Evidence map›Paper›PMID 29031411›Full record

ArticleBiological psychiatry2018

In Vivo Brain Glycine and Glutamate Concentrations in Patients With First-Episode Psychosis Measured by Echo Time-Averaged Proton Magnetic Resonance Spectroscopy at 4T.

Sang-Young Kim, Marc J Kaufman, Bruce M Cohen, J Eric Jensen, Joseph T Coyle, Fei Du, Dost Öngür

Open access · greenAbstract 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 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
3.4field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  18. Association of default-mode network neurotransmitters and inter-network functional connectivity in first episode psychosis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sang-Young KimMcLean Imaging Center, McLean Hospital, Harvard Medical School, Belmont, Massachusetts; Psychotic Disorders Division, McLean Hospital, Harvard Medical School, Belmont, Massachusetts.
Marc J KaufmanMcLean Imaging Center, McLean Hospital, Harvard Medical School, Belmont, Massachusetts; Translational Imaging Laboratory, McLean Hospital, Harvard Medical School, Belmont, Massachusetts.
Bruce M CohenProgram for Neuropsychiatric Research, McLean Hospital, Harvard Medical School, Belmont, Massachusetts.
J Eric JensenDeceased.
Joseph T CoyleLaboratory for Psychiatric and Molecular Neuroscience, McLean Hospital, Harvard Medical School, Belmont, Massachusetts.
Fei DuMcLean Imaging Center, McLean Hospital, Harvard Medical School, Belmont, Massachusetts; Psychotic Disorders Division, McLean Hospital, Harvard Medical School, Belmont, Massachusetts.
Dost ÖngürPsychotic Disorders Division, McLean Hospital, Harvard Medical School, Belmont, Massachusetts. Electronic address: dongur@partners.org.
Harvard University · USMcLean Hospital · USImaging Center · US

Funding

Probing the White Matter in Schizophrenia Using Novel MRS TechniquesR01MH094594 · NIMH · MCLEAN HOSPITAL · PI ONGUR, DOST · 2011 to 2015
$1.8M
Research and Mentoring on Brain and Peripheral Bioenergetics in SchizophreniaK24MH104449 · NIMH · MCLEAN HOSPITAL · PI ONGUR, DOST · 2015 to 2019
$749k
NIMH NIH HHS K24 MH104449NIMH NIH HHS R01 MH094594
6 · The paper itself

Abstract

backgroundAccumulating evidence suggests the involvement of abnormal glutamateric neurotransmission and N-methyl-D-aspartate receptor hypofunction in the pathophysiology of psychotic disorders. The purpose of this study was to quantify in vivo glutamate (Glu) and glycine (Gly) levels in patients with first-episode psychosis as well as age-matched healthy control subjects with magnetic resonance spectroscopy (MRS).

methodsThe subjects were 46 patients with first-episode psychosis (20 with a schizophrenia spectrum disorder, 26 with bipolar disorder) and 50 age-matched healthy control subjects. Glu and Gly levels were measured in vivo in the anterior cingulate cortex and posterior cingulate cortex of the subjects by using the echo time-averaged proton MRS technique at 4T (i.e., modified point resolved spectroscopy sequence: 24 echo time steps with 20-ms increments). Metabolite levels were quantified using LCModel with simulated basis sets.

resultsSignificantly higher Glu and Gly levels were found in both the anterior cingulate cortex and posterior cingulate cortex of patients with first-episode psychosis as compared with healthy control subjects. Glu and Gly levels were positively correlated in patients. Patients with a schizophrenia spectrum disorder and bipolar disorder showed similar abnormalities.

conclusionsOur findings demonstrate abnormally elevated brain Glu and Gly levels in patients with first-episode psychosis by means of echo time-averaged proton MRS at 4T. The findings implicate dysfunction of N-methyl-D-aspartate receptor and glutamatergic neurotransmission in the pathophysiology of the acute early phase of psychotic illnesses.

Indexed as

Proton Magnetic Resonance SpectroscopyAdultBipolar DisorderBrainCase-Control StudiesFemaleGlutamic AcidGlycineHumansImage Processing, Computer-AssistedMaleSchizophreniaYoung AdultGlutamic AcidGlycineEcho time–averaged proton MR spectroscopyFirst-episode psychosisGluglutamateGlyglycineNMDARN-methyl-D-aspartate receptorTE

Identifiers

PMID29031411
PMCPMC5809251
OpenAlexW2752569530

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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.