Evidence map›Paper›PMID 31101514›Full record

ArticleSchizophrenia research2019

Role of glia in prefrontal white matter abnormalities in first episode psychosis or mania detected by diffusion tensor spectroscopy.

Kathryn E Lewandowski, Fei Du, Xiaoying Fan, Xi Chen, Polly Huynh, Dost Öngür

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia research, 2019. 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
1.5field-weighted citation impact, top 17% 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, 12 citations in OpenAlex.

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  5. Review
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 at 2 institutions in 1 country.

Kathryn E LewandowskiMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America. Electronic address: klewandowski@mclean.harvard.edu.
Fei DuMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America.
Xiaoying FanMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America.
Xi ChenMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America.
Polly HuynhMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America.
Dost ÖngürMcLean Hospital, 115 Mill St., Belmont, MA 02478, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America.
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
Functional Characterization of Risk Variants for Psychotic Illness in the GWAS ErK01MH086714 · NIMH · MCLEAN HOSPITAL · PI HALL, MEI-HUA · 2010 to 2014
$692k
Oxidative Stress in First Episode Schizophrenia Assessed in vivo Using NAD+ and NADH MeasurementR21MH114020 · NIMH · MCLEAN HOSPITAL · PI DU, FEI · 2017 to 2018
$451k
Characterization of Variability in Motivation and Reward in PsychosisR21MH110699 · NIMH · MCLEAN HOSPITAL · PI LEWANDOWSKI, KATHRYN EVE · 2017 to 2018
$446k
NIMH NIH HHS K01 MH086714NIMH NIH HHS K24 MH104449NIMH NIH HHS R21 MH110699NIMH NIH HHS R21 MH114020
6 · The paper itself

Abstract

backgroundWhite matter (WM) abnormalities are amongst the most commonly described neuroimaging findings in patients with psychotic disorders including schizophrenia (SZ) and bipolar disorder (BD), and may be central to pathophysiology. Few studies have directly compared WM abnormalities in patients with SZ and BD in the first episode of illness, and no studies to date have attempted to separate abnormalities of axon and myelin using complementary MRI techniques.

methodsWe examined WM abnormalities in young adults with SZ (n = 19) or BD (n = 16) within the first year of illness onset, and healthy controls (n = 22) using a combination of diffusion tensor spectroscopy to measure NAA, creatine (Cr), and choline (Cho), and magnetization transfer ratio (MTR). MTR reflects myelin content, NAA diffusion is neuron specific, and Cr and Cho diffusion reflect both neuron and glial signal.

resultsWe found no differences in MTR or NAA ADC in either patient group compared to controls, but significant elevations of both Cr and Cho diffusion in patients with SZ, and elevations of Cho diffusion in patients with BD. Elevations in Cr and Cho diffusion in the absence of NAA diffusion abnormalities indicate that the aberrant signal arises in glia.

conclusionsGlial abnormalities were present and detectable by the first episode of psychosis, whereas major abnormalities in axon and myelin were not. Examination of these neurobiological markers early in the course of illness may clarify the neuroprogressive nature of these distinct aspects of WM, and their associations with early clinical phenotypes.

Indexed as

AdultAspartic AcidBipolar DisorderCase-Control StudiesCholineCreatineDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleMyelin SheathNeurogliaNeuronsPrefrontal CortexAspartic AcidCholineCreatineN-acetylaspartateBipolar disorderDiffusionFirst episodeGliaSchizophreniaWhite matter

Identifiers

PMID31101514
PMCPMC6661189
OpenAlexW2944882590

What OpenQuestion holds

Textmetadata
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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.