Evidence map›Paper›PMID 40881230›Full record

ArticleGeneral psychiatry2025

Paeoniflorin ameliorates depressive behaviours by modulating microbiota-gut-brain axis functions.

Sha Zhang, Dan Pan, Siyu Chen, Da Tang, Hui Yang, Daoqun Song, Bin Yuan, Jason H Huang, Mingchen Jiang, Fushun Wang and 1 more

Abstract read
In one paragraph

Article in General psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
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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

11 authors.

Sha Zhang *School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Dan Pan *School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Siyu ChenNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Da TangNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Hui YangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Daoqun SongChangchun University of Chinese Medicine, Changchun, Jilin, China.
Bin YuanDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Jason H HuangDepartment of Neurosurgery, Baylor Scott & White Health, Temple, Texas, USA.
Mingchen JiangDepartment of Pediatrics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Fushun Wang *Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, Sichuan, China.ORCID https://orcid.org/0000-0002-2010-6254
Qiuyue Xu *School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0002-2237-9790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractBackground: Major depressive disorder (MDD), characterised by persistent anhedonia and elevated suicide risk, represents a global mental health challenge. Recent studies suggest a link between gut-brain axis dysfunction and depression. The natural compound paeoniflorin demonstrates clinically relevant antidepressant effects, yet its underlying neurobiological mechanisms remain elusive. Aims: This study aims to examine how paeoniflorin alleviates depression-like behaviours in rats subjected to chronic unpredictable mild stress (CUMS) by modulating the function of gut-brain axis, and explore the connections between gut microbiota, metabolites and MDD. Methods: Depression-like behaviours in rats were induced by CUMS, and the antidepressant effect of paeoniflorin was assessed using behavioural tests. The composition and function of the intestinal microbiota were analysed using 16S rRNA sequencing, and metabolomic analysis was performed on serum, hippocampus, jejunum and faecal samples. Enzyme-linked immunosorbent assay and hematoxylin and eosin staining were used to detect the levels of inflammatory factors and cortisol, as well as the infiltration of inflammatory cells in the jejunum of rats after cohousing. Long-term potentiation assays and Golgi staining were used to detect dendritic spine density and synaptic plasticity, respectively. Results: Paeoniflorin significantly alleviated depression-like behaviours and cognitive deficits in CUMS rats. 16S rRNA sequencing revealed that paeoniflorin improved the abundance and diversity of the gut microbiota in CUMS rats. Enrichment of differential metabolites in the brain, intestine, faeces and serum revealed a primary accumulation in the amino acid metabolism pathway. We further observed a correlation between the relative abundance of microbial communities and metabolites. Cohousing experiments verified that microbial metabolites of paeoniflorin can reduce neuroinflammation and improve synaptic plasticity. Conclusions: Disruptions in gut microbiota and its metabolites impair gut-brain interactions. Paeoniflorin's neuroprotective and antidepressant effects are mediated through the modulation of the function of the gut-brain axis.

Indexed as

Depressive Disorder, MajorNervous System

Identifiers

PMID40881230
PMCPMC12382487

What Socratic holds

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Registered trials

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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 Socratic graph.