Evidence map›Paper›PMID 33060818›Full record

ArticleMolecular psychiatry2021

Multivariate relationships between peripheral inflammatory marker subtypes and cognitive and brain structural measures in psychosis.

Paulo Lizano, Olivia Lutz, Yanxun Xu, Leah H Rubin, Lyle Paskowitz, Adam M Lee, Seenae Eum, Sarah K Keedy, S Kristian Hill, James L Reilly and 8 more

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 3% 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

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
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  10. Observational
  11. Article
  12. Differential impact of manic versus depressive episode recurrence on longitudinal gray matter volume changes in bipolar disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  13. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  14. Article
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 11 institutions in 1 country.

Paulo LizanoBeth Israel Deaconess Medical Center, Boston, MA, USA. lizanopl@gmail.com.ORCID http://orcid.org/0000-0002-7128-6697
Olivia LutzBeth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2047-2991
Yanxun XuDepartment of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, MD, USA.
Leah H RubinDepartment of Neurology, Psychiatry, and Epidemiology, Johns Hopkins University, Baltimore, MD, USA.
Lyle PaskowitzDepartment of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, MD, USA.
Adam M LeeDepartment of Experimental and Clinical Pharmacology and Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
Seenae EumSchool of Pharmacy, Shenandoah University, Winchester, Virginia, USA.
Sarah K KeedyDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, USA.
S Kristian HillDepartment of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
James L ReillyDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
Baolin WuDivision of Biostatistics, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-6676-0422
Carol A TammingaDepartment of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA.
Brett A ClementzDepartment of Psychology, University of Georgia, Athens, GA, USA.
Godfrey D PearlsonYale School of Medicine, Hartford Hospital, Hartford, CT, USA.
Elliot S GershonDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-4818-8631
Matcheri S KeshavanBeth Israel Deaconess Medical Center, Boston, MA, USA.
John A SweeneyDeptartment of Psychiatry, University of Cincinnati Medical Center, Cincinnati, OH, USA.
Jeffrey R BishopDepartment of Experimental and Clinical Pharmacology and Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA. jrbishop@umn.edu.ORCID http://orcid.org/0000-0001-7653-8980
Beth Israel Deaconess Medical Center · USJohns Hopkins University · USUniversity of Minnesota · USUniversity of Chicago · USHartford Hospital · USNorthwestern University · USRosalind Franklin University of Medicine and Science · USShenandoah University · USSouthwestern Medical Center · USUniversity of Cincinnati · USUniversity 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
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
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
1/5 - Selective Antipsychotic Response to Clozapine in B-SNIP Biotype-1 (Clozapine)R01MH124813 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2021 to 2025
$1.8M
Schizophrenia Pharmacogenetics: cognition and symptom response to antipsychoticsK08MH083888 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BISHOP, JEFFREY R · 2009 to 2013
$899k
Retinal Layer, Microvascular and Electroretinographic Determinants of Early Course SchizophreniaK23MH122701 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LIZANO, PAULO L · 2021 to 2024
$768k
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002494NIAID NIH HHS P30 AI094189NIMHD NIH HHS L32 MD014380NIMH NIH HHS K08 MH083888NIMH NIH HHS K23 MH122701NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH078113NIMH NIH HHS R01 MH124813
6 · The paper itself

Abstract

Elevations in peripheral inflammatory markers have been reported in patients with psychosis. Whether this represents an inflammatory process defined by individual or subgroups of markers is unclear. Further, relationships between peripheral inflammatory marker elevations and brain structure, cognition, and clinical features of psychosis remain unclear. We hypothesized that a pattern of plasma inflammatory markers, and an inflammatory subtype established from this pattern, would be elevated across the psychosis spectrum and associated with cognition and brain structural alterations. Clinically stable psychosis probands (Schizophrenia spectrum, n = 79; Psychotic Bipolar disorder, n = 61) and matched healthy controls (HC, n = 60) were assessed for 15 peripheral inflammatory markers, cortical thickness, subcortical volume, cognition, and symptoms. A combination of unsupervised exploratory factor analysis and hierarchical clustering was used to identify inflammation subtypes. Levels of IL6, TNFα, VEGF, and CRP were significantly higher in psychosis probands compared to HCs, and there were marker-specific differences when comparing diagnostic groups. Individual and/or inflammatory marker patterns were associated with neuroimaging, cognition, and symptom measures. A higher inflammation subgroup was defined by elevations in a group of 7 markers in 36% of Probands and 20% of HCs. Probands in the elevated inflammatory marker group performed significantly worse on cognitive measures of visuo-spatial working memory and response inhibition, displayed elevated hippocampal, amygdala, putamen and thalamus volumes, and evidence of gray matter thickening compared to the proband group with low inflammatory marker levels. These findings specify the nature of peripheral inflammatory marker alterations in psychotic disorders and establish clinical, neurocognitive and neuroanatomic associations with increased inflammatory activation in psychosis. The identification of a specific subgroup of patients with inflammatory alteration provides a potential means for targeting treatment with anti-inflammatory medications.

Indexed as

Bipolar DisorderPsychotic DisordersSchizophreniaBrainCognitionHumansMagnetic Resonance Imaging

Identifiers

PMID33060818
PMCPMC8046847
OpenAlexW3093387317

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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.