Evidence map›Paper›PMID 28981868›Full record

ArticleSchizophrenia bulletin2017

New Research Strategy for Measuring Pre- and Postnatal Metal Dysregulation in Psychotic Disorders.

Eva Velthorst, Lauren Smith, Ghalib Bello, Christine Austin, Chris Gennings, Amirhoessein Modabbernia, Nathalie Franke, Sophia Frangou, Robert Wright, Lieuwe de Haan and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Zinc in psychosis (Review).Molecular medicine reports · 2025
    Review
  3. Article
  4. Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Review
  5. Article
  6. Article
  7. Early life metal dysregulation in amyotrophic lateral sclerosis.Annals of clinical and translational neurology · 2020
    Article
  8. Review
  9. 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

12 authors at 2 institutions in 2 countries.

Eva VelthorstDepartment of Psychiatry.
Lauren SmithDepartment of Psychiatry.
Ghalib BelloDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, NY, USA.
Christine AustinDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, NY, USA.
Chris GenningsDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, NY, USA.
Amirhoessein ModabberniaDepartment of Psychiatry.
Nathalie FrankeDepartment of Psychiatry, Academic Medical Center, Amsterdam, The Netherlands.
Sophia FrangouDepartment of Psychiatry.
Robert WrightDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, NY, USA.
Lieuwe de HaanDepartment of Psychiatry, Academic Medical Center, Amsterdam, The Netherlands.
Abraham ReichenbergDepartment of Psychiatry.
Manish AroraDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, NY, USA.
Icahn School of Medicine at Mount Sinai · USAcademic Medical Center · NL

Funding

The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
Organic-metal mixtures and neurodevelopmentR01ES026033 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Manish Arora, Robert O Wright · 2016 to 2026
$6.1M
Reconstructing fetal toxicant exposure and homeostatic disruptionsDP2ES025453 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ARORA, MANISH · 2014 to 2019
$2.6M
NIEHS NIH HHS DP2 ES025453NIEHS NIH HHS P30 ES023515
6 · The paper itself

Abstract

While previous studies have found evidence for detrimental effects of metals on neurodevelopment, the long-term effects on mental health remain unclear. The objective was to explore the effect of early metal exposure on risk of psychotic disorder and on symptom severity following illness onset. Through the use of validated tooth-biomarkers, we estimated pre- and postnatal exposure levels of essential elements (copper, magnesium, manganese, and zinc) and elements associated with neurotoxicity (lead, arsenic, lithium, and tin). We found consistently higher levels of lithium in patients compared to controls. Higher levels of magnesium and lower levels of zinc were associated with more severe psychopathology over 20 years after metal exposure. The results show promise for the use of teeth biomarkers in examining early environmental risk for psychosis and underscore the relevance of studying metal exposure during critical neurodevelopmental periods.

Indexed as

Environmental ExposureAdultArsenicCopperFemaleHumansLeadLithiumMagnesiumManganeseMass SpectrometryPregnancyPrenatal Exposure Delayed EffectsPsychotic DisordersSchizophreniaTinArsenicCopperLeadLithiumMagnesiumManganeseTinZincenvironmental exposureneurodevelopmental disorderspsychosistoothtrace elements

Identifiers

PMID28981868
PMCPMC5737339
OpenAlexW2753454688

What OpenQuestion holds

Textmetadata
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.