Evidence map›Paper›PMID 28527566›Full record

ArticleBiological psychiatry2018

Abnormalities in High-Energy Phosphate Metabolism in First-Episode Bipolar Disorder Measured Using

Fei Du, Cagri Yuksel, Virginie-Anne Chouinard, Polly Huynh, Kyle Ryan, Bruce M Cohen, Dost Öngür

Abstract read
In one paragraph

Article in Biological psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Brain lactate and pH in schizophrenia and bipolar disorder: a systematic review of findings from magnetic resonance studies.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Pooled it
  2. Functional energetic responses and individual variance of the human brain revealed by quantitative imaging of adenosine triphosphate production rates.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
    Trial
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  8. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  9. Creatine kinase imaging (CKI) for in vivo whole-brain mapping of creatine kinase reaction kinetics.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Repurposing medications to prevent psychosis.Npj mental health research · 2025
    Review
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  13. Fast 3DMagnetic resonance in medicine · 2025
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  14. Review
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  16. Fast 3DArXiv · 2024
    Article
  17. Article
  18. Review
  19. Review
  20. Lactate: A Theranostic Biomarker for Metabolic Psychiatry?Antioxidants (Basel, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Fei DuMcLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Cagri YukselMcLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Virginie-Anne ChouinardMcLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Polly HuynhMcLean Hospital, Belmont, Massachusetts.
Kyle RyanMcLean Hospital, Belmont, Massachusetts.
Bruce M CohenMcLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Dost ÖngürMcLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: dongur@partners.org.
Harvard University · USMcLean Hospital · US

Funding

Research and Mentoring on Brain and Peripheral Bioenergetics in SchizophreniaK24MH104449 · NIMH · MCLEAN HOSPITAL · PI ONGUR, DOST · 2015 to 2019
$749k
NIMH NIH HHS K24 MH104449
6 · The paper itself

Abstract

backgroundBrain energy metabolism is critical for supporting synaptic function and information processing. A growing body of evidence suggests abnormalities in brain bioenergetics in psychiatric disorders, including both bipolar disorder (BD) and schizophrenia.

methodsWe studied 20 patients experiencing a first episode of BD and 28 healthy control participants at 4T and quantified creatine kinase forward reaction rate constant using

resultsWe found a significant reduction in creatine kinase forward reaction rate constant in the BD group (F = 4.692, p = .036), whereas brain ATP and phosphocreatine concentrations, as well as brain parenchymal pH, were normal.

conclusionsThese results pinpoint a specific molecular mechanism underlying our previous observation of an inability to replenish brain ATP during times of high energy demand in BD.

Indexed as

Adenosine TriphosphateAdolescentAdultBipolar DisorderBrainCase-Control StudiesCreatine KinaseEnergy MetabolismFemaleHumansMagnetic Resonance SpectroscopyMalePhosphocreatinePhotic StimulationYoung AdultAdenosine TriphosphateCreatine KinasePhosphocreatineATPBioenergeticsImagingManiaMitochondriaMRS

Identifiers

PMID28527566
PMCPMC5632123
OpenAlexW2604501465

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.