Evidence map›Paper›PMID 34440563›Full record

ReviewLife (Basel, Switzerland)2021

Targeting Metabolic Dysfunction for the Treatment of Mood Disorders: Review of the Evidence.

Brett D M Jones, Salman Farooqui, Stefan Kloiber, Muhammad Omair Husain, Benoit H Mulsant, Muhammad Ishrat Husain

Open access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Brett D M JonesDepartment of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.ORCID 0000-0003-3248-1059
Salman FarooquiDepartment of Biology, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Stefan KloiberDepartment of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.ORCID 0000-0002-6838-4114
Muhammad Omair HusainDepartment of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.
Benoit H MulsantDepartment of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.ORCID 0000-0002-0303-6450
Muhammad Ishrat HusainDepartment of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada.
Centre for Addiction and Mental Health · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depressive disorder (MDD) and bipolar disorder (BD) are often chronic with many patients not responding to available treatments. As these mood disorders are frequently associated with metabolic dysfunction, there has been increased interest in novel treatments that would target metabolic pathways. The objectives of this scoping review were to synthesize evidence on the impact on mood symptoms of lipid lowering agents and anti-diabetics drugs, while also reviewing current knowledge on the association between mood disorders and dyslipidemia or hyperglycemia. We propose that metabolic dysfunction is prevalent in both MDD and BD and it may contribute to the development of these disorders through a variety of pathophysiological processes including inflammation, brain structural changes, hormonal alterations, neurotransmitter disruptions, alteration on brain cholesterol, central insulin resistance, and changes in gut microbiota. Current evidence is conflicting on the use of statins, polyunsaturated fatty acids, thiazolidinediones, glucagon-like peptide agonists, metformin, or insulin for the treatment of MDD and BD. Given the paucity of high-quality randomized controlled trials, additional studies are needed before any of these medications can be repurposed in routine clinical practice. Future trials need to enrich patient recruitment, include evaluations of mechanism of action, and explore differential effects on specific symptom domains such as anhedonia, suicidality, and cognition.

Indexed as

bipolar disordermajor depressive disordermetabolic function

Identifiers

PMID34440563
PMCPMC8401631
OpenAlexW3189058568

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.