Evidence map›Paper›PMID 37812338›Full record

ReviewCurrent psychiatry reports2023

Magnetic Resonance Spectroscopy Studies of Brain Energy Metabolism in Schizophrenia: Progression from Prodrome to Chronic Psychosis.

Abigail Stein, Chenyanwen Zhu, Fei Du, Dost Öngür

Abstract readReview
In one paragraph

Review in Current psychiatry reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Article
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  7. Review
  8. Article
  9. Review
  10. Imaging brain energetics to advance metabolic psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  11. Review
  12. Article
  13. Repurposing medications to prevent psychosis.Npj mental health research · 2025
    Review
  14. LncRNA-miRNA‒mRNA Network in Schizophrenia.Journal of molecular neuroscience : MN · 2025
    Article
  15. Article
  16. Test-retest precision of brain metabolites in healthy participants usingQuantitative imaging in medicine and surgery · 2025
    Article
  17. Article
  18. 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

4 authors at 1 institution in 1 country.

Abigail SteinPsychotic Disorders Division, McLean Hospital, Belmont, 02478, USA.
Chenyanwen ZhuPsychotic Disorders Division, McLean Hospital, Belmont, 02478, USA.
Fei DuPsychotic Disorders Division, McLean Hospital, Belmont, 02478, USA. fdu@mclean.harvard.edu.
Dost ÖngürPsychotic Disorders Division, McLean Hospital, Belmont, 02478, USA. DONGUR@mgb.org.
McLean Hospital · US

Funding

Randomized controlled trial of enhanced coordinated specialty care (CSC 2.0)P50MH115846 · NIMH · MCLEAN HOSPITAL · PI MIGUEL HERNAN · 2019 to 2026
$16.9M
Early Life Stress and Depression: Molecular and Functional Imaging ApproachesR01MH095809 · NIMH · MCLEAN HOSPITAL · PI DU, FEI, PIZZAGALLI, DIEGO A · 2012 to 2024
$6.4M
Effects of Orally Administered Nicotinamide Riboside on Bioenergetic Metabolism, Oxidative Stress and Cognition in Mild Cognitive Impairment and Mild Alzheimer's DementiaR01AG066670 · NIA · MCLEAN HOSPITAL · PI DU, FEI, FORESTER, BRENT PETER · 2020 to 2024
$4.0M
Molecular Mechanisms and Biomarkers for Disease Progression from Prodrome to Early PsychosisR01MH114982 · NIMH · MCLEAN HOSPITAL · PI DU, FEI, ONGUR, DOST · 2019 to 2023
$2.4M
Research and Mentoring on Brain and Peripheral Bioenergetics in SchizophreniaK24MH104449 · NIMH · MCLEAN HOSPITAL · PI ONGUR, DOST · 2015 to 2019
$749k
Oxidative Stress in First Episode Schizophrenia Assessed in vivo Using NAD+ and NADH MeasurementR21MH114020 · NIMH · MCLEAN HOSPITAL · PI DU, FEI · 2017 to 2018
$451k
NIA NIH HHS R01 AG066670NIA NIH HHS R01AG066670NIMH NIH HHS K24 MH104449NIMH NIH HHS K24MH104449NIMH NIH HHS P50 MH115846NIMH NIH HHS P50MH115846NIMH NIH HHS R01 MH095809NIMH NIH HHS R01MH095809NIMH NIH HHS R01 MH114982NIMH NIH HHS R01MH114982NIMH NIH HHS R21 MH114020NIMH NIH HHS R21MH114020
6 · The paper itself

Abstract

purpose of reviewSchizophrenia (SZ) is a debilitating mental illness; existing treatments are partially effective and associated with significant side effect burden, largely due to our limited understanding of disease mechanisms and the trajectory of disease progression. Accumulating evidence suggests that metabolic changes associated with glucose metabolism, mitochondrial dysfunction, and redox imbalance play an important role in the pathophysiology of schizophrenia. However, the molecular mechanisms associated with these abnormalities in the brains of schizophrenia patients and the ways in which they change over time remain unclear. This paper aims to review the current literature on molecular mechanisms and in vivo magnetic resonance spectroscopy (MRS) studies of impaired energy metabolism in patients at clinical high risk for psychosis, with first-episode SZ, and with chronic SZ. Our review covers research related to high-energy phosphate metabolism, lactate, intracellular pH, redox ratio, and the antioxidant glutathione. RECENT

findingsBoth first-episode and chronic SZ patients display a significant reduction in creatine kinase reaction activity and redox (NAD + /NADH) ratio in the prefrontal cortex. Chronic, but not first-episode, SZ patients also show a trend toward increased lactate levels and decreased pH value. These findings suggest a progressive shift from oxidative phosphorylation to glycolysis for energy production over the course of SZ, which is associated with redox imbalance and mitochondrial dysfunction. Accumulating evidence indicates that aberrant brain energy metabolism associated with mitochondrial dysfunction and redox imbalance plays a critical role in SZ and will be a promising target for future treatments.

Indexed as

Psychotic DisordersSchizophreniaBrainEnergy MetabolismHumansLactatesMagnetic Resonance SpectroscopyLactatesBioenergeticsMitochondrial functionProgression of psychotic disordersRedox imbalanceSchizophrenia

Identifiers

PMID37812338
PMCPMC13094124
OpenAlexW4387435655

What OpenQuestion holds

Textmetadata
LicenceTDM
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.