Evidence map›Paper›PMID 34526064›Full record

Trial reportJournal of neuroinflammation2021

Plasma inflammatory cytokines and treatment-resistant depression with comorbid pain: improvement by ketamine.

Yanling Zhou, Chengyu Wang, Xiaofeng Lan, Hanqiu Li, Ziyuan Chao, Yuping Ning

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Ketamine or Esketamine in Special Populations of Patients With Treatment-Resistant Depression.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  6. Article
  7. Differentiating Between Major Depressive Disorder and Bipolar Disorder.Advances in experimental medicine and biology · 2026
    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

6 authors at 1 institution in 1 country.

Yanling ZhouThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China.
Chengyu WangThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China.
Xiaofeng LanThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China.
Hanqiu LiThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China.
Ziyuan ChaoThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China.
Yuping NingThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Mingxin Road #36, Liwan District, Guangzhou, 510370, China. ningjeny@126.com.
Guangzhou Medical University · CN

Funding

Young Scientists Fund 81801343
6 · The paper itself

Abstract

backgroundTreatment-resistant depression (TRD) and pain frequently coexist clinically. Ketamine has analgesic and antidepressant effects, but few studies have evaluated individual differences in antidepressant outcomes to repeated ketamine in TRD patients with comorbid pain. Our aims were to determine the difference in ketamine's antidepressant effects in TRD patients with or without pain and then to examine whether inflammatory cytokines might contribute to ketamine's effect.

methodsSixty-six patients with TRD received six infusions of ketamine. Plasma levels of 19 inflammatory cytokines were assessed at baseline and post-infusion (day 13 and day 26) using the Luminex assay. Plasma inflammatory cytokines of sixty healthy controls (HCs) were also examined.

resultsTRD patients with pain had a higher antidepressant response rate (χ

conclusionThis study suggested that an elevated inflammatory response plays a critical role in individual differences in TRD patients with or without pain. Ketamine showed great antidepressant and analgesic effects in TRD patients with pain, which may be related to its effects on modulating inflammation.

trial registrationChiCTR , ChiCTR-OOC-17012239. Registered on 26 May 2017.

Indexed as

Depressive Disorder, Treatment-ResistantKetamineCase-Control StudiesCytokinesDepressionHumansPainTreatment OutcomeCytokinesKetamineCytokineIL-6KetaminePainTreatment-resistant depression

Identifiers

PMID34526064
PMCPMC8444441
OpenAlexW3201284102

What OpenQuestion holds

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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.