Evidence map›Paper›PMID 21890277›Full record

Trial reportPsychoneuroendocrinology2012

A history of depression in women is associated with an altered GABAergic neuroactive steroid profile.

Susan S Girdler, Monica Lindgren, Patrizia Porcu, David R Rubinow, Jacqueline L Johnson, A Leslie Morrow

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychoneuroendocrinology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

42 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Gut feelings: the microbiota-gut-brain axis on steroids.American journal of physiology. Gastrointestinal and liver physiology · 2022
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Central Actions of 3α,5α-THP Involving NMDA and GABAFrontiers in behavioral neuroscience · 2020
    Article
  18. Article
  19. Article
  20. Review
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 at 1 institution in 1 country.

Susan S GirdlerDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. susan_girdler@med.unc.edu
Monica Lindgren
Patrizia Porcu
David R Rubinow
Jacqueline L Johnson
A Leslie Morrow
University of North Carolina at Chapel Hill · US

Funding

NEUROENDOCRINE MODULATION OF STRESS RESPONSES IN PMSR01MH051246 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GIRDLER, SUSAN S. · 1995 to 2011
$3.5M
NEUROSTEROIDS AND ETHANOL INTERACTIONSR37AA010564 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORROW, A LESLIE · 2000 to 2009
$2.7M
Continuous OC Treatment in PMDD: Steroid Hormone MechanismsR01MH081837 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GIRDLER, SUSAN S., RUBINOW, DAVID R. · 2008 to 2012
$2.5M
Neuroactive Steroids and Allostasis Induced by Ethanol/StressU01AA020935 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORROW, A LESLIE · 2012 to 2016
$1.1M
NIAAA NIH HHS R37 AA010564NIAAA NIH HHS R37 AA10564NIAAA NIH HHS U01 AA020935NIMH NIH HHS R01 MH051246NIMH NIH HHS R01 MH081837
6 · The paper itself

Abstract

The 3α,5α- and 3α,5β-reduced metabolites of progesterone, deoxycorticosterone, and dehydroepiandrosterone (DHEA) have potent effects on neurotransmission mediated by GABA(A) receptors, and dysregulation of these receptors has been implicated in depression. Using gas chromatography-mass spectrometry, we compared neuroactive steroid concentrations in women with a history of depressive disorders, but who were in full remission at the time of testing (n=11) to never depressed women (n=17) both before and after a challenge with oral micronized progesterone (300 mg). Serum concentrations of the following were obtained: four progesterone-derived GABAergic neuroactive steroids, the precursor pregnenolone, androstenedione-derived neuroactive steroids, and the precursor DHEA. As an index of conversion of progesterone to neuroactive steroids, we also examined ratios of neuroactive steroids to progesterone following the oral progesterone challenge. Results indicated that both before and after oral progesterone, women with histories of depression showed lower concentrations of all GABAergic neuroactive steroids than never depressed women. Those with a history of depression also had lower cortisol concentrations. Because serum neuroactive steroids are mainly synthesized in the adrenals, we hypothesize that histories of depression may be associated with persistent adrenal suppression. Following the progesterone challenge, ratios of the progesterone-derived neuroactive steroids to plasma progesterone concentrations were elevated in women with depression histories, suggesting there may be an adaptive shift in the metabolism of progesterone that compensates for lower circulating neuroactive steroid concentrations.

Indexed as

AdultCase-Control StudiesDehydroepiandrosteroneDepressionDouble-Blind MethodFemaleHumansHydrocortisoneNeurotransmitter AgentsPregnenoloneProgesteroneDehydroepiandrosteroneHydrocortisoneNeurotransmitter AgentsPregnenoloneProgesterone

Identifiers

PMID21890277
PMCPMC3233657
OpenAlexW2125933426

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.