Evidence map›Paper›PMID 18158371›Full record

ArticlePsychosomatic medicine2008

Childhood socioeconomic status and serotonin transporter gene polymorphism enhance cardiovascular reactivity to mental stress.

Redford B Williams, Douglas A Marchuk, Ilene C Siegler, John C Barefoot, Michael J Helms, Beverly H Brummett, Richard S Surwit, James D Lane, Cynthia M Kuhn, Kishore M Gadde and 4 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Psychosomatic medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Childhood socioeconomic status and cardiovascular reactivity and recovery among Black and White men: Mitigating effects of psychological resources.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
    Article
  9. Article
  10. Article
  11. Article
  12. Early environment affects neuroendocrine regulation in adulthood.Social cognitive and affective neuroscience · 2011
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Prospects of psychosomatic medicine.BioPsychoSocial medicine · 2009
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Redford B WilliamsDepartment of Psychiatry and Behavioral Sciences, Box 3926, Duke University Medical Center, Durham, NC 27710, USA. redfordw@duke.edu
Douglas A Marchuk
Ilene C Siegler
John C Barefoot
Michael J Helms
Beverly H Brummett
Richard S Surwit
James D Lane
Cynthia M Kuhn
Kishore M Gadde
Allison Ashley-Koch
Ingrid K Svenson
Edward C Suarez
Saul M Schanberg
Norwegian Womens Public Health Association · NODuke Medical Center · US

Funding

The Genetics Of Biobehavioral Risk Factors For CVDP01HL036587 · NHLBI · DUKE UNIVERSITY · PI KRAUS, WILLIAM E · 1986 to 2020
$35.9M
NCRR NIH HHS M01RR30NHLBI NIH HHS P01 HL036587NHLBI NIH HHS P01HL36587
6 · The paper itself

Abstract

objectiveTo test the hypothesis that low socioeconomic status (SES) and the 5HTTLPR L allele are associated with increased cardiovascular reactivity (CVR) to stress in a larger sample and that SES and 5HTTLPR genotypes interact to enhance CVR to stress. CVR to mental stress has been proposed as one mechanism linking stress to the pathogenesis of cardiovascular disease. The more transcriptionally efficient long (L) allele of a polymorphism of the serotonin transporter gene promoter (5HTTLPR) has been found associated with increased risk of myocardial infarction. We found the long allele associated with larger CVR to mental stress in a preliminary study of 54 normal volunteers.

methodsSubjects included 165 normal community volunteers stratified for race, gender, and SES, who underwent mental stress testing.

resultsChildhood SES as indexed by Father's Education Level was associated with larger systolic blood pressure (SBP) (p < .05) and diastolic blood pressure (DBP) (p = .01) responses to mental stress. The L allele was associated with larger SBP (p = .04), DBP (p < .0001), and heart rate (p = .04) responses to mental stress compared with the short (S) allele. Subjects with the SS genotype and high Father's Education exhibited smaller SBP (5.2 mm Hg) and DBP (2.9 mm Hg) responses than subjects with LL genotype and low Father's Education (SBP = 13.3 mm Hg, p = .002; DBP = 9.7 mm Hg, p < .0001).

conclusionsBoth the 5HTTLPR long allele and low SES, particularly during childhood, are associated with increased CVR to mental stress, which could account, at least in part, for the increased cardiovascular disease risk associated with these characteristics. If confirmed in further research, these characteristics could be used to identify persons who might benefit from preventive interventions.

Indexed as

Social ClassAdultAgedAllelesBlood PressureCardiovascular DiseasesEducational StatusFathersFemaleGenetic Predisposition to DiseaseHeart RateHumansIncomeMaleMiddle AgedPolymorphism, GeneticSerotoninSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, humanTryptophan

Identifiers

PMID18158371
OpenAlexW2036936417

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.