Evidence map›Paper›PMID 32366893›Full record

ArticleScientific reports2020

Lithium response in bipolar disorder correlates with improved cell viability of patient derived cell lines.

Pradip Paul, Shruti Iyer, Ravi Kumar Nadella, Rashmitha Nayak, Anirudh S Chellappa, Sheetal Ambardar, Reeteka Sud, Salil K Sukumaran, Meera Purushottam, Sanjeev Jain and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. The Mechanisms of Lithium Action: The Old and New Findings.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Bipolar Disorder.Current opinion in neurobiology · 2023
    Review
  7. Contributions of circadian clock genes to cell survival in fibroblast models of lithium-responsive bipolar disorder.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2023
    Article
  8. RNA Biomarkers in Bipolar Disorder and Response to Mood Stabilizers.International journal of molecular sciences · 2023
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. 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

12 authors at 3 institutions in 1 country.

Pradip PaulNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.ORCID http://orcid.org/0000-0002-6269-9449
Shruti IyerInstitute for Stem Cell Science and Regenerative Medicine (InStem), Bengaluru, India.
Ravi Kumar NadellaNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.ORCID http://orcid.org/0000-0001-5602-945X
Rashmitha NayakNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Anirudh S ChellappaNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Sheetal AmbardarInstitute for Stem Cell Science and Regenerative Medicine (InStem), Bengaluru, India.
Reeteka SudNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Salil K SukumaranNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Meera PurushottamNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Sanjeev JainNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
ADBS Consortium (ADBS: The Accelerator program for Discovery in Brain disorders using Stem cells)
Biju ViswanathNational Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India. bijuv1@gmail.com.ORCID http://orcid.org/0000-0002-7317-1789
National Institute of Mental Health and Neurosciences · INNational Centre for Biological Sciences · INInstitute for Stem Cell Biology and Regenerative Medicine · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lithium is an effective, well-established treatment for bipolar disorder (BD). However, the mechanisms of its action, and reasons for variations in clinical response, are unclear. We used neural precursor cells (NPCs) and lymphoblastoid cell lines (LCLs), from BD patients characterized for clinical response to lithium (using the "Alda scale" and "NIMH Retrospective Life chart method"), to interrogate cellular phenotypes related to both disease and clinical lithium response. NPCs from two biologically related BD patients who differed in their clinical response to lithium were compared with healthy controls. RNA-Seq and analysis, mitochondrial membrane potential (MMP), cell viability, and cell proliferation parameters were assessed, with and without in vitro lithium. These parameters were also examined in LCLs from 25 BD patients (16 lithium responders and 9 non-responders), and 12 controls. MMP was lower in both NPCs and LCLs from BD; but it was reversed with in vitro lithium only in LCLs, and this was unrelated to clinical lithium response. The higher cell proliferation observed in BD was unaffected by in vitro lithium. Cell death was greater in BD. However, LCLs from clinical lithium responders could be rescued by addition of in vitro lithium. In vitro lithium also enhanced BCL2 and GSK3B expression in these cells. Our findings indicate cellular phenotypes related to the disease (MMP, cell proliferation) in both NPCs and LCLs; and those related to clinical lithium response (cell viability, BCL2/GSK3B expression) in LCLs.

Indexed as

AdultAntimanic AgentsBipolar DisorderCell CycleCell LineCell ProliferationCell SurvivalDrug Evaluation, PreclinicalFemaleGene Expression ProfilingGlycogen Synthase Kinase 3 betaHumansInduced Pluripotent Stem CellsLithiumMaleMembrane Potential, MitochondrialAntimanic AgentsBCL2 protein, humanGlycogen Synthase Kinase 3 betaGSK3B protein, humanLithiumProto-Oncogene Proteins c-bcl-2

Identifiers

PMID32366893
PMCPMC7198534
OpenAlexW3021077658

What OpenQuestion holds

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LicenceCC BY
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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.