Evidence map›Paper›PMID 32274300›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2020

Gut Microbial Signatures Can Discriminate Unipolar from Bipolar Depression.

Peng Zheng, Jian Yang, Yifan Li, Jing Wu, Weiwei Liang, Bangmin Yin, Xunmin Tan, Yu Huang, Tingjia Chai, Hanping Zhang and 15 more

Open access · goldAbstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 8 pooled it
8.1field-weighted citation impact, top 2% 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

97 citing papers in PubMed, 8 syntheses or guidelines pooled it, 182 citations in OpenAlex.

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  11. Exploring the hypothetical role ofMicrobiology spectrum · 2026
    Article
  12. Article
  13. Article
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  16. Gut-brain axis in health and brain disease.Chinese medical journal · 2026
    Review
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  18. Article
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37 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

25 authors at 6 institutions in 2 countries.

Peng ZhengDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Jian YangThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Capital Medical University Beijing 100088 China.
Yifan LiDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Jing WuDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Weiwei LiangDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Bangmin YinDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Xunmin TanDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Yu HuangDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Tingjia ChaiDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Hanping ZhangDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Jiajia DuanDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.
Jingjing ZhouThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Capital Medical University Beijing 100088 China.
Zuoli SunThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Capital Medical University Beijing 100088 China.
Xu ChenThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Capital Medical University Beijing 100088 China.
Subhi MarwariDepartment of Psychiatry and Behavioral Sciences College of Medicine State University of New York (SUNY) Upstate Medical University Syracuse NY 13210 USA.
Jianbo LaiZhejiang University School of Medicine Hangzhou 310003 China.
Tingting HuangZhejiang University School of Medicine Hangzhou 310003 China.
Yanli DuZhejiang University School of Medicine Hangzhou 310003 China.
Peifen ZhangZhejiang University School of Medicine Hangzhou 310003 China.
Seth W PerryDepartment of Psychiatry and Behavioral Sciences College of Medicine State University of New York (SUNY) Upstate Medical University Syracuse NY 13210 USA.
Ma-Li WongDepartment of Psychiatry and Behavioral Sciences College of Medicine State University of New York (SUNY) Upstate Medical University Syracuse NY 13210 USA.
Julio LicinioDepartment of Psychiatry and Behavioral Sciences College of Medicine State University of New York (SUNY) Upstate Medical University Syracuse NY 13210 USA.
Shaohua HuDepartment of Psychiatry First Affiliated Hospital Zhejiang University School of Medicine Hangzhou 310003 China.
Peng XieDepartment of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 400016 China.ORCID https://orcid.org/0000-0001-6175-9422
Gang WangThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital Capital Medical University Beijing 100088 China.
The Affiliated Yongchuan Hospital of Chongqing Medical University · CNCapital Medical University · CNSUNY Upstate Medical University · USZhejiang University · CNFirst Affiliated Hospital Zhejiang University · CNState Key Laboratory of Chemical Engineering · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Discriminating depressive episodes of bipolar disorder (BD) from major depressive disorder (MDD) is a major clinical challenge. Recently, gut microbiome alterations are implicated in these two mood disorders; however, little is known about the shared and distinct microbial characteristics in MDD versus BD. Here, using 16S ribosomal RNA (rRNA) gene sequencing, the microbial compositions of 165 subjects with MDD are compared with 217 BD, and 217 healthy controls (HCs). It is found that the microbial compositions are different between the three groups. Compared to HCs, MDD is characterized by altered covarying operational taxonomic units (OTUs) assigned to the Bacteroidaceae family, and BD shows disturbed covarying OTUs belonging to Lachnospiraceae, Prevotellaceae, and Ruminococcaceae families. Furthermore, a signature of 26 OTUs is identified that can distinguish patients with MDD from those with BD or HCs, with area under the curve (AUC) values ranging from 0.961 to 0.986 in discovery sets, and 0.702 to 0.741 in validation sets. Moreover, 4 of 26 microbial markers correlate with disease severity in MDD or BD. Together, distinct gut microbial compositions are identified in MDD compared to BD and HCs, and a novel marker panel is provided for distinguishing MDD from BD based on gut microbiome signatures.

Indexed as

bipolar disordergut microbiomemajor depressive disordermicrobiota–gut–brain axisunipolar depression

Identifiers

PMID32274300
PMCPMC7140990
OpenAlexW3005084624

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.