Evidence map›Paper›PMID 25496061›Full record

ArticleBMC psychiatry2014

Delayed circadian phase is linked to glutamatergic functions in young people with affective disorders: a proton magnetic resonance spectroscopy study.

Sharon L Naismith, Jim Lagopoulos, Daniel F Hermens, Django White, Shantel L Duffy, Rebecca Robillard, Elizabeth M Scott, Ian B Hickie

Abstract read
In one paragraph

Article in BMC psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Elevated oxidative stress biomarkers in adults with segmented sleep patterns.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  4. Article
  5. Review
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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

8 authors.

Sharon L NaismithClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. sharon.naismith@sydney.edu.au.
Jim LagopoulosClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. jim.lagopoulos@sydney.edu.au.
Daniel F HermensClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. daniel.hermens@sydney.edu.au.
Django WhiteClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. django.white@sydney.edu.au.
Shantel L DuffyClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. shantel.duffy@sydney.edu.au.
Rebecca RobillardClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. rebecca.robillard@sydney.edu.au.
Elizabeth M ScottClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. e.scott@sydney.edu.au.
Ian B HickieClinical Research Unit, Brain & Mind Research Institute, The University of Sydney, Camperdown, NSW, 2050, Australia. ian.hickie@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the association between affective disorders and sleep and circadian disturbance is well established, little is known about the neurobiology underpinning these relationships. In this study, we sought to determine the relationship between a marker of circadian rhythm and neuronal integrity (N-Acetyl Aspartate, NAA), oxidative stress (glutathione, GSH) and neuronal-glial dysfunction (Glutamate + Glutamine, Glx).

methodsFifty-three young adults (age range 15-33 years, mean = 21.8, sd = 4.3) with emerging affective disorders were recruited from a specialized tertiary referral service. Participants underwent clinical assessment and actigraphy monitoring, from which sleep midpoint was calculated as a marker of circadian rhythm. Proton magnetic resonance spectroscopy was performed in the anterior cingulate cortex (ACC). The metabolites NAA, GSH and Glx were obtained, and expressed as a ratio to Creatine.

resultsNeither NAA or GSH were associated with sleep midpoint. However, higher levels of ACC Glx were associated with later sleep midpoints (rho = 0.35, p = 0.013). This relationship appeared to be independent of age and depression severity.

conclusionsThis study is the first to demonstrate that delayed circadian phase is related to altered glutamatergic processes. It is aligned with animal research linking circadian rhythms with glutamatergic neurotransmission as well as clinical studies showing changes in glutamate with sleep interventions. Further studies may seek to examine the role of glutamate modulators for circadian misalignment.

Indexed as

Proton Magnetic Resonance SpectroscopyAdolescentAdultAspartic AcidFemaleGlutamic AcidGlutathioneGyrus CinguliHumansMaleMood DisordersSleep Disorders, Circadian RhythmYoung AdultAspartic AcidGlutamic AcidGlutathioneN-acetylaspartate

Identifiers

PMID25496061
PMCPMC4276104

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.