Evidence map›Paper›PMID 34055387›Full record

ArticleBJPsych advances2021

The Immunology of Stress and the Impact of Inflammation on the Brain and Behavior.

Meghna Ravi, Andrew H Miller, Vasiliki Michopoulos

Open access · bronzeAbstract read
In one paragraph

Article in BJPsych advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 5 pooled it
3.8field-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.

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

71 citing papers in PubMed, 5 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  3. Risks to the Unborn: An Umbrella Review on the Effects of Prenatal Maternal Stress Caused by Natural Disasters.Stress and health : journal of the International Society for the Investigation of Stress · 2025
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  18. Stimulated cytokine production, attachment, and emotional well-being in dementia spousal caregivers.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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11 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

3 authors at 1 institution in 1 country.

Meghna RaviEmory University Graduate Program in Neuroscience, Atlanta, Georgia.
Andrew H MillerEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, Atlanta, Georgia.
Vasiliki MichopoulosEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, Atlanta, Georgia.
Emory University · US

Funding

Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
The effects of pregnancy on post traumatic symptoms and fear physiology in traumatized African American womenR01MH115174 · NIMH · EMORY UNIVERSITY · PI MICHOPOULOS, VASILIKI · 2018 to 2022
$3.7M
Supplement to AG057235: Stress and the Genome: Testing the Impact of Social Effects on Gene RegulationR01AG057235 · NIA · DUKE UNIVERSITY · PI BARREIRO, LUIS BRUNO, MICHOPOULOS, VASILIKI · 2017 to 2021
$2.9M
NIA NIH HHS R01 AG057235NIA NIH HHS U54 AG062334NIMH NIH HHS R01 MH115174
6 · The paper itself

Abstract

Exposure to acute versus chronic stressors and threats activates the immune system in adaptive and maladaptive manners, respectively. While acute activation of the immune system in response to threat is homeostatically regulated by glucocorticoid negative feedback, chronic activation of the immune system arising from persistent stress exposure can contribute to an allostatic load with an inflammatory diathesis that has been implicated in stress-related psychopathology, including of depression and anxiety. Increased inflammation in the periphery and in the brain arising from chronic stress exposure can alter neurotransmitter metabolism and impact activation of brain regions to increase adverse behavioral health symptoms (e.g. anhedonia, anxiety, fatigue) and emotion dysregulation. While interventions targeting the immune system and its downstream effects on the brain for the treatment of depression and other psychiatric disorders has been of great interest as they have shown some efficacy in treating stress-related behavioral health disorders, future studies are necessary to better characterize the contexts under which anti-inflammatory agents should be used to treat stress-related psychopathology.

Identifiers

PMID34055387
PMCPMC8158089
OpenAlexW3135510221

What OpenQuestion holds

Textmetadata
LicenceTDM
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.