Evidence map›Paper›PMID 36878995›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2023

Association between the epigenetic lifespan predictor GrimAge and history of suicide attempt in bipolar disorder.

Camila N C Lima, Emese H C Kovács, Salahudeen Mirza, Alexandra Del Favero-Campbell, Alexandre Paim Diaz, Joao Quevedo, Benney M R Argue, Jenny Gringer Richards, Aislinn Williams, John A Wemmie and 5 more

Open access · greenAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.3field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Immune dysregulation in bipolar disorder.Journal of affective disorders · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Investigating the Relationship Between DNA Methylation, Genetic Variation, and Suicide Attempt in Bipolar Disorder.Archives of suicide research : official journal of the International Academy for Suicide Research
    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

15 authors at 6 institutions in 2 countries.

Camila N C Lima *Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA.
Emese H C Kovács *Department of Neuroscience and Pharmacology, The University of Iowa, 51 Newton Rd, 52242, Iowa City, IA, USA.ORCID 0000-0002-9578-894X
Salahudeen MirzaTranslational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA.
Alexandra Del Favero-CampbellTranslational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA.
Alexandre Paim DiazCenter for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
Joao QuevedoTranslational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA.ORCID 0000-0003-3114-6611
Benney M R ArguePharmaceutical Sciences and Experimental Therapeutics, The University of Iowa, 180 South Grand Ave, 52242, Iowa City, IA, USA.
Jenny Gringer RichardsDepartment of Radiology, The University of Iowa, 200 Hawkins Dr, 52242, Iowa City, IA, USA.
Aislinn WilliamsDepartment of Psychiatry, The University of Iowa, 200 Hawkins Dr, 52242, Iowa City, IA, USA.
John A WemmieDepartment of Psychiatry, The University of Iowa, 200 Hawkins Dr, 52242, Iowa City, IA, USA.
Vincent A MagnottaDepartment of Radiology, The University of Iowa, 200 Hawkins Dr, 52242, Iowa City, IA, USA.ORCID 0000-0001-8639-5354
Jess G FiedorowiczUniversity of Ottawa Brain and Mind Research Institute, Ottawa Hospital Research Institute, 501 Smyth, K1H 8L6, Ottawa, ON, Canada.ORCID 0000-0003-2057-4071
Jair C SoaresCenter of Excellence in Mood Disorders, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA.ORCID 0000-0002-5466-5628
Marie E GainePharmaceutical Sciences and Experimental Therapeutics, The University of Iowa, 180 South Grand Ave, 52242, Iowa City, IA, USA.ORCID 0000-0002-9196-0028
Gabriel R FriesTranslational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, 1941 East Rd, 77054, Houston, TX, USA. Gabriel.R.Fries@uth.tmc.edu.ORCID 0000-0002-5468-2612
University of Iowa · USThe University of Texas MD Anderson Cancer Center · USThe University of Texas Health Science Center at Houston · USUniversity of Minnesota · USUniversity of Ottawa · CAUniversity of Rochester Medical Center · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
University of Iowa Hawkeye Intellectual and Developmental Disabilities Research Center (Hawk-IDDRC)P50HD103556 · NICHD · UNIVERSITY OF IOWA · PI EDWIN TED G. ABEL, Lane Strathearn · 2021 to 2026
$8.5M
Suicidality in Bipolar and Major Depression DisordersR01MH125838 · NIMH · UNIVERSITY OF IOWA · PI MAGNOTTA, VINCENT A, WEMMIE, JOHN A · 2022 to 2024
$2.3M
Deciphering the role of neuronal and peripheral DNA methylation in suicide and bipolar disorderK01MH121580 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FRIES, GABRIEL RODRIGO · 2020 to 2023
$699k
NCATS NIH HHS UL1 TR002537NICHD NIH HHS P50 HD103556NIEHS NIH HHS P30 ES005605NIMH NIH HHS K01 MH121580NIMH NIH HHS R01 MH125838
6 · The paper itself

Abstract

Bipolar disorder (BD) has been previously associated with premature mortality and aging, including acceleration of epigenetic aging. Suicide attempts (SA) are greatly elevated in BD and are associated with decreased lifespan, biological aging, and poorer clinical outcomes. We investigated the relationship between GrimAge, an epigenetic clock trained on time-to-death and associated with mortality and lifespan, and SA in two independent cohorts of BD individuals (discovery cohort - controls (n = 50), BD individuals with (n = 77, BD/SA) and without (n = 67, BD/non-SA) lifetime history of SA; replication cohort - BD/SA (n = 48) and BD/non-SA (n = 47)). An acceleration index for the GrimAge clock (GrimAgeAccel) was computed from blood DNA methylation (DNAm) and compared between groups with multiple general linear models. Differences in epigenetic aging from the discovery cohort were validated in the independent replication cohort. In the discovery cohort, controls, BD/non-SA, and BD/SA significantly differed on GrimAgeAccel (F = 5.424, p = 0.005), with the highest GrimAgeAccel in BD/SA (p = 0.004, BD/SA vs. controls). Within the BD individuals, BD/non-SA and BD/SA differed on GrimAgeAccel in both cohorts (p = 0.008) after covariate adjustment. Finally, DNAm-based surrogates revealed possible involvement of plasminogen activator inhibitor 1, leptin, and smoking pack-years in driving accelerated epigenetic aging. These findings pair with existing evidence that not only BD, but also SA, may be associated with an accelerated biological aging and provide putative biological mechanisms for morbidity and premature mortality in this population.

Indexed as

Bipolar DisorderSuicide, AttemptedAgingDNA MethylationEpigenesis, GeneticHumansLongevity

Identifiers

PMID36878995
PMCPMC10156727
OpenAlexW4323311985

What OpenQuestion holds

Textmetadata
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.