Evidence map›Paper›PMID 40406233›Full record

ArticleNeuropsychiatric disease and treatment2025

Alterations of Blood Plasma Metabolites, Including Kynurenine and Tryptophan, in Bipolar Disorder.

Tomohiko Nakayama, Hidehiro Umehara, Kazuaki Mawatari, Yukiko Tomioka, Tomohiro Yoshida, Hiroya Matsuda, Yui Matsumoto, Rumiko Masuda, Toshiharu Kamishikiryo, Manabu Fuchikami and 5 more

Abstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Timing of NAD Deficiency During Organogenesis Dictates Defect Type and Penetrance.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 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

15 authors.

Tomohiko NakayamaDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.ORCID 0009-0000-2027-9350
Hidehiro UmeharaDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Kazuaki MawatariDepartment of Preventive Environment and Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.ORCID 0000-0003-2880-3801
Yukiko TomiokaDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Tomohiro YoshidaDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Hiroya MatsudaDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Yui MatsumotoDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Rumiko MasudaDepartment of Preventive Environment and Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Toshiharu KamishikiryoDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Manabu FuchikamiDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Masahito NakatakiDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Akira TakahashiDepartment of Preventive Environment and Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Atsushi TajimaDepartment of Bioinformatics and Genomics, Graduate School of Advanced Preventive Medical Sciences, Kanazawa University, Kanazawa, Japan.ORCID 0000-0001-6808-5491
Go OkadaDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Shusuke NumataDepartment of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bipolar disorder (BD) is a psychiatric disorder characterized by recurrent episodes of mania and depression. However, the pathophysiology has not yet been fully elucidated. Methods: In this study, we employed capillary electrophoresis time-of-flight mass spectrometry to measure 34 plasma metabolites and compared the levels between individuals with BD (N = 64, male/female = 30/34, age [mean ± S.D.] = 51.4 ± 12.0 years) and non-psychiatric controls (N = 92, male/female = 32/60, age = 38.6 ± 13.4 years). Results: Significant differences in 12 plasma metabolites, including kynurenine and tryptophan, were observed between the two groups (q < 0.05). Discussion: These findings support the involvement of amino acid dysregulation in the pathophysiology of BD. However, the cross-sectional design, lack of control for medication, diet, and smoking, and the use of peripheral rather than central samples limit the generalizability of the results. Further longitudinal and mechanistic studies are needed. Integration with clinical, imaging, and genetic data in future research may facilitate the development of metabolomics-based biomarkers.

Indexed as

kynureninemetabolomemetabolomicspsychiatric disordertryptophan

Identifiers

PMID40406233
PMCPMC12097254

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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.