Evidence map›Paper›PMID 42185329›Full record

ArticleNPJ Parkinson's disease2026

GABAergic dysfunction in Parkinson's disease: insights from in vivo proton magnetic resonance spectroscopy.

Shweta Prasad, Dinesh Kumar Deelchand, Manoj Kumar, Ravi Yadav, Pramod Kumar Pal, Jitender Saini

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2026. 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

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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

6 authors.

Shweta PrasadDepartment of Neurology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India. shweta.e08175@nimhans.net.
Dinesh Kumar DeelchandCenter for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, MN, USA.
Manoj KumarDepartment of Neuroimaging and Interventional Radiology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
Ravi YadavDepartment of Neurology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
Pramod Kumar PalDepartment of Neurology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.
Jitender SainiDepartment of Neuroimaging and Interventional Radiology, National Institute of Mental Health & Neuro Sciences, Bengaluru, Karnataka, India.

Funding

DBT/ Wellcome Trust India Alliance IA/CPHE/21/1/505953Wellcome Trust
6 · The paper itself

Abstract

Parkinson's disease (PD) pathogenesis extends beyond dopamine with evidence of serotonergic, noradrenergic, cholinergic and involvement of γ-aminobutyric acid (GABA). This article aims to systematically review the existing literature on GABAergic alterations in PD as quantified by in vivo proton MRS with a focus on ascertaining the influence of GABA on motor and non-motor symptoms, motor subtypes, effect of medication status and methodological variations across studies. A systematic search of PubMed and Scopus was carried out in April 2025 with a relevant Boolean phrase and 22 studies met the inclusion criteria. Considerable methodological variability was observed across studies in magnetic field strengths, pulse sequences, voxel location and size, quantification reference and processing methods. Review of reported GABA levels revealed a heterogeneous pattern of alterations across studies, regions of interest and clinical phenotypes, precluding meta-analysis. These observations suggest a multifaceted, region-specific dysregulation of GABAergic neurotransmission extending beyond the canonical dopaminergic framework. GABA plays a definite modulatory role in the pathogenesis of PD, and complex, distinct regional alterations contribute to the development of motor and non-motor symptoms in PD. Standardisation of GABA spectroscopy methods and appropriate patient stratification is crucial to identify definite patterns of alterations.

Identifiers

PMID42185329
PMCPMC13482129

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