Evidence map›Paper›PMID 35444255›Full record

ArticleMolecular psychiatry2022

Multi-omics analyses of serum metabolome, gut microbiome and brain function reveal dysregulated microbiota-gut-brain axis in bipolar depression.

Zhiming Li, Jianbo Lai, Peifen Zhang, Jiahong Ding, Jiajun Jiang, Chuanfa Liu, Huimin Huang, Hefu Zhen, Caixi Xi, Yuzhe Sun and 25 more

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 5 pooled it
17.5field-weighted citation impact, top 1% 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

122 citing papers in PubMed, 5 syntheses or guidelines pooled it, 203 citations in OpenAlex.

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  13. Dissecting the Ecological Structure of Health and Disease in the Global Gut Microbiome.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  20. Multi-omics approaches to major psychiatric disorders.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review

62 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

35 authors at 8 institutions in 3 countries.

Zhiming Li *Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Jianbo Lai *Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Peifen Zhang *Department of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Jiahong Ding *BGI-Shenzhen, Shenzhen, 518083, China.
Jiajun JiangDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Chuanfa LiuBGI-Shenzhen, Shenzhen, 518083, China.
Huimin HuangDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Hefu ZhenBGI-Shenzhen, Shenzhen, 518083, China.
Caixi XiDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Yuzhe SunBGI-Shenzhen, Shenzhen, 518083, China.
Lingling WuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Lifang WangBGI-Shenzhen, Shenzhen, 518083, China.
Xingle GaoDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Yan LiBGI-Shenzhen, Shenzhen, 518083, China.
Yaoyang FuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Zhuye JieBGI-Shenzhen, Shenzhen, 518083, China.
Shenghui LiKey Laboratory of Precision Nutrition and Food Quality, Department of Nutrition and Health, China Agricultural University, Beijing, 100083, China.ORCID http://orcid.org/0000-0003-1071-8510
Danhua ZhangDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.ORCID http://orcid.org/0000-0002-8150-3659
Yiqing ChenDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Yiyi ZhuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Shaojia LuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Jing LuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Dandan WangDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Hetong ZhouDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Xiuxia YuanDepartment of Psychiatry, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Xue LiDepartment of Psychiatry, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Lijuan PangDepartment of Psychiatry, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Manli HuangDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Huanming YangBGI-Shenzhen, Shenzhen, 518083, China.
Wenwei ZhangBGI-Shenzhen, Shenzhen, 518083, China.
Susanne BrixDepartment of Biotechnology and Biomedicine, Technical University of Denmark, DK-2800 Kgs, Lyngby, Denmark. sbp@bio.dtu.dk.ORCID http://orcid.org/0000-0001-8951-6705
Karsten KristiansenBGI-Shenzhen, Shenzhen, 518083, China. kk@bio.ku.dk.ORCID http://orcid.org/0000-0002-6024-0917
Xueqin SongDepartment of Psychiatry, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. fccsongxq@zzu.edu.cn.ORCID http://orcid.org/0000-0001-9830-7155
Chao NieBGI-Shenzhen, Shenzhen, 518083, China. niechao@genomics.cn.ORCID http://orcid.org/0000-0003-3536-0324
Shaohua HuDepartment of Psychiatry, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China. dorhushaohua@zju.edu.cn.ORCID http://orcid.org/0000-0003-0570-670X
BGI Group (China) · CNFirst Affiliated Hospital Zhejiang University · CNChinese Institute for Brain Research · CNZhengzhou University · CNWenzhou Medical University · CNAllen Institute for Brain Science · USChina Agricultural University · CNQingdao Center of Resource Chemistry and New Materials · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The intricate processes of microbiota-gut-brain communication in modulating human cognition and emotion, especially in the context of mood disorders, have remained elusive. Here we performed faecal metagenomic, serum metabolomics and neuroimaging studies on a cohort of 109 unmedicated patients with depressed bipolar disorder (BD) patients and 40 healthy controls (HCs) to characterise the microbial-gut-brain axis in BD. Across over 12,000 measured metabolic features, we observed a large discrepancy (73.54%) in the serum metabolome between BD patients and HCs, spotting differentially abundant microbial-derived neuroactive metabolites including multiple B-vitamins, kynurenic acid, gamma-aminobutyric acid and short-chain fatty acids. These metabolites could be linked to the abundance of gut microbiota presented with corresponding biosynthetic potentials, including Akkermansia muciniphila, Citrobacter spp. (Citrobacter freundii and Citrobacter werkmanii), Phascolarctobacterium spp., Yersinia spp. (Yersinia frederiksenii and Yersinia aleksiciae), Enterobacter spp. (Enterobacter cloacae and Enterobacter kobei) and Flavobacterium spp. Based on functional neuroimaging, BD-related neuroactive microbes and metabolites were discovered as potential markers associated with BD-typical features of functional connectivity of brain networks, hinting at aberrant cognitive function, emotion regulation, and interoception. Our study combines gut microbiota and neuroactive metabolites with brain functional connectivity, thereby revealing potential signalling pathways from the microbiota to the gut and the brain, which may have a role in the pathophysiology of BD.

Indexed as

Bipolar DisorderGastrointestinal MicrobiomeMicrobiotaBrainBrain-Gut AxisHumansMetabolome

Identifiers

PMID35444255
OpenAlexW4224235793

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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.