Evidence map›Paper›PMID 24768210›Full record

ArticlePsychiatry research2014

Effect of altitude on brain intracellular pH and inorganic phosphate levels.

Xian-Feng Shi, Paul J Carlson, Tae-Suk Kim, Young-Hoon Sung, Tracy L Hellem, Kristen K Fiedler, Seong-Eun Kim, Breanna Glaeser, Kristina Wang, Chun S Zuo and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03433651 (Creatine Monohydrate Use for Preventing Altitude Induced Depression), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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.

NCT03433651 phase4withdrawnnot on this mapstarted 2019, after this paper: background citation

Creatine Monohydrate Use for Preventing Altitude Induced Depression

TypeinterventionalSponsorMike O'Callaghan Military HospitalRan2019 to 2019Enrolled0ConditionsDepressionArmsCreatine monohydrate, Placebo
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  3. Botulism in the Highlands: Understanding the High-Altitude Effect.Journal of epidemiology and global health · 2025
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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

13 authors at 5 institutions in 1 country.

Xian-Feng ShiThe Brain Institute, University of Utah, Salt Lake City, Utah, USA; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA. Electronic address: Xianfeng.Shi@hsc.utah.edu.
Paul J CarlsonThe Brain Institute, University of Utah, Salt Lake City, Utah, USA; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Tae-Suk KimThe Brain Institute, University of Utah, Salt Lake City, Utah, USA.
Young-Hoon SungThe Brain Institute, University of Utah, Salt Lake City, Utah, USA; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Tracy L HellemThe Brain Institute, University of Utah, Salt Lake City, Utah, USA.
Kristen K FiedlerThe Brain Institute, University of Utah, Salt Lake City, Utah, USA.
Seong-Eun KimDepartment of Radiology, University of Utah, Salt Lake City, UT, USA.
Breanna GlaeserBrain Imaging Center, McLean Hospital, Department of Psychiatry, Harvard Medical School, Belmont, MA, USA.
Kristina WangBrain Imaging Center, McLean Hospital, Department of Psychiatry, Harvard Medical School, Belmont, MA, USA.
Chun S ZuoBrain Imaging Center, McLean Hospital, Department of Psychiatry, Harvard Medical School, Belmont, MA, USA.
Eun-Kee JeongDepartment of Radiology, University of Utah, Salt Lake City, UT, USA.
Perry F RenshawThe Brain Institute, University of Utah, Salt Lake City, Utah, USA; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA; VISN 19 Mental Illness Research, Education and Clinical Center (MIRECC), Department of Veterans Affairs Medical Center, Salt Lake City, UT, USA.
Douglas G KondoThe Brain Institute, University of Utah, Salt Lake City, Utah, USA; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA; VISN 19 Mental Illness Research, Education and Clinical Center (MIRECC), Department of Veterans Affairs Medical Center, Salt Lake City, UT, USA.
University of Utah · USHarvard University · USImaging Center · USMcLean Hospital · USUnited States Department of Veterans Affairs · US

Funding

PROTON MRSI STUDIES OF BIPOLAR DISORDERR01MH058681 · NIMH · UNIVERSITY OF UTAH · PI RENSHAW, PERRY FRANKLIN · 1999 to 2009
$3.0M
Dietary Supplement Creatine for Adolescent Females with SSRI-Resistant DepressionR33MH096858 · NIMH · UNIVERSITY OF UTAH · PI RENSHAW, PERRY FRANKLIN · 2014 to 2016
$703k
Mentoring in Drug Abuse NeuroimagingK05DA031247 · NIDA · UNIVERSITY OF UTAH · PI RENSHAW, PERRY FRANKLIN · 2011 to 2015
$661k
31P magnetization transfer study of bipolar disorderR21MH081076 · NIMH · MCLEAN HOSPITAL · PI ZUO, CHUN S · 2009 to 2010
$435k
Intramural VA VA999999NIDA NIH HHS DA031247NIDA NIH HHS K05 DA031247NIMH NIH HHS MH058681NIMH NIH HHS MH081076NIMH NIH HHS R01 MH058681NIMH NIH HHS R21 MH081076NIMH NIH HHS R33 MH096858
6 · The paper itself

Abstract

Normal brain activity is associated with task-related pH changes. Although central nervous system syndromes associated with significant acidosis and alkalosis are well understood, the effects of less dramatic and chronic changes in brain pH are uncertain. One environmental factor known to alter brain pH is the extreme, acute change in altitude encountered by mountaineers. However, the effect of long-term exposure to moderate altitude has not been studied. The aim of this two-site study was to measure brain intracellular pH and phosphate-bearing metabolite levels at two altitudes in healthy volunteers, using phosphorus-31 magnetic resonance spectroscopy ((31)P-MRS). Increased brain pH and reduced inorganic phosphate (Pi) levels were found in healthy subjects who were long-term residents of Salt Lake City, UT (4720ft/1438m), compared with residents of Belmont, MA (20ft/6m). Brain intracellular pH at the altitude of 4720ft was more alkaline than that observed near sea level. In addition, the ratio of inorganic phosphate to total phosphate signal also shifted toward lower values in the Salt Lake City region compared with the Belmont area. These results suggest that long-term residence at moderate altitude is associated with brain chemical changes.

Indexed as

AltitudeAdultBrainContrast MediaFemaleHumansHydrogen-Ion ConcentrationMagnetic Resonance SpectroscopyMaleMassachusettsPhosphatesPhosphorusPhosphorus IsotopesReference ValuesUtahContrast MediaPhosphatesPhosphorusPhosphorus IsotopesAltitudeHypoxiaSpectroscopy

Identifiers

PMID24768210
PMCPMC4699298
OpenAlexW2019860505

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.