Evidence map›Paper›PMID 36725140›Full record

ReviewBiological psychiatry2023

Inflammation-Related Functional and Structural Dysconnectivity as a Pathway to Psychopathology.

David R Goldsmith, Mandakh Bekhbat, Neeti D Mehta, Jennifer C Felger

Open access · greenAbstract readReview
In one paragraph

Review in Biological psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 3 pooled it
11.8field-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, 3 syntheses or guidelines pooled it, 196 citations in OpenAlex.

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  17. Immuno-metabolic depression: challenges ahead for identification and intervention.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
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  20. 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

4 authors at 1 institution in 1 country.

David R GoldsmithDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Mandakh BekhbatDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Neeti D MehtaDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia; Neuroscience Graduate Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, Georgia.
Jennifer C FelgerDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia; Winship Cancer Institute, Emory University, Atlanta, Georgia. Electronic address: jfelger@emory.edu.
Emory University · US

Funding

The Role of Inflammation in CNS Mechanisms of Anhedonia and Psychomotor Slowing in Depressed PWH as Determined using a Next Generation TNF AntagonistR01MH128872 · NIMH · EMORY UNIVERSITY · PI Jennifer C Felger, ANDREW H MILLER · 2021 to 2026
$3.1M
Inflammation Effects on Corticostriatal Connectivity and Reward: Role of DopamineR01MH109637 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2016 to 2019
$2.1M
Dopaminergic Therapy for Inflammation-Related Anhedonia in DepressionR61MH121625 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2020 to 2020
$1.4M
Impact of Inflammation on Reward Circuits, Motivational Deficits and Negative Symptoms in SchizophreniaK23MH114037 · NIMH · EMORY UNIVERSITY · PI GOLDSMITH, DAVID RYAN · 2018 to 2022
$957k
Does Acute Inhibition of Inflammation Improve Cortico-amygdala Circuitry and Symptoms of Anxiety in Depression?F32MH119750 · NIMH · EMORY UNIVERSITY · PI BEKHBAT, MANDAKH · 2020 to 2021
$138k
Inflammation, amygdala-prefrontal circuit dysfunction and symptoms of anxiety in depressionF31MH119745 · NIMH · EMORY UNIVERSITY · PI MEHTA, NAMRATAA DIPAK · 2019 to 2021
$137k
NIMH NIH HHS F31 MH119745NIMH NIH HHS F32 MH119750NIMH NIH HHS K23 MH114037NIMH NIH HHS R01 MH109637NIMH NIH HHS R01 MH128872NIMH NIH HHS R61 MH121625
6 · The paper itself

Abstract

Findings from numerous laboratories and across neuroimaging modalities have consistently shown that exogenous administration of cytokines or inflammatory stimuli that induce cytokines disrupts circuits and networks involved in motivation and motor activity, threat detection, anxiety, and interoceptive and emotional processing. While inflammatory effects on neural circuits and relevant behaviors may represent adaptive responses promoting conservation of energy and heightened vigilance during immune activation, chronically elevated inflammation may contribute to symptoms of psychiatric illnesses. Indeed, biomarkers of inflammation such as cytokines and acute phase reactants are reliably elevated in a subset of patients with unipolar or bipolar depression, anxiety-related disorders, and schizophrenia and have been associated with differential treatment responses and poor clinical outcomes. A growing body of literature also describes higher levels of endogenous inflammatory markers and altered, typically lower functional or structural connectivity within these circuits in association with transdiagnostic symptoms such as anhedonia and anxiety in psychiatric and at-risk populations. This review presents recent evidence that inflammation and its effects on the brain may serve as one molecular and cellular mechanism of dysconnectivity within anatomically and/or functionally connected cortical and subcortical regions in association with transdiagnostic symptoms. We also discuss the need to establish reproducible methods to assess inflammation-associated dysconnectivity in relation to behavior for use in translational studies or biomarker-driven clinical trials for novel pharmacological or behavioral interventions targeting inflammation or its effects on the brain.

Indexed as

Bipolar DisorderMental DisordersBrainCytokinesHumansInflammationMagnetic Resonance ImagingCytokinesAnhedoniaAnxietyDepressionfMRIFunctional connectivityInflammationInteroception

Identifiers

PMID36725140
PMCPMC9895884
OpenAlexW4308930923

What OpenQuestion holds

Textmetadata
LicenceTDM
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.