Evidence map›Paper›PMID 38677624›Full record

Trial reportBrain, behavior, and immunity2024

The antidepressant effect of whole-body hyperthermia is associated with the classical interleukin-6 signaling pathway.

Naoise Mac Giollabhui, Christopher A Lowry, Maren Nyer, Simmie L Foster, Richard T Liu, David G Smith, Steven P Cole, Ashley E Mason, David Mischoulon, Charles L Raison

Erratum issuedOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain, behavior, and immunity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Naoise Mac GiollabhuiDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. Electronic address: nmacgiollabhui@mgh.harvard.edu.
Christopher A LowryDepartment of Integrative Physiology, University of Colorado, Boulder, CO, USA.
Maren NyerDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Simmie L FosterDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Richard T LiuDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
David G SmithCenter for Single Cell Biology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Steven P ColeResearch Design Associates, Yorktown Heights, NY, USA.
Ashley E MasonDepartment of Psychiatry, University of California, San Francisco, CA, USA.
David MischoulonDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Charles L RaisonDepartment of Psychiatry, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA; Vail Health Behavioral Health, Edwards, CO, USA; Department of Spiritual Health, Woodruff Health Sciences Center, Emory University, Atlanta, GA, USA.
Massachusetts General Hospital · USChildren's Hospital of Philadelphia · USClinical Research Associates · USUniversity of California, San Francisco · USUniversity of Colorado Boulder · USUniversity of Wisconsin–Madison · US

Funding

The role of inflammation in cognitive dysfunction in acute depression as determined by experimental inhibition of tumor necrosis factor-alphasignaling in a randomized controlled trial.K23MH132893 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI Naoise Mac Giollabhui · 2024 to 2026
$592k
NIMH NIH HHS K23 MH132893
6 · The paper itself

Abstract

There is urgent need for novel antidepressant treatments that confer therapeutic benefits via engagement with identified mechanistic targets. The objective of the study was to determine whether activation of the classical anti-inflammatory interleukin-6 signaling pathways is associated with the antidepressant effects of whole-body hyperthermia. A 6-week, randomized, double-blind study compared whole-body hyperthermia with a sham condition in a university-based medical center. Medically healthy participants aged 18-65 years who met criteria for major depressive disorder, were free of psychotropic medication use, and had a baseline 17-item Hamilton Depression Rating Scale score ≥ 16 were randomized with 1-to-1 allocation in blocks of 6 to receive whole-body hyperthermia or sham. Of 338 individuals screened, 34 were randomized, 30 received interventions and 26 had ≥ 2 blood draws and depressive symptom assessments. Secondary data analysis examined change in the ratio of IL-6:soluble IL-6 receptor pre-intervention, post-intervention, and at weeks 1 and 4. Hierarchical linear modeling tested whether increased IL-6:soluble IL-6 receptor ratio post-intervention was associated with decreased depressive symptom at weeks 1, 2, 4 and 6 for those randomized to whole-body hyperthermia. Twenty-six individuals were randomized to whole-body hyperthermia [n = 12; 75 % female; age = 37.9 years (SD = 15.3) or sham [n = 14; 57.1 % female; age = 41.1 years (SD = 12.5). When compared to the sham condition, active whole-body hyperthermia only increased the IL-6:soluble IL-6 receptor ratio post-treatment [F(3,72) = 11.73,p < .001], but not pre-intervention or at weeks 1 and 4. Using hierarchical linear modeling, increased IL-6:sIL-6R ratio following whole-body hyperthermia moderated depressive symptoms at weeks 1, 2, 4 and 6, such that increases in the IL-6:soluble IL-6 receptor ratio were associated with decreased depressive symptoms at weeks 1, 2, 4 and 6 for those receiving the active whole-body hyperthermia compared to sham treatment (B = -229.44, t = -3.82,p < .001). Acute activation of classical intereukin-6 signaling might emerge as a heretofore unrecognized novel mechanism that could be harnessed to expand the antidepressant armamentarium.

Indexed as

Interleukin-6Major Depressive DisorderReceptors, Interleukin-6Signal TransductionAdolescentAdultAgedAntidepressive AgentsDouble-Blind MethodFemaleHumansHyperthermiaHyperthermia, InducedMaleMiddle AgedTreatment OutcomeAntidepressive AgentsIL6 protein, humanInterleukin-6Receptors, Interleukin-6DepressionInterleukin-6MechanismRandomized Clinical TrialSoluble Interleukin-6TreatmentWhole-body Hyperthermia

Identifiers

PMID38677624
PMCPMC11670333
OpenAlexW4395683645

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.