Evidence map›Paper›PMID 20955778›Full record

ReviewBrain, behavior, and immunity2011

Immune suppression and immune activation in depression.

Joshua Blume, Steven D Douglas, Dwight L Evans

Registry-linked trialAbstract readReview
In one paragraph

Review in Brain, behavior, and immunity, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02415166 (Influenza Challenge in Mood Disorders), which is not on this map. Cited by 164 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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
3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 3 syntheses or guidelines pooled it, 326 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The influence of depression on clinical outcomes of total shoulder arthroplasty: a systematic Review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. The association of mental health over time with cardiac outcomes in HEMO study patients.Clinical journal of the American Society of Nephrology : CJASN · 2012
    Trial
  8. Trial
  9. Article
  10. Repeated social defeat causes bone loss from mouse femur.Brain, behavior, & immunity - health · 2026
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Association Between Depression and Increased Odds of Inpatient Mortality Following Hip Fracture Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

104 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

3 authors at 2 institutions in 1 country.

Joshua BlumeDepartment of Psychiatry, University of Pennsylvania School of Medicine, 423 Guardian Drive, 305 Blockley Hall, Philadelphia, PA 19104, USA.
Steven D Douglas
Dwight L Evans
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Clinical research scholars programs in psychiatryR25MH060490 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI EVANS, DWIGHT L. · 1999 to 2013
$3.5M
Depression Antidepressants and HIV infectivityR01MH082670 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI EVANS, DWIGHT L. · 2008 to 2012
$3.4M
NIMH NIH HHS R01 MH082670NIMH NIH HHS R25 MH060490NIMH NIH HHS R25-MH060490
6 · The paper itself

Abstract

Depression has been characterized as a disorder of both immune suppression and immune activation. Markers of impaired cellular immunity (decreased natural killer cell cytotoxicity) and inflammation (elevated IL-6, TNFα, and CRP) have been associated with depression. These immunological markers have been associated with other medical illnesses, suggesting that immune dysregulation may be a central feature common to both depression and to its frequent medical comorbidities. Yet the significant associations of findings of both immune suppression and immune activation with depression raise questions concerning the relationship between these two classes of immunological observations. Depressed populations are heterogeneous groups, and there may be differences in the immune profiles of populations that are more narrowly defined in terms of symptom profile and/or demographic features. There have been few reports concurrently investigating markers of immune suppression and immune activation in the same depressed individuals. An emerging pre-clinical literature suggests that chronic inflammation may directly contribute to the pathophysiology of immune suppression in the context of illnesses such as cancer and rheumatoid arthritis. This literature provides us with specific immunoregulatory mechanisms mediating these relationships that could also explain differences in immune disturbances between subsets of depressed individuals We propose a research agenda emphasizing the assessment of these immunoregulatory mechanisms in large samples of depressed subjects as a means to define the relationships among immune findings (suppression and/or activation) within the same depressed individuals and to characterize subsets of depressed subjects based on shared immune profiles. Such a program of research, building on and integrating our knowledge of the psychoneuroimmunology of depression, could lead to innovation in the assessment and treatment of depression and its medical comorbidities.

Indexed as

Immune ToleranceCytokinesDepressive DisorderHumansImmune SystemT-LymphocytesCytokines

Identifiers

PMID20955778
PMCPMC3025086
OpenAlexW2068831018

What OpenQuestion holds

Textmetadata
LicenceTDM
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.