Evidence map›Paper›PMID 38876317›Full record

ArticleJournal of affective disorders2024

Deficits in prefrontal metabotropic glutamate receptor 5 are associated with functional alterations during emotional processing in bipolar disorder.

Ruth H Asch, Patrick D Worhunsky, Margaret T Davis, Sophie E Holmes, Ryan Cool, Sarah Boster, Richard E Carson, Hilary P Blumberg, Irina Esterlis

Abstract read
In one paragraph

Article in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Ruth H AschDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America. Electronic address: ruth.asch@yale.edu.
Patrick D WorhunskyDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America.
Margaret T DavisDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America.
Sophie E HolmesDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America; Department of Neurology, Yale School of Medicine, New Haven, CT 06511, United States of America.
Ryan CoolDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America.
Sarah BosterDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America.
Richard E CarsonDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT 06511, United States of America; Department of Biomedical Engineering, Yale School of Engineering and Applied Science, New Haven, CT 06511, United States of America.
Hilary P BlumbergDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America; Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT 06511, United States of America; Child Study Center, Yale School of Medicine, New Haven, CT 06511, United States of America.
Irina EsterlisDepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06511, United States of America; Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT 06511, United States of America; Department of Psychology, Yale University, New Haven, CT 06511, United States of America; U.S. Department of Veteran Affairs National Center for Posttraumatic Stress Disorder, Clinical Neurosciences Division, VA Connecticut Healthcare System, West Haven, CT 06516, United States of America.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
In vivo imaging of a neural marker of suicidal behavior in Bipolar DisorderR01MH116657 · NIMH · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2019 to 2024
$4.0M
Role of synaptic density in mediating the relation between social disconnection and late-life suicide riskR01MH132137 · NIMH · YALE UNIVERSITY · PI Irina Esterlis, Robert H Pietrzak · 2023 to 2026
$3.6M
PET-fMRI Study of Glutamate and Frontal Function in Bi- and Uni-polar DepressionR01MH104459 · NIMH · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2015 to 2019
$3.6M
NCATS NIH HHS KL2 TR001862NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH104459NIMH NIH HHS R01 MH116657NIMH NIH HHS R01 MH132137NIMH NIH HHS T32 MH014276
6 · The paper itself

Abstract

backgroundElucidating biological mechanisms contributing to bipolar disorder (BD) is key to improved diagnosis and treatment development. With converging evidence implicating the metabotropic glutamate receptor 5 (mGlu5) in the pathology of BD, here, we therefore test the hypothesis that recently identified deficits in mGlu5 are associated with functional brain differences during emotion processing in BD.

methodsPositron emission tomography (PET) with [

resultsConsistent with some prior reports, the BD group displayed greater activation during fear processing relative to MDD and HC, notably in right lateralized frontal and parietal brain regions. In BD, (but not MDD or HC) lower prefrontal mGlu5 availability was associated with greater activation in bilateral pre/postcentral gyri and cuneus during fear processing. Furthermore, greater prefrontal mGlu5-related brain activity in BD was associated with difficulties in psychomotor function (r≥0.904, p≤0.005) and attention (r≥0.809, p≤0.028). LIMITATIONS: The modest sample size is the primary limitation.

conclusionsDeficits in prefrontal mGlu5 in BD were linked to increased cortical activation during fear processing, which in turn was associated with impulsivity and attentional difficulties. These data further implicate an mGlu5-related mechanism unique to BD. More generally these data suggest integrating PET and fMRI can provide novel mechanistic insights.

Indexed as

Bipolar DisorderEmotionsMagnetic Resonance ImagingMajor Depressive DisorderPositron-Emission TomographyPrefrontal CortexReceptor, Metabotropic Glutamate 5AdultFearFemaleHumansMaleMiddle AgedYoung AdultGRM5 protein, humanReceptor, Metabotropic Glutamate 5Bipolar disorderDorsolateral prefrontal cortexFunctional magnetic resonance imagingMetabotropic glutamate receptor 5Orbitofrontal cortexPositron emission tomography

Identifiers

PMID38876317
PMCPMC11250898

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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.