Evidence map›Paper›PMID 42445542›Full record

SynthesisFrontiers in psychiatry2026

Gut microbiota-dependent mechanisms and efficacy of natural polysaccharides in multitarget antidepressant therapy: a systematic review.

Haoqi Liu, Min Wang, Chen Bai, Jingchun Li, Kaiqiang Dong, Rongjuan Guo

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Haoqi Liu *Beijing University of Chinese Medicine, Beijing, China.
Min Wang *Beijing University of Chinese Medicine, Beijing, China.
Chen Bai *The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Jingchun LiBeijing University of Chinese Medicine, Beijing, China.
Kaiqiang DongBeijing University of Chinese Medicine, Beijing, China.
Rongjuan GuoThe Second Clinical Medical College of Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Depression is a mental disorder with emotional, physiological, and behavioral symptoms. Natural polysaccharides have attracted attention for their low toxicity and potential to improve depression, possibly through modulation of gut microbiota and related metabolic pathways. This systematic review aimed to summarize preclinical evidence on the antidepressant efficacy of natural polysaccharides and explore putative mechanisms involving the microbiota-gut-brain axis. Methods: Following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive literature search was performed in PubMed, Web of Science, and Embase for studies up to October 4, 2025. Results: Twenty preclinical studies met the inclusion criteria. Polysaccharide treatment was generally associated with improved depression-like behaviors, normalized neurotransmitter levels, and reduced inflammation and oxidative stress. These effects were accompanied by changes in intestinal barrier function, gut microbiota composition, and short-chain fatty acid metabolism. However, substantial heterogeneity and a high risk of bias across the included studies limit causal interpretation. Conclusion: Natural polysaccharides show potential antidepressant effects in preclinical models, but the current evidence is preliminary. Well-designed translational and clinical studies are needed to advance these findings. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261284093, identifier PROSPERO, CRD420261284093.

Indexed as

depressiongut microbiotamicrobiota-gut-brain axisnatural polysaccharidessystematic review

Identifiers

PMID42445542
PMCPMC13357710

What Socratic holds

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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.