Evidence map›Paper›PMID 36653674›Full record

ArticleMolecular psychiatry2023

Transcriptional and functional effects of lithium in bipolar disorder iPSC-derived cortical spheroids.

Jordi Requena Osete, Ibrahim A Akkouh, Oleksandr Ievglevskyi, Matthieu Vandenberghe, Denis Reis de Assis, Thor Ueland, Elena Kondratskaya, Børge Holen, Attila Szabo, Timothy Hughes and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2023. 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
9.3field-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.

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, 42 citations in OpenAlex.

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  11. Modelling human brain development and disease with organoids.Nature reviews. Molecular cell biology · 2025
    Review
  12. Article
  13. Article
  14. The Mechanisms of Lithium Action: The Old and New Findings.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Application of anFrontiers in cellular neuroscience · 2024
    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

14 authors at 1 institution in 1 country.

Jordi Requena OseteDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway. j.r.osete@medisin.uio.no.ORCID 0000-0002-9766-5556
Ibrahim A AkkouhDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-6810-9999
Oleksandr IevglevskyiNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-5499-4245
Matthieu VandenbergheDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Denis Reis de AssisDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Thor UelandResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Elena KondratskayaDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-5066-5068
Børge HolenNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Attila SzaboDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-7833-8894
Timothy HughesDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-8022-6012
Olav B SmelandNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-3761-5215
Vidar Martin SteenNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Ole A AndreassenNORMENT, Institute of Clinical Medicine, University of Oslo, and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-4461-3568
Srdjan DjurovicDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway. srdjan.djurovic@medisin.uio.no.ORCID 0000-0002-8140-8061
Oslo University Hospital · NO

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 80113Ministry of Health and Care Services | Helse Sør-Øst RHF (Southern and Eastern Norway Regional Health Authority) 2022087Norges Forskningsråd (Research Council of Norway) 223273Norges Forskningsråd (Research Council of Norway) 248828Norges Forskningsråd (Research Council of Norway) 300309
6 · The paper itself

Abstract

Lithium (Li) is recommended for long-term treatment of bipolar disorder (BD). However, its mechanism of action is still poorly understood. Induced pluripotent stem cell (iPSC)-derived brain organoids have emerged as a powerful tool for modeling BD-related disease mechanisms. We studied the effects of 1 mM Li treatment for 1 month in iPSC-derived human cortical spheroids (hCS) from 10 healthy controls (CTRL) and 11 BD patients (6 Li-responders, Li-R, and 5 Li non-treated, Li-N). At day 180 of differentiation, BD hCS showed smaller size, reduced proportion of neurons, decreased neuronal excitability and reduced neural network activity compared to CTRL hCS. Li rescued excitability of BD hCS neurons by exerting an opposite effect in the two diagnostic groups, increasing excitability in BD hCS and decreasing it in CTRL hCS. We identified 132 Li-associated differentially expressed genes (DEGs), which were overrepresented in sodium ion homeostasis and kidney-related pathways. Moreover, Li regulated secretion of pro-inflammatory cytokines and increased mitochondrial reserve capacity in BD hCS. Through long-term Li treatment of a human 3D brain model, this study partly elucidates the functional and transcriptional mechanisms underlying the clinical effects of Li, such as rescue of neuronal excitability and neuroprotection. Our results also underscore the substantial influence of treatment duration in Li studies. Lastly, this study illustrates the potential of patient iPSC-derived 3D brain models for precision medicine in psychiatry.

Indexed as

Bipolar DisorderInduced Pluripotent Stem CellsHumansLithiumLithium CompoundsNeuronsLithiumLithium Compounds

Identifiers

PMID36653674
PMCPMC10615757
OpenAlexW4317207972

What Socratic holds

Textmetadata
LicenceCC BY
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.