Evidence map›Paper›PMID 34432230›Full record

ArticleCerebellum (London, England)2022

Aberrant Cerebello-Cerebral Connectivity in Remitted Bipolar Patients 1 and 2: New Insight into Understanding the Cerebellar Role in Mania and Hypomania.

Giusy Olivito, Michela Lupo, Andrea Gragnani, Marco Saettoni, Libera Siciliano, Corinna Pancheri, Matteo Panfili, Mara Cercignani, Marco Bozzali, Roberto Delle Chiaie and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cerebellum (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Possible compensatory role of cerebellum in bipolar disorder. A cortical thickness study.European archives of psychiatry and clinical neuroscience · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. "Biomedicines · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. 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

11 authors at 7 institutions in 2 countries.

Giusy OlivitoDepartment of Psychology, Sapienza University of Rome, Via Dei Marsi, 78, 00185, Rome, Italy.
Michela LupoServizio di Tutela della Salute Mentale e Riabilitazione dell'Età Evolutiva ASL, Roma 2, 00145, Rome, Italy.
Andrea GragnaniScuola di Psicoterapia Cognitiva SPC, 58100, Grosseto, Italy.
Marco SaettoniAssociazione Psicologia Cognitiva (APC)/Scuola di Psicoterapia Cognitiva (SPC), 00185, Rome, Italy.
Libera SicilianoPhD Program in Behavioral Neuroscience, Sapienza University of Rome, 00185, Rome, Italy.
Corinna PancheriDepartment of Neuroscience and Mental Health - Policlinico Umberto I Hospital, Sapienza University of Rome, 00161, Rome, Italy.
Matteo PanfiliDepartment of Neuroscience and Mental Health - Policlinico Umberto I Hospital, Sapienza University of Rome, 00161, Rome, Italy.
Mara CercignaniClinical Imaging Science Center, Brighton and Sussex Medical School, Brighton, East Sussex, BN1 9RR, UK.
Marco BozzaliDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, 10126, Turin, Italy.
Roberto Delle ChiaieDepartment of Neuroscience and Mental Health - Policlinico Umberto I Hospital, Sapienza University of Rome, 00161, Rome, Italy.
Maria LeggioDepartment of Psychology, Sapienza University of Rome, Via Dei Marsi, 78, 00185, Rome, Italy. maria.leggio@uniroma1.it.ORCID http://orcid.org/0000-0003-3750-2760
Policlinico Umberto I · ITBrighton and Sussex Medical School · GBFondazione Santa Lucia · ITASL Roma · ITCentro di Terapia Metacognitiva Interpersonale · ITOsservatorio Astronomico della Regione Autonoma Valle d'Aosta · ITSapienza University of Rome · IT

Funding

italian ministry of education, universities and research (miur) RM11715C7E67E525
6 · The paper itself

Abstract

Bipolar disorder (BD) is a major mental illness characterized by periods of (hypo) mania and depression with inter-episode remission periods. Functional studies in BD have consistently implicated a set of linked cortical and subcortical limbic regions in the pathophysiology of the disorder, also including the cerebellum. However, the cerebellar role in the neurobiology of BD still needs to be clarified. Seventeen euthymic patients with BD type1 (BD1) (mean age/SD, 38.64/13.48; M/F, 9/8) and 13 euthymic patients with BD type 2 (BD2) (mean age/SD, 41.42/14.38; M/F, 6/7) were compared with 37 sex- and age-matched healthy subjects (HS) (mean age/SD, 45.65/14.15; M/F, 15/22). T1 weighted and resting-state functional connectivity (FC) scans were acquired. The left and right dentate nucleus were used as seed regions for the seed based analysis. FC between each seed and the rest of the brain was compared between patients and HS. Correlations between altered cerebello-cerebral connectivity and clinical scores were then investigated. Different patterns of altered dentate-cerebral connectivity were found in BD1 and BD2. Overall, impaired dentate-cerebral connectivity involved regions of the anterior limbic network specifically related to the (hypo)manic states of BD. Cerebello-cerebral connectivity is altered in BD1 and BD2. Interestingly, the fact that these altered FC patterns persist during euthymia, supports the hypothesis that cerebello-cerebral FC changes reflect the neural correlate of subthreshold symptoms, as trait-based pathophysiology and/or compensatory mechanism to maintain a state of euthymia.

Indexed as

Bipolar DisorderManiaCerebellumHumansMagnetic Resonance ImagingNeural PathwaysBipolar disorderCerebellumDentate nucleusManiaResting-state fMRI

Identifiers

PMID34432230
PMCPMC9325834
OpenAlexW3195329377

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.