AdolescentAdultCase-Control StudiesDemographyFemaleGTP CyclohydrolaseHumansMaleMetabolic Networks and PathwaysMiddle AgedPhenylalanineSchizophreniaTyrosineYoung AdultGTP CyclohydrolasePhenylalanineTyrosine

Identifiers

PMID24465804
PMCPMC3897774
OpenAlexW1994714996

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.