Evidence map›Paper›PMID 19423079›Full record

Trial reportBiological psychiatry2009

Inflammation causes mood changes through alterations in subgenual cingulate activity and mesolimbic connectivity.

Neil A Harrison, Lena Brydon, Cicely Walker, Marcus A Gray, Andrew Steptoe, Hugo D Critchley

4 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 391 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
391citing papers in PubMed, 7 pooled it
8.5field-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.

NCT02415166 naterminatednot on this mapstarted 2015, after this paper: background citation

Influenza Challenge in Mood Disorders

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2015 to 2016Enrolled6ConditionsMAJOR DEPRESSIVE DISORDERArmsINFLUENZA VACCINE, NaCl-saline placebo
NCT02628054 nacompletednot on this mapstarted 2015, after this paper: background citation

Investigating the Effects of Typhoid Vaccine on Sleep in Healthy Volunteers

TypeinterventionalSponsorUniversity of OxfordRan2015 to 2015Enrolled16ConditionsTyphoid Vaccine on SleepArmsTyphoid Vaccine, Placebo
NCT06306209 unknown statusnot on this mapstarted 2021, after this paper: background citation

Inflammatory Control of Antidepressant Efficacy: a Pharmaco-epigenetic Approach

TypeobservationalSponsorIRCCS San RaffaeleRan2021 to 2025Enrolled80ConditionsMood Disorders, Major Depressive DisorderArmsTreatment as usual (TAU), i.e., pharmacotherapy plus clinical management
NCT06306248 unknown statusnot on this mapstarted 2023, after this paper: background citation

Adjusting Immune Activation to Reinstate Neural Plasticity and Promote the Beneficial Effect of Non-pharmacological Interventions

TypeobservationalSponsorIRCCS San RaffaeleRan2023 to 2025Enrolled60ConditionsMood Disorders, Major Depressive Disorder, Sleep DeprivationArmsTotal sleep deprivation
3 · Its place in the literature

Who cites it

391 citing papers in PubMed, 7 syntheses or guidelines pooled it, 747 citations in OpenAlex.

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  18. Depressive symptom instability predicts incident mild cognitive impairment and dementia in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  20. Article

331 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

6 authors at 3 institutions in 1 country.

Neil A HarrisonWellcome Trust, Centre for Neuroimaging, Institute of Cognitive Neuroscience, UCL, 17 Queen Square, London WC1N 3AR, UK. n.harrison@fil.ion.ucl.ac.uk
Lena Brydon
Cicely Walker
Marcus A Gray
Andrew Steptoe
Hugo D Critchley
Brighton and Sussex Medical School · GBUniversity of Sussex · GBWellcome Centre for Human Neuroimaging · GB

Funding

British Heart Foundation RG/05/006Wellcome TrustWellcome Trust 074333/Z/04/Z
6 · The paper itself

Abstract

backgroundInflammatory cytokines are implicated in the pathophysiology of depression. In rodents, systemically administered inflammatory cytokines induce depression-like behavior. Similarly in humans, therapeutic interferon-alpha induces clinical depression in a third of patients. Conversely, patients with depression also show elevated pro-inflammatory cytokines.

objectivesTo determine the neural mechanisms underlying inflammation-associated mood change and modulatory effects on circuits involved in mood homeostasis and affective processing.

methodsIn a double-blind, randomized crossover study, 16 healthy male volunteers received typhoid vaccination or saline (placebo) injection in two experimental sessions. Mood questionnaires were completed at baseline and at 2 and 3 hours. Two hours after injection, participants performed an implicit emotional face perception task during functional magnetic resonance imaging. Analyses focused on neurobiological correlates of inflammation-associated mood change and affective processing within regions responsive to emotional expressions and implicated in the etiology of depression.

resultsTyphoid but not placebo injection produced an inflammatory response indexed by increased circulating interleukin-6 and significant mood reduction at 3 hours. Inflammation-associated mood deterioration correlated with enhanced activity within subgenual anterior cingulate cortex (sACC) (a region implicated in the etiology of depression) during emotional face processing. Furthermore, inflammation-associated mood change reduced connectivity of sACC to amygdala, medial prefrontal cortex, nucleus accumbens, and superior temporal sulcus, which was modulated by peripheral interleukin-6.

conclusionsInflammation-associated mood deterioration is reflected in changes in sACC activity and functional connectivity during evoked responses to emotional stimuli. Peripheral cytokines modulate this mood-dependent sACC connectivity, suggesting a common pathophysiological basis for major depressive disorder and sickness-associated mood change and depression.

Indexed as

AdultAffectFacial ExpressionGyrus CinguliHumansInflammationInterleukin-6Limbic SystemMagnetic Resonance ImagingMaleNeural PathwaysTyphoid-Paratyphoid VaccinesInterleukin-6Typhoid-Paratyphoid Vaccines

Identifiers

PMID19423079
PMCPMC2885494
OpenAlexW2046572145

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 OpenQuestion graph.