Evidence map›Paper›PMID 39951524›Full record

ArticleScience advances2025

Fluoxetine promotes IL-10-dependent metabolic defenses to protect from sepsis-induced lethality.

Robert M Gallant, Karina K Sanchez, Emeline Joulia, Jessica M Snyder, Christian M Metallo, Janelle S Ayres

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

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

12 citing papers in PubMed.

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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

6 authors.

Robert M GallantMolecular and Systems Physiology Laboratory, Salk Institute for Biological Studies, 10010 N. Torrey Pines Road, La Jolla, CA 92037, USA.ORCID 0000-0003-1741-5336
Karina K SanchezMolecular and Systems Physiology Laboratory, Salk Institute for Biological Studies, 10010 N. Torrey Pines Road, La Jolla, CA 92037, USA.
Emeline JouliaMolecular and Cell Biology Laboratory, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.ORCID 0000-0003-3278-4412
Jessica M SnyderDepartment of Comparative Medicine, School of Medicine, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0002-0470-0931
Christian M MetalloMolecular and Cell Biology Laboratory, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.ORCID 0000-0003-2404-3040
Janelle S AyresMolecular and Systems Physiology Laboratory, Salk Institute for Biological Studies, 10010 N. Torrey Pines Road, La Jolla, CA 92037, USA.ORCID 0000-0002-0809-2494

Funding

Viral Vector Core (VVC)P30CA014195 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI Alan Saghatelian · 1985 to 2026
$82.8M
GENETIC MECHANISMS AND REGULATIONT32GM007240 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HAMPTON, RANDOLPH Y. · 1985 to 2019
$23.8M
Pathways in Biological Sciences Training ProgramT32GM133351 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Matthew Daugherty, Randolph Y. Hampton · 2020 to 2026
$9.9M
Host-microbe interactions: Harnessing co-evolution to treat diseaseDP1AI144249 · NIAID · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI AYRES, JANELLE S · 2018 to 2022
$6.7M
Tolerance defenses in host-microbiota interactionsR01AI114929 · NIAID · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI AYRES, JANELLE S · 2015 to 2025
$4.9M
The role of serotonin in cooperative defenses during polymicrobial sepsisF31AI169988 · NIAID · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI GALLANT, ROBERT MARC · 2023 to 2024
$60k
NCI NIH HHS P30 CA014195NIAID NIH HHS DP1 AI144249NIAID NIH HHS F31 AI169988NIAID NIH HHS R01 AI114929NIGMS NIH HHS T32 GM007240NIGMS NIH HHS T32 GM133351
6 · The paper itself

Abstract

Selective serotonin reuptake inhibitors (SSRIs) are some of the most prescribed drugs in the world. While they are used for their ability to increase serotonergic signaling in the brain, SSRIs are also known to have a broad range of effects beyond the brain, including immune and metabolic effects. Recent studies have demonstrated that SSRIs are protective in animal models and humans against several infections, including sepsis and COVID-19; however, the mechanisms underlying this protection are largely unknown. Here, we mechanistically link two previously described effects of the SSRI fluoxetine in mediating protection against sepsis. We show that fluoxetine-mediated protection is independent of peripheral serotonin and instead increases levels of circulating interleukin-10 (IL-10). IL-10 is necessary for protection from sepsis-induced hypertriglyceridemia, preventing cardiac effects including impairment of glucose oxidation, ectopic lipid accumulation, ventricular stretch and possibly cardiac failure. Our work reveals a beneficial "off-target" effect of fluoxetine, and reveals a protective immunometabolic defense mechanism with therapeutic potential.

Indexed as

FluoxetineInterleukin-10Selective Serotonin Reuptake InhibitorsSepsisAnimalsDisease Models, AnimalHumansMaleMiceMice, Inbred C57BLSerotoninFluoxetineInterleukin-10Selective Serotonin Reuptake InhibitorsSerotonin

Identifiers

PMID39951524
PMCPMC11827869

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.