Evidence map›Paper›PMID 27817844›Full record

ArticleBiological psychiatry2017

Brain Structure Biomarkers in the Psychosis Biotypes: Findings From the Bipolar-Schizophrenia Network for Intermediate Phenotypes.

Elena I Ivleva, Brett A Clementz, Anthony M Dutcher, Sara J M Arnold, Haekyung Jeon-Slaughter, Sina Aslan, Bradley Witte, Gaurav Poudyal, Hanzhang Lu, Shashwath A Meda and 4 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 3 pooled it
7.5field-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

82 citing papers in PubMed, 3 syntheses or guidelines pooled it, 144 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 2 countries.

Elena I IvlevaUniversity of Texas Southwestern Medical Center, Dallas. Electronic address: elena.ivleva@utsouthwestern.edu.
Brett A ClementzUniversity of Georgia, Athens, Georgia.
Anthony M DutcherUniversity of Texas Southwestern Medical Center, Dallas.
Sara J M ArnoldUniversity of Texas Southwestern Medical Center, Dallas.
Haekyung Jeon-SlaughterUniversity of Texas Southwestern Medical Center, Dallas.
Sina AslanAdvance MRI, LLC, Frisco; University of Texas at Dallas, Richardson, Texas.
Bradley WitteUniversity of Texas Southwestern Medical Center, Dallas.
Gaurav PoudyalUniversity of Texas Southwestern Medical Center, Dallas.
Hanzhang LuUniversity of Texas Southwestern Medical Center, Dallas; Johns Hopkins University, Baltimore, Maryland.
Shashwath A MedaInstitute of Living/Hartford Hospital, Hartford; Yale School of Medicine, New Haven, Connecticut.
Godfrey D PearlsonInstitute of Living/Hartford Hospital, Hartford; Yale School of Medicine, New Haven, Connecticut.
John A SweeneyUniversity of Texas Southwestern Medical Center, Dallas.
Matcheri S KeshavanBeth Israel Deaconess Hospital, Harvard Medical School, Boston, Massachusetts.
Carol A TammingaUniversity of Texas Southwestern Medical Center, Dallas.
The University of Texas Southwestern Medical Center · USBeth Israel Deaconess Hospital · USHartford Hospital · USJohns Hopkins University · USThe University of Texas at Dallas · USUniversity of Georgia · USYale University · US

Funding

Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077851 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2007 to 2019
$7.8M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077945 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2007 to 2019
$7.6M
Stability of Biotypes: a Longitudinal EvaluationR01MH078113 · NIMH · WAYNE STATE UNIVERSITY · PI KESHAVAN, MATCHERI S. · 2007 to 2019
$6.2M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077852 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI THAKER, GUNVANT K · 2007 to 2010
$3.5M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077862 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI SWEENEY, JOHN A · 2007 to 2010
$3.1M
NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH078113
6 · The paper itself

Abstract

backgroundThe current definitions of psychotic illness lack biological validity, motivating alternative biomarker-driven disease entities. Building on experimental constructs-Biotypes-that were previously developed from cognitive and neurophysiologic measures, we contrast brain anatomy characteristics across Biotypes alongside conventional diagnoses, examining gray matter density (GMD) as an independent validator for the Biotypes.

methodsWhole brain GMD measures were examined in probands, their relatives, and healthy subjects organized by Biotype and then by DSM-IV-TR diagnosis (n = 1409) using voxel-based morphometry with subsequent subject-level regional characterization and distribution analyses.

resultsProbands grouped by Biotype versus healthy controls showed a stepwise pattern of GMD reductions as follows: Biotype1, extensive and diffusely distributed GMD loss, with the largest effects in frontal, anterior/middle cingulate cortex, and temporal regions; Biotype2, intermediate and more localized reductions, with the largest effects in insula and frontotemporal regions; and Biotype3, small reductions localized to anterior limbic regions. Relatives showed regionally distinct GMD reductions versus healthy controls, with primarily anterior (frontotemporal) effects in Biotype1; posterior (temporo-parieto-cerebellar) in Biotype2; and normal GMD in Biotype3. Schizophrenia and schizoaffective probands versus healthy controls showed overlapping GMD reductions, with the largest effects in frontotemporal and parietal regions; psychotic bipolar probands had small reductions, primarily in frontal regions. GMD changes in relatives followed regional patterns observed in probands, albeit less extensive. Biotypes showed stronger between-group separation based on GMD than the conventional diagnoses and were the strongest predictor of GMD change.

conclusionsGMD biomarkers depicted unique brain structure characteristics within Biotypes, consistent with their cognitive and sensorimotor profiles, and provided stronger discrimination for biologically driven biotypes than symptom-based diagnoses.

Indexed as

EndophenotypesAdultBiomarkersBipolar DisorderBrainCase-Control StudiesFamilyFemaleGray MatterHumansMagnetic Resonance ImagingMaleNeuroimagingPsychotic DisordersSchizophreniaYoung AdultBiomarkersBiological markerBiotypesBrain gray matterMood disorders-bipolarSchizophreniaVoxel-based morphometry

Identifiers

PMID27817844
PMCPMC6501573
OpenAlexW2516947454

What OpenQuestion holds

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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.