Evidence map›Paper›PMID 25934495›Full record

ArticleBMC psychiatry2015

A MRS study of metabolic alterations in the frontal white matter of major depressive disorder patients with the treatment of SSRIs.

Yifan Zhang, Yu Han, Yongzhi Wang, Yinfeng Zhang, Li Li, Erhu Jin, Ligang Deng, Brandi Watts, Teresa Golden, Ning Wu

Abstract read
In one paragraph

Article in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Scientific psychiatry within technical reach.World journal of psychiatry · 2025
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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

10 authors.

Yifan ZhangDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing, 100050, China. yifan0vally@sina.com.
Yu HanDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing, 100050, China. hanyu81116@163.com.
Yongzhi WangDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing, 100050, China. wangyongzhi_1978@sina.com.
Yinfeng ZhangDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing, 100050, China. agzyf0927@126.com.
Li LiDepartment of Traditional Chinese Medicine, Beijing Friendship Hospital, Capital Medical University, 95 Yong-An Road, Beijing, 100050, China. liliqin_1999@yahoo.com.
Erhu JinDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. erhujin1@hotmail.com.
Ligang DengDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. ligangdeng@sina.com.
Brandi WattsDepartment of Biological Sciences, Southeastern Oklahoma State University, Durant, OK, 74701, USA. brandi5watts@gmail.com.
Teresa GoldenDepartment of Biological Sciences, Southeastern Oklahoma State University, Durant, OK, 74701, USA. tgolden@se.edu.
Ning WuDepartment of Biological Sciences, Southeastern Oklahoma State University, Durant, OK, 74701, USA. nwu@se.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton magnetic resonance spectroscopy provides a non-invasive technology to study brain metabolite levels in vivo, which can be used to measure biochemical compounds or metabolite concentrations in circumscribed brain regions. Previous research has highlighted the role of glial cells in brain white matter. It has been assumed that antidepressant treatment with SSRIs not only affects neurons, but also activates glial cells. This study focused on the observation of any potential changes in the metabolite levels of the ventral prefrontal white matter in major depressive disorder (MDD) patients who have received antidepressant treatment.

methods17 female patients diagnosed as MDD according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria with the scores of 18 and above on the 24-item Hamilton Depression Rating Scale (HDRS) were recruited. MRS studies were performed on a 3.0 T MR system, single voxel PRESS spectroscopy with chemical-shift selective saturation water suppression. The volume of interest was localized at the bilateral ventral prefrontal white matter regions (voxel size: 2 × 2 × 2 mm(3)). The spectral data analysis was performed by using the instrument manufacturer supplied software.

resultsThe bilateral ventral prefrontal white matter of MDD patients showed significantly lower Cho/Cr (p < 0.05) before receiving treatment. The HDRS, as the indicator of treatment response, showed a significant decrease in patients who had gone through 12 weeks treatment (p < 0.01). The bilateral Cho/Cr values of post-treatment patients were increased significantly compared to that of pre-treatment (p < 0.05).

conclusionThe alteration of ventral prefrontal white matter metabolite levels are likely involved in MDD pathophysiology and imply a crucial role of white matter in MDD.

Indexed as

Major Depressive DisorderAdultAntidepressive AgentsFemaleHumansMaleMiddle AgedNeuronsPrefrontal CortexProton Magnetic Resonance SpectroscopyPsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsWhite MatterAntidepressive AgentsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID25934495
PMCPMC4458012

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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.