Evidence map›Paper›PMID 19488045›Full record

ArticleMolecular psychiatry2010

Increased excitotoxicity and neuroinflammatory markers in postmortem frontal cortex from bipolar disorder patients.

J S Rao, G J Harry, S I Rapoport, H W Kim

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02272010 (Targeted Alterations in n-3 and n-6 Fatty Acids for the Management of Mood Variability in the Maintenance Phase of Bipolar Disorder), which is not on this map. Cited by 217 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed, 5 pooled it
11.4field-weighted citation impact, top 1% of its field
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.

NCT02272010 nacompletednot on this mapstarted 2014, after this paper: background citation

Targeted Alterations in n-3 and n-6 Fatty Acids for the Management of Mood Variability in the Maintenance Phase of Bipolar Disorder

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2014 to 2019Enrolled83ConditionsBipolar DisorderArmsExperimental Diet, Comparator Diet
3 · Its place in the literature

Who cites it

217 citing papers in PubMed, 5 syntheses or guidelines pooled it, 430 citations in OpenAlex.

  1. Pooled it
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  10. Synaptic effects of interleukin-6 on human iPSC-derived dopaminergic neurons.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  16. Article
  17. Immune dysregulation in bipolar disorder.Journal of affective disorders · 2025
    Article
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  20. Review

157 more citing papers are in PubMed but not listed here.

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

4 authors at 1 institution in 1 country.

J S RaoBrain Physiology and Metabolism Section, NIA, NIH Bethesda, Bethesda, MD 20892, USA. jrao@mail.nih.gov
G J Harry
S I Rapoport
H W Kim
National Institutes of Health · US

Funding

A Natonal Resource for Postmortem Brain ResearchR24MH068855 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI BENES, FRANCINE M. · 2003 to 2012
$14.8M
Lipids in Human Brain DiseaseZIAAG000428 · NIA · NATIONAL INSTITUTE ON AGING · PI RAPOPORT, STANLEY I. · 2009 to 2016
$2.6M
Neuroimmunotoxicology: autoimmunity, inflammation, age, environmental agentsZIAES101623 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI HARRY, GAYLIA JEAN · 2009 to 2012
$1.7M
Intramural NIH HHS Z99 AG999999NIMH NIH HHS R24 MH068855NIMH NIH HHS R24MH068855
6 · The paper itself

Abstract

Reports of cognitive decline, symptom worsening and brain atrophy in bipolar disorder (BD) suggest that the disease progresses over time. The worsening neuropathology may involve excitotoxicity and neuroinflammation. We determined protein and mRNA levels of excitotoxicity and neuroinflammatory markers in postmortem frontal cortex from 10 BD patients and 10 age-matched controls. The brain tissue was matched for age, postmortem interval and pH. The results indicated statistically significant lower protein and mRNA levels of the N-methyl-D-aspartate receptors, NR-1 and NR-3A, but significantly higher protein and mRNA levels of interleukin (IL)-1beta, the IL-1 receptor (IL-1R), myeloid differentiation factor 88, nuclear factor-kappa B subunits, and astroglial and microglial markers (glial fibrillary acidic protein, inducible nitric oxide synthase, c-fos and CD11b) in postmortem frontal cortex from BD compared with control subjects. There was no significant difference in mRNA levels of tumor necrosis factor alpha or neuronal nitric oxide synthase in the same region. These data show the presence of excitotoxicity and neuroinflammation in BD frontal cortex, with particular activation of the IL-R cascade. The changes may account for reported evidence of disease progression in BD and be a target for future therapy.

Indexed as

AdultBipolar DisorderCase-Control StudiesCD11b AntigenFemaleFrontal LobeGene Expression RegulationHumansInflammation MediatorsInterleukin-1betaMaleMiddle AgedMyeloid Differentiation Factor 88Nerve Tissue ProteinsNuclear ProteinsPostmortem ChangesCD11b AntigenInflammation MediatorsInterleukin-1betaMyeloid Differentiation Factor 88Nerve Tissue ProteinsNuclear ProteinsProto-Oncogene Proteins c-fosReceptors, Interleukin-1Receptors, N-Methyl-D-AspartateRNA, Messenger

Identifiers

PMID19488045
PMCPMC2844920
OpenAlexW2014858274

What Socratic holds

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Registered trials

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 Socratic graph.