Evidence map›Paper›PMID 32276499›Full record

SynthesisNutrients2020

Microbiota-Orientated Treatments for Major Depression and Schizophrenia.

Guillaume B Fond, Jean-Christophe Lagier, Stéphane Honore, Christophe Lancon, Théo Korchia, Pierre-Louis Sunhary De Verville, Pierre-Michel Llorca, Pascal Auquier, Eric Guedj, Laurent Boyer

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Nutraceuticals in Psychiatric Disorders: A Systematic Review.International journal of molecular sciences · 2024
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  17. Microbiota-Gut-Brain Axis in Major Depression: A New Therapeutic Approach.Advances in experimental medicine and biology · 2023
    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

10 authors at 3 institutions in 1 country.

Guillaume B FondHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Jean-Christophe LagierAix Marseille University, Institut de Recherche pour le Développement, Microbes Evolution Phylogeny and Infection, Assistance Publique Hôpitaux de Marseille, Institut Hospitalo Universitaire Méditerranée Infection, 13005 Marseille, France.
Stéphane HonoreHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Christophe LanconHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Théo KorchiaHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Pierre-Louis Sunhary De VervilleHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Pierre-Michel LlorcaCHU de Clermont-Ferrand, F-63000 Cllermont-Ferrand, France.
Pascal AuquierHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Eric GuedjAix-Marseille Université, CNRS, Ecole Centrale de Marseille, UMR 7249, Institut Fresnel, Marseille, France, Département de médecine nucléaire, CERIMED, Aix-Marseille Université, F-13005 Marseille, France.
Laurent BoyerHôpitaux Universitaires de Marseille, department de psychiatrie universitaire, EA 3279: Aix-Marseille Université, CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Aix-Marseille Université · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and significanceThere is a need to develop new hypothesis-driven treatment for both both major depression (MD) and schizophrenia in which the risk of depression is 5 times higher than the general population. Major depression has been also associated with poor illness outcomes including pain, metabolic disturbances, and less adherence. Conventional antidepressants are partly effective, and 44% of the subjects remain unremitted under treatment. Improving MD treatment efficacy is thus needed to improve the SZ prognosis. Microbiota-orientated treatments are currently one of the most promising tracks.

methodThis work is a systematic review synthetizing data of arguments to develop microbiota-orientated treatments (including fecal microbiota transplantation (FMT)) in major depression and schizophrenia.

resultsThe effectiveness of probiotic administration in MD constitutes a strong evidence for developing microbiota-orientated treatments. Probiotics have yielded medium-to-large significant effects on depressive symptoms, but it is still unclear if the effect is maintained following probiotic discontinuation. Several factors may limit MD improvement when using probiotics, including the small number of bacterial strains administered in probiotic complementary agents, as well as the presence of a disturbed gut microbiota that probably limits the probiotics' impact. FMT is a safe technique enabling to improve microbiota in several gut disorders. The benefit/risk ratio of FMT has been discussed and has been recently improved by capsule administration.

conclusionCleaning up the gut microbiota by transplanting a totally new human gut microbiota in one shot, which is referred to as FMT, is likely to strongly improve the efficacy of microbiota-orientated treatments in MD and schizophrenia and maintain the effect over time. This hypothesis should be tested in future clinical trials.

Indexed as

AdultBiological TherapyFecal Microbiota TransplantationFemaleHumansMajor Depressive DisorderMaleMicrobiotaMiddle AgedProbioticsSchizophreniaTreatment OutcomeYoung Adultdepressionmicrobiotapsychiatryschizophreniatransplantation

Identifiers

PMID32276499
PMCPMC7230529
OpenAlexW3015775268

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.