Evidence map›Paper›PMID 31279534›Full record

Trial reportBiological psychiatry2019

Targeted Treatment of Individuals With Psychosis Carrying a Copy Number Variant Containing a Genomic Triplication of the Glycine Decarboxylase Gene.

J Alexander Bodkin, Michael J Coleman, Laura J Godfrey, Claudia M B Carvalho, Charity J Morgan, Raymond F Suckow, Thea Anderson, Dost Öngür, Marc J Kaufman, Kathryn E Lewandowski and 21 more

Open access · greenAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.8field-weighted citation impact, top 5% 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.

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

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Translational Study of Copy Number Variations in Schizophrenia.International journal of molecular sciences · 2021
    Article
  15. Clan genomics: From OMIM phenotypic traits to genes and biology.American journal of medical genetics. Part A · 2021
    Article
  16. Review
  17. Copy number variation and neuropsychiatric illness.Current opinion in genetics & development · 2021
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 14 institutions in 3 countries.

J Alexander BodkinMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Michael J ColemanMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Laura J GodfreyMcLean Hospital, Belmont, Massachusetts.
Claudia M B CarvalhoDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Charity J MorganDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: cjmorgan@uab.edu.
Raymond F SuckowNew York State Psychiatric Institute, New York.
Thea AndersonMcLean Hospital, Belmont, Massachusetts.
Dost ÖngürMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Marc J KaufmanMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Kathryn E LewandowskiMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Arthur J SiegelMcLean Hospital, Belmont, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Elliot WaldstreicherDeceased.
Christopher M GrochowskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Daniel C JavittColumbia University Medical Center, New York; Nathan Kline Institute, Orangeburg, New York.
Dan RujescuDepartment of Psychiatry, Psychotherapy, and Psychosomatics, Martin Luther University of Halle-Wittenberg, Halle, Germany.
Scott HebbringCenter for Human Genetics, Marshfield Clinic Research Institute, Marshfield, Wisconsin.
Richard WeinshilboumMayo Clinic, Rochester, Minnesota.
Stephanie Burgos RodriguezMcLean Hospital, Belmont, Massachusetts.
Colette KirchhoffBozeman-Deaconess Hospital, Bozeman, Montana.
Timothy VisscherStudent Health Service, Montana State University, Bozeman, Montana.
Alexander VuckovicMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Allison FialkowskiDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama.
Shane McCarthyCold Spring Harbor Laboratory, Cold Spring Harbor, New York.
Dheeraj MalhotraHoffman-LaRoche Ltd., Basel, Switzerland.
Jonathan SebatDepartment of Psychiatry, University of California, San Diego, La Jolla, California.
Donald C GoffDepartment of Psychiatry, New York University Langone Medical Center, New York; Nathan Kline Institute, Orangeburg, New York.
James I HudsonMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
James R LupskiDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Joseph T CoyleMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Uwe RudolphMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Deborah L LevyMcLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Harvard University · USBaylor College of Medicine · USMcLean Hospital · USNathan Kline Institute for Psychiatric Research · USUniversity of Alabama at Birmingham · USBozeman Health Deaconess Hospital · USCenter for Human Genetics · USCold Spring Harbor Laboratory · USMartin Luther University Halle-Wittenberg · DEMayo Clinic · USMontana State University · USNew York State Psychiatric InstituteRoche (Switzerland) · CHUniversity of California San Diego · US

Funding

Baylor-Johns Hopkins Center for Mendelian GeneticsUM1HG006542 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 2016 to 2020
$14.5M
Center for Genomic and Phenomic Studies in AutismU24MH081810 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LAJONCHERE, CLARA M · 2007 to 2011
$8.3M
STRUCTURAL VARIATION IN NEUROLOGICAL DISEASER35NS105078 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2018 to 2025
$6.0M
Nonrecurrent rearrangements, genome architecture and neurodegenerative disease.R01NS058529 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI LUPSKI, JAMES R. · 2009 to 2017
$5.0M
MUTATIONAL SIGNATURE(S) OF HUMAN GENOMIC REARRANGEMENT MECHANISMSR01GM106373 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI HASTINGS, PHILIP JOHN, LUPSKI, JAMES R. · 2014 to 2022
$3.1M
UAB Biostatistics Pre-doctoral Training ProgramT32HL079888 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ALLISON, DAVID B, CUTTER, GARY R · 2005 to 2014
$2.3M
Neurobiology of a Mutation in Glycine Metabolism in Psychotic DisordersR21MH097470 · NIMH · MCLEAN HOSPITAL · PI LEVY, DEBORAH L · 2012 to 2014
$525k
Neurobiological relevance of 9p24.1 CNVs for bipolar disorder and schizophreniaR21MH104505 · NIMH · MCLEAN HOSPITAL · PI RUDOLPH, UWE · 2014 to 2015
$435k
Targeting a Genetic Mutation in Glycine Metabolism with D-CycloserineR21MH105732 · NIMH · MCLEAN HOSPITAL · PI LEVY, DEBORAH L · 2014 to 2015
$428k
NHGRI NIH HHS UM1 HG006542NHLBI NIH HHS T32 HL079888NIGMS NIH HHS R01 GM106373NIMH NIH HHS R21 MH097470NIMH NIH HHS R21 MH104505NIMH NIH HHS R21 MH105732NIMH NIH HHS U24 MH081810NINDS NIH HHS R01 NS058529NINDS NIH HHS R35 NS105078
6 · The paper itself

Abstract

backgroundThe increased mutational burden for rare structural genomic variants in schizophrenia and other neurodevelopmental disorders has so far not yielded therapies targeting the biological effects of specific mutations. We identified two carriers (mother and son) of a triplication of the gene encoding glycine decarboxylase, GLDC, presumably resulting in reduced availability of the N-methyl-D-aspartate receptor coagonists glycine and D-serine and N-methyl-D-aspartate receptor hypofunction. Both carriers had a diagnosis of a psychotic disorder.

methodsWe carried out two double-blind, placebo-controlled clinical trials of N-methyl-D-aspartate receptor augmentation of psychotropic drug treatment in these two individuals. Glycine was used in the first clinical trial, and D-cycloserine was used in the second one.

resultsGlycine or D-cycloserine augmentation of psychotropic drug treatment each improved psychotic and mood symptoms in placebo-controlled trials.

conclusionsThese results provide two independent proof-of-principle demonstrations of symptom relief by targeting a specific genotype and explicitly link an individual mutation to the pathophysiology of psychosis and treatment response.

Indexed as

Receptors, N-Methyl-D-AspartateAdultAffective Disorders, PsychoticDNA Copy Number VariationsDouble-Blind MethodDrug SynergismDrug Therapy, CombinationFemaleGlycineGlycine AgentsGlycine Dehydrogenase (Decarboxylating)HumansMaleProof of Concept StudyPsychotic DisordersPsychotropic DrugsGlycineGlycine AgentsGlycine Dehydrogenase (Decarboxylating)Psychotropic DrugsReceptors, N-Methyl-D-AspartateBipolar disorderCopy number variantGeneticsGlycine decarboxylaseNMDAR hypofunctionSchizophrenia

Identifiers

PMID31279534
PMCPMC6745274
OpenAlexW2944401420

What Socratic holds

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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 Socratic graph.