Evidence map›Paper›PMID 40869351›Full record

ArticleInternational journal of molecular sciences2025

The Role of GCH1 Deficiency and Tetrahydrobiopterin in Mental Health.

Grant E Williams, Sharon Hausman-Cohen, Maryelaine Sotos, Emily Gutierrez, Carol Bilich, Francis W Mueller, Shaun Jagshi

Abstract readCase Reports
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Grant E WilliamsIntellxxDNATM, Austin, TX 78731, USA.
Sharon Hausman-CohenIntellxxDNATM, Austin, TX 78731, USA.ORCID 0000-0002-3040-1214
Maryelaine SotosResilient Health, Austin, TX 78731, USA.
Emily GutierrezNeuronutrition Associates, Austin, TX 78759, USA.
Carol BilichIntellxxDNATM, Austin, TX 78731, USA.
Francis W MuellerHuebner Family Medicine, San Antonio, TX 78240, USA.
Shaun JagshiIntellxxDNATM, Austin, TX 78731, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment-resistant mental health concerns significantly contribute to society in terms of financial costs and individually by creating emotional and functional costs. An important yet little-recognized cause of treatment-resistant mental health conditions is tetrahydrobiopterin (BH4) deficiency. BH4 is an essential cofactor for producing serotonin, dopamine, norepinephrine, and nitric oxide-molecules critical to mood and focus. The enzyme GTP Cyclohydrolase 1 (GCH1), produced by a gene of the same name, catalyzes the first step in synthesizing BH4. Variants in this gene have been associated with low BH4 levels, as well as depression and ADHD. The case reports presented in this article illustrate that a partial BH4 deficiency, as conveyed by the

Indexed as

BiopterinsGTP CyclohydrolaseMental HealthPhenylketonuriasAttention Deficit Disorder with HyperactivityHumansBiopterinsGCH1 protein, humanGTP CyclohydrolasesapropterinanxietyBH4clinical decision support tooldepressionGCH1genomicsmental healthneurotransmitterspersonalized psychiatryprecision medicinetetrahydrobiopterin

Identifiers

PMID40869351
PMCPMC12386507

What OpenQuestion holds

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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.