Evidence map›Paper›PMID 42020889›Full record

ReviewInflammopharmacology2026

Protective effects of antidepressants against ulcerogenic agents: insights from nonclinical studies.

Caroline Stringari, Heloisa Stringari, Thiago Farias de Queiroz E Silva, Caio Henrique Willrich, Luisa Mota da Silva

Abstract readReview
In one paragraph

Review in Inflammopharmacology, 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. 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

5 authors.

Caroline StringariPharmaceutical Sciences Graduate Program, University of Itajai Valley, Itajai, SC, Brazil.
Heloisa StringariPharmaceutical Sciences Graduate Program, University of Itajai Valley, Itajai, SC, Brazil.
Thiago Farias de Queiroz E SilvaMedicine course, Health school, University of Itajai Valley, Itajai, SC, Brazil.
Caio Henrique WillrichDepartment of Pharmacology, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Luisa Mota da SilvaDepartment of Pharmacology, Federal University of Santa Catarina, Florianópolis, SC, Brazil. luisa.mota@ufsc.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a marked overlap among the neuronal pathogenetic pathways involved in ulcer genesis and depression, and antidepressants can also exert a protective effect against gastric ulcers.

objectiveTo summarize and critically discuss non-clinical evidence about the gastroprotective potential of antidepressants. METHODOLOGY: Articles related to the survey were searched on PubMed, ScienceDirect, MedLine, and Lilacs, identifying 163 publications from 1974 to 2024, after reviewing 27 articles were selected.

resultsAll experimental research on the antiulcer potential of antidepressants has used acute gastric ulcer models, mainly ethanol- and indomethacin- induced ulcers. Tricyclic antidepressants, such as amitriptyline, are the most researched and have shown significant gastroprotective effects, reducing ulcer size and severity, and inhibiting NOX2 and NOX4 (enzymes from the NADPH oxidase family) expression in gastric mucosa. Selective serotonin reuptake inhibitors also exhibit gastroprotective effects. Fluoxetine decreased ulcer size in a stress and indomethacin model while increasing antioxidant production and decreasing inflammation in indomethacin-induced ulcers, but one study found that fluoxetine had a greater gastroprotective effect in male rodents than in females, highlighting the need for further research on sex differences. Mirtazapine and duloxetine have also shown gastroprotective benefits. Mirtazapine reduced ulcer size in an indomethacin model. In a stress and indomethacin model, duloxetine reduced ulcer size while also decreasing NOX1 and NOX4 expression. The mechanisms underlying the gastroprotective effects of antidepressants involve peripheral reduction of mucosal oxidative stress and central modulation of vagal stimulus and an increase in noradrenergic and serotonergic neurotransmission.

conclusionsOverall, the trials examined show that antidepressants are effective in preventing ulcers and may be useful in protecting against gastric ulcer development, especially in people with depression.

Indexed as

Antidepressive AgentsAnti-Ulcer AgentsStomach UlcerAnimalsGastric MucosaHumansAntidepressive AgentsAnti-Ulcer AgentsAcute ulcers modelFluoxetineGastric ulcersImipramineSerotonin

Identifiers

PMID42020889
PMCPMC13179233

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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.