Evidence map›Paper›PMID 32498754›Full record

ArticleBJPsych open2020

Inflammation as a treatment target in mood disorders: review.

Brett D M Jones, Zafiris J Daskalakis, Andre F Carvalho, Rebecca Strawbridge, Allan H Young, Benoit H Mulsant, M Ishrat Husain

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05487885 (Anhedonia, Development, and Emotions), which is not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 5% 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.

NCT05487885 phase4completednot on this mapstarted 2022, after this paper: background citation

Anhedonia, Development, and Emotions: Phenotyping and Therapeutics (ADEPT) Study

TypeinterventionalSponsorErika ForbesRan2022 to 2025Enrolled123ConditionsDepression, AnhedoniaArmsContinuous theta burst stimulation (cTBS), Positive Affect Training, Ketamine Injectable Solution
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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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 2 institutions in 2 countries.

Brett D M JonesCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Canada.ORCID https://orcid.org/0000-0003-3248-1059
Zafiris J DaskalakisCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Canada.
Andre F CarvalhoCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Canada.
Rebecca StrawbridgeDepartment of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0002-2984-1124
Allan H YoungDepartment of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0003-2291-6952
Benoit H MulsantCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Canada.
M Ishrat HusainCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Canada.
Centre for Addiction and Mental Health · CAKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMood disorders, i.e. major depressive disorder (MDD) and bipolar disorders, are leading sources of disability worldwide. Currently available treatments do not yield remission in approximately a third of patients with a mood disorder. This is in part because these treatments do not target a specific core pathology underlying these heterogeneous disorders. In recent years, abnormal inflammatory processes have been identified as putative pathophysiological mechanisms and treatment targets in mood disorders, particularly among individuals with treatment-resistant conditions.

aimsIn this selective review, we aimed to summarise recent advances in the field of immunopsychiatry, including emerging pathophysiological models and findings from treatment ttrials of immunomodulatory agents for both MDD and bipolar disorders.

methodWe performed a literature review by searching Medline for clinical trials of immunomodulating agents as monotherapy or adjunctive treatments in MDD and bipolar disorders. Included studies are randomised controlled trials (RCTs), cluster RCTs or cross-over trials of immunomodulating agents that had an active comparator or a placebo-arm.

resultsCurrent evidence shows an association between inflammation and mood symptoms. However, there is conflicting evidence on whether this link is causal.

conclusionsFuture studies should focus on identifying specific neurobiological underpinnings for the putative causal association between an activated inflammatory response and mood disorders. Results of these studies are needed before further treatment trials of immunomodulatory agents can be justified.

Indexed as

antidepressantsbipolar affective disordersDepressive disordersneuroimmunologynovel CNS drugs

Identifiers

PMID32498754
PMCPMC7345526
OpenAlexW3033172924

What OpenQuestion holds

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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.