Evidence map›Paper›PMID 25103207›Full record

ArticleSchizophrenia bulletin2015

Towards a psychosis risk blood diagnostic for persons experiencing high-risk symptoms: preliminary results from the NAPLS project.

Diana O Perkins, Clark D Jeffries, Jean Addington, Carrie E Bearden, Kristin S Cadenhead, Tyrone D Cannon, Barbara A Cornblatt, Daniel H Mathalon, Thomas H McGlashan, Larry J Seidman and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 7 pooled it
7.8field-weighted citation impact, top 2% 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

126 citing papers in PubMed, 7 syntheses or guidelines pooled it, 235 citations in OpenAlex.

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66 more citing papers are in PubMed but not listed here.

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

14 authors at 11 institutions in 2 countries.

Diana O PerkinsDepartment of Psychiatry, University of North Carolina, Chapel Hill, NC; diana_perkins@med.unc.edu.
Clark D JeffriesRenaissance Computing Institute, University of North Carolina, Chapel Hill, NC;
Jean AddingtonDepartment of Psychiatry, Hotchkiss Brain Institute, University of Calgary, Alberta, Canada;
Carrie E BeardenDepartments of Psychiatry and Biobehavioral Sciences and Psychology, University of California, Los Angeles, Los Angeles, CA;
Kristin S CadenheadDepartment of Psychiatry, University of California, San Diego, San Diego, CA;
Tyrone D CannonDepartment of Psychology, Yale University, New Haven, CT; Department of Psychiatry, Yale University, New Haven, CT.
Barbara A CornblattDepartment of Psychiatry, Zucker Hillside Hospital, Long Island, NY.
Daniel H MathalonDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA;
Thomas H McGlashanDepartment of Psychiatry, Yale University, New Haven, CT.
Larry J SeidmanDepartment of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center and Massachusetts General Hospital, Boston, MA;
Ming T TsuangDepartment of Psychiatry, Center for Behavioral Genomics, Institute of Genomic Medicine, University of California, San Diego, La Jolla, CA;
Elaine F WalkerDepartments of Psychology and Psychiatry, Emory University, Atlanta, GA;
Scott W WoodsDepartment of Psychiatry, Yale University, New Haven, CT.
Robert HeinssenDivision of Adult Translational Research and Treatment Development, National Institute of Mental Health, Bethesda, MD.
Yale University · USUniversity of California, San Diego · USBeth Israel Deaconess Medical Center · USEmory University · USNational Institute of Mental Health · USRenaissance Computing Institute · USUniversity of Calgary · CAUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USZucker Hillside Hospital · US

Funding

STRESS AND EMOTIONAL REACTIVITYP50MH066286 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NUECHTERLEIN, KEITH H · 2003 to 2014
$18.6M
5/9 Predictors and Mechanisms of Conversion to PsychosisU01MH082004 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PERKINS, DIANA O. · 2008 to 2018
$7.5M
Administrative Supplement Harmonization of At Risk Multisite Observational Networks for Youth(HARMONY)U01MH081928 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STONE, WILLIAM SETH · 2008 to 2018
$7.1M
4/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081857 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORNBLATT, BARBARA A. · 2008 to 2018
$6.2M
8/9 Predictors and Mechanisms of Conversion to PsychosisU01MH082022 · NIMH · YALE UNIVERSITY · PI WOODS, SCOTT W · 2008 to 2018
$6.0M
2/9 - Predictors and Mechanisms of Conversion to PsychosisU01MH081988 · NIMH · EMORY UNIVERSITY · PI WALKER, ELAINE FRAN · 2008 to 2018
$5.4M
6/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081944 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CADENHEAD, KRISTIN S. · 2008 to 2018
$4.9M
"7/9" Predictors and Mechanisms of Conversion to PsychosisU01MH081984 · NIMH · UNIVERSITY OF CALGARY · PI ADDINGTON, JEAN M · 2008 to 2018
$4.2M
9/9-Predictors and Mechanisms of Conversion to PsychosisU01MH076989 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI MATHALON, DANIEL H · 2014 to 2018
$3.9M
Enhancing the Prospective Prediction of PsychosisU01MH066160 · NIMH · YALE UNIVERSITY · PI WOODS, SCOTT W · 2003 to 2007
$1.6M
NIMH NIH HHS P50MH066286NIMH NIH HHS U01MH066160NIMH NIH HHS U01 MH076989NIMH NIH HHS U01MH081857NIMH NIH HHS U01MH0818902NIMH NIH HHS U01 MH081928NIMH NIH HHS U01MH081928NIMH NIH HHS U01 MH081944NIMH NIH HHS U01 MH081984NIMH NIH HHS U01MH081984NIMH NIH HHS U01MH081988NIMH NIH HHS U01 MH082004NIMH NIH HHS U01MH082004NIMH NIH HHS U01 MH082022NIMH NIH HHS U01MH082022
6 · The paper itself

Abstract

introductionA barrier to preventative treatments for psychosis is the absence of accurate identification of persons at highest risk. A blood test that could substantially increase diagnostic accuracy would enhance development of psychosis prevention interventions.

methodsThe North American Prodrome Longitudinal Study project is a multisite endeavor that aims to better understand predictors and mechanisms for the development of psychosis. In this study, we measured expression of plasma analytes reflecting inflammation, oxidative stress, hormones, and metabolism. A "greedy algorithm" selected analytes that best distinguished persons with clinical high-risk symptoms who developed psychosis (CHR-P; n = 32) from unaffected comparison (UC) subjects (n = 35) and from those who did not develop psychosis during a 2-year follow-up (CHR-NP; n = 40).

resultsThe classifier included 15 analytes (selected from 117), with an area under the receiver operating curve for CHR-P vs UC of 0.91 and CHR-P vs CHR-NP of 0.88. Randomly scrambled group membership followed by reconstructions of the entire classifier method yielded consistently weak classifiers, indicating that the true classifier is highly unlikely to be a chance occurrence. Such randomization methods robustly imply the assays contain consistent information distinguishing the groups which was not obscured by the data normalization method and was revealed by classifier construction. These results support the hypothesis that inflammation, oxidative stress, and dysregulation of hypothalamic-pituitary axes may be prominent in the earliest stages of psychosis.

conclusionIf confirmed in other groups of persons at elevated risk of psychosis, a multiplex blood assay has the potential for high clinical utility.

Indexed as

AdultFemaleFollow-Up StudiesHumansHypothalamo-Hypophyseal SystemInflammationMaleOxidative StressPituitary-Adrenal SystemProdromal SymptomsPsychotic DisordersRisk AssessmentYoung Adultclinical high riskimmuneinflammationmalondialdehyde-modified low-density lipoprotein (MDA-LDL)multiplexoxidative stressprodromepsychosisrisk prediction

Identifiers

PMID25103207
PMCPMC4332942
OpenAlexW2144107861

What OpenQuestion holds

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LicenceCC BY-NC
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.