Evidence map›Paper›PMID 38050970›Full record

ArticleACS chemical neuroscience2023

Glutathione Depletion and Concomitant Elevation of Susceptibility in Patients with Parkinson's Disease: State-of-the-Art MR Spectroscopy and Neuropsychological Study.

Deepika Shukla, Anshika Goel, Pravat K Mandal, Shallu Joon, Khushboo Punjabi, Yashika Arora, Rajnish Kumar, Veer Singh Mehta, Padam Singh, Joseph C Maroon and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in ACS chemical neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07064005 (Brain Glutathione), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT07064005 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

Brain Glutathione (GSH) Enrichment Through Gamma-glutamylcysteine (GGC) Supplementation in Early Parkinson's Disease Patients for Reduction of Extrapyramidal Motor Disturbances and Halting Cognition Decline: A Pilot Trial

TypeinterventionalSponsorPravat MandalRan2026 to 2027Enrolled12ConditionsParkinsons Disease (PD)ArmsGamma- glutamylcysteine
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Glutamine metabolism in health and disease.Signal transduction and targeted therapy · 2026
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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

19 authors at 4 institutions in 3 countries.

Deepika ShuklaNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Anshika GoelNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Pravat K MandalNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.ORCID 0000-0003-4999-2808
Shallu JoonNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Khushboo PunjabiNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Yashika AroraNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Rajnish KumarDepartment of Neurology, Paras Hospitals, Gurgaon, Haryana 122002, India.
Veer Singh MehtaDepartment of Neurosurgery, Paras Hospitals, Gurgaon, Haryana 122002, India.
Padam SinghDepartment of Biostatistics, Medanta Medicity, Gurgaon, Haryana 122001, India.
Joseph C MaroonDepartment of Neurosurgery, University of Pittsburgh Medical School, Pittsburgh, Pennsylvania 15213, United States.
Rishu BansalDepartment of Neurology, Medanta Medicity, Gurgaon, Haryana 122001, India.
Kanika SandalNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Rimil Guha RoyNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Avantika SamkariaNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Shallu SharmaNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Sandhya SandhilyaNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
Shradha GaurNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
S ParvathiDepartment of Biostatistics, Medanta Medicity, Gurgaon, Haryana 122001, India.
Mallika JoshiNeuroimaging and Neurospectroscopy Laboratory (NINS), NBRC, Gurgaon 122051, India.
National Brain Research Centre · INMedanta The Medicity · INParas Hospitals · INUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is characterized by extrapyramidal motor disturbances and nonmotor cognitive impairments which impact activities of daily living. Although the etiology of PD is still obscure, autopsy reports suggest that oxidative stress (OS) is one of the important factors in the pathophysiology of PD. In the current study, we have investigated the impact of OS in PD by measuring the antioxidant glutathione (GSH) levels from the substantia nigra (SN), left hippocampus (LH) and neurotransmitter γ-amino butyric acid (GABA) levels from SN region. Concomitant quantitative susceptibility mapping (QSM) from SN and LH was also acquired from thirty-eight PD patients and 30 age-matched healthy controls (HC). Glutathione levels in the SN region decreased significantly and susceptibility increased significantly in PD compared to HC. Nonsignificant depletion of GABA was observed in the SN region. GSH levels in the LH region were depleted significantly, but LH susceptibility did not alter in the PD cohort compared to HC. Neuropsychological and physical assessment demonstrated significant impairment of cognitive functioning in PD patients compared to HC. GSH depletion was negatively correlated to motor function performance. Multivariate receiver operating characteristic (ROC) curve analysis on the combined effect of GSH, GABA, and susceptibility in the SN region yielded an improved diagnostic accuracy of 86.1% compared to individual diagnostic accuracy based on GSH (65.8%), GABA (57.5%), and susceptibility (69.6%). This is the first comprehensive report in PD demonstrating significant GSH depletion as well as concomitant iron enhancement in the SN region.

Indexed as

Parkinson DiseaseActivities of Daily Livinggamma-Aminobutyric AcidGlutathioneHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopySubstantia Nigragamma-Aminobutyric AcidGlutathioneGABAglutathionehippocampusironMEGA-PRESSneuropsychological assessmentParkinson’s diseaseQSMsubstantia nigra

Identifiers

PMID38050970
PMCPMC10739611
OpenAlexW4389348396

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.