Evidence map›Paper›PMID 41311264›Full record

ArticlePsychological medicine2025

Mitochondrial respiratory activity and DNA damage in peripheral blood mononuclear cells in borderline personality disorder.

Alexander Behnke, Manuela Rappel, Laura Ramo-Fernández, R Nehir Mavioğlu, Benjamin Weber, Felix Neuner, Ellen Bisle, Matthias Mack, Peter Radermacher, Stephanie H Witt and 3 more

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Energy constraint on human health.Trends in endocrinology and metabolism: TEM · 2026
    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

13 authors.

Alexander BehnkeClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0002-4128-9627
Manuela RappelClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0003-0121-1128
Laura Ramo-FernándezClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0002-3921-3770
R Nehir MavioğluClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0003-4154-6475
Benjamin WeberClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0002-4941-1332
Felix NeunerClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0009-0002-3083-7955
Ellen BisleClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0009-0001-2121-7941
Matthias MackClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0001-7937-079X
Peter RadermacherInstitute for Anesthesiologic Pathophysiology and Process Engineering, Ulm University Hospital, Ulm, Germany.
Stephanie H WittGerman Center for Mental Health (DZPG), Partner Site Mannheim-Heidelberg-Ulm, Ulm, Germany.ORCID 0000-0002-1571-1468
Christian SchmahlGerman Center for Mental Health (DZPG), Partner Site Mannheim-Heidelberg-Ulm, Ulm, Germany.
Alexander KarabatsiakisClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0002-5822-0108
Iris-Tatjana KolassaClinical & Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.ORCID 0000-0001-7847-1847

Funding

Deutsche Forschungsgemeinschaft SCHM 1526/13-1Universität Ulm
6 · The paper itself

Abstract

backgroundAlterations in the central and peripheral energy metabolism are increasingly recognized as key pathophysiological processes in psychiatric disorders. We investigated mitochondrial respiration and density linked to cellular energy metabolism and oxidative DNA damage in borderline personality disorder (BPD).

methodsThis cross-sectional case-control study compared three groups matched for age and body mass index: women with acute BPD, remitted BPD, and female healthy controls (

resultsParticipants with acute BPD showed significantly reduced and less efficient mitochondrial ATP production compared to both remitted individuals and controls. Mitochondrial coupling and respiration were inversely associated with oxidative DNA damage, although DNA damage levels did not differ significantly across diagnostic groups. Sensitivity analyses indicated that comorbid major depressive episodes and antidepressant use did not account for the results.

conclusionsThese findings indicate mitochondrial alterations accompany acute symptom severity in BPD and may improve with remission. Unraveling causes and consequences of mitochondrial downregulation and its interplay with DNA maintenance in the context of stress and psychopathology could contribute to novel models and treatment strategies in BPD and related severe psychiatric disorders.

Indexed as

Borderline Personality DisorderDNA DamageLeukocytes, MononuclearMitochondriaAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansMajor Depressive DisorderYoung Adultbiomarkerborderline personality disorderDNA damagemitochondrial bioenergeticsoxidative stress

Identifiers

PMID41311264
PMCPMC13058628

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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.