Evidence map›Paper›PMID 41315193›Full record

ArticleTranslational psychiatry2025

Integrative neuroimmunology reveals leukocyte-expressing PAX6 as a critical predictor of major depressive disorder.

Haroldo Dutra Dias, Anny Silva Adri, Adriel Leal Nóbile, Marilia Garcia de Oliveira, Elizabeth N Chung, Ian Antunes Ferreira Bahia, Dennyson Leandro M Fonseca, Lena F Schimke, Igor Salerno Filgueiras, Pedro Marçal and 11 more

Abstract read
In one paragraph

Article in Translational psychiatry, 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

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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Haroldo Dutra DiasDepartment of Medicine, Division of Molecular Medicine, Laboratory of Medical Investigation 29, University of São Paulo (USP) School of Medicine, São Paulo, Brazil. haroldodd@gmail.com.
Anny Silva AdriDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Adriel Leal NóbileDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Marilia Garcia de OliveiraAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Elizabeth N ChungAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ian Antunes Ferreira BahiaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Dennyson Leandro M FonsecaInterunit Postgraduate Program on Bioinformatics, Institute of Mathematics and Statistics (IME), University of Sao Paulo (USP), Sao Paulo, SP, Brazil.
Lena F SchimkeBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil.
Igor Salerno FilgueirasDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Pedro MarçalDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Fernando Yuri Nery do ValeDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Rodrigo J S DalmolinBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil.
Gustavo Cabral-MirandaThe Gene Lay Institute of Immunology and Inflammation, Boston, MA, USA.
Jinsu LeeAnn Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Helder NakayaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Alexandre H C MarquesBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil.
Renato BortolotiDepartment of Medicine, Division of Molecular Medicine, Laboratory of Medical Investigation 29, University of São Paulo (USP) School of Medicine, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-6389-8733
Clement HamaniSunnybrook Research Institute, Harquail Centre for Neuromodulation, Division of Neurosurgery, University of Toronto, Toronto, ON, M4N3M5, Canada.ORCID http://orcid.org/0000-0002-7586-2487
Michael A Wheeler *Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0689-6384
Rafael Machado Rezende *Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. rmachadorezende@bwh.harvard.edu.ORCID http://orcid.org/0000-0003-3998-8012
Otavio Cabral-Marques *Department of Medicine, Division of Molecular Medicine, Laboratory of Medical Investigation 29, University of São Paulo (USP) School of Medicine, São Paulo, Brazil. otavio.cmarques@usp.br.ORCID http://orcid.org/0000-0002-3183-6236

Funding

Control of extracellular matrix remodeling by CD29+ astrocytesR01MH130458 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI Michael Alex Wheeler · 2022 to 2026
$2.1M
A Psilocybin-Sensitive Neuroimmune Circuit Controlling Stress BehaviorsR01DA061199 · NIDA · BRIGHAM AND WOMEN'S HOSPITAL · PI Michael Alex Wheeler · 2024 to 2026
$1.7M
Control of ETV1 transcriptional networks in amygdalar astrocytesR01MH132632 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI Michael Alex Wheeler · 2024 to 2026
$1.3M
Molecular Control of Astrocytes in CNS InflammationR00NS114111 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI WHEELER, MICHAEL ALEX · 2023 to 2025
$783k
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazilian Federal Agency for the Support and Evaluation of Graduate Education) 88887.699840/2022-00Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazilian Federal Agency for the Support and Evaluation of Graduate Education) 88887.801068/2023-00Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazilian Federal Agency for the Support and Evaluation of Graduate Education) 88887.992612-2024-00Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2020/16246-2Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2023/06086-6Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2023/07806-2Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2023/12268-0Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2023/13356-0Ministry of Science, Technology and Innovation | Conselho Nacional de Desenvolvimento Científico e Tecnológico (National Council for Scientific and Technological Development) 102430/2022-5NIDA NIH HHS R01 DA061199NIMH NIH HHS R01 MH130458NIMH NIH HHS R01 MH132632NINDS NIH HHS L30 NS139299NINDS NIH HHS R00 NS114111
6 · The paper itself

Abstract

Major depressive disorder (MDD) is a multifaceted psychiatric illness with profound global consequences. To illuminate its molecular underpinnings, we employed a genome-driven integrative systems neuroimmunology approach to analyze transcriptomic profiles from 3114 individuals (1877 MDD patients and 1237 controls). This analysis uncovered coordinated neuroimmune transcriptomic shifts, marked by altered expression of genes involved in innate immune regulation, suppression of inflammatory responses, and pathways related to sensory perception, visual system development, and synaptic signaling. These alterations were consistently observed in both peripheral blood leukocytes (PBLs) and brain regions implicated in MDD. Among 31 genes jointly dysregulated in blood and brain, four stood out as robust predictors of MDD in PBLs: NEGR1, PPP6C, SORCS3, and PAX6. Of these, PAX6, a gene previously linked to MDD by GWAS, also exhibited differential expression in the amygdala and was functionally enriched in pathways governing immune modulation, vesicle trafficking, and neurodevelopmental processes, such as neuronal fate determination. In contrast, NEGR1, PPP6C, and SORCS3 showed no significant changes in brain expression, suggesting a predominantly peripheral role. Importantly, these transcriptomic insights were reinforced in a murine model of chronic stress, where immunophenotyping revealed elevated PAX6 expression in peripheral myeloid cells. Together, these findings reveal a shared neuroimmune signature across the brain and immune system in MDD, highlighting PAX6 as a promising mechanistic link and potential biomarker for this disorder.

Indexed as

LeukocytesMajor Depressive DisorderPAX6 Transcription FactorAdultAnimalsBrainFemaleHumansMaleMiceMiddle AgedTranscriptomePAX6 protein, humanPAX6 Transcription Factor

Identifiers

PMID41315193
PMCPMC12811296

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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.