Evidence map›Paper›PMID 41013196›Full record

ArticleMolecular medicine (Cambridge, Mass.)2025

Cellular and proteomic differences associated with lithium response in olfactory neuroepithelium cells of bipolar disorder patients.

Maria Hidalgo-Figueroa, Alejandra Delgado-Sequera, Anaid Pérez-Ramos, MªCarmen Durán-Ruiz, Cristina Romero-Lopez-Alberca, Jose I Pérez-Revuelta, Ingrid Marquez-Estefenn, Clara García-Mompó, Jose Ma Villagrán Moreno, Esther Berrocoso

Abstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 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. Review
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

10 authors.

Maria Hidalgo-FigueroaNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain.
Alejandra Delgado-SequeraNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain.
Anaid Pérez-RamosNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain.
MªCarmen Durán-RuizBiomedical Research and Innovation Institute of Cadiz (INiBICA), Cádiz, Spain.
Cristina Romero-Lopez-AlbercaNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain.
Jose I Pérez-RevueltaBiomedical Research and Innovation Institute of Cadiz (INiBICA), Cádiz, Spain.
Ingrid Marquez-EstefennBiomedical Research and Innovation Institute of Cadiz (INiBICA), Cádiz, Spain.
Clara García-MompóNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain.
Jose Ma Villagrán MorenoBiomedical Research and Innovation Institute of Cadiz (INiBICA), Cádiz, Spain.
Esther BerrocosoNeuropsychopharmacology and Psychobiology Research Group, University of Cadiz, Cádiz, Spain. esther.berrocoso@uca.es.

Funding

Consejería de Economía, Innovación, Ciencia y Empleo, Junta de Andalucía CTS-510
6 · The paper itself

Abstract

backgroundLithium is a first-line treatment for bipolar disorder (BD), but only 30% of patients respond satisfactorily to monotherapy, and the biological basis for this variability remains unclear. This study aimed to identify potential biomarkers and therapeutic targets by analyzing olfactory neuroepithelium (ONE) cells from BD lithium non-responders (BDNR), responders (BDR), and control subjects.

methodsImmunofluorescence and proteomic analyses of ONE cells were conducted. Blood samples were examined to improve accessibility for clinical applications.

resultsImmunofluorescence and proteomic analyses of ONE cells revealed that BDNR cells exhibited impaired adhesion capacity, which was restored by lithium treatment in vitro. However, BDNR cells also showed significant alterations in cell morphology and cytoskeletal organization that were unaffected by lithium. Proteomic analysis identified significant changes in pathways associated with "cell morphology," with CDN2A highlighted as a key protein. In BDR cells, lithium treatment restored adhesion capacity but failed to reverse migration deficits. Proteomic analysis of BDR ONE cells identified differentially expressed proteins linked to neurotransmitter release, synaptic function, and mitochondrial activity, many of which were significantly modulated by lithium. Additionally, peripheral blood mononuclear cells from BDR patients displayed lower levels of RHOC protein, mirroring reductions seen in ONE BDR cells treated with lithium.

conclusionsThis study underscores cellular and proteomic differences between BDNR and BDR cells, with lithium exerting pronounced effects on BDR cells while having limited impact on BDNR cells. These findings advance our understanding of lithium responsiveness in BD and point to potential biomarkers and therapeutic targets for personalized treatment approaches.

Indexed as

Bipolar DisorderEpithelial CellsLithiumOlfactory MucosaProteomeProteomicsAdultBiomarkersCell AdhesionFemaleHumansMaleMiddle AgedBiomarkersLithiumProteomeBipolar disorderCytoskeletonLithiumOlfactory neuroepitheliumProteomics

Identifiers

PMID41013196
PMCPMC12465717

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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.