Evidence map›Paper›PMID 38331979›Full record

ReviewSignal transduction and targeted therapy2024

Major depressive disorder: hypothesis, mechanism, prevention and treatment.

Lulu Cui, Shu Li, Siman Wang, Xiafang Wu, Yingyu Liu, Weiyang Yu, Yijun Wang, Yong Tang, Maosheng Xia, Baoman Li

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Signal transduction and targeted therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 511 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
511citing papers in PubMed, 15 pooled it
–field-weighted citation impact
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.

NCT07478796 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Therapeutic Drug Monitoring-Guided Treatment With Sertraline, or Escitalopram in Hospitalized Adults and Children

TypeinterventionalSponsorPoznan University of Medical SciencesRan2025 to 2027Enrolled180ConditionsDepression - Major Depressive Disorder, Depressive EpisodesArmsFluoxetine, Escitalopram, Sertralin
NCT07523334 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Impact of Esketamine on Delayed Neurocognitive Recovery in Older Patients Undergoing Non-cardiac Surgery: a Two-center, Dose-exploring Pilot Trial

TypeinterventionalSponsorPeking University First HospitalRan2026 to 2026Enrolled120ConditionsElderly, Noncardiac Surgery, Delayed Neurocognitive Recovery, Postoperative DeliriumArmsEsketamine 1, Esketamine 2, Esketamine 3, Normal saline
NCT07703722 phase3recruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Psilocybin and Structured Integrated Reframing Therapy on Gut-Brain Axis Biomarkers and Depression in Trauma-Related Major Depressive Disorder: Randomized Controlled Trial

TypeinterventionalSponsorKhyber Medical University PeshawarRan2026 to 2027Enrolled60ConditionsMajor Depressive Disorder, Post-Traumatic Stress Disorder (PTSD)ArmsPsilocybin, Structured Integrated Reframing Therapy (SIRT), Selective Serotonin Reuptake Inhibitor (SSRI)
3 · Its place in the literature

Who cites it

511 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  11. Is the antidepressant efficacy of ketamine and esketamine mediated via opioid mechanisms?European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  17. Exploring blood-based biomarkers in late-life depression: Correlates of psychotherapeutic treatment outcomes.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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451 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

10 authors.

Lulu CuiDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Shu LiDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Siman WangDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Xiafang WuDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Yingyu LiuDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Weiyang YuDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Yijun WangDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China.
Yong TangInternational Joint Research Centre on Purinergic Signalling/Key Laboratory of Acupuncture for Senile Disease (Chengdu University of TCM), Ministry of Education/School of Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine/Acupuncture and Chronobiology Key Laboratory of Sichuan Province, Chengdu, China.ORCID 0000-0002-2543-066X
Maosheng XiaDepartment of Orthopaedics, The First Hospital, China Medical University, Shenyang, China. xiamaosheng1981@163.com.ORCID 0000-0003-4829-0812
Baoman LiDepartment of Forensic Analytical Toxicology, School of Forensic Medicine, China Medical University, Shenyang, China. bmli@cmu.edu.cn.ORCID 0000-0002-3959-9570

Funding

National Natural Science Foundation of China (National Science Foundation of China) 32271038National Natural Science Foundation of China (National Science Foundation of China) 81871852
6 · The paper itself

Abstract

Worldwide, the incidence of major depressive disorder (MDD) is increasing annually, resulting in greater economic and social burdens. Moreover, the pathological mechanisms of MDD and the mechanisms underlying the effects of pharmacological treatments for MDD are complex and unclear, and additional diagnostic and therapeutic strategies for MDD still are needed. The currently widely accepted theories of MDD pathogenesis include the neurotransmitter and receptor hypothesis, hypothalamic-pituitary-adrenal (HPA) axis hypothesis, cytokine hypothesis, neuroplasticity hypothesis and systemic influence hypothesis, but these hypothesis cannot completely explain the pathological mechanism of MDD. Even it is still hard to adopt only one hypothesis to completely reveal the pathogenesis of MDD, thus in recent years, great progress has been made in elucidating the roles of multiple organ interactions in the pathogenesis MDD and identifying novel therapeutic approaches and multitarget modulatory strategies, further revealing the disease features of MDD. Furthermore, some newly discovered potential pharmacological targets and newly studied antidepressants have attracted widespread attention, some reagents have even been approved for clinical treatment and some novel therapeutic methods such as phototherapy and acupuncture have been discovered to have effective improvement for the depressive symptoms. In this work, we comprehensively summarize the latest research on the pathogenesis and diagnosis of MDD, preventive approaches and therapeutic medicines, as well as the related clinical trials.

Indexed as

Major Depressive DisorderHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal System

Identifiers

PMID38331979
PMCPMC10853571

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.