An intact lateral brain appears beside a connected network with nine prominent blue or pale-rose neuron bodies.
Neural teaching reconstruction Editorially reviewed

Non-stigmatizing brain-and-network orientation for major depressive disorder. The neutral models do not depict a patient, mood, named brain region, lesion, neurotransmitter, connectivity measurement, single mechanism, severity, suicide risk, or diagnosis.

WikiBiome / Microbiome MedicineNLM-MeSH-condition-, NIMH-depression-heterogeneity-, and literal-output-audit-informed reconstruction
Scientific media record1 verified identifier
Subject
Major Depressive Disordercondition
Identifiers
MeSH:D003865
Review
Editorial review completeIdentifiers authority-verified · Accessibility validated · · major-depressive-disorder|major-depressive-disorder-pathology-v1.webp
Digital source
Trained-algorithmic mediaCreated with a trained generative algorithm and reviewed by WikiBiome for subject identity, scientific framing, identifiers, provenance, and accessibility.
License
CC BY-SA 4.0Created

Major depressive disorder (MDD) is a psychiatric condition characterized by persistent depressed mood, anhedonia, and cognitive/somatic symptoms. In the WikiBiome framework, MDD is a paradigm case for the Gut-Brain Axis: gut Dysbiosis drives Systemic Inflammation and Neuroinflammation through Endotoxemia, tryptophan-kynurenine shunting, and loss of neuroactive microbial metabolites (Serotonin, GABA (Gamma-Aminobutyric Acid)).

Evidence map3 cited passagesInspect provenance +
01
Microbiome Signature

Depleted: dialister, faecalibacterium prausnitzii, coprococcus, roseburia—SCFA and neuroactive metabolite producers.

02
Microbiome Signature

Metal connection: Shotgun metagenomics in MDD reveals nickel-metal toxicity signatures (NiMeTox).

03
Microbiome Signature

Mediterranean diet: Associated with reduced MDD risk via microbiome modulation.

Integrated microbiome signature

One disease. Five evidence layers.

A generated systems view of the metals, organisms, host sequestration signals, ecological conditions, and microbial functions indexed for Major Depressive Disorder.

01

Evidence layer

Metallomic signature

Elements and antioxidants reported as elevated, accumulated, depleted, or systemically altered.

Elevated or accumulated

0

No structured signals indexed yet.

Depleted or redistributed

0

No structured signals indexed yet.

02

Evidence layer

Taxonomic signature

Organisms reported as enriched or depleted, with their indexed functional context kept beside the name.
Enriched taxa0

No structured taxa indexed yet.

Depleted taxa0

No structured taxa indexed yet.

03

Evidence layer

Nutritional immunity

Host metal-withholding, inflammatory, antioxidant, and microbial-metabolite signals indexed in the signature.

Elevated host signals

0

No structured signals indexed yet.

Depleted protective signals

0

No structured signals indexed yet.

04

Evidence layer

Ecological state

The environmental conditions that connect the organism-level observations into a system.
WB.ECO / SYSTEM MODEL0 connected states

No structured ecological features indexed yet.

EnvironmentCommunity structureHost response
05

Evidence layer

Virulence functions

Microbial structures, enzymes, and acquisition systems implicated by the linked evidence.

No structured virulence functions indexed yet.

Encyclopedia article

The disease record, in full.

The original WikiBiome disease narrative remains intact beneath the generated signature atlas.

Microbiome Signature#

Depleted: Dialister, Faecalibacterium prausnitzii, Coprococcus, Roseburia—SCFA and neuroactive metabolite producers.[1]Current Perspectives on Gut Microbiome Dysbiosis and DepressionCapuco A, Urits I, Hasoon J et al. · 2020Open reference 1[2]The Gut-Brain Axis in Depression, Anxiety, and Schizophrenia: A Scoping Review of Mechanisms, Biomarkers, and Therapeutic ImplicationsEskandar K · 2025Open reference 2

Enriched: Enterobacteriaceae, Eggerthella—LPS-producing pro-inflammatory taxa. Metal connection: Shotgun metagenomics in MDD reveals nickel-metal toxicity signatures (NiMeTox).[3]Maes 2026 — Functional Shotgun Metagenomic Insights into Gut Microbial Pathway and Enzyme Disruptions Linking Metabolism, Affect, Cognition, and Suicidal Ideation in Major Depressive DisorderMichael Maes, Abbas F. Almulla, Asara Vasupanrajit et al. · 2026Open reference 3 Mediterranean diet: Associated with reduced MDD risk via microbiome modulation.[4]Latorre-Pérez 2021 — The Spanish Gut Microbiome Reveals Links Between Microorganisms and Mediterranean DietAdriel Latorre-Pérez, Marta Hernández, Jose Ramón Iglesias et al. · 2021Open reference 4

Mechanistic Pathways#

Tryptophan shunting: Metal-Driven Inflammation-driven IDO activation diverts tryptophan from serotonin synthesis to the neurotoxic kynurenine pathway → quinolinic acid → excitotoxicity. SCFA depletion: Lost Butyrate → impaired BBB integrity → neuroinflammation. Endotoxemia → neuroinflammation: LPS → TLR4 → IL-6/TNF-alpha → Microglia activation.

Vagal signaling: Depleted Lactobacillus/Bifidobacterium → reduced vagal tone → HPA axis dysregulation.

Cross-References#

Generated evidence record

References 7

Numbered by first appearance in the article, then reconciled with its declared source list.

  1. 1

    Capuco A, Urits I, Hasoon J et al. (2020). Current Perspectives on Gut Microbiome Dysbiosis and Depression. Advances in Therapy.

  2. 2

    Eskandar K (2025). The Gut-Brain Axis in Depression, Anxiety, and Schizophrenia: A Scoping Review of Mechanisms, Biomarkers, and Therapeutic Implications. Middle East Current Psychiatry.

  3. 3

    Michael Maes, Abbas F. Almulla, Asara Vasupanrajit et al. (2026). Maes 2026 — Functional Shotgun Metagenomic Insights into Gut Microbial Pathway and Enzyme Disruptions Linking Metabolism, Affect, Cognition, and Suicidal Ideation in Major Depressive Disorder. Acta Neuropsychiatrica.

  4. 4

    Adriel Latorre-Pérez, Marta Hernández, Jose Ramón Iglesias et al. (2021). Latorre-Pérez 2021 — The Spanish Gut Microbiome Reveals Links Between Microorganisms and Mediterranean Diet. Scientific Reports.

  5. 5

    Siegmann EM, Muller HHO, Luecke C et al. (2020). Graves' disease as a driver of depression: a mechanistic insight. Frontiers in Endocrinology.

  6. 6

    Zhang Ruohan, Wang Ruting, Wu Hongxi et al. (2025). Zhang 2025 — Gut Microbiota as a Novel Target for Treating Anxiety and Depression: From Mechanisms to Multimodal Interventions. Frontiers in Microbiology.

  7. 7

    Yimin Han, Boya Wang, Han Gao et al. (2022). Han et al. 2022 — Vagus Nerve and Underlying Impact on the Gut Microbiota-Brain Axis in Behavior and Neurodegenerative Diseases. Journal of Inflammation Research.

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Article network

Researcher discussion

Connect the evidence

Publicly readable discussion by ORCID-authenticated researchers. Questions, interpretation, methods, corrections, and new evidence stay attached to this record.

0 posts

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Transparent record

Activity and accepted changes

Accepted researcher context, editorial status, public discussion, and upstream Git revisions are shown together. Pending, declined, and withdrawn proposals remain private.

4 events
  1. published revision

    Consolidate microbial metabolite knowledge

    Karen Pendergrass · +1 −1

    Inspect exact Git diff ↗
  2. published revision

    Backfill butyrate concept links

    Karen Pendergrass · +1 −1

    Inspect exact Git diff ↗
  3. published revision

    Backfill inflammation concept links

    Karen Pendergrass · +1 −1

    Inspect exact Git diff ↗
  4. published revision

    massive wiki expansion: 149 stubs fixed, 100+ new pages, Rule 15 scan, keystone papers

    WikiBiome Deploy Bot · +53 −0

    Inspect exact Git diff ↗
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7 references · 1 content records · 822 corpus pages