Evidence map›Paper›PMID 42463908›Full record

ArticleCommunications medicine2026

The effect of SSRI/SNRI antidepressant treatment on the gut microbiota of patients with major depressive disorder.

Eugenia Emile Natasha, Danique Mulder, Leon Fehse, Nils R Winter, Lukas Fisch, Marius Welzel, Corinna Bang, Susanne Meinert, Kira Flinkenflügel, Tiana Borgers and 27 more

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

37 authors.

Eugenia Emile Natasha *Department of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.ORCID http://orcid.org/0009-0002-6994-626X
Danique Mulder *Department of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-3927-4784
Leon FehseUniversity of Münster, Institute of Medical Informatics, Münster, Germany.
Nils R WinterUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.
Lukas FischUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.
Marius WelzelUniversity of Münster, Institute of Medical Informatics, Münster, Germany.ORCID http://orcid.org/0000-0002-4946-2156
Corinna BangInstitute of Clinical Molecular Biology, Christian-Albrechts-University, Kiel, Germany.
Susanne MeinertUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.ORCID http://orcid.org/0000-0003-2177-7161
Kira FlinkenflügelUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.ORCID http://orcid.org/0000-0001-7738-5429
Tiana BorgersUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.
Janik GoltermannUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.ORCID http://orcid.org/0000-0003-3087-1002
Elisabeth J LeehrUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.ORCID http://orcid.org/0000-0002-9264-5003
Carsten CulmseeCenter for Mind, Brain and Behavior (CMBB), Marburg, Germany.ORCID http://orcid.org/0000-0002-5121-5015
Frederike SteinDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Florian Thomas-OdenthalDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Paula UsemannDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Lea TeutenbergDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Igor NenadicDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Benjamin StraubeDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Nina AlexanderDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.
Hamidreza JamalabadiDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.ORCID http://orcid.org/0000-0003-2485-2374
Andreas JansenDepartment of Psychiatry and Psychotherapy, Marburg University, Marburg, Germany.ORCID http://orcid.org/0000-0002-3140-8207
Robert NitschUniversity of Münster, Institute for Translational Neuroscience, Münster, Germany.
Andreas LügeringMedizinisches Versorgungszentrum Portal 10, Münster, Germany.
Andre FrankeInstitute of Clinical Molecular Biology, Christian-Albrechts-University, Kiel, Germany.ORCID http://orcid.org/0000-0003-1530-5811
Udo DannlowskiUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.
Tilo KircherCenter for Mind, Brain and Behavior (CMBB), Marburg, Germany.ORCID http://orcid.org/0000-0002-2514-2625
Dominik HeiderUniversity of Münster, Institute of Medical Informatics, Münster, Germany.ORCID http://orcid.org/0000-0002-3108-8311
Tim HahnUniversity of Münster, Institute for Translational Psychiatry, Münster, Germany.ORCID http://orcid.org/0000-0001-6541-3795
Janna N VrijsenDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.
Philip van EijndhovenDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.
Indira TendolkarDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-3171-3671
Andreas ReifDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0002-0992-634X
Sharmili Edwin ThanarajahDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0003-3608-1474
Silke MaturaDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0001-7666-9534
Alejandro Arias VasquezDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein Zuid 10, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-4786-0169
Mirjam BloemendaalDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt am Main, Germany. bloemendaal@ifado.de.ORCID http://orcid.org/0000-0001-5897-0649

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 82601081
6 · The paper itself

Abstract

backgroundThe gut microbiome has been linked to major depressive disorder (MDD), yet it remains unclear whether antidepressant treatment influences these associations. This study aimed to clarify the role of serotonin reuptake inhibitors (SSRI/SNRI) in shaping gut microbiome changes observed in MDD.

methodsWe conducted cross-sectional analyses in two independent patient cohorts (total N = 1802) and a meta-analysis across both cohorts, comparing the gut microbiome of MDD patients with and without SSRI/SNRI treatment.

resultsHere we show that SSRI/SNRI treatment is consistently associated with reduced Clostridium sensu stricto 1 abundance. This effect is specific to SSRI/SNRI treatment and not observed with other psychotropic medications. Importantly, reductions in Clostridium sensu stricto 1 in MDD compared to unaffected controls are explained by SSRI/SNRI medication status.

conclusionsAntidepressant treatment is an important factor shaping gut microbiome alterations linked to MDD, underscoring the need to account for medication effects and potentially informing future microbiome-based strategies to improve treatment response.

Identifiers

PMID42463908
PMCPMC13376374

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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.