Evidence map›Paper›PMID 32063570›Full record

ArticleJournal of affective disorders2020

Vitamin D and inflammation in major depressive disorder.

Cécile Grudet, Owen M Wolkowitz, Synthia H Mellon, Johan Malm, Victor I Reus, Lena Brundin, Brenton M Nier, Firdaus S Dhabhar, Christina M Hough, Åsa Westrin and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07078227 (5 Years Follow-up of the Study), which is not on this map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT07078227 recruitingnot on this mapstarted 2025, after this paper: background citation

5 Years Follow-up of the Study: "Pharmacogenetics in Depressed Patients With Specific Focus on Difficult-to-treat Depresssion, Suicide Attempt and CYP2D6"

TypeobservationalSponsorRegion SkaneRan2025 to 2026Enrolled415ConditionsDepression, Psychiatric Diagnosis, Personality Disorders, Suicide, AttemptedArmsNo intervention is used.
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  7. Efficacy of low-fat milk and yogurt fortified with vitamin DJournal of health, population, and nutrition · 2022
    Trial
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  16. Association between circulating micronutrient pattern, glycemic control, and insulin resistance in type 2 diabetes mellitus.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2024
    Observational
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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

11 authors at 4 institutions in 2 countries.

Cécile GrudetLund University, Faculty of Medicine, Department of Clinical Sciences Lund, Psychiatry, Lund, Sweden.
Owen M WolkowitzWeill Institute for Neurosciences/ Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Synthia H MellonDepartment of OB/GYN and Reproductive Sciences, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Johan MalmDepartment of Translational Medicine, Section for Clinical Chemistry, Lund University, Malmö, Sweden.
Victor I ReusWeill Institute for Neurosciences/ Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Lena BrundinCenter for Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Brenton M NierWeill Institute for Neurosciences/ Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.
Firdaus S DhabharDepartment of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, USA.
Christina M HoughWeill Institute for Neurosciences/ Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA; University of California, Los Angeles (UCLA), Department of Psychology, Los Angeles, CA, USA.
Åsa WestrinLund University, Faculty of Medicine, Department of Clinical Sciences Lund, Psychiatry, Lund, Sweden; Office of Psychiatry and Habilitation, Region Skåne, Sweden.
Daniel LindqvistLund University, Faculty of Medicine, Department of Clinical Sciences Lund, Psychiatry, Lund, Sweden; Weill Institute for Neurosciences/ Department of Psychiatry, University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA; Office of Psychiatry and Habilitation, Region Skåne, Sweden. Electronic address: daniel.lindqvist@med.lu.se.
University of California, San Francisco · USLund University · SEUniversity of Miami · USVan Andel Institute · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Cell Aging in Major DepressionR01MH083784 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EPEL, ELISSA S., MELLON, SYNTHIA H · 2010 to 2020
$6.7M
NCRR NIH HHS UL1 RR024131NIMH NIH HHS R01 MH083784
6 · The paper itself

Abstract

backgroundIncreased inflammation is reported in Major Depressive Disorder (MDD), which may be more pronounced in suicidal subjects. Vitamin D deficiency may drive this pro-inflammatory state due to vitamin D's anti-inflammatory effects.

methodsWe quantified plasma 25-hydroxyvitamin D (25(OH)D) and inflammatory markers interleukin (IL)-6 and tumor necrosis factor (TNF)-α, and other inflammatory indices, neutrophil-to-lymphocyte ratio (NLR) and white blood cell count (WBC) in 48 un-medicated MDD subjects (n = 17 with mild-to-moderate suicidal ideation [SI]) and 54 controls. IL-6 and TNF-α were combined into a composite inflammation score.

resultsThere were no significant differences in 25(OH)D levels between MDD and controls (p = 0.24) or between MDD with and without SI (p = 0.61). However, 25(OH)D was negatively correlated with all measured inflammatory markers; these correlations were stronger in MDD subjects, and particularly in those with SI. MDD status significantly moderated the relationships between 25(OH)D and NLR (p = 0.03), and 25(OH)D and WBC (p < 0.05), and SI significantly moderated the relationship between 25(OH)D and NLR (p = 0.03). LIMITATIONS: The study was cross-sectional, thereby limiting causal inference, and had a small sample size. Only seventeen of the MDD subjects had SI.

conclusionWhile 25(OH)D levels did not significantly differ in MDD vs. controls, or in MDD with or without SI, lower 25(OH)D was associated with indices of immune activation in MDD, especially in cases with SI. Although our findings do not address causality, they are consistent with findings that relatively low 25(OH)D levels in MDD are associated with a pro-inflammatory state.

Indexed as

Major Depressive DisorderCross-Sectional StudiesHumansInflammationVitamin DVitaminsVitamin DVitamins25(OH)DInflammationMajor depressive disorderSuicidal ideationVitamin D

Identifiers

PMID32063570
PMCPMC10662683
OpenAlexW3003811366

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.