Evidence map›Paper›PMID 36231075›Full record

SynthesisCells2022

The Tryptophan Catabolite or Kynurenine Pathway in a Major Depressive Episode with Melancholia, Psychotic Features and Suicidal Behaviors: A Systematic Review and Meta-Analysis.

Abbas F Almulla, Yanin Thipakorn, Asara Vasupanrajit, Chavit Tunvirachaisakul, Gregory Oxenkrug, Hussein K Al-Hakeim, Michael Maes

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cells, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Inflammatory Biomarkers in Acute Suicidal Behaviors.International journal of molecular sciences · 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

7 authors at 4 institutions in 5 countries.

Abbas F AlmullaDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.ORCID 0000-0002-7667-6731
Yanin ThipakornDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Asara VasupanrajitDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Chavit TunvirachaisakulDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Gregory OxenkrugDepartment of Psychiatry, Tufts University School of Medicine and Tufts Medical Center, Boston, MA 02111, USA.
Hussein K Al-HakeimDepartment of Chemistry, College of Science, University of Kufa, Kufa 54002, Iraq.ORCID 0000-0001-6143-5196
Michael MaesDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Chulalongkorn University · THBarwon Health · AUTufts University · USUniversity of Kufa · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depressive disorder (MDD) and bipolar disorder (BD) with melancholia and psychotic features and suicidal behaviors are accompanied by activated immune-inflammatory and oxidative pathways, which may stimulate indoleamine 2,3-dioxygenase (IDO), the first and rate-limiting enzyme of the tryptophan catabolite (TRYCAT) pathway resulting in increased tryptophan degradation and elevated tryptophan catabolites (TRYCTAs). The purpose of the current study is to systematically review and meta-analyze levels of TRP, its competing amino acids (CAAs) and TRYCATs in patients with severe affective disorders. Methods: PubMed, Google Scholar and SciFinder were searched in the present study and we recruited 35 studies to examine 4647 participants including 2332 unipolar (MDD) and bipolar (BD) depressed patients and 2315 healthy controls. Severe patients showed significant lower (

Indexed as

KynurenineMajor Depressive DisorderAlbuminsAmino AcidsHumansIndoleamine-Pyrrole 2,3,-DioxygenaseKynurenic AcidQuinolinic AcidsSuicidal IdeationTryptophanAlbuminsAmino AcidsIndoleamine-Pyrrole 2,3,-DioxygenaseKynurenic AcidKynurenineQuinolinic AcidsTryptophanaffective disordersinflammationmelancholianeuro-immunepsychotic depression

Identifiers

PMID36231075
PMCPMC9563030
OpenAlexW4303628243

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.