Evidence map›Paper›PMID 32864416›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2020

Whole transcriptome in silico screening implicates cardiovascular and infectious disease in the mechanism of action underlying atypical antipsychotic side effects.

Yasaman Malekizadeh, Gareth Williams, Mark Kelson, David Whitfield, Jonathan Mill, David A Collier, Clive Ballard, Aaron R Jeffries, Byron Creese

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Yasaman MalekizadehCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
Gareth WilliamsCollege of Engineering Mathematics and Physical Sciences University of Exeter Exeter UK.
Mark KelsonWolfson Centre for Age-Related Disease Institute of Psychiatry, Psychology and Neuroscience King's College London London UK.
David WhitfieldCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
Jonathan MillCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
David A CollierEli Lilly and Company Ltd Erl Wood Manor Surrey UK.
Clive BallardCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
Aaron R JeffriesCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
Byron CreeseCollege of Medicine and Health University of Exeter Medical School University of Exeter Exeter UK.
University of Exeter · GBEli Lilly (United Kingdom) · GBKing's College London · GB

Funding

Medical Research Council MC_PC_16072Wellcome Trust
6 · The paper itself

Abstract

backgroundStroke/thromboembolic events, infections, and death are all significantly increased by antipsychotics in dementia but little is known about why they can be harmful. Using a novel application of a drug repurposing paradigm, we aimed to identify potential mechanisms underlying adverse events.

methodsWhole transcriptome signatures were generated for SH-SY5Y cells treated with amisulpride, risperidone, and volinanserin using RNA sequencing. Bioinformatic analysis was performed that scored the association between antipsychotic signatures and expression data from 415,252 samples in the National Center for Biotechnology Information Gene Expression Omnibus (NCBI GEO) repository.

resultsAtherosclerosis, venous thromboembolism, and influenza NCBI GEO-derived samples scored positively against antipsychotic signatures. Pathways enriched in antipsychotic signatures were linked to the cardiovascular and immune systems (eg, brain derived neurotrophic factor [BDNF], platelet derived growth factor receptor [PDGFR]-beta, tumor necrosis factor [TNF], transforming growth factor [TGF]-beta, selenoamino acid metabolism, and influenza infection).

conclusionsThese findings for the first time mechanistically link antipsychotics to specific cardiovascular and infectious diseases which are known side effects of their use in dementia, providing new information to explain related adverse events.

Indexed as

amisulprideantipsychoticbrain derived neurotrophic factorcardiovascularimmuneplatelet derived growth factorrisperidoneRNA‐seqseleniumside effectstumor necrosis factor

Identifiers

PMID32864416
PMCPMC7443741
OpenAlexW3080716289

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.