Evidence map›Paper›PMID 40778365›Full record

SynthesisDepression and anxiety2025

A Meta-Analysis of Magnetic Resonance Spectroscopy Studies on Glutamatergic Neurometabolite Levels in Major Depressive Disorder.

Shiwan Tao, Renhao Deng, Menghan Wei, Yunqi Huang, Huan Sun, Shuhan Yang, Shen Li, Chutian Xiao, Mingli Li

Abstract readMeta-Analysis
In one paragraph

Synthesis in Depression and anxiety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

9 authors.

Shiwan TaoMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-7164-8758
Renhao DengMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-9540-5275
Menghan WeiMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0006-9186-7380
Yunqi HuangMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0003-6724-9724
Huan SunDepartment of Psychiatry, West China Second University Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-6318-1545
Shuhan YangMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0003-5005-578X
Shen LiMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0009-0000-7099-087X
Chutian XiaoDepartment of Urology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-2873-1310
Mingli LiMental Health Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-0818-4460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutamatergic neurometabolite dysregulation has recently garnered attention in the pathophysiology of major depressive disorder (MDD). However, studies have reported heterogeneous results for changes in neurometabolite levels across brain regions and whether these changes are related to antidepressant intervention. Herein, we performed a meta-analysis to investigate consistent findings by searching PubMed, Embase, MEDLINE, PsycINFO, and SinoMed from the start date of these databases to May 2023 (PROSPERO#CRD42023405205). Among the 2529 publications screened, 55 studies were included in the meta-analysis, with 1400 MDD patients and 1322 healthy controls. The results revealed significant decreases in Glx (glutamate + glutamine) in the anterior cingulate cortex (ACC) and prefrontal cortex (PFC), glutamate in the ACC and γ-aminobutyric acid in the occipital cortex in MDD patients compared with healthy controls. However, changes in neurometabolite levels from pre to posttherapeutic-intervention in MDD patients were not significant. Heterogeneity was moderate-to-high across all neurotransmitters and brain regions. Nonetheless, these findings inform current translation efforts for MDD research.

Indexed as

gamma-Aminobutyric AcidGlutamic AcidGlutamineGyrus CinguliMajor Depressive DisorderOccipital LobePrefrontal CortexHumansMagnetic Resonance Spectroscopygamma-Aminobutyric AcidGlutamic AcidGlutamineglutamatergic neurometabolitesmajor depressive disordermeta-analysis

Identifiers

PMID40778365
PMCPMC12331408

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Registered trials

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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.