Evidence map›Paper›PMID 40485665›Full record

ArticleBrain, behavior, & immunity - health2025

No relationship between inflammatory cytokines, heart rate variability, and morphology of the vagus nerves in patients with major depressive disorder.

Erik Scheller, Elise Böttcher, Lisa Sofie Schreiber, David Wozniak, Frank M Schmidt, Johann Otto Pelz

Abstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Review
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.

Erik SchellerDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Elise BöttcherDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Lisa Sofie SchreiberDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
David WozniakDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Frank M SchmidtDepartment of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Johann Otto PelzDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with major depressive disorder (MDD) often show of a low-grade inflammation. Inflammatory cytokines are assumed to be transmitted from the periphery to the brain, amongst others, via the vagus nerves (VN), which constitute a pivotal part of the microbiota-gut-brain axis. While functional aspects of the VNs (heart rate variability (HRV)) were extensively studied in patients with MDD, less is known about morphological alterations. Aim of this study was to examine the relationship between inflammatory cytokines, morphology, and function of the VNs in patients with MDD and healthy controls. Markers of inflammation (tumor necrosis factor alpha (TNF-alpha), interleukin 1 beta (IL-1 beta), and high-sensitive C-reactive protein (hsCRP)) were measured in 50 patients with MDD and 50 age- and sex-matched healthy controls. Inflammatory cytokines were correlated with sonographic characteristics of the VN (cross-sectional area and echogenicity) and with HRV at rest, during standing, and under slow paced breathing. Patients with MDD had significantly higher serum levels of IL-1 beta (0.17 ± 0.13 versus 0.09 ± 1.22 pg/ml, p < 0.001) and of TNF-alpha (0.72 ± 0.23 versus 0.62 ± 0.22 pg/ml, p = 0.013), while levels of hsCRP (1.91 ± 3.02 versus 1.60 ± 2.24 mg/l) were similar between groups. There was a significant correlation between body mass index (BMI) and hsCRP, as well as HRV parameters at rest in all participants. Controlling for the BMI, we found no correlation between inflammatory cytokines, HRV, and morphology of the VNs in patients with MDD. Therefore, further studies are warranted to address the assumed relationship between inflammation, morphology, and function of the VNs in patients with MDD.

Indexed as

CytokinesDepressionHeart rate variabilityMicrobiota gut brain axisUltrasoundVagus nerve

Identifiers

PMID40485665
PMCPMC12140965

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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.