Evidence map›Paper›PMID 33674753›Full record

ArticleMolecular psychiatry2021

Circadian rhythms in bipolar disorder patient-derived neurons predict lithium response: preliminary studies.

Himanshu K Mishra, Noelle M Ying, Angelica Luis, Heather Wei, Metta Nguyen, Timothy Nakhla, Sara Vandenburgh, Martin Alda, Wade H Berrettini, Kristen J Brennand and 15 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. The crosstalk between CREB and PER2 mediates the transition between mania- and depression-like behavior.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. The sleep-circadian interface: A window into mental disorders.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Review
  13. Review
  14. Article
  15. Bipolar Disorder.Current opinion in neurobiology · 2023
    Review
  16. Review
  17. 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
  18. Article
  19. Article
  20. 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

25 authors at 14 institutions in 3 countries.

Himanshu K MishraVA San Diego Healthcare System, San Diego, CA, USA.
Noelle M YingDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Angelica LuisDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Heather WeiVA San Diego Healthcare System, San Diego, CA, USA.
Metta NguyenDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Timothy NakhlaDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Sara VandenburghDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Martin AldaDepartment of Psychiatry, Dalhousie University Halifax, Halifax, NS, Canada.ORCID http://orcid.org/0000-0001-9544-3944
Wade H BerrettiniDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Kristen J BrennandDepartments of Neuroscience and Psychiatry, Icahn School of Medicine at Mt Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0003-0993-5956
Joseph R CalabreseDepartment of Psychiatry, Case Western Reserve University, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-4647-8571
William H CoryellDepartment of Psychiatry, University of Iowa, Iowa City, IA, USA.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Fred H GageLaboratory of Genetics, Salk Institute for Biological Studies, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-0938-4106
Elliot S GershonDepartment of Psychiatry, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-4818-8631
Melvin G McInnisDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-0375-6247
Caroline M NievergeltVA San Diego Healthcare System, San Diego, CA, USA.
John I NurnbergerDepartment of Psychiatry, Indiana University, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-7674-1767
Paul D ShillingDepartment of Psychiatry and Center for Circadian Biology, University of California San Diego, La Jolla, CA, USA.
Ketil J OedegaardSection for Psychiatry, University of Bergen and Norment and KG Jebsen Centre for Neuropsychiatry, Division of Psychiatry Haukeland University Hospital, Bergen, Norway.
Peter P ZandiDepartment of Psychiatry, Johns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-8423-2623
Pharmacogenomics of Bipolar Disorder Study
John R KelsoeVA San Diego Healthcare System, San Diego, CA, USA.
David K WelshVA San Diego Healthcare System, San Diego, CA, USA.
Michael J McCarthyVA San Diego Healthcare System, San Diego, CA, USA. mmccarthy@health.ucsd.edu.ORCID http://orcid.org/0000-0001-6219-4945
University of California San Diego · USCase Western Reserve University · USDalhousie University · CAHaukeland University Hospital · NOIcahn School of Medicine at Mount Sinai · USIndiana University – Purdue University Indianapolis · USJohns Hopkins University · USMayo Clinic · USSalk Institute for Biological Studies · USUC San Diego Health System · USUniversity of Chicago · USUniversity of Iowa · USUniversity of Michigan · USUniversity of Pennsylvania · US

Funding

Pharmacogenomics of Mood Stabilizer Response in Bipolar DisorderU01MH092758 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KELSOE, JOHN R. · 2010 to 2014
$6.2M
Cellular Circadian Clocks in Mood DisordersI01BX001146 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI WELSH, DAVID K · 2012 to 2020
–
Circadian Rhythms in Neuronal Models of Bipolar DisorderI01BX003431 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI MCCARTHY, MICHAEL JOSEPH · 2017 to 2025
–
BLRD VA I01 BX001146BLRD VA I01 BX003431CIHR 64410NIMH NIH HHS U01 MH092758
6 · The paper itself

Abstract

Bipolar disorder (BD) is a neuropsychiatric illness defined by recurrent episodes of mania/hypomania, depression and circadian rhythm abnormalities. Lithium is an effective drug for BD, but 30-40% of patients fail to respond adequately to treatment. Previous work has demonstrated that lithium affects the expression of "clock genes" and that lithium responders (Li-R) can be distinguished from non-responders (Li-NR) by differences in circadian rhythms. However, circadian rhythms have not been evaluated in BD patient neurons from Li-R and Li-NR. We used induced pluripotent stem cells (iPSCs) to culture neuronal precursor cells (NPC) and glutamatergic neurons from BD patients characterized for lithium responsiveness and matched controls. We identified strong circadian rhythms in Per2-luc expression in NPCs and neurons from controls and Li-R, but NPC rhythms in Li-R had a shorter circadian period. Li-NR rhythms were low amplitude and profoundly weakened. In NPCs and neurons, expression of PER2 was higher in both BD groups compared to controls. In neurons, PER2 protein levels were higher in BD than controls, especially in Li-NR samples. In single cells, NPC and neuron rhythms in both BD groups were desynchronized compared to controls. Lithium lengthened period in Li-R and control neurons but failed to alter rhythms in Li-NR. In contrast, temperature entrainment increased amplitude across all groups, and partly restored rhythms in Li-NR neurons. We conclude that neuronal circadian rhythm abnormalities are present in BD and most pronounced in Li-NR. Rhythm deficits in BD may be partly reversible through stimulation of entrainment pathways.

Indexed as

Bipolar DisorderLithiumCircadian RhythmHumansLithium CompoundsNeuronsLithiumLithium Compounds

Identifiers

PMID33674753
PMCPMC8418615
OpenAlexW3134480923

What OpenQuestion holds

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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.