Evidence map›Paper›PMID 31164007›Full record

ArticleThe American journal of psychiatry2019

Association of Choroid Plexus Enlargement With Cognitive, Inflammatory, and Structural Phenotypes Across the Psychosis Spectrum.

Paulo Lizano, Olivia Lutz, George Ling, Adam M Lee, Seenae Eum, Jeffrey R Bishop, Sinead Kelly, Ofer Pasternak, Brett Clementz, Godfrey Pearlson and 4 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 156 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Choroid plexus inflammation in bipolar disorder.Brain, behavior, and immunity · 2026
    Article
  7. Article
  8. Article
  9. Choroid plexus alterations in long COVID and their associations with IL-6.European archives of psychiatry and clinical neuroscience · 2026
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33 more citing papers are in PubMed but not listed here.

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

14 authors at 1 institution in 2 countries.

Paulo LizanoThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Olivia LutzThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
George LingThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Adam M LeeThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Seenae EumThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Jeffrey R BishopThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Sinead KellyThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Ofer PasternakThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Brett ClementzThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Godfrey PearlsonThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
John A SweeneyThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Elliot GershonThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Carol TammingaThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
Matcheri KeshavanThe Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston (Lizano, Lutz, Ling, Kelly, Keshavan); the Department of Psychiatry, Harvard Medical School, Boston (Lizano, Kelly, Pasternak, Keshavan); the University of Minnesota Academic Health Center, Minneapolis (Lee, Eum, Bishop); the Departments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens (Clementz); the Olin Neuropsychiatry Research Center/Institute of Living, Hartford Hospital, Hartford, Conn. (Pearlson); the Department of Psychiatry, University of Cincinnati (Sweeney); the Department of Psychiatry, University of Chicago (Gershon); and the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas (Tamminga).
University of Georgia · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077851 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2007 to 2019
$7.8M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077945 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2007 to 2019
$7.6M
Stability of Biotypes: a Longitudinal EvaluationR01MH078113 · NIMH · WAYNE STATE UNIVERSITY · PI KESHAVAN, MATCHERI S. · 2007 to 2019
$6.2M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077852 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI THAKER, GUNVANT K · 2007 to 2010
$3.5M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077862 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI SWEENEY, JOHN A · 2007 to 2010
$3.1M
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH078113
6 · The paper itself

Abstract

objectiveThe choroid plexus is an important physiological barrier and produces CSF and neurotrophic, angiogenic, and inflammatory factors involved in brain development. Choroid plexus abnormalities have been implicated in both schizophrenia and bipolar disorder. A previous choroid plexus transcriptomic analysis of schizophrenia identified an upregulation of immune and inflammatory genes that correlated with peripheral inflammatory markers. The purpose of this study was to examine choroid plexus volume in probands across the psychosis spectrum and in their first-degree and axis II cluster A relatives, as well as choroid plexus familiality and choroid plexus covariance with clinical, cognitive, brain, and peripheral marker measures.

methodsChoroid plexus volume was quantified (using FreeSurfer) in psychosis probands, their first-degree and axis II cluster A relatives, and healthy control subjects, organized by DSM-IV-TR diagnosis. Analyte, structural connectivity, and genotype data were collected from a subset of study subjects.

resultsChoroid plexus volume was significantly larger in probands compared with first-degree relatives or healthy control subjects; first-degree relatives had intermediate enlargement compared with healthy control subjects; and total choroid plexus volume was significantly heritable. Larger volume was associated with worse cognition, smaller total gray matter and amygdala volume, larger lateral ventricle volume, and lower structural connectivity in probands. Associations between larger volume and higher levels of interleukin 6 in probands was also observed.

conclusionsThese findings suggest the involvement of the choroid plexus across the psychosis spectrum with a potential pathophysiological mechanism involving the neuroimmune axis, which functions in maintaining brain homeostasis and interacting with the peripheral immune and inflammatory system. The choroid plexus may be an important target in future research.

Indexed as

CognitionAdultCase-Control StudiesChoroid PlexusFemaleHumansInflammationMagnetic Resonance ImagingMaleNeuroimagingOrgan SizePhenotypePsychotic DisordersChoroid PlexusPsychosis

Identifiers

PMID31164007
PMCPMC6676480
OpenAlexW2948044070

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.