Evidence map›Paper›PMID 36845658›Full record

ArticleFrontiers in aging neuroscience2023

The impact of iron deposition on the fear circuit of the brain in patients with Parkinson's disease and anxiety.

Kaidong Chen, Li Zhang, Haixia Mao, Kefei Chen, Yachen Shi, Xiangpan Meng, Feng Wang, Xiaoyun Hu, Xiangming Fang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Behavioral disorders in Parkinson disease: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Iron Deposition in Parkinson's Disease: A Mini-Review.Cellular and molecular neurobiology · 2024
    Review
  18. Article
  19. Article
  20. Brain Iron Homeostasis and Mental Disorders.Antioxidants (Basel, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kaidong ChenDepartment of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Li ZhangDepartment of Neurology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Haixia MaoDepartment of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Kefei ChenDepartment of Neurology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Yachen ShiDepartment of Neurology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Xiangpan MengDepartment of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Feng WangDepartment of Neurology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Xiaoyun HuDepartment of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Xiangming FangDepartment of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Wuxi People's Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Anxiety is one of the most common psychiatric symptoms of Parkinson's disease (PD), and brain iron deposition is considered to be one of the pathological mechanisms of PD. The objective of this study was to explore alterations in brain iron deposition in PD patients with anxiety compared to PD patients without anxiety, especially in the fear circuit. Methods: Sixteen PD patients with anxiety, 23 PD patients without anxiety, and 26 healthy elderly controls were enrolled prospectively. All subjects underwent neuropsychological assessments and brain magnetic resonance imaging (MRI) examinations. Voxel-based morphometry (VBM) was used to study morphological brain differences between the groups. Quantitative susceptibility mapping (QSM), an MRI technique capable of quantifying susceptibility changes in brain tissue, was used to compare susceptibility changes in the whole brain among the three groups. The correlations between brain susceptibility changes and anxiety scores quantified using the Hamilton Anxiety Rating Scale (HAMA) were compared and analyzed. Results: PD patients with anxiety had a longer duration of PD and higher HAMA scores than PD patients without anxiety. No morphological brain differences were observed between the groups. In contrast, voxel-based and ROI-based QSM analyses showed that PD patients with anxiety had significantly increased QSM values in the medial prefrontal cortex, anterior cingulate cortex, hippocampus, precuneus, and angular cortex. Furthermore, the QSM values of some of these brain regions were positively correlated with the HAMA scores (medial prefrontal cortex: Conclusion: Our findings support the idea that anxiety in PD is associated with iron burden in the brain fear circuit, providing a possible new approach to explaining the potential neural mechanism of anxiety in PD.

Indexed as

anxietybrain iron depositionfear circuitParkinson’s diseasequantitative susceptibility mapping

Identifiers

PMID36845658
PMCPMC9951615
OpenAlexW4319766288

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LicenceCC BY
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Registered trials

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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.