Evidence map›Paper›PMID 26847047›Full record

SynthesisPsychopharmacology2016

Stress and neuroinflammation: a systematic review of the effects of stress on microglia and the implications for mental illness.

Marilia A Calcia, David R Bonsall, Peter S Bloomfield, Sudhakar Selvaraj, Tatiana Barichello, Oliver D Howes

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 347 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
347citing papers in PubMed, 3 pooled it
28.2field-weighted citation impact, top 1% 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

347 citing papers in PubMed, 3 syntheses or guidelines pooled it, 684 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Schizophrenia: from mechanism to therapy.Science China. Life sciences · 2026
    Review
  7. Article
  8. Review
  9. Article
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  11. Article
  12. Article
  13. Article
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  15. Observational
  16. Article
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  19. Review
  20. Cross-Organ Neuroimmunology of Behavior.Annual review of immunology · 2026
    Review

287 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

6 authors at 3 institutions in 2 countries.

Marilia A CalciaDepartment of Psychosis Studies, Institute of Psychiatry, Neurology and Neuroscience (IoPPN), King's College London, Denmark Hill, London, SE5 8AZ, UK.
David R BonsallPsychiatric Imaging Group, Imperial College, MRC Clinical Sciences Centre, Hammersmith Hospital, London, W12 0NN, UK. d.bonsall@csc.mrc.ac.uk.
Peter S BloomfieldPsychiatric Imaging Group, Imperial College, MRC Clinical Sciences Centre, Hammersmith Hospital, London, W12 0NN, UK.
Sudhakar SelvarajDepartment of Psychiatry and Behavioural Sciences, The University of Texas Health Science Centre at Houston, Houston, TX, 77054, USA.
Tatiana BarichelloDepartment of Psychiatry and Behavioural Sciences, The University of Texas Health Science Centre at Houston, Houston, TX, 77054, USA.
Oliver D HowesDepartment of Psychosis Studies, Institute of Psychiatry, Neurology and Neuroscience (IoPPN), King's College London, Denmark Hill, London, SE5 8AZ, UK.
Hammersmith Hospital · GBKing's College London · GBThe University of Texas Health Science Center at Houston · US

Funding

Medical Research Council MC-A656-5QD30Medical Research Council MC_U120097115
6 · The paper itself

Abstract

rationalePsychosocial stressors are a well-documented risk factor for mental illness. Neuroinflammation, in particular elevated microglial activity, has been proposed to mediate this association. A number of preclinical studies have investigated the effect of stress on microglial activity. However, these have not been systematically reviewed before.

objectivesThis study aims to systematically review the effects of stress on microglia, as indexed by the histological microglial marker ionised calcium binding adaptor molecule 1 (Iba-1), and consider the implications of these for the role of stress in the development of mental disorders.

methodsA systematic review was undertaken using pre-defined search criteria on PubMed and EMBASE. Inclusion and data extraction was agreed by two independent researchers after review of abstracts and full text.

resultsEighteen studies met the inclusion criteria. These used seven different psychosocial stressors, including chronic restraint, social isolation and repeated social defeat in gerbils, mice and/or rats. The hippocampus (11/18 studies) and prefrontal cortex (13/18 studies) were the most frequently studied areas. Within the hippocampus, increased Iba-1 levels of between 20 and 200 % were reported by all 11 studies; however, one study found this to be a duration-dependent effect. Of those examining the prefrontal cortex, ∼75 % found psychosocial stress resulted in elevated Iba-1 activity. Elevations were also consistently seen in the nucleus accumbens, and under some stress conditions in the amygdala and paraventricular nucleus.

conclusionsThere is consistent evidence that a range of psychosocial stressors lead to elevated microglial activity in the hippocampus and good evidence that this is also the case in other brain regions. These effects were seen with early-life/prenatal stress, as well as stressors in adulthood. We consider these findings in terms of the two-hit hypothesis, which proposes that early-life stress primes microglia, leading to a potentiated response to subsequent stress. The implications for understanding the pathoaetiology of mental disorders and the development of new treatments are also considered.

Indexed as

AnimalsHumansInflammationMental DisordersMicrogliaPsychoneuroimmunologyPsychotic DisordersStress, PsychologicalInflammationMicrogliaNeuroinflammationPsychosisStress

Identifiers

PMID26847047
PMCPMC4828495
OpenAlexW2259912978

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.