Evidence map›Paper›PMID 25726893›Full record

ArticleEuropean neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology2015

Decreased AKT1/mTOR pathway mRNA expression in short-term bipolar disorder.

Rodrigo Machado-Vieira, Marcus V Zanetti, Antonio L Teixeira, Miyuki Uno, Leandro L Valiengo, Marcio G Soeiro-de-Souza, Sueli M Oba-Shinjo, Rafael T de Sousa, Carlos A Zarate, Wagner F Gattaz and 1 more

Open access · greenAbstract read
In one paragraph

Article in European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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  10. Article
  11. Review
  12. Article
  13. Article
  14. The engagement of autophagy in maniac disease.CNS neuroscience & therapeutics · 2023
    Review
  15. Arterial Stiffness in Patients with Bipolar Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Article
  16. RNA Biomarkers in Bipolar Disorder and Response to Mood Stabilizers.International journal of molecular sciences · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article
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

11 authors at 3 institutions in 2 countries.

Rodrigo Machado-VieiraLaboratory of Neuroscience, LIM- 27, Institute and Department of Psychiatry, University of Sao Paulo, Brazil; Center for Interdisciplinary Research on Applied Neurosciences (NAPNA), University of Sao Paulo, Brazil; Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, NIH, Bethesda, MD, United States. Electronic address: machadovieirar@gmail.com.
Marcus V ZanettiLaboratory of Neuroscience, LIM- 27, Institute and Department of Psychiatry, University of Sao Paulo, Brazil; Center for Interdisciplinary Research on Applied Neurosciences (NAPNA), University of Sao Paulo, Brazil.
Antonio L TeixeiraInterdisciplinary Laboratory of Medical Investigation, Federal University of Minas Gerais, Brazil.
Miyuki UnoLaboratory of Molecular and Cellular Biology, Department of Neurology, University of Sao Paulo, Brazil.
Leandro L ValiengoLaboratory of Neuroscience, LIM- 27, Institute and Department of Psychiatry, University of Sao Paulo, Brazil.
Marcio G Soeiro-de-SouzaMood Disorders Program, GRUDA, Department of Psychiatry, University of Sao Paulo, Brazil.
Sueli M Oba-ShinjoExperimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, NIH, Bethesda, MD, United States.
Rafael T de SousaLaboratory of Neuroscience, LIM- 27, Institute and Department of Psychiatry, University of Sao Paulo, Brazil.
Carlos A ZarateExperimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, NIH, Bethesda, MD, United States.
Wagner F GattazLaboratory of Neuroscience, LIM- 27, Institute and Department of Psychiatry, University of Sao Paulo, Brazil; Center for Interdisciplinary Research on Applied Neurosciences (NAPNA), University of Sao Paulo, Brazil.
Suely K N MarieLaboratory of Molecular and Cellular Biology, Department of Neurology, University of Sao Paulo, Brazil.
Universidade de São Paulo · BRNational Institute of Mental Health · USUniversidade Federal de Minas Gerais · BR

Funding

Glutamatergic Modulators for Rapid & Sustained Antidepressant EffectZIAMH002857 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2009 to 2025
$55.0M
Target validation of novel therapeutic agents in mood disordersZIAMH002927 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2010 to 2025
$37.1M
Intramural NIH HHS Z99 MH999999
6 · The paper itself

Abstract

Strong evidence implicates intracellular signaling cascades dysfunction in the pathophysiology of Bipolar Disorder (BD). Regulation of AKT/mTOR pathway is a critical signaling pathway in synaptic neurotransmission and plasticity, also modulating cell proliferation and migration. Gene expression of the AKT/mTOR pathway was assessed in 25 BD (DSM-IV-TR criteria) unmedicated depressed individuals at baseline and after 6 weeks of lithium therapy and 31 matched healthy controls. Decreases in blood AKT1 and mTOR mRNA expression, as well as in BAD/BCL-2 expression ratio were observed in short-term BD patients during depressive episodes in comparison to healthy controls. There was no significant change in the expression of AKT1, mTOR, BCL-2, BAD and NDUFA6 after lithium therapy in the total group of BD subjects. However, the changes in AKT1 expression after lithium treatment were positively correlated with depression improvement. An integrated activity within this pathway was observed at both baseline and post-treatment. The present results support an integrated AKT/mTOR signaling pathway activity in a similar fashion to the described in previous human postmortem and rodents brain studies. Overall, the results reinforce a role for AKT1 and mTOR in the pathophysiology of BD and support the relevance of blood mRNA expression as a valid surrogate biological source to study brain intracellular signaling cascades changes and convergent molecular pathways in psychiatric disorders.

Indexed as

AdolescentAdultAntimanic Agentsbcl-Associated Death ProteinBipolar DisorderFemaleGene Expression RegulationGene Regulatory NetworksHumansLithium ChlorideMaleMiddle AgedNADH DehydrogenaseProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-bcl-2RNA, MessengerAKT1 protein, humanAntimanic AgentsBAD protein, humanbcl-Associated Death ProteinLithium ChlorideMTOR protein, humanNADH DehydrogenaseProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-bcl-2RNA, MessengerTOR Serine-Threonine KinasesAKTBipolar disorderDepressionLithiummTORTreatment

Identifiers

PMID25726893
PMCPMC5863235
OpenAlexW2085265454

What OpenQuestion holds

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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.