Evidence map›Paper›PMID 41555075›Full record

ReviewNeuroscience bulletin2026

Research Progress on the Biological Function and Homeostatic Disruption of Microglia in the Pathogenesis of Major Depressive Disorder.

Shuqi Kong, Zhuoyue Huang, Yiru Fang

Abstract readReview
In one paragraph

Review in Neuroscience bulletin, 2026. 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

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

3 authors.

Shuqi KongShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
Zhuoyue HuangShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
Yiru FangDepartment of Psychiatry and Affective Disorders Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. yirufang@aliyun.com.ORCID http://orcid.org/0000-0002-8748-9085

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression is a major global public health issue. The recurrent episodes of depression and its unpredictable suicide risk have posed a critical medical challenge, highlighting the urgent need for an in-depth investigation into its underlying mechanisms. While the conventional hypothesis of monoamine neurotransmitter depletion is the primary cause of major depressive disorder (MDD), this theory does not entirely explain the complexity and clinical variability of MDD. The presence of treatment-resistant depression (TRD), as a subgroup of MDD, serves as compelling evidence. The immune-inflammation hypothesis has gained increasing attention, with a growing focus on the pivotal role of microglia in this framework. Microglia, the resident immune cells of the central nervous system, sustain homeostasis through self-renewal in adulthood. They are essential for regulating neuron survival, apoptosis, and synaptic plasticity under normal physiological conditions. Under pathological situations, such as traumatic injury, infection, and psychological stress, microglia receive stimulating signals to promptly respond to events. When microglia homeostasis is disrupted, they become over-activated, releasing pro-inflammatory cytokines, activating related signaling pathways, and disrupting neurotransmitter metabolism. This triggers neuroinflammation, oxidative stress, and mitochondrial dysfunction, which hinder neurogenesis, disrupt neural circuits, and ultimately contribute to MDD progression, or even potentially advance it to TRD. This review focuses on the relationship between the biology of microglia and MDD, providing a comprehensive analysis of microglial biological characteristics, factors affecting microglia function, and underlying mechanisms associated with MDD. In conclusion, this review provides a novel perspective on the pathogenesis of MDD from the angle of microglial homeostasis imbalance, aiming to lay a theoretical basis for subsequent investigation of the mechanism. In addition, based on the mechanism of neuroinflammation caused by microglial homeostasis imbalance in MDD, this review aims to offer two new promising therapeutic approaches for MDD and even its progression to the TRD stage.

Indexed as

HomeostasisMajor Depressive DisorderMicrogliaAnimalsHumansInflammationNeuroinflammatory DiseasesHomeostasisMajor depressive disorderMicrogliaNeuroinflammation

Identifiers

PMID41555075
PMCPMC13031683

What OpenQuestion holds

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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.