Evidence map›Paper›PMID 38627683›Full record

Trial reportBMC psychiatry2024

The relationship between serum resolvin D1, NLRP3, cytokine levels, and adolescents with first-episode medication-naïve major depressive disorder.

Jiamei Guo, Tanwei Zhang, Wanjun Chen, Jianyu Tan, Xiao Li, Anhai Zheng, Yixiao Fu, Tian Qiu

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Inflammatory biomarkers and oral microbiome alterations in depression and anxiety disorders: a systematic review.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2026
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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

8 authors at 2 institutions in 1 country.

Jiamei Guo *Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Tanwei Zhang *Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Wanjun ChenDepartment of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Jianyu TanDepartment of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Xiao LiDepartment of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Anhai ZhengDepartment of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Yixiao Fu *Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China.
Tian Qiu *Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, P.R. China. tianqiu131@sina.com.
Chongqing Medical University · CNFirst Affiliated Hospital of Chongqing Medical University · CN

Funding

Chongqing Science and Health Joint Medical Scientific Research Project 2020MSXM079
6 · The paper itself

Abstract

backgroundInflammation has become a critical pathological mechanism of Major Depressive Disorder (MDD). NLRP3 is a critical inflammatory pathway to maintain the immune balance. Recently, preclinical evidence showed that Resolvin D1 might potentially offer a new option for antidepressant treatment due to its protective effects through the inhibition of neuroinflammation. However, whether they have clinical value in the diagnosis and treatment evaluation of adolescent depression was unclear.

methodsForty-eight untreated first-episode adolescent patients with moderate to severe major depressive disorder, as well as 30 healthy adolescents (HCs, age and gender-matched), were enrolled for this study. Their ages ranged from 13 to 18 (15.75 ± 1.36) years. The patients were treated with fluoxetine for 6-8 weeks. HDRS-17 was used to evaluate the severity of depressive symptoms. Venous blood samples were collected at baseline for the two groups and at the time-point of post-antidepressant treatment for the patients. Serum concentrations of RvD1, NLRP3, IL-1β, IL-18, and IL-4 were measured by enzyme-linked immunosorbent assays (ELISA) pre- and post-fluoxetine treatment.

resultsSerum levels of RvD1 and anti-inflammatory cytokine IL-4 were significantly elevated in adolescents with MDD compared to healthy adolescents, but no significant difference in NLRP3, IL-1β, and IL-18 between the two groups. Meanwhile, RvD1 (positively) and IL-4 (negatively) were correlated with the severity of symptoms (HDRS-17 scores) after adjusting age, gender, and BMI. Interestingly, fluoxetine treatment significantly reduced the serum levels of RvD1, NLRP3, IL-1β, and IL-18 in MDD adolescents but increased the levels of IL-4 relative to baseline. Furthermore, we observed that serum levels of RvD1 might be an excellent distinguishing indicator for depression and healthy adolescents.

conclusionsOur study is the first to compare RvD1 and NLRP3 between adolescent MDD and HCs. Our findings of reactive increase of RvD1 in adolescent MDD comprised a novel and critical contribution. Our results showed the presence of inflammation resolution unbalanced in adolescents with MDD and indicated that RvD1 might be an ideal biomarker for diagnosing and treating adolescent MDD.

Indexed as

CytokinesDocosahexaenoic AcidsMajor Depressive DisorderAdolescentAntidepressive AgentsFluoxetineHumansInflammationInterleukin-18Interleukin-4NLR Family, Pyrin Domain-Containing 3 ProteinAntidepressive AgentsCytokinesDocosahexaenoic AcidsFluoxetineInterleukin-18Interleukin-4NLR Family, Pyrin Domain-Containing 3 Proteinresolvin D1AdolescentCytokinesMajor depressive disorderMedication-naïveNLRP3Resolvin D1

Identifiers

PMID38627683
PMCPMC11020182
OpenAlexW4394837310

What OpenQuestion holds

Textmetadata
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.