Evidence map›Paper›PMID 29755923›Full record

ArticleCurrent treatment options in psychiatry2018

Epigenetic Alterations Impact on Antipsychotic Treatment in Elderly Patients.

Bryan M McClarty, Daniel W Fisher, Hongxin Dong

Open access · greenAbstract read
In one paragraph

Article in Current treatment options in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. New Personalized Medicine Model for Medication Management.Journal of personalized medicine · 2026
    Review
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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

3 authors at 1 institution in 1 country.

Bryan M McClartyDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60611, USA.
Daniel W FisherDepartment of Neurology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60611, USA.
Hongxin DongDepartment of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60611, USA.
Northwestern University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008152 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ARDEHALI, HOSSEIN · 1987 to 2021
$24.0M
Age-Related Histone Modification Effect on Antipsychotic ActionR01MH109466 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2016 to 2020
$2.1M
Aging and Antipsychotic Efficacy - Epigenetic MechanismsR21MH100919 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, HONGXIN · 2013 to 2014
$425k
Role of HCN Channels in Major Depressive Disorder Etiology and TreatmentF30MH109249 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FISHER, DANIEL W. · 2015 to 2018
$142k
NIGMS NIH HHS T32 GM008152NIMH NIH HHS F30 MH109249NIMH NIH HHS R01 MH109466NIMH NIH HHS R21 MH100919
6 · The paper itself

Abstract

purpose of the reviewAntipsychotics are commonly prescribed for the treatment of psychosis as well as behavioral and psychological symptoms of dementia (BPSD) in elderly patients. However, elderly patients often experience decreased antipsychotic efficacy and increased side effects, though the mechanisms underlying these changes with age are not clear. RECENT

findingsAlthough aging can affect drug metabolism and clearance through changes in renal and hepatic function, additional pharmacokinetic and pharmacodynamic changes due to aging-induced epigenetic alterations also impact processes important for antipsychotic function. Epigenetic mechanisms account for some of the altered efficacy and increased side effects seen in elderly patients. SUMMARY: Both clinical and animal studies from our group and others have demonstrated a plausible epigenetic mechanism involving histone modifications that can adversely affect the efficacy of antipsychotics and increase their side effects in elderly patients. Hopefully, further investigation of this mechanism will benefit elderly patients who need treatment for psychosis and BPSD.

Indexed as

AgingAntipsychoticsDrug efficacyEpigeneticsHistone modificationSide effects

Identifiers

PMID29755923
PMCPMC5943049
OpenAlexW2783560559

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.