Evidence map›Paper›PMID 40849324›Full record

ReviewTranslational psychiatry2025

Modulation of neuroimmune cytokine networks by antidepressants: implications in mood regulation.

Roseane Galdioli Nava, Anny Silva Adri, Igor Salerno Filgueiras, Adriel Leal Nóbile, Pedro Marçal Barcelos, Yohan Lucas Gonçalves Corrêa, Sergio Felipe de Oliveira, Gustavo Cabral-Miranda, Haroldo Dutra Dias, Lena F Schimke and 5 more

Abstract readReview
In one paragraph

Review in Translational psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

15 authors.

Roseane Galdioli NavaInterunit Postgraduate Program on Bioinformatics, Institute of Chemistry of the University of São Paulo (IQ-USP), University of Sao Paulo (USP), Sao Paulo, SP, Brazil. roseanenava@usp.br.ORCID http://orcid.org/0000-0001-7415-2136
Anny Silva AdriLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Igor Salerno FilgueirasLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Adriel Leal NóbileLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Pedro Marçal BarcelosLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Yohan Lucas Gonçalves CorrêaLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Sergio Felipe de OliveiraDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Gustavo Cabral-MirandaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Haroldo Dutra DiasLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Lena F SchimkeLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
René de Araújo GleizerLaboratory of Psychoneuroimmunology, Selye Lab, University of São Paulo School of Medicine, São Paulo, Brazil.
Rodrigo Juliani Siqueira DalmolinBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte Brazil, Natal, Brazil.ORCID http://orcid.org/0000-0002-1688-6155
Helder I NakayaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Rafael Machado RezendeAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3998-8012
Otavio Cabral-MarquesInterunit Postgraduate Program on Bioinformatics, Institute of Chemistry of the University of São Paulo (IQ-USP), University of Sao Paulo (USP), Sao Paulo, SP, Brazil. otavio.cmarques@usp.br.ORCID http://orcid.org/0000-0002-3183-6236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major Depressive Disorder (MDD) is increasingly recognized as a neuroinflammatory condition characterized by dysregulated cytokine networks. This comprehensive review examines the immunomodulatory effects of antidepressant medications, revealing their significant impact on Th1/Th2 cytokine balance beyond their classical neurotransmitter actions. Clinical data show that diverse antidepressant classes consistently demonstrate immunomodulatory properties that extend beyond their classical neurotransmitter effects. These medications reduce pro-inflammatory markers (IFN-γ, TNF-α, IL-6) while enhancing anti-inflammatory cytokines (IL-10, TGF-β), effects particularly relevant for treatment-resistant cases with elevated baseline inflammation. The therapeutic potential of these immunoregulatory effects is supported by emerging interventions, including low-dose IL-2 immunotherapy, vagus nerve stimulation, and microbiota-targeted therapies, which show promise for specific depression subtypes. Importantly, these approaches appear most effective when guided by inflammatory biomarkers, suggesting a path toward personalized treatment strategies. By integrating findings from clinical studies and translational research, this work establishes immune modulation as a fundamental component of antidepressant action. The review provides a framework for developing next-generation treatments that target neuroimmune pathways in MDD, with particular emphasis on practical applications for treatment-resistant cases. These insights bridge the gap between neuropharmacology and clinical psychiatry, offering new therapeutic possibilities for patients with inflammation-associated depression.

Indexed as

AffectAntidepressive AgentsCytokinesMajor Depressive DisorderNeuroimmunomodulationAnimalsHumansAntidepressive AgentsCytokines

Identifiers

PMID40849324
PMCPMC12375052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.