Evidence map›Paper›PMID 24826212›Full record

ArticleDepression research and treatment2014

Leukocyte Gene Expression in Patients with Medication Refractory Depression before and after Treatment with ECT or Isoflurane Anesthesia: A Pilot Study.

E Iacob, S C Tadler, K C Light, H R Weeks, K W Smith, A T White, R W Hughen, T A VanHaitsma, L A Bushnell, A R Light

Open access · hybridAbstract read
In one paragraph

Article in Depression research and treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Protein biomarkers of mood disorders.International journal of immunopathology and pharmacology · 2017
    Review
  3. Article
  4. 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

10 authors at 1 institution in 1 country.

E IacobDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA ; Neuroscience Program, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
S C TadlerDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
K C LightDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
H R WeeksDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA ; Department of Psychiatry, University of Utah, Salt Lake City, UT, USA.
K W SmithDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
A T WhiteDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA ; Department of Exercise and Sport Science, University of Utah, Salt Lake City, UT, USA.
R W HughenDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
T A VanHaitsmaDepartment of Exercise and Sport Science, University of Utah, Salt Lake City, UT, USA.
L A BushnellDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
A R LightDepartment of Anesthesiology, University of Utah Health Sciences Center, Salt Lake City, UT, USA ; Neuroscience Program, University of Utah Health Sciences Center, Salt Lake City, UT, USA.
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To evaluate leukocyte gene expression for 9 selected genes (mRNAs) as biological markers in patients with medication refractory depression before and after treatment with ECT or isoflurane anesthesia (ISO). Methods. In a substudy of a nonrandomized open-label trial comparing effects of ECT to ISO therapy, blood samples were obtained before and after treatment from 22 patients with refractory depression, and leukocyte mRNA was assessed by quantitative PCR. Patients' mRNAs were also compared to 17 healthy controls. Results. Relative to controls, patients before treatment showed significantly higher IL10 and DBI and lower ADRA2A and ASIC3 mRNA (P < 0.025). Both ECT and ISO induced significant decreases after treatment in 4 genes: IL10, NR3C1, DRD4, and Sult1A1. After treatment, patients' DBI, ASIC3, and ADRA2A mRNA remained dysregulated. Conclusion. Significant differences from controls and/or significant changes after ECT or ISO treatment were observed for 7 of the 9 mRNAs studied. Decreased expression of 4 genes after effective treatment with either ECT or ISO suggests possible overlap of underlying mechanisms. Three genes showing dysregulation before and after treatment may be trait-like biomarkers of medication refractory depression. Gene expression for these patients has the potential to facilitate diagnosis, clarify pathophysiology, and identify potential biomarkers for treatment effects.

Identifiers

PMID24826212
PMCPMC4009159
OpenAlexW2072297851

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Registered trials

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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.