Evidence map›Paper›PMID 41296204›Full record

ArticleMolecular neurobiology2025

Contrasting Effects of Clozapine and Risperidone on Cholesterol Metabolism, Synaptic Proteins, and Transcriptional Regulation in Human LUHMES Neurons.

Piotr Rybczyński, Radoslaw Cacala, Zuzanna Cepil, Ewelina Fic, Weronika Romanska, Lukasz Marczak, Katarzyna Pustelny, Sylwia Kedracka-Krok

Abstract read
In one paragraph

Article in Molecular neurobiology, 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

8 authors.

Piotr Rybczyński *Faculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0000-0003-3848-3610
Radoslaw CacalaFaculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0009-0005-8414-3192
Zuzanna CepilFaculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0009-0004-2891-8814
Ewelina FicFaculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0000-0001-8353-5753
Weronika RomanskaFaculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0009-0002-5135-6050
Lukasz MarczakMass Spectrometry Laboratory, Institute of Bioorganic Chemistry, Polish Academy of Sciences, Poznan, Poland.ORCID http://orcid.org/0000-0001-8602-0077
Katarzyna PustelnyFaculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland.ORCID http://orcid.org/0000-0001-8430-8608
Sylwia Kedracka-Krok *Faculty of Biochemistry, Biophysics and Biotechnology, Department of Physical Biochemistry, Jagiellonian University, Gronostajowa 7, Krakow, Poland. sylwia.kedracka-krok@uj.edu.pl.ORCID http://orcid.org/0000-0002-0466-3907

Funding

National Science Centre of Poland UMO-2017/25/B/NZ4/01403Polish Minister of Education and Science SKN/SP/569561/2023
6 · The paper itself

Abstract

Antipsychotic drugs elicit complex cellular responses in neurons, yet the molecular mechanisms underlying their actions remain incompletely understood. Here, we employed deep proteomic profiling (DDA/DIA-MS) in LUHMES-derived dopaminergic neurons to explore the distinct proteomic profile induced by clozapine and risperidone. Pathway analysis revealed that clozapine robustly upregulated lipid metabolic pathways, particularly those involved in cholesterol and fatty acid biosynthesis. Conversely, risperidone primarily enhanced oxidative phosphorylation and modulated synaptic architecture and protein metabolic-pathways. Functional enrichment further indicated that clozapine promotes sterol metabolism, neuronal viability, and neurite outgrowth-hallmarks of neurotrophic activity - while simultaneously suppressing neurotransmission. Importantly, quantitative analysis of the nuclear subproteome enabled us to map these opposing regulatory hubs with high precision. Mechanistically, clozapine induced a transcriptionally repressive state, marked by downregulation of chromatin-opening factors CHD5 and DPF3 (BAF complex components) and HMGN1. In parallel, upregulation of the transcriptional repressor CIC reinforced this repressive signature, suggesting diminished chromatin accessibility. Furthermore, downregulation of activity-dependent regulators CRTC3 and JUNB pointed to an attenuation of excitability-driven gene expression. In contrast, risperidone upregulated TCF4, TCF7L1, FOS, HMGN1, and coactivators RREB1 and NCOA3, promoting Wnt signaling, chromatin accessibility and synaptic plasticity. Taken together, our data unveil distinct proteomic, transcriptional and epigenetic programs orchestrated by clozapine and risperidone, providing novel molecular insights into their divergent clinical actions.

Indexed as

CholesterolClozapineGene Expression RegulationNeuronsRisperidoneSynapsesTranscription, GeneticAntipsychotic AgentsDopaminergic NeuronsHumansAntipsychotic AgentsCholesterolClozapineRisperidoneClozapineHuman neuronsLUHMESNucleiProteomeRisperidone

Identifiers

PMID41296204
PMCPMC12657556

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.