Evidence map›Paper›PMID 34535767›Full record

ArticleMolecular psychiatry2021

Transcriptomic signatures of psychomotor slowing in peripheral blood of depressed patients: evidence for immunometabolic reprogramming.

Mandakh Bekhbat, David R Goldsmith, Bobbi J Woolwine, Ebrahim Haroon, Andrew H Miller, Jennifer C Felger

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.4field-weighted citation impact, top 22% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Synaptic effects of interleukin-6 on human iPSC-derived dopaminergic neurons.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  6. Review
  7. Article
  8. Advancing an Inflammatory Subtype of Major Depression.The American journal of psychiatry · 2025
    Review
  9. Article
  10. Article
  11. Glycolytic metabolism: Food for immune cells, fuel for depression?Brain, behavior, & immunity - health · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
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  20. 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

6 authors at 2 institutions in 1 country.

Mandakh BekhbatDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.
David R GoldsmithDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-4002-175X
Bobbi J WoolwineDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.
Ebrahim HaroonDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-8817-1116
Andrew H MillerDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-8260-7997
Jennifer C FelgerDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA. jfelger@emory.edu.ORCID http://orcid.org/0000-0003-4354-2267
Emory University · USEmory Healthcare · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Gregory B. Lesinski · 2009 to 2026
$47.5M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
Inflammation-Induced CNS Glutamate as a Function of Depression in Middle AgeR01MH107033 · NIMH · EMORY UNIVERSITY · PI HAROON, EBRAHIM · 2016 to 2021
$2.2M
Phenotyping Major Depression with Increased InflammationR01MH087604 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H · 2010 to 2014
$2.2M
Inflammation Effects on Corticostriatal Connectivity and Reward: Role of DopamineR01MH109637 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2016 to 2019
$2.1M
Inflammation-Induced CNS Glutamate Changes in DepressionR01MH112076 · NIMH · EMORY UNIVERSITY · PI HAROON, EBRAHIM, MILLER, ANDREW H · 2016 to 2020
$2.0M
Dopaminergic Therapy for Inflammation-Related Anhedonia in DepressionR61MH121625 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C · 2020 to 2020
$1.4M
Impact of Inflammation on Reward Circuits, Motivational Deficits and Negative Symptoms in SchizophreniaK23MH114037 · NIMH · EMORY UNIVERSITY · PI GOLDSMITH, DAVID RYAN · 2018 to 2022
$957k
Effects of Bupropion versus Escitalopram on Reward Circuitry and Motivational Deficits in Patients with Major Depression and Increased Inflammation and AnhedoniaR21MH121891 · NIMH · EMORY UNIVERSITY · PI FELGER, JENNIFER C, MILLER, ANDREW H · 2020 to 2021
$429k
NCATS NIH HHS KL2 TR000455NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NCI NIH HHS P30 CA138292NIMH NIH HHS F32 MH119750NIMH NIH HHS K23 MH114037NIMH NIH HHS R01 MH087604NIMH NIH HHS R01 MH107033NIMH NIH HHS R01 MH109637NIMH NIH HHS R01 MH112076NIMH NIH HHS R03 MH100273NIMH NIH HHS R21 MH077172NIMH NIH HHS R21 MH121891NIMH NIH HHS R61 MH121625
6 · The paper itself

Abstract

Inflammation impacts basal ganglia motor circuitry in association with psychomotor retardation, a key symptom of major depression (MD). We previously reported associations between circulating protein inflammatory biomarkers and psychomotor slowing as measured by neuropsychological tests probing psychomotor speed in patients with MD. To discover novel transcriptional signatures in peripheral blood immune cells related to psychomotor slowing, microarray data were analyzed in a primary cohort of 88 medically-stable, unmedicated, ambulatory MD patients. Results were confirmed and extended in a second cohort of 57 patients with treatment resistant depression (TRD) before and after anti-inflammatory challenge with the tumor necrosis factor antagonist infliximab versus placebo. Composite scores reflecting pure motor and cognitive-motor processing speed were linearly associated with 403 and 266 gene transcripts in each cohort, respectively (|R| > 0.30, p < 0.01), that were enriched for cytokine signaling and glycolysis-related pathways (p < 0.05). Unsupervised clustering in the primary cohort revealed two psychomotor slowing-associated gene co-expression modules that were enriched for interferon, interleukin-6, aerobic glycolysis, and oxidative phosphorylation pathways (p < 0.05, q < 0.1). Transcripts were predominantly derived from monocytes, plasmacytoid dendritic cells, and natural killer cells (p's < 0.05). In infliximab-treated TRD patients with high plasma C-reactive protein concentrations (>5 mg/L), two differential co-expression modules enriched for oxidative stress and mitochondrial degradation were associated with improvements in psychomotor reaction time (p < 0.05). These results indicate that inflammatory signaling and associated metabolic reprogramming in peripheral blood immune cells are associated with systemic inflammation in depression and may affect relevant brain circuits to promote psychomotor slowing.

Indexed as

Depressive Disorder, Treatment-ResistantMajor Depressive DisorderC-Reactive ProteinHumansInflammationPsychomotor PerformanceTranscriptomeC-Reactive Protein

Identifiers

PMID34535767
PMCPMC8881295
OpenAlexW3200685546

What Socratic 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 Socratic graph.