Evidence map›Paper›PMID 22751107›Full record

ArticleThe Journal of clinical investigation2012

Brain indoleamine 2,3-dioxygenase contributes to the comorbidity of pain and depression.

Hyangin Kim, Lucy Chen, Grewo Lim, Backil Sung, Shuxing Wang, Michael F McCabe, Gabriel Rusanescu, Liling Yang, Yinghong Tian, Jianren Mao

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 170 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 1 pooled it
7.4field-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

170 citing papers in PubMed, 1 synthesis or guideline pooled it, 314 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Low 5HTJournal of neurochemistry · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Rewiring the Lung-CNS Axis After Spinal Cord Injury.Journal of inflammation research · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

110 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

10 authors at 3 institutions in 1 country.

Hyangin KimMGH Center for Translational Pain Research, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Lucy Chen
Grewo Lim
Backil Sung
Shuxing Wang
Michael F McCabe
Gabriel Rusanescu
Liling Yang
Yinghong Tian
Jianren Mao
Harvard University · USCenter for Pain and the Brain · USMassachusetts General Hospital · US

Funding

Translational Research on Prescription Drug AbuseP20DA026002 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2008 to 2011
$3.8M
COMORBIDITY BETWEEN DEPRESSION AND OROFACIAL PAINR01DE018538 · NIDCR · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2007 to 2011
$2.0M
Central Mechanisms of Orofacial PainR01DE018214 · NIDCR · MASSACHUSETTS GENERAL HOSPITAL · PI MAO, JIANREN · 2008 to 2012
$1.7M
NIDA NIH HHS P20 DA026002NIDA NIH HHS P20DA26002NIDCR NIH HHS R01 DE018214NIDCR NIH HHS R01 DE018538NIDCR NIH HHS R01DE18214NIDCR NIH HHS R01DE18538
6 · The paper itself

Abstract

Pain and depression are frequently comorbid disorders, but the mechanism underlying this association is unknown. Here, we report that brain indoleamine 2,3-dioxygenase 1 (IDO1), a rate-limiting enzyme in tryptophan metabolism, plays a key role in this comorbidity. We found that chronic pain in rats induced depressive behavior and IDO1 upregulation in the bilateral hippocampus. Upregulation of IDO1 resulted in the increased kynurenine/tryptophan ratio and decreased serotonin/tryptophan ratio in the bilateral hippocampus. We observed elevated plasma IDO activity in patients with both pain and depression, as well as in rats with anhedonia induced by chronic social stress. Intra-hippocampal administration of IL-6 in rats, in addition to in vitro experiments, demonstrated that IL-6 induces IDO1 expression through the JAK/STAT pathway. Further, either Ido1 gene knockout or pharmacological inhibition of hippocampal IDO1 activity attenuated both nociceptive and depressive behavior. These results reveal an IDO1-mediated regulatory mechanism underlying the comorbidity of pain and depression and suggest a new strategy for the concurrent treatment of both conditions via modulation of brain IDO1 activity.

Indexed as

AdolescentAdultAgedAnimalsBrainChronic PainComorbidityDepressionFemaleGene Knockout TechniquesHippocampusHumansIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-6MaleMiceIndoleamine-Pyrrole 2,3,-DioxygenaseInterleukin-6

Identifiers

PMID22751107
PMCPMC3408737
OpenAlexW2088936071

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.