Evidence map›Paper›PMID 21820247›Full record

ArticlePsychoneuroendocrinology2012

Interactive effects of estrogen and serotonin on brain activation during working memory and affective processing in menopausal women.

C Neill Epperson, Zenab Amin, Kosha Ruparel, Ruben Gur, James Loughead

Abstract readControlled Clinical Trial
In one paragraph

Article in Psychoneuroendocrinology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Impact of Tryptophan Depletion on Executive System Function during Menopause is Moderated by Childhood Adversity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Tryptophan Metabolism in Postmenopausal Women with Functional Constipation.International journal of molecular sciences · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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

5 authors at 2 institutions in 1 country.

C Neill EppersonUniversity of Pennsylvania, Department of Psychiatry, USA. cepp@mail.med.upenn.edu
Zenab Amin
Kosha Ruparel
Ruben Gur
James Loughead
University of Pennsylvania · USYale University · US

Funding

Sex, GABA and Nicotine: A 1H-MRS StudyR01DA018359 · NIDA · YALE UNIVERSITY · PI EPPERSON, C. NEILL · 2006 to 2010
$1.4M
Interaction of Estrogen and Serotonin in Modulating Brain Activation in MenopauseR01AG030641 · NIA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2009 to 2010
$994k
Neuroendocrine Contribution to Behavior & Cognition in the Female LifespanK24DA030301 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI EPPERSON, C. NEILL · 2010 to 2014
$954k
Neuroactive Steroids, GABA &Glutamate in PMDDK02MH073090 · NIMH · YALE UNIVERSITY · PI EPPERSON, C. NEILL · 2005 to 2009
$614k
NIA NIH HHS R01AG03041NIA NIH HHS R01 AG030641NIDA NIH HHS K24 DA030301NIDA NIH HHS K24DA030301NIDA NIH HHS R01 DA018359NIMH NIH HHS K02 MH073090NIMH NIH HHS KO2MH73090
6 · The paper itself

Abstract

While cognitive changes and mood instability are frequent symptoms reported by menopausal women, the degree to which the decline in estrogen production is responsible is not yet clear. Several lines of evidence suggest that estrogen may produce its effects on cognition and mood through modulation of serotonergic function. To test this hypothesis, we used the tryptophan depletion (TD) paradigm to lower central serotonin levels and pharmacologically manipulated estrogen levels in healthy menopausal women. We examined the individual and combined effects of estradiol and serotonin on working memory, emotion processing and task-related brain activation. Eight healthy predominantly early postmenopausal women underwent TD or sham depletion followed by functional magnetic resonance imaging (fMRI) both before and after short-term transdermal estradiol 75-150 μg/d administration. There was an estradiol treatment by TD interaction for brain activation during performance on both the N-back Task (working memory) and Emotion Identification Task (affective processing). During the 2-back condition, TD attenuated activation prior to, but not after, estradiol treatment in the right and left dorsal lateral prefrontal and middle frontal/cingulate gyrus. During emotion identification, TD heightened activation in the orbital frontal cortex and bilateral amygdala, and this effect was attenuated by estradiol treatment. These results provide preliminary evidence that serotonergic effects directly mediate the impact of estrogen on brain activation during working memory and affective processing.

Indexed as

Administration, CutaneousAdministration, OralAffectAmino AcidsBrainCross-Over StudiesDouble-Blind MethodEstradiolEstrogensFemaleFunctional NeuroimagingHumansMagnetic Resonance ImagingMemory, Short-TermMenopauseMiddle AgedAmino AcidsEstradiolEstrogensSerotoninTryptophan

Identifiers

PMID21820247
PMCPMC3226892
OpenAlexW2102653525

What OpenQuestion holds

Textmetadata
LicenceTDM
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.