Evidence map›Paper›PMID 31615590›Full record

ArticlePsychological medicine2020

Inflammation and depressive phenotypes: evidence from medical records from over 12 000 patients and brain morphology.

Maria Ironside, Roee Admon, Stephanie A Maddox, Malavika Mehta, Samuel Douglas, David P Olson, Diego A Pizzagalli

Open access · greenAbstract read
In one paragraph

Article in Psychological medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. The role of CD4Brain, behavior, and immunity · 2026
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  8. Observational
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  14. Does inflammation link stress to poor COVID-19 outcome?Stress and health : journal of the International Society for the Investigation of Stress · 2021
    Review
  15. Molecular and Neural Mechanism of Dysphagia Due to Cancer.International journal of molecular sciences · 2021
    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 3 institutions in 2 countries.

Maria IronsideDepartment of Psychiatry, Harvard Medical School, Boston, MA02115, USA.
Roee AdmonDepartment of Psychology, University of Haifa, Haifa, Israel.
Stephanie A MaddoxDepartment of Psychiatry, Harvard Medical School, Boston, MA02115, USA.
Malavika MehtaMcLean Hospital, Belmont, MA02478, USA.
Samuel DouglasMcLean Hospital, Belmont, MA02478, USA.
David P OlsonDepartment of Psychiatry, Harvard Medical School, Boston, MA02115, USA.
Diego A PizzagalliDepartment of Psychiatry, Harvard Medical School, Boston, MA02115, USA.ORCID 0000-0002-7772-1143
Harvard University · USMcLean Hospital · USUniversity of Haifa · IL

Funding

Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
Early Life Stress and Depression: Molecular and Functional Imaging ApproachesR01MH095809 · NIMH · MCLEAN HOSPITAL · PI DU, FEI, PIZZAGALLI, DIEGO A · 2012 to 2024
$6.4M
Neuroimaging Studies of Reward Processing in DepressionR01MH068376 · NIMH · MCLEAN HOSPITAL · PI PIZZAGALLI, DIEGO A · 2004 to 2014
$4.5M
Multi level Analysis of Positive Valence Systems Across Mood DisordersR01MH101521 · NIMH · MCLEAN HOSPITAL · PI PIZZAGALLI, DIEGO A · 2013 to 2016
$2.1M
NIMH NIH HHS R01 MH068376NIMH NIH HHS R01 MH095809NIMH NIH HHS R01 MH101521NIMH NIH HHS R37 MH068376
6 · The paper itself

Abstract

backgroundPreclinical and human studies suggest an association between chronic inflammation and the development of depressive behaviors. This is proposed to occur through downstream effects of inflammatory cytokines on neuroplasticity, neurogenesis and neurotransmitter function, although the neural correlates remain poorly understood in humans.

methodsIn Study 1, structural magnetic resonance imaging and serum inflammatory cytokine data were analyzed from 53 psychiatrically healthy female participants. Correlational analyses were conducted between interleukin-6 (IL-6) and volume in a priori regions implicated in the pathophysiology of major depressive disorder (MDD). In Study 2, medical data [including serum inflammatory acute phase reactants (C-reactive protein)] were analyzed for 12 589 participants. Participants were classified as having (n = 2541) v. not having (n = 10 048) probable lifetime MDD using phenotypes derived using machine-learning approaches. Non-parametric analyses compared inflammation between groups, whereas regression analyses probed whether inflammation predicted probable MDD classification while accounting for other variables.

resultsIn Study 1, significant negative correlations emerged between IL-6 and hippocampal, caudate, putamen and amygdalar volume. In Study 2, the MDD group showed a higher probability of elevated inflammation than the non-MDD group. Moreover, elevated inflammation was a significant predictor of probable MDD classification.

conclusionsFindings indicate that inflammation is cross-sectionally related to reduced volume in brain regions implicated in MDD phenotypes among a sample of psychiatrically healthy women, and is associated with the presence of probable MDD in a large clinical dataset. Future investigations may identify specific inflammatory markers predicting first MDD onset.

Indexed as

AdultBiomarkersBrainCase-Control StudiesChronic DiseaseComorbidityC-Reactive ProteinFemaleHumansInflammationInterleukin-6Logistic ModelsMagnetic Resonance ImagingMajor Depressive DisorderMaleMedical RecordsBiomarkersC-Reactive ProteinInterleukin-6AmygdalabiomarkerC-reactive proteindepressionhippocampusIL-6limbic

Identifiers

PMID31615590
PMCPMC7160032
OpenAlexW2980422758

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.