Evidence map›Paper›PMID 33106473›Full record

ArticleTranslational psychiatry2020

Decreased mitochondrial electron transport proteins and increased complement mediators in plasma neural-derived exosomes of early psychosis.

Edward J Goetzl, Vinod H Srihari, Sinan Guloksuz, Maria Ferrara, Cenk Tek, George R Heninger

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  10. Isolating Astrocyte-Derived Extracellular Vesicles From Urine.International journal of nanomedicine · 2025
    Article
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  14. Review
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  16. Extracellular Vesicles in Mental Disorders: A State-of-art Review.International journal of biological sciences · 2023
    Review
  17. Review
  18. Abnormal levels of mitochondrial CaFASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
  19. Article
  20. Article
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.

Edward J GoetzlDepartment of Medicine, University of California Medical Center, San Francisco, CA, USA. edward.goetzl@ucsf.edu.ORCID 0000-0002-0706-5371
Vinod H SrihariDepartment of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, New Haven, CT, USA.ORCID 0000-0003-1556-2332
Sinan GuloksuzDepartment of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, New Haven, CT, USA.ORCID 0000-0002-6626-1874
Maria FerraraDepartment of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, New Haven, CT, USA.ORCID 0000-0003-2143-1101
Cenk TekDepartment of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, New Haven, CT, USA.ORCID 0000-0002-3439-1914
George R HeningerDepartment of Psychiatry, Yale University School of Medicine and Connecticut Mental Health Center, New Haven, CT, USA.
Yale University · USUniversity of California San Francisco Medical Center · 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
STEP-ED:Reducing Duration of Untreated Psychosis and its Impact in the U.S.R01MH103831 · NIMH · YALE UNIVERSITY · PI SRIHARI, VINOD H. · 2013 to 2017
$3.9M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH103831
6 · The paper itself

Abstract

Potentially neurotoxic systems involved in traumatic and degenerative diseases of the brain were assessed in acute psychosis. Astrocyte-derived exosomes (ADEs) and neuron-derived exosomes (NDEs) were immunoprecipitated from plasma of ten untreated first-episode psychotics (FPs) and ten matched normal controls (Cs). Neural mitochondrial electron transport and complement proteins were extracted, quantified by ELISAs and normalized with levels of CD81 exosome marker. Levels of subunits 1 and 6 of NADH-ubiquinone oxidoreductase (complex I) and subunit 10 of cytochrome b-c1 oxidase (complex III), but not of subunit 1 of cytochrome C oxidase (complex IV) or superoxide dismutase 1 (SOD1) were significantly lower in ADEs and NDEs of FPs than Cs. This dysregulated pattern of electron transport proteins is associated with increased generation of reactive oxygen species. ADE glial fibrillary acidic protein levels were significantly higher in FPs than Cs, indicating a higher percentage of inflammatory astrocytes in FPs. ADE levels of C3b opsonin were significantly higher and those of C5b-9 attack complex was marginally higher in FPs than Cs. A significantly lower ADE level of the C3 convertase inhibitor CD55 may explain the higher levels of C3 convertase-generated C3b. ADE levels of the neuroprotective protein leukemia inhibitory factor (LIF) were significantly lower in FPs than Cs, whereas levels of IL-6 were no different. Plasma neural exosome levels of electron transport and complement proteins may be useful in predicting FP and guiding therapy. SOD mimetics, C3 convertase inhibitors and LIF receptor agonists also may have therapeutic benefits in FP.

Indexed as

ExosomesPsychotic DisordersAstrocytesComplement System ProteinsElectron TransportHumansComplement System Proteins

Identifiers

PMID33106473
PMCPMC7588411
OpenAlexW3094326595

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.