Evidence map›Paper›PMID 34248950›Full record

ArticleFrontiers in immunology2021

Chronic Stress-Induced Depression and Anxiety Priming Modulated by Gut-Brain-Axis Immunity.

Susan Westfall, Francesca Caracci, Molly Estill, Tal Frolinger, Li Shen, Giulio M Pasinetti

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
6.2field-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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
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  6. Anxiety disorders: a cross-sectional study of clinical and biological associations.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  7. Article
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  13. Observational
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  15. Article
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  19. The emerging role of T cells in depression.Frontiers in psychiatry · 2026
    Review
  20. Article

28 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

6 authors at 1 institution in 1 country.

Susan WestfallDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Francesca CaracciDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Molly EstillDepartment of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Tal FrolingerDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Li ShenDepartment of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Giulio M PasinettiDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Icahn School of Medicine at Mount Sinai · US

Funding

Pasinetti: Project 3; Role of Microbiome in Promotion of Cognitive and Psychological Resilience (Faith)P50AT008661 · NCCIH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PASINETTI, GIULIO MARIA · 2015 to 2019
$11.2M
Suppression of Immune Signatures of Stress by Polyphenols SupplementsU19AT010835 · NCCIH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SIMON, JAMES E · 2020 to 2024
$6.8M
NCCIH NIH HHS P50 AT008661NCCIH NIH HHS U19 AT010835
6 · The paper itself

Abstract

Chronic stress manifests as depressive- and anxiety-like behavior while recurrent stress elicits disproportionate behavioral impairments linked to stress-induced immunological priming. The gut-brain-microbiota-axis is a promising therapeutic target for stress-induced behavioral impairments as it simultaneously modulates peripheral and brain immunological landscapes. In this study, a combination of probiotics and prebiotics, known as a synbiotic, promoted behavioral resilience to chronic and recurrent stress by normalizing gut microbiota populations and promoting regulatory T cell (Treg) expansion through modulation of ileal innate lymphoid cell (ILC)3 activity, an impact reflecting behavioral responses better than limbic brain region neuroinflammation. Supporting this conclusion, a multivariate machine learning model correlatively predicted a cross-tissue immunological signature of stress-induced behavioral impairment where the ileal Treg/T helper17 cell ratio associated to hippocampal chemotactic chemokine and prefrontal cortex IL-1β production in the context of stress-induced behavioral deficits. In conclusion, stress-induced behavioral impairments depend on the gut-brain-microbiota-axis and through ileal immune regulation, synbiotics attenuate the associated depressive- and anxiety-like behavior.

Indexed as

SynbioticsAnimalsAnxietyDepressionGastrointestinal MicrobiomeMaleMiceMice, Inbred C57BLNeuroimmunomodulationStress, Psychologicalinnate lymphocyte cellsmicrobiotanutraceuticalprobioticpsychiatry

Identifiers

PMID34248950
PMCPMC8264434
OpenAlexW3175552611

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.