Cited by 254Tryptophan and brain disordersStress Responses and CortisolNeuroinflammation and Neurodegeneration Mechanisms

Inflammatory T helper 17 cells promote depression-like behavior in mice

Open access
Beurel, Eléonore, Harrington, Laurie E., Jope, Richard S.·2013·Biological Psychiatry

Abstract

Background Recognition of substantial immune-neural interactions is revising dogmas about their insular actions and revealing that immune-neural interactions can substantially impact CNS functions. The inflammatory cytokine interleukin-6 promotes susceptibility to depression and drives production of inflammatory T helper 17 (Th17) T cells, raising the hypothesis that in mouse models Th17 cells promote susceptibility to depression-like behaviors. Methods Behavioral characteristics were measured in male mice administered Th17 cells, CD4+ cells, or vehicle, and in RORγT+/GFP mice or male mice treated with RORγT inhibitor or anti-IL-17A antibodies. Results Mouse brain Th17 cells were elevated by learned helplessness and chronic restraint stress, two common depression-like models. Th17 cell administration promoted learned helplessness in 89% of mice in a paradigm where no vehicle-treated mice developed learned helplessness, and impaired novelty suppressed feeding and social interaction behaviors. Mice deficient in the RORγT transcription factor necessary for Th17 cell production exhibited resistance to learned helplessness, identifying modulation of RORγT as a potential intervention. Treatment with the RORγT inhibitor SR1001, or anti-IL-17A antibodies to abrogate Th17 cell function, reduced Th17-dependent learned helplessness. Conclusions These findings indicate that Th17 cells are increased in the brain during depression-like states, promote depression-like behaviors in mice, and specifically inhibiting the production or function of Th17 cells reduces vulnerability to depression-like behavior, suggesting antidepressant effects may be attained by targeting Th17 cells.

Integrity signals

Registry

Crossref · 10.1016/j.biopsych.2012.09.021

Cites

52 of 52 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

42 of 86 cited sources checked · 20 supported · 1 flagged · accuracy not yet measured

  • Premisecitation

    IL-6 is sufficient to induce depressive-like behavior in rodent models.

    “is sufficient to induce depressive-like behavior in rodent models”
    Quote in the paperNot a substantial claim3 of 4 sources checked
    • cites [3] Dantzer, 2008, From inflammation to sickness and depression: When the immune system subjugates the brain, Nat Rev Neurosci source

      The passage on cytokine-induced behaviour (labelled Abstract in our copy) says that IL-6 administered systemically or centrally has no behavioural effect, despite inducing fever. It therefore contradicts the claim that IL-6 alone is sufficient to induce depressive-like behaviour in rodents. (LLM, conf=0.90)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
    • cites [4] Miller, 2009, Inflammation and its discontents: The role of cytokines in the pathophysiology of major depression, Biol Psychiatry source

      The ‘Evidence for a Cytokine Basis for Major Depression’ section says cytokines and cytokine inducers can produce depression-like behavioral changes in laboratory animals. It does not say that IL-6 alone is sufficient to induce those changes in rodents; the passages mentioning IL-6 concern associations in humans, not that experiment. Page numbers are unavailable in our copy. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [5] Chourbaji, 2006, IL-6 knockout mice exhibit resistance to stress-induced development of depression-like behaviors, Neurobiol Dis source
    • cites [8] Monje, 2011, Constant darkness induces IL-6-dependent depression-like behavior through the NF-kappaB signaling pathway, J Neurosci source
  • Premisecitation

    IL-6 is elevated in the serum of a subset of depressed patients.

    “the inflammatory cytokine interleukin-6 (IL-6) is elevated in the serum of a subset of depressed patients”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [3] Dantzer, 2008, From inflammation to sickness and depression: When the immune system subjugates the brain, Nat Rev Neurosci source

      The discussion of cytokines in depression (labelled Abstract in our copy; page unavailable) says patients with severe clinical depression have increased blood concentrations of inflammatory biomarkers, while noting these markers are not always elevated. It does not identify IL-6 as the elevated serum marker, so the IL-6-specific part of the claim is unsupported. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [4] Miller, 2009, Inflammation and its discontents: The role of cytokines in the pathophysiology of major depression, Biol Psychiatry source
    • cites [5] Chourbaji, 2006, IL-6 knockout mice exhibit resistance to stress-induced development of depression-like behaviors, Neurobiol Dis source
    • cites [8] Monje, 2011, Constant darkness induces IL-6-dependent depression-like behavior through the NF-kappaB signaling pathway, J Neurosci source

      The Introduction (page unavailable) says IL-6 is frequently elevated in depressed patients, and the discussion describes it as a peripheral biomarker of depression. Those passages support the general claim, but they do not specify serum; the paper discusses circulating IL-6 and cites a finding about plasma concentrations instead. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Premisecitation

    Inflammatory cytokines that direct T cell subtype production are altered in depressed patients.

    “Since inflammatory cytokines that direct T cell subtype production are altered in depressed patients (12–14)”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites [12] Cope, 1997, Chronic tumor necrosis factor alters T cell responses by attenuating T cell receptor signaling, J Exp Med source

      The Results section, “Prolonged TNF Exposure In Vitro Suppresses Th1 and Th2 Cell Subsets” (page unavailable), reports that TNF alters cytokine production and suppresses both Th1- and Th2-like T-cell responses. These findings concern mouse T cells, not depressed patients; our copy does not establish that the cytokines are altered in that population. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [13] Lee, 2008, Genomic expression profiling of TNF-alpha-treated BDC2.5 diabetogenic CD4+ T cells, Proc Natl Acad Sci U S A source

      The paper’s Discussion describes how TNF exposure affects T-cell signaling, and its mouse-study summary reports changes in genes involved in cytokine synthesis. Neither passage addresses cytokine levels in depressed patients or cytokines directing T-cell subtype production. Searches for depression, depressed patients, and T-cell differentiation found no passage supporting those points. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
    • cites [14] Cope, 1994, Chronic exposure to tumor necrosis factor (TNF) in vitro impairs the activation of T cells through the T cell receptor/CD3 complex; reversal in vivo by anti-TNF antibodies in patients with rheumatoid arthritis, J Clin Invest source

      The Results (p. 754) report altered T-cell cytokine production after TNF treatment in culture. The Introduction discusses abnormal cytokine responses in rheumatoid arthritis, not depression. Our copy does not establish that cytokines directing T-cell subtype production are altered in depressed patients. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Premisecitation

    Deletion of the IL-6 gene is protective against depressive-like behavior in rodent models.

    “whereas deletion of the IL-6 gene is protective (3–5, 8)”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [3] Dantzer, 2008, From inflammation to sickness and depression: When the immune system subjugates the brain, Nat Rev Neurosci source

      The passage on IL-6-deficient mice (section labelled Abstract; page unavailable) reports reduced LPS-induced sickness behaviour and cognitive impairment, not reduced depressive-like behaviour. The paper distinguishes sickness behaviour from depressive-like behaviour, so it does not establish the claimed protection against the latter. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [4] Miller, 2009, Inflammation and its discontents: The role of cytokines in the pathophysiology of major depression, Biol Psychiatry source

      The Cytokine Effects on Neural Plasticity section reports protection from stress-related behavioral effects with IL-1 receptor knockout mice, not IL-6 gene deletion. Searches for IL-6 knockout mice, IL-6 gene deletion, and protection from depressive-like behavior found no passage in our copy addressing the claimed result; page numbers were unavailable. (LLM, conf=0.74)

      Experimental — accuracy not yet measured
    • cites [5] Chourbaji, 2006, IL-6 knockout mice exhibit resistance to stress-induced development of depression-like behaviors, Neurobiol Dis source
    • cites [8] Monje, 2011, Constant darkness induces IL-6-dependent depression-like behavior through the NF-kappaB signaling pathway, J Neurosci source
  • Premisecitation

    IL-6 drives the production of Th17 cells.

    “IL-6, which drives the production of T helper 17 (Th17) cells”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [9] Butovsky, 2006, Microglia activated by IL-4 or IFN-gamma differentially induce neurogenesis and oligodendrogenesis from adult stem/progenitor cells, Mol Cell Neurosci source
    • cites [10] Kebir, 2007, Human TH17 lymphocytes promote blood-brain barrier disruption and central nervous system inflammation, Nat Med source

      The passage labeled Abstract reports that the authors generated human Th17 cells by culturing CD4+ lymphocytes with IL-23, but it does not address whether IL-6 drives Th17-cell production. Another passage says IL-17 induced IL-6 expression in blood-brain barrier endothelial cells—the reverse of the relationship claimed. Searches for IL-6 and Th17 differentiation found no passage establishing the claim; the IL-23 method does not rule it out. (LLM, conf=0.74)

      Experimental — accuracy not yet measured
    • cites [11] Komiyama, 2006, IL-17 plays an important role in the development of experimental autoimmune encephalomyelitis, J Immunol source

      The section on CD4+ T cells during EAE identifies those cells as the main IL-17 producers, but does not discuss IL-6 driving Th17-cell production. A search for IL-6 and Th17 differentiation found no passage addressing that relationship; the paper instead reports that IL-23 promoted IL-17 production. Page numbers were not available in our copy. (LLM, conf=0.74)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. 26
  • May combine two claims. 18
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Lithium has an antidepressant effect in the learned helplessness paradigm.

    “lithium, which has an antidepressant effect in the learned helplessness paradigm (36)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [36] Beurel, 2011, Inhibition of glycogen synthase kinase-3 is necessary for the rapid antidepressant effect of ketamine in mice, Mol Psychiatry source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CD4+ T cells are necessary for hippocampal neurogenesis in adult rodents.

    “CD4+ T cells are necessary for hippocampal neurogenesis in adult rodents”
    Quote in the paperNot a substantial claim1 of 4 sources checked
    • cites [24] Ziv, 2006, Immune cells contribute to the maintenance of neurogenesis and spatial learning abilities in adulthood, Nat Neurosci source
    • cites [28] Wolf, 2009, CD4-positive T lymphocytes provide a neuroimmunological link in the control of adult hippocampal neurogenesis, J Immunol source

      The Abstract and Discussion report that CD4+ T-cell depletion reduces adult hippocampal neurogenesis in mice, supporting a role in maintaining its baseline level. But the Discussion also says neurogenesis remained at low levels in CD4-depleted and CD4-knockout mice and could still increase with running. Thus, the paper does not establish that CD4+ T cells are necessary for neurogenesis to occur. Page numbers were not provided in our copy. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [29] Ziv, 2008, Orchestrating brain-cell renewal: The role of immune cells in adult neurogenesis in health and disease, Trends Mol Med source
    • cites [30] Cardon, 2010, Dysregulation of kisspeptin and neurogenesis at adolescence link inborn immune deficits to the late onset of abnormal sensorimotor gating in congenital psychological disorders, Mol Psychiatry source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Alterations in T cell characteristics have been reported in patients with major depression.

    “alterations in T cell characteristics have been reported in patients with major depression (15–18)”
    Quote in the paperNot a substantial claim1 of 4 sources checked
    • cites [15] Sephton, 2009, Depression, cortisol, and suppressed cell-mediated immunity in metastatic breast cancer, Brain Behav Immun source
    • cites [16] Irwin, 2007, Depressive disorders and immunity: 20 years of progress and discovery, Brain Behav Immun source
    • cites [17] Zorrilla, 2001, The relationship of depression and stressors to immunological assays: A meta-analytic review, Brain Behav Immun source
    • cites [18] Wong, 2008, Polymorphisms in inflammation-related genes are associated with susceptibility to major depression and antidepressant response, Mol Psychiatry source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Inflammatory subtypes of T cells, particularly Th17 cells, are deleterious in diseases such as multiple sclerosis.

    “inflammatory subtypes of T cells, particularly Th17 cells, are clearly deleterious in diseases such as multiple sclerosis (9–11, 24)”
    Quote in the paperNot a substantial claim2 of 4 sources checked
    • cites [9] Butovsky, 2006, Microglia activated by IL-4 or IFN-gamma differentially induce neurogenesis and oligodendrogenesis from adult stem/progenitor cells, Mol Cell Neurosci source
    • cites [10] Kebir, 2007, Human TH17 lymphocytes promote blood-brain barrier disruption and central nervous system inflammation, Nat Med source
    • cites [11] Komiyama, 2006, IL-17 plays an important role in the development of experimental autoimmune encephalomyelitis, J Immunol source

      The Abstract reports that EAE, a rodent model of multiple sclerosis, was markedly suppressed in IL-17-deficient mice and that CD4+ T cells were its major IL-17 producers. It also reports elevated IL-17 in patients with multiple sclerosis, but says its contribution to the human disease is suggested rather than established. The claim's certainty about Th17 cells being deleterious in multiple sclerosis exceeds what this paper shows. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [24] Ziv, 2006, Immune cells contribute to the maintenance of neurogenesis and spatial learning abilities in adulthood, Nat Neurosci source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Th17 cells are a major contributor to the pathogenicity of several inflammatory and autoimmune conditions.

    “a subset of CD4+ T cells that is a major contributor to the pathogenicity of several inflammatory and autoimmune conditions (9–11)”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites [9] Butovsky, 2006, Microglia activated by IL-4 or IFN-gamma differentially induce neurogenesis and oligodendrogenesis from adult stem/progenitor cells, Mol Cell Neurosci source
    • cites [10] Kebir, 2007, Human TH17 lymphocytes promote blood-brain barrier disruption and central nervous system inflammation, Nat Med source
    • cites [11] Komiyama, 2006, IL-17 plays an important role in the development of experimental autoimmune encephalomyelitis, J Immunol source

      The Discussion (page unavailable) says IL-17-producing cells play a major role in two autoimmune models, EAE and collagen-induced arthritis, and the Results identify CD4+ T cells as the predominant IL-17 producers during EAE. It does not establish that Th17 cells are major pathogenic contributors across inflammatory and autoimmune conditions generally; the Discussion also identifies conditions that are not IL-17-dependent. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    IL-6 is activated in conditions associated with depression in humans and in rodent models.

    “is activated in conditions associated with depression in humans and in rodent models”
    Quote in the paperSubstantial claim3 of 4 sources checked
    • cites [3] Dantzer, 2008, From inflammation to sickness and depression: When the immune system subjugates the brain, Nat Rev Neurosci source

      The paper reports enhanced brain production of IL-6 in aged mice and describes depression-like behaviour after immune stimulation in mice (Abstract; page unavailable). It also reports elevated inflammatory biomarkers in some people with severe depression, but does not identify IL-6 as the elevated marker in humans or directly show IL-6 activation in the rodent depression-like models. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites [4] Miller, 2009, Inflammation and its discontents: The role of cytokines in the pathophysiology of major depression, Biol Psychiatry source

      The section “Evidence for a Cytokine Basis for Major Depression” describes IL-6 as a reliable peripheral biomarker in human major depression and links increased IL-6 to sleep disturbance. “Cytokine Effects on Neural Plasticity” reports increased proinflammatory cytokine production after immune challenge or stress in animals, but its specific examples name TNF-alpha and IL-1, not IL-6. The rodent-specific IL-6 part is therefore not established by these passages. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [5] Chourbaji, 2006, IL-6 knockout mice exhibit resistance to stress-induced development of depression-like behaviors, Neurobiol Dis source
    • cites [8] Monje, 2011, Constant darkness induces IL-6-dependent depression-like behavior through the NF-kappaB signaling pathway, J Neurosci source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Lithium reduces the production of Th17 cells in mice in vivo.

    “consistent with a previous report that lithium reduces the production of Th17 cells in mice in vivo (42)”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [42] Beurel, 2011, Regulation by glycogen synthase kinase-3 of inflammation and T cells in CNS diseases, Front Mol Neurosci source

      The Multiple sclerosis section reports that lithium administration prevents or terminates EAE and that GSK3 inhibitors prevent Th17-cell production. It does not specifically say that lithium reduced Th17-cell production in mice in vivo; those two findings are reported separately. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Stress is a critical factor in promoting susceptibility to depression.

    “Stress is a critical factor in promoting susceptibility to depression (2, 38)”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [2] Nestler, 2002, Neurobiology of depression, Neuron source
    • cites [38] Chen, 2010, Translational research in bipolar disorder: Emerging insights from genetically based models, Mol Psychiatry source

      The “Vulnerability to BPD” section says physical and social–psychological stressors can trigger relapse in people with bipolar disorder who have remitted from a manic or depressive episode. That supports a role for stress in mood-episode vulnerability, but it does not establish stress as a critical factor in susceptibility to depression generally. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    Inflammatory signals from the innate immune system are linked to depression in human and rodent studies.

    “inflammatory signals from the innate immune system being linked to depression in human and rodent studies (7)”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [7] Licinio, 2007, Pharmacogenomics of neuroimmune interactions in human psychiatric disorders, Exp Physiol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Th17 cells have well-established pathological actions in other diseases.

    “The well-established pathological actions of Th17 cells in other diseases (45–47)”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites [45] Korn, 2009, IL-17 and Th17 Cells, Annu Rev Immunol source
    • cites [46] Littman, 2010, Th17 and regulatory T cells in mediating and restraining inflammation, Cell source
    • cites [47] Weaver, 2006, Th17: An effector CD4 T cell lineage with regulatory T cell ties, Immunity source
  • May combine two claims.

    Premisecitation

    GSK3 knockin mice express normal levels of both GSK3 isoforms, GSK3α and GSK3β, but with serine-to-alanine mutations, S9A-GSK3β and S21A-GSK3α, to maintain GSK3 maximally active.

    “GSK3 knockin mice express normal levels of both GSK3 isoforms, GSK3α and GSK3β, but with serine-to-alanine mutations, S9A-GSK3β and S21A-GSK3α, to maintain GSK3 maximally active, since it cannot be inhibited by serinephosphorylation (43, 44).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [43] McManus, 2005, Role that phosphorylation of GSK3 plays in insulin and Wnt signalling defined by knockin analysis, EMBO J source
    • cites [44] Eom, 2009, Blocked inhibitory serine-phosphorylation of glycogen synthase kinase-3alpha/beta impairs in vivo neural precursor cell proliferation, Biol Psychiatry source

      The Introduction (page unavailable) describes the S9A-GSK3β and S21A-GSK3α mutations, normal expression of both isoforms, and the resulting inability to inhibit GSK3 by serine phosphorylation. The Results confirm normal total levels of both isoforms, but the paper does not establish that GSK3 is maximally active; it establishes that this particular inhibitory mechanism is blocked. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    IL-17A has previously identified actions on astrocytes that may alter astrocyte-neuronal interactions.

    “such as its previously identified actions on astrocytes that may alter astrocyteneuronal interactions (52).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [52] Kang, 2010, Astrocyte-restricted ablation of interleukin-17-induced Act1-mediated signaling ameliorates autoimmune encephalomyelitis, Immunity source

      The Results and Discussion show that IL-17 induces inflammatory signaling and gene expression in astrocytes. The paper does not examine whether those actions alter astrocyte–neuronal interactions; that remains a possibility raised by the citing sentence, not a finding established by this source. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    Rorc(γT)+/GFP mice exhibited a strong resistance to the learned helplessness paradigm, with only 25% of mice meeting the learned helplessness criteria, compared with 75% of littermate wild-type mice.

    “Rorc(γT)+/GFP mice exhibited a strong resistance to the learned helplessness paradigm, with only 25% of mice meeting the learned helplessness criteria, compared with 75% of littermate wild-type mice (Figure 3B).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Rorc(γT)+/GFP mice had a slight but not statistically significant increase in IFNγ+ CD4+ T cells (Th1 cells) in the brain compared with wild-type mice.

    “a slight but not statistically significant increase in IFNγ+ CD4+ T cells (Th1 cells)”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Th17-recipient mice showed no differences from control mice in brain levels of IFNγ+ CD4+ T cells, FoxP3+ CD4+ T cells, total CD4+ T cells, CD8+ T cells, activated microglia, activated macrophages, and dendritic cells.

    “but no differences from control mice in IFNγ+ CD4+ T cells (Th1 cells), FoxP3+ CD4+ T cells (Tregs), total CD4+ T cells, CD8+ T cells, F4/80+CD45int cells (activated microglia), F4/80+CD45high cells (activated macrophages), and CD11c+CD45high cells (DCs) (Figure 2C)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Rorc(γT)+/GFP mouse brain CD8+ T cells and F4/80+CD45int cells (activated microglia) did not differ from controls.

    “Rorc(γT)+/GFP mouse brain CD8+ T cells and F4/80+CD45int cells (activated microglia) did not differ from controls”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Th17 recipient mice consistently failed to escape, whereas control mice had rapid escape times.

    “The latency time to escape demonstrated rapid escape times by control mice, whereas Th17 recipient mice consistently failed to escape (Figure 2B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There were no differences in the number of brain CD11c+CD45high dendritic cells or F4/80+CD45high activated macrophages between learned helpless and non-learned helpless mice.

    “there were no differences in the number of brain CD11c+CD45high dendritic cells (DCs) or F4/80+CD45high cells (activated macrophages) (Figure 1C)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There were no significant differences among groups in total numbers in brain of CD4+ T cells, CD8+ T cells, or activated microglia.

    “There were no significant differences among these groups in the total numbers in brain of CD4+ T cells, CD8+ T cells, or activated microglia (identified by staining for F4/80+CD45int cells) (Figure 1C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Anti-IL17A therapy and inhibition of RORγT each significantly reduced learned helplessness.

    “but each treatment significantly reduced learned helplessness and reduced the latency time to escape (Figure 4B,C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Anti-IL17A therapy and inhibition of RORγT did not alter locomotor activity.

    “Anti-IL17A therapy and inhibition of RORγT did not alter locomotor activity (Figure 4A)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Anti-IL17A therapy and inhibition of RORγT each significantly reduced the latency time to escape.

    “but each treatment significantly reduced learned helplessness and reduced the latency time to escape (Figure 4B,C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    The mood stabilizer lithium both blocked learned helplessness and Th17 cell accumulation in the brain.

    “It is also notable that the mood stabilizer lithium both blocked learned helplessness and Th17 cell accumulation in the brain”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    Th1 cells increased in mouse brains after depression-inducing stimuli.

    “Th1 cells also may play a regulatory role since they increased in mouse brains after depression-inducing stimuli”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Th17-recipient mice displayed deficits in NSF and social interactions.

    “Th17-recipient mice also displayed deficits in NSF and social interactions”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Immune deficiency in mice causes cognitive impairments that are reversed by replenishment of CD4+ T cells.

    “immune deficiency in mice causes cognitive impairments that are reversed by replenishment of CD4+ T cells (23–27)”
    Quote in the paperNot a substantial claim0 of 5 sources checked
    • cites [23] Kipnis, 2004, T cell deficiency leads to cognitive dysfunction: Implications for therapeutic vaccination for schizophrenia and other psychiatric conditions, Proc Natl Acad Sci U S A source
    • cites [24] Ziv, 2006, Immune cells contribute to the maintenance of neurogenesis and spatial learning abilities in adulthood, Nat Neurosci source
    • cites [25] Brynskikh, 2008, Adaptive immunity affects learning behavior in mice, Brain Behav Immun source
    • cites [26] Kipnis, 2008, Immunity and cognition: What do age-related dementia, HIV-dementia and 'chemo-brain' have in common?, Trends Immunol source
    • cites [27] Ron-Harel, 2008, Age-dependent spatial memory loss can be partially restored by immune activation, Rejuvenation Res source
  • Classified as probably not a substantial claim.

    Premisecitation

    The learned helplessness paradigm models depression-like behavior in rodents.

    “is modeled in rodents with the learned helplessness paradigm of depression-like behavior (39)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [39] Chourbaji, 2005, Learned helplessness: Validity and reliability of depressive-like states in mice, Brain Res Brain Res Protoc source
  • May combine two claims.

    Interpretationreasoning

    T cells subtype-selectively bolster particular neural functions in a healthy CNS, and disease- or environment-induced shifts in the balance of T cell subtypes can switch their actions from beneficial to detrimental.

    “Thus, it appears that T cells subtype-selectively bolster particular neural functions in a healthy CNS, and that disease- or environment-induced shifts in the balance of T cell subtypes can switch their actions from beneficial to detrimental.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Chronic restraint stress is widely used to induce a depressive phenotype.

    “This is widely used to induce a depressive phenotype (33)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [33] Henn, 2005, Stress models of depression: Forming genetically vulnerable strains, Neurosci Biobehav Rev source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Mice used for learned helplessness were not used for other behavior measurements, whereas the same mice were used for social interaction measurements and the NSF test.

    “Mice used for learned helplessness were not used for other behavior measurements, whereas the same mice were used for the social interaction measurements and the NSF test.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    RORγT is thought to be expressed almost exclusively in Th17 cells.

    “that is thought to be expressed almost exclusively in Th17 cells (48)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [48] Ivanov, 2006, The orphan nuclear receptor RORgammat directs the differentiation program of proinflammatory IL-17+ T helper cells, Cell source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    RORγT is a widely used marker of Th17 cells.

    “is a widely used marker of Th17 cells (49)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [49] Huang, 2007, Retinoid-related orphan receptor gamma t is a potential therapeutic target for controlling inflammatory autoimmunity, Expert Opin Ther Targets source
  • May combine two claims.

    Interpretationown data

    Increased Th17 or Th1 cells in the brain may contribute to, or be an outcome of, depression-like behavior.

    “Taken together, these results suggest that increased Th17 or Th1 cells in the brain may contribute to, or be an outcome of, depression-like behavior.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    Total food consumption in the home cage was measured to test whether feeding differences in the novel environment were due to differences in hunger or motivation.

    “Upon returning to their home cage, the total amount of food consumed during a 5 min period was measured to test whether feeding differences in the novel environment were due to differences in hunger or motivation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    RORγT knockout mice are the most widely used approach for reducing Th17 cell levels in vivo.

    “Methods capable of reducing Th17 cell levels in vivo are limited, with RORγT knockout mice being the most widely used approach (48, 49).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [48] Ivanov, 2006, The orphan nuclear receptor RORgammat directs the differentiation program of proinflammatory IL-17+ T helper cells, Cell source
    • cites [49] Huang, 2007, Retinoid-related orphan receptor gamma t is a potential therapeutic target for controlling inflammatory autoimmunity, Expert Opin Ther Targets source
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationnone given

    Th17 cells are likely only one factor among many that modify susceptibility to depression-like behavior.

    “Th17 cells are likely only one factor among many that modify susceptibility to depression-like behavior.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Interventions being developed for suppressing Th17 cells in autoimmune diseases may provide a starting point to develop new treatments for mood disorders.

    “suggesting that interventions being developed for suppressing Th17 cells in autoimmune diseases may provide a starting point to develop new treatments for mood disorders.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Interfering with the production or actions of Th17 cells may prove most effective in patients with depression that are pre-identified as having elevated levels of IL-6 or IL-17A.

    “Thus, interfering with the production or actions of Th17 cells may prove most effective in patients with depression that are pre-identified as having elevated levels of IL-6, which drives Th17 cell production, or of IL-17A, which is produced by Th17 cells.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: IL-6 drives Th17 cell production.
    • Rests on an assumption: IL-17A is produced by Th17 cells.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationown data

    Th1 cells may play a regulatory role.

    “Th1 cells also may play a regulatory role since they increased in mouse brains after depression-inducing stimuli”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    T cells are present and functional in the brain where they modulate higher functions, such as cognition.

    “previous findings that T cells are present and functional in the brain (32) where they modulate higher functions, such as cognition.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [32] Schwartz, 2010, Systemic inflammatory cells fight off neurodegenerative disease, Nat Rev Neurol source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    This study was for the most part limited to evaluations of the learned helplessness model.

    “However, this study was for the most part limited to evaluations of the learned helplessness model”
    Quote in the paperNot a substantial claim
41 of 41
  • The paper relies on this without support.

    Conditions that promote the production or differentiation of Th17 cells are prevalent in depressed patients.

    “Because the conditions to promote production of Th17 cells are prevalent in depressed patients”
    “Because the conditions to promote differentiation of Th17 cells are present in depressed patients”
  • The paper relies on this without support.

    Anti-inflammatory interventions have not been found to be widely efficacious antidepressants on their own.

    “they have not been found to be widely efficacious antidepressants on their own”
  • The paper relies on this without support.

    T cells are major sensors of the cytokine environment.

    “This study focused on T cells because they are major sensors of the cytokine environment”
  • The paper relies on this without support.

    Each subtype of T helper CD4+ cell responds to a different cytokine signature.

    “each subtype of T helper CD4+ cell responds to a different cytokine signature”
  • The paper relies on this without support.

    T cells are more enduring than transiently expressed cytokines.

    “T cells are more enduring than transiently expressed cytokines”
  • The paper relies on this without support.

    T cells potentially contribute to the prolonged and recurrent episodes characteristic of major depression.

    “potentially enabling T cells to contribute to the prolonged and recurrent episodes characteristic of major depression.”
  • The paper relies on this without support.

    IL-6 is an inflammatory cytokine with well-established links to depression.

    “IL-6 is an inflammatory cytokine with well-established links to depression”
  • The paper relies on this without support.

    Stress induces IL-6 expression.

    “stress induces IL-6 expression”
  • The paper relies on this without support.

    IL-6 is a crucial driver of Th17 cells that are detrimental to the CNS.

    “IL-6 is a crucial driver of Th17 cells that are detrimental to the CNS”
  • The paper relies on this without support.

    In the learned helplessness paradigm, all mice received the same aversive stimuli, which is well-established to produce learned helplessness in only a portion of treated mice.

    “in this paradigm all mice received the same aversive stimuli, which is well-established to produce learned helplessness in only a portion of treated mice.”
  • The paper relies on this without support.

    Untreated wild-type mice seldom develop learned helplessness after subjection to a mild foot shock paradigm.

    “untreated wild-type mice seldom develop learned helplessness after subjection to a mild foot shock paradigm.”
  • The paper relies on this without support.

    Two days after Th17 cell administration allows for recovery from the acute treatment and proliferation of administered T cells.

    “a time that allows for recovery from the acute treatment and proliferation of administered T cells.”
  • The paper relies on this without support.

    NSF and social interaction deficits are linked to a depressive phenotype.

    “two other behaviors that have been linked to a depressive phenotype.”
  • The paper relies on this without support.

    RORγT is a characteristic marker of Th17 cells.

    “Although RORγT is a characteristic marker of Th17 cells”
  • The paper relies on this without support.

    RORγT may have unknown additional functions in other cell types.

    “since it may have unknown additional functions in other cell types”
  • The paper relies on this without support.

    IL-17A has detrimental effects in autoimmune diseases.

    “in accordance with its detrimental effects in autoimmune diseases”
  • The paper relies on this without support.

    IL-6 drives Th17 cell production.

    “IL-6, which drives Th17 cell production”
  • The paper relies on this without support.

    IL-17A is produced by Th17 cells.

    “IL-17A, which is produced by Th17 cells.”
18 of 18

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Th17 cells have been associated with depression in several experimental and clinical studies.

    “Additionally, Th17 cells have been associated with depression in several experimental and clinical studies [16, 20, 68].”

    From Chronic stress-induced depression requires the recruitment of peripheral Th17 cells into the brain (2022) · cites this paper as [20]

    The Discussion (page not available) reports that Th17 cells increased in the brains of mice showing depression-like behavior, supporting the experimental association. This paper does not establish the clinical association in humans; its Discussion says that whether Th17 cells promote major depression in humans remains to be determined. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Donor CD45.1+CD4+ cells were found in the hippocampi after learned-helplessness.

    “Donor CD45.1+CD4+ cells were found in the hippocampi after learned-helplessness even though, being undifferentiated, they are not sufficient to promote learned-helplessness (Beurel et al., 2013) (Fig 2C).”

    From Distinct characteristics of hippocampal pathogenic th17 cells in a mouse model of depression (2018) · cites this paper as Beurel et al., 2013

    The Results (page unavailable) report CD4+ T cells in mouse brains after the learned-helplessness paradigm, and the Methods describe transferring CD4+ T cells. The Results also say undifferentiated CD4+ T cell-treated controls did not develop learned helplessness under the reduced-intensity protocol. Our copy does not identify the brain cells as CD45.1+ donor cells or locate them specifically in the hippocampi. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Research showed an increase in Th17 cells in mice exhibiting learned helplessness, and mice receiving Th17 cells displayed significant depressive-like behaviors.

    “Research showed an increase in Th17 cells in mice exhibiting learned helplessness. Additionally, mice receiving Th17 cells displayed significant depressive-like behaviors [119,123].”
  • Mice receiving Th17-cell administration display obvious depressive-like behaviours.

    “Additionally, mice receiving Th17-cell administration display obvious depressive-like behaviours [16, 20].”
  • Th17 cells are increased in mice exhibiting learned helplessness.

    “Th17 cells are increased in mice exhibiting learned helplessness.”

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Beurel, E., Harrington, L. E., & Jope, R. S.
Affiliations
  • University of Miami (US)
  • University of Alabama at Birmingham (US)
Corresponding author
Beurel, Eléonore
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2013-04
Volume
73
Issue
7
Pages
622-630
ISSN
0006-3223 (ISSN-L)
OpenAlex
W2079562810
Cited by
254
References
52
Citations by year
2026: 25 · 2025: 14 · 2024: 25 · 2023: 19 · 2022: 29 · 2021: 27 · 2020: 24 · 2019: 19 · 2018: 20 · 2017: 13 · 2016: 19 · 2015: 10 · 2014: 8 · 2013: 2
FWCI
1.99
Type
journal article
Language
en
Open access
Locations
  • Biological Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (K99MH090236, R00MH090236, MH090236, R56MH038752, MH038752, MH095380, R01MH038752, R01MH095380)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK084082)
Topics
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
Th17 cells, depression-like behavior, interleukin-6, RORγt, neuroimmune interactions, learned helplessness, chronic restraint stress, IL-17A, antidepressant targets, neuroinflammation
MeSH terms
Animals, Depression, Helplessness, Learned, Inflammation, Male, Restraint, Physical, Sulfonamides, Thiazoles, Interleukin-17, Mice, Gene Knock-In Techniques, Nuclear Receptor Subfamily 1, Group F, Member 3, Th17 Cells

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-25.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-25.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review