Evidence map›Paper›PMID 21873225›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2011

Serotonin signaling is associated with lower amyloid-β levels and plaques in transgenic mice and humans.

John R Cirrito, Brianne M Disabato, Jessica L Restivo, Deborah K Verges, Whitney D Goebel, Anshul Sathyan, Davinder Hayreh, Gina D'Angelo, Tammie Benzinger, Hyejin Yoon and 4 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 3 pooled it
8.1field-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.

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

183 citing papers in PubMed, 3 syntheses or guidelines pooled it, 354 citations in OpenAlex.

  1. Pooled it
  2. Β-Amyloid Burden is Not Associated with Cognitive Impairment in Schizophrenia: A Systematic Review.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Pooled it
  3. Amyloid deposition in Parkinson's disease and cognitive impairment: a systematic review.Movement disorders : official journal of the Movement Disorder Society · 2015
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Article
  11. Trajectories of late-life depression: insights from molecular imaging.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  12. Article
  13. Sex differences in neuromodulatory subcortical systems and their implications for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  14. Review
  15. Article
  16. Pharmacotherapy of major depressive disorder in older adults: from an evidence-informed stepwise algorithm to precision medicine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  17. Relationship Between SSRI Exposure During Later Life and Clinical and Neuropathological Correlates of Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

John R CirritoDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. cirritoj@neuro.wustl.edu
Brianne M Disabato
Jessica L Restivo
Deborah K Verges
Whitney D Goebel
Anshul Sathyan
Davinder Hayreh
Gina D'Angelo
Tammie Benzinger
Hyejin Yoon
Jungsu Kim
John C Morris
Mark A Mintun
Yvette I Sheline
University Radiology · USEli Lilly (Singapore) · SGHope Center for Neurological Disorders · USWashington University in St. Louis · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 1985 to 2019
$52.1M
Translational Neuroscientist and the Hope CenterP30NS069329 · NINDS · WASHINGTON UNIVERSITY · PI GOATE, ALISON M · 2009 to 2010
$1.4M
Neuroimaging in Depression Treatment StudiesK24MH079510 · NIMH · WASHINGTON UNIVERSITY · PI SHELINE, YVETTE I · 2007 to 2011
$853k
Effect of Human AD Brain-Derived Abeta Species on Synaptic FunctionK01AG029524 · NIA · WASHINGTON UNIVERSITY · PI CIRRITO, JOHN R · 2007 to 2011
$470k
PET Amyloid Plaque Imaging in Late Life DepressionR21MH077124 · NIMH · WASHINGTON UNIVERSITY · PI SHELINE, YVETTE I · 2006 to 2007
$371k
NIA NIH HHS K01 AG029524NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG03991NIA NIH HHS P50 AG005681NIA NIH HHS P50 AG05681NIMH NIH HHS K24 MH079510NIMH NIH HHS R21 MH077124NIMH NIH HHS R21 MH77124NINDS NIH HHS P30 NS069329PHS HHS K24 MHO79510
6 · The paper itself

Abstract

Aggregation of amyloid-β (Aβ) as toxic oligomers and amyloid plaques within the brain appears to be the pathogenic event that initiates Alzheimer's disease (AD) lesions. One therapeutic strategy has been to reduce Aβ levels to limit its accumulation. Activation of certain neurotransmitter receptors can regulate Aβ metabolism. We assessed the ability of serotonin signaling to alter brain Aβ levels and plaques in a mouse model of AD and in humans. In mice, brain interstitial fluid (ISF) Aβ levels were decreased by 25% following administration of several selective serotonin reuptake inhibitor (SSRI) antidepressant drugs. Similarly, direct infusion of serotonin into the hippocampus reduced ISF Aβ levels. Serotonin-dependent reductions in Aβ were reversed if mice were pretreated with inhibitors of the extracellular regulated kinase (ERK) signaling cascade. Chronic treatment with an SSRI, citalopram, caused a 50% reduction in brain plaque load in mice. To test whether serotonin signaling could impact Aβ plaques in humans, we retrospectively compared brain amyloid load in cognitively normal elderly participants who were exposed to antidepressant drugs within the past 5 y to participants who were not. Antidepressant-treated participants had significantly less amyloid load as quantified by positron emission tomography (PET) imaging with Pittsburgh Compound B (PIB). Cumulative time of antidepressant use within the 5-y period preceding the scan correlated with less plaque load. These data suggest that serotonin signaling was associated with less Aβ accumulation in cognitively normal individuals.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAniline CompoundsAnimalsAntidepressive Agents, Second-GenerationBrainCitalopramFemaleHumansMaleMiceMice, TransgenicPositron-Emission TomographyRadiographySerotoninSignal Transduction2-(4'-(methylamino)phenyl)-6-hydroxybenzothiazoleAmyloid beta-PeptidesAniline CompoundsAntidepressive Agents, Second-GenerationCitalopramSerotoninThiazoles

Identifiers

PMID21873225
PMCPMC3169155
OpenAlexW1977085392

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.