Evidence map›Paper›PMID 34482366›Full record

ArticleTranslational psychiatry2021

Kynurenines increase MRS metabolites in basal ganglia and decrease resting-state connectivity in frontostriatal reward circuitry in depression.

Xiangchuan Chen, Diana J Beltran, Valeriya D Tsygankova, Bobbi J Woolwine, Trusharth Patel, Wendy Baer, Jennifer C Felger, Andrew H Miller, Ebrahim Haroon

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 30% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. The new normal: neural network adaptations in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  8. Advancing an Inflammatory Subtype of Major Depression.The American journal of psychiatry · 2025
    Review
  9. Article
  10. Review
  11. Rewiring the brain: Inflammation's impact on glutamate and neural networks in depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Major Depressive Disorder and Gut Microbiota: Role of Physical Exercise.International journal of molecular sciences · 2023
    Review
  17. Article
  18. Review
  19. Article
  20. Article
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

9 authors at 2 institutions in 1 country.

Xiangchuan ChenEmory Behavioral Immunology Program, Atlanta, GA, USA.ORCID 0000-0001-9125-9920
Diana J BeltranEmory Behavioral Immunology Program, Atlanta, GA, USA.ORCID 0000-0003-0340-7386
Valeriya D TsygankovaEmory Behavioral Immunology Program, Atlanta, GA, USA.ORCID 0000-0002-8143-5027
Bobbi J WoolwineEmory Behavioral Immunology Program, Atlanta, GA, USA.
Trusharth PatelDepartment of Anesthesiology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-7573-1367
Wendy BaerEmory Behavioral Immunology Program, Atlanta, GA, USA.
Jennifer C FelgerEmory Behavioral Immunology Program, Atlanta, GA, USA.
Andrew H MillerEmory Behavioral Immunology Program, Atlanta, GA, USA.ORCID 0000-0001-8260-7997
Ebrahim HaroonEmory Behavioral Immunology Program, Atlanta, GA, USA. eharoon@emory.edu.ORCID 0000-0002-8817-1116
Emory Healthcare · USEmory University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
Inflammation-Induced CNS Glutamate as a Function of Depression in Middle AgeR01MH107033 · NIMH · EMORY UNIVERSITY · PI HAROON, EBRAHIM · 2016 to 2021
$2.2M
Phenotyping Major Depression with Increased InflammationR01MH087604 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H · 2010 to 2014
$2.2M
Inflammation Effects on Corticostriatal Connectivity and Reward: Role of DopamineR01MH109637 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2016 to 2019
$2.1M
Inflammation-Induced CNS Glutamate Changes in DepressionR01MH112076 · NIMH · EMORY UNIVERSITY · PI HAROON, EBRAHIM, MILLER, ANDREW H · 2016 to 2020
$2.0M
Dopaminergic Therapy for Inflammation-Related Anhedonia in DepressionR61MH121625 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2020 to 2020
$1.4M
MR SPECTROSCOPY TO REVEAL CNS MECHANISMS OF CYTOKINE-INDUCED BEHAVIORAL CHANGEK23MH091254 · NIMH · EMORY UNIVERSITY · PI HAROON, EBRAHIM · 2010 to 2014
$883k
Upgrading a 3T MRI Scanner for Shared Research at Emory UniversityS10OD016413 · OD · EMORY UNIVERSITY · PI HU, XIAOPING P · 2013 to 2013
$495k
Effects of Bupropion versus Escitalopram on Reward Circuitry and Motivational Deficits in Patients with Major Depression and Increased Inflammation and AnhedoniaR21MH121891 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C, MILLER, ANDREW H · 2020 to 2021
$429k
NCATS NIH HHS KL2 TR000455NCATS NIH HHS UL1 TR002378NIH HHS S10 OD016413NIMH NIH HHS K23 MH091254NIMH NIH HHS R01 MH087604NIMH NIH HHS R01 MH107033NIMH NIH HHS R01 MH109637NIMH NIH HHS R01 MH112076NIMH NIH HHS R21 MH121891NIMH NIH HHS R61 MH121625
6 · The paper itself

Abstract

Inflammation is associated with the development of anhedonia in major depression (MD), but the pathway by which inflammatory molecules gain access to the brain and lead to anhedonia is not clear. Molecules of the kynurenine pathway (KP), which is activated by inflammation, readily influx into the brain and generate end products that alter brain chemistry, disrupt circuit functioning, and result in the expression of inflammatory behaviors such as anhedonia. We examined the impact of plasma and CSF KP metabolites on brain chemistry and neural function using multimodal neuroimaging in 49 depressed subjects. We measured markers of glial dysfunction and distress including glutamate (Glu) and myo-inositol in the left basal ganglia using magnetic resonance spectroscopy (MRS); metrics of local activity coherence (regional homogeneity, ReHo) and functional connectivity from resting-state functional MRI measures; and anhedonia from the Inventory for Depressive Symptoms-Self Report Version (IDS-SR). Plasma kynurenine/tryptophan (KYN/TRP) ratio and cerebrospinal fluid (CSF) 3-hydroxykynurenine (3HK) were associated with increases in left basal ganglia myo-inositol. Plasma kynurenic acid (KYNA) and KYNA/QA were associated with decreases and quinolinic acid (QA) with increases in left basal ganglia Glu. Plasma and CSF KP were associated with decreases in ReHo in the basal ganglia and dorsomedial prefrontal regions (DMPFC) and impaired functional connectivity between these two regions. DMPFC-basal ganglia mediated the effect of plasma and CSF KP on anhedonia. These findings highlight the pathological impact of KP system dysregulation in mediating inflammatory behaviors such as anhedonia.

Indexed as

DepressionKynurenineBasal GangliaHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyRewardKynurenine

Identifiers

PMID34482366
PMCPMC8418602
OpenAlexW3196328580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.