Evidence map›Paper›PMID 25526971›Full record

ArticleBiological psychiatry2015

Quantitative Magnetization Transfer Imaging as a Biomarker for Effects of Systemic Inflammation on the Brain.

Neil A Harrison, Ella Cooper, Nicholas G Dowell, Georgia Keramida, Valerie Voon, Hugo D Critchley, Mara Cercignani

Open access · hybridAbstract read
In one paragraph

Article in Biological psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
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  11. Effect of serum concentrations of IL-6 and TNF-α on brain structure in anorexia nervosa: a combined cross-sectional and longitudinal study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  16. Immunoception: the insular cortex perspective.Cellular & molecular immunology · 2023
    Review
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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

7 authors at 4 institutions in 2 countries.

Neil A HarrisonBrighton and Sussex Medical School, University of Sussex, Brighton.; Sackler Centre for Consciousness Science, University of Sussex, Falmer.; Sussex Partnership National Health Service Trust, Brighton.. Electronic address: n.harrison@bsms.ac.uk.
Ella CooperBrighton and Sussex Medical School, University of Sussex, Brighton.
Nicholas G DowellNeuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy.
Georgia KeramidaBrighton and Sussex Medical School, University of Sussex, Brighton.
Valerie VoonDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom.; Cambridge and Peterborough NHS Foundation Trust, Cambridge, United Kingdom.
Hugo D CritchleyBrighton and Sussex Medical School, University of Sussex, Brighton.; Sackler Centre for Consciousness Science, University of Sussex, Falmer.; Sussex Partnership National Health Service Trust, Brighton.
Mara CercignaniBrighton and Sussex Medical School, University of Sussex, Brighton.; Neuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy.
Brighton and Sussex Medical School · GBFondazione Santa Lucia · ITUniversity of Sussex · GBCambridgeshire and Peterborough NHS Foundation Trust · GB

Funding

Medical Research Council G0001354Medical Research Council G1000183Wellcome Trust
6 · The paper itself

Abstract

backgroundSystemic inflammation impairs brain function and is increasingly implicated in the etiology of common mental illnesses, particularly depression and Alzheimer's disease. Immunotherapies selectively targeting proinflammatory cytokines demonstrate efficacy in a subset of patients with depression. However, efforts to identify patients most vulnerable to the central effects of inflammation are hindered by insensitivity of conventional structural magnetic resonance imaging.

methodsWe used quantitative magnetization transfer (qMT) imaging, a magnetic resonance imaging technique that enables quantification of changes in brain macromolecular density, together with experimentally induced inflammation to investigate effects of systemic inflammatory challenge on human brain microstructure. Imaging with qMT was performed in 20 healthy participants after typhoid vaccination and saline control injection. An additional 20 participants underwent fluorodeoxyglucose positron emission tomography following the same inflammatory challenge.

resultsThe qMT data demonstrated that inflammation induced a rapid change in brain microstructure, reflected in increased magnetization exchange from free (water) to macromolecular-bound protons, within a discrete region of insular cortex implicated in representing internal physiologic states including inflammation. The functional significance of this change in insular microstructure was demonstrated by correlation with inflammation-induced fatigue and fluorodeoxyglucose positron emission tomography imaging, which revealed increased resting glucose metabolism within this region following the same inflammatory challenge.

conclusionsTogether these observations highlight a novel structural biomarker of the central physiologic and behavioral effects of mild systemic inflammation. The widespread clinical availability of magnetic resonance imaging supports the viability of qMT imaging as a clinical biomarker in trials of immunotherapeutics, both to identify patients vulnerable to the effects of systemic inflammation and to monitor neurobiological responses.

Indexed as

AdultBiomarkersBrainEncephalitisFatigueFemaleFluorodeoxyglucose F18HumansMagnetic Resonance ImagingMalePositron-Emission TomographyReceptors, Interleukin-6Typhoid-Paratyphoid VaccinesBiomarkersFluorodeoxyglucose F18IL6R protein, humanReceptors, Interleukin-6Typhoid-Paratyphoid VaccinesBiomarkerCytokineDepressionFatigueInflammationInsulaMRI

Identifiers

PMID25526971
PMCPMC4503794
OpenAlexW1968629304

What OpenQuestion holds

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Registered trials

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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.