Evidence map›Paper›PMID 39966822›Full record

ArticleJournal of neuroinflammation2025

IDO1 modulates pain sensitivity and comorbid anxiety in chronic migraine through microglial activation and synaptic pruning.

Jiao Hu, Wen-Juan Ji, Gui-Yu Liu, Xiao-Hong Su, Jun-Ming Zhu, Yu Hong, Yi-Fan Xiong, Yun-Yan Zhao, Wei-Peng Li, Wei Xie

Abstract read
In one paragraph

Article in Journal of neuroinflammation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Gut microbes · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Non-neuronal targets for migraine therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  8. Article
  9. The pPVTThe journal of headache and pain · 2026
    Article
  10. Review
  11. Review
  12. Inhibition of the METTL3/mThe journal of headache and pain · 2025
    Article
  13. Review
  14. Review
  15. 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

10 authors.

Jiao Hu *School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Wen-Juan Ji *School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Gui-Yu Liu *School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Xiao-Hong SuDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, 510630, China.
Jun-Ming ZhuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Yu HongSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Yi-Fan XiongSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Yun-Yan ZhaoDepartment of Critical Care Medicine, The Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University, Guangzhou, 510130, China. z-y-y116@163.com.
Wei-Peng Li *School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China. wp_lee@smu.edu.cn.
Wei XieSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China. xieweizn@smu.edu.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515220030, 2023A1515110505, 2021A1515110231China Postdoctoral Science Foundation 2022M720061Key Discipline Construction Project of Traditional Chinese Medicine of Guangdong Province 20220105National Natural Science Foundation of China 82374193,81873158The second national famous Traditional Chinese Medicine Inheritance Studio G724290126
6 · The paper itself

Abstract

backgroundChronic migraine is a prevalent and potentially debilitating neurological disorder that is often comorbid with mental health conditions (such as anxiety and depression), but the underlying mechanisms linking these conditions remain poorly understood. Indoleamine 2,3-dioxygenase 1 (IDO1) has been implicated in inflammatory processes, including neuroinflammation and pain. However, its role as a link between neuroinflammation and pain sensitization in chronic migraine is not well defined.

methodsMale mice were used to establish a model of chronic migraine by recurrent intraperitoneal injections of nitroglycerin (NTG, 10 mg/kg). Using pharmacological approaches, transgenic strategies and adeno-associated virus (AAV) intervention, we investigated the role of IDO1 in pain sensitization and migraine-related mood disorders in an NTG-induced chronic migraine mouse model. We employed a combination of immunoblotting, immunohistochemistry, three-dimensional reconstruction, RNA sequencing, electrophysiology, in vivo fiber photometry, and behavioral assays to elucidate the underlying mechanisms involved.

resultsOur findings demonstrated that pharmacological inhibition and genetic knockout of IDO1 significantly alleviated pain sensitivity in a chronic migraine model. Neuronal activity in the anterior cingulate cortex (ACC) was evaluated with in vitro c-Fos immunostaining as well as in vivo fiber photometry, and a shift in the excitation/inhibition (E/I) balance toward excitation was observed through whole-cell patch clamp recording. Notably, IDO1 expression was increased in the ACC, and AAV-mediated IDO1 knockdown in the ACC rescued pain sensitivity, electrophysiological E/I balance changes, and anxiety-like behavior in chronic migraine model mice. Furthermore, IDO1 regulated microglial activation and pruning of neuronal synapses in the ACC. IDO1's microglial pruning function appears to be mediated through the interferon (IFN) signaling pathway, and the behavioral changes induced by IDO1 knockdown in the ACC could be reversed by activating this pathway.

conclusionsOur findings revealed that microglial IDO1 in the ACC drives pain sensitization and anxiety in chronic migraine, highlighting IDO1 as a potential therapeutic target for chronic migraine treatment.

Indexed as

AnxietyIndoleamine-Pyrrole 2,3,-DioxygenaseMicrogliaMigraine DisordersPain ThresholdSynapsesAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, KnockoutIDO1 protein, mouseIndoleamine-Pyrrole 2,3,-DioxygenaseAnterior cingulate cortex (ACC)Chronic migraineExcitation/inhibition balanceIndoleamine 2,3-dioxygenase 1 (IDO1)MicrogliaSynapse

Identifiers

PMID39966822
PMCPMC11837436

What Socratic holds

Textmetadata
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.