Evidence map›Paper›PMID 28202290›Full record

ArticleSchizophrenia research2017

Effect of psychotropic drug treatment on sterol metabolism.

Željka Korade, Wei Liu, Emily B Warren, Kristan Armstrong, Ned A Porter, Christine Konradi

Abstract read
In one paragraph

Article in Schizophrenia research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Sterol biosynthesis, brain development, and disease.The Journal of clinical investigation · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Neurosteroid influence on affective tone.Neuroscience and biobehavioral reviews · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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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

6 authors.

Željka KoradeDepartment of Pediatrics and Department of Biochemistry and Molecular Biology, UNMC, Omaha, NE 68198, United States.
Wei LiuDepartment of Chemistry and Vanderbilt Institute of Chemical Biology, Nashville, TN 37235, United States.
Emily B WarrenDepartment of Pharmacology, Vanderbilt University, Nashville, TN 37240, United States.
Kristan ArmstrongDepartment of Psychiatry, Vanderbilt University, Nashville, TN 37212, United States.
Ned A PorterDepartment of Chemistry and Vanderbilt Institute of Chemical Biology, Nashville, TN 37235, United States.
Christine KonradiDepartment of Pharmacology, Vanderbilt University, Nashville, TN 37240, United States; Department of Psychiatry, Vanderbilt University, Nashville, TN 37212, United States. Electronic address: Christine.konradi@vanderbilt.edu.

Funding

Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
SLOS and Neuronal Oxidative StressR01HD064727 · NICHD · VANDERBILT UNIVERSITY · PI PORTER, NED ALLEN · 2010 to 2020
$3.7M
Vulnerability of DHCR7+/- mutation carriers to aripiprazole and trazodone treatmentR01MH110636 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI MIRNICS, KAROLY, PORTER, NED ALLEN · 2017 to 2021
$2.7M
Sterols, Neurogenesis and Environmental AgentsR01ES024133 · NIEHS · VANDERBILT UNIVERSITY · PI KORADE, ZELJKA, PORTER, NED ALLEN · 2015 to 2017
$1.1M
Antipsychotic drug effects in limbic structuresR01MH074000 · NIMH · VANDERBILT UNIVERSITY · PI KONRADI, CHRISTINE L · 2006 to 2008
$878k
Ozone, lipid-protein adducts, and biological effectsR21ES024666 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JASPERS, ILONA, PORTER, NED ALLEN · 2015 to 2016
$437k
NICHD NIH HHS R01 HD064727NICHD NIH HHS U54 HD083211NIEHS NIH HHS R01 ES024133NIEHS NIH HHS R21 ES024666NIMH NIH HHS R01 MH074000NIMH NIH HHS R01 MH110636
6 · The paper itself

Abstract

Cholesterol metabolism is vital for brain function. Previous work in cultured cells has shown that a number of psychotropic drugs inhibit the activity of 7-dehydrocholesterol reductase (DHCR7), an enzyme that catalyzes the final steps in cholesterol biosynthesis. This leads to the accumulation of 7-dehydrocholesterol (7DHC), a molecule that gives rise to oxysterols, vitamin D, and atypical neurosteroids. We examined levels of cholesterol and the cholesterol precursors desmosterol, lanosterol, 7DHC and its isomer 8-dehydrocholesterol (8DHC), in blood samples of 123 psychiatric patients on various antipsychotic and antidepressant drugs, and 85 healthy controls, to see if the observations in cell lines hold true for patients as well. Three drugs, aripiprazole, haloperidol and trazodone increased circulating 7DHC and 8DHC levels, while five other drugs, clozapine, escitalopram/citalopram, lamotrigine, olanzapine, and risperidone, did not. Studies in rat brain verified that haloperidol dose-dependently increased 7DHC and 8DHC levels, while clozapine had no effect. We conclude that further studies should investigate the role of 7DHC and 8DHC metabolites, such as oxysterols, vitamin D, and atypical neurosteroids, in the deleterious and therapeutic effects of psychotropic drugs. Finally, we recommend that drugs that increase 7DHC levels should not be prescribed during pregnancy, as children born with DHCR7 deficiency have multiple congenital malformations.

Indexed as

AdultAnimalsAntidepressive AgentsAntipsychotic AgentsBody Mass IndexCholestadienolsClozapineDehydrocholesterolsFemaleHaloperidolHumansLipid MetabolismMaleMental DisordersPsychiatric Status Rating ScalesRandom Allocation7-dehydrocholesterolAntidepressive AgentsAntipsychotic Agentscholesta-5,8-dien-3 beta-olCholestadienolsClozapineDehydrocholesterolsHaloperidol(6): CholesterolAripiprazoleClozapineHaloperidolNeurosteroidsTrazodone

Identifiers

PMID28202290
PMCPMC5554466

What OpenQuestion holds

Textmetadata
LicenceTDM
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.