Evidence map›Paper›PMID 40329642›Full record

ReviewThe American journal of psychiatry2025

Advancing an Inflammatory Subtype of Major Depression.

Andrew H Miller

Abstract readReview
In one paragraph

Review in The American journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 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

34 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

1 author.

Andrew H MillerDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta.ORCID 0000-0001-8260-7997

Funding

The Role of Inflammation in CNS Mechanisms of Anhedonia and Psychomotor Slowing in Depressed PWH as Determined using a Next Generation TNF AntagonistR01MH128872 · NIMH · EMORY UNIVERSITY · PI Jennifer C Felger, ANDREW H MILLER · 2021 to 2026
$3.1M
JAK Signaling as a Mechanism of Inflammation-related Reward and Motor Circuit Deficits in DepressionR01MH140180 · NIMH · EMORY UNIVERSITY · PI Jennifer C Felger, Christina Gavegnano · 2025 to 2026
$1.3M
Using Human iPSC Models to Determine the Mechanism of Inflammation-Induced Disruption of Dopamine NeurotransmissionR21MH132012 · NIMH · EMORY UNIVERSITY · PI MILLER, ANDREW H, WEN, ZHEXING · 2022 to 2023
$430k
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
NIMH NIH HHS R01 MH128872NIMH NIH HHS R01 MH140180NIMH NIH HHS R21 MH121891NIMH NIH HHS R21 MH132012
6 · The paper itself

Abstract

Chronic inflammation plays a prominent role in multiple medical disorders, including psychiatric diseases such as major depression. Exposure to inflammatory stimuli leads to changes in neurotransmitter systems and neurocircuits in the brain that are associated with depressive symptoms. Blockade of inflammatory cytokines can reduce depressive symptoms in medically ill and medically healthy individuals with depression. Increased levels of biomarkers of inflammation are associated with an overrepresentation of neurovegetative symptoms, including anhedonia, fatigue, and psychomotor slowing, and can predict response to antidepressant treatments. Importantly, however, increased inflammatory biomarkers occur in only a subgroup of individuals with depression. Thus, there appears to be a subset of patients with depression with a unique symptom presentation and treatment response whose disease is primarily driven by inflammation. Further identifying and characterizing this inflammatory subtype of depression can foster the development of treatments targeting the immune system and its effects on the brain. Moreover, by using this mechanism-based approach to parsing the heterogeneity of depression, we can refine our diagnostic nosology and model a strategy for precision medicine and targeted therapeutics in psychiatry.

Indexed as

InflammationMajor Depressive DisorderAntidepressive AgentsBiomarkersBrainCytokinesHumansAntidepressive AgentsBiomarkersCytokinesBiological MarkersDepressive DisordersImmune FunctionInflammationMetabolismPsychopharmacology

Identifiers

PMID40329642
PMCPMC12282100

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.