Evidence map›Paper›PMID 27565413›Full record

Observational studyEpilepsy research2016

Anti-mullerian hormone is higher in seizure-free women with epilepsy compared to those with ongoing seizures.

Cynthia L Harden, Page B Pennell, Jacqueline A French, Anne Davis, Connie Lau, Nichelle Llewellyn, Benjamin Kaufman, Emilia Bagiella, Ariel Kirshenbaum

Registry-linked trialOpen access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Epilepsy research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05066360 (Investigation of Serum Antimullerian Hormone Levels in Adolescent Epilepsy Patients), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.9field-weighted citation impact, top 7% 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.

NCT05066360 nacompletednot on this mapstarted 2021, after this paper: background citation

Investigation of Serum Antimullerian Hormone Levels in Adolescent Epilepsy Patients

TypeinterventionalSponsorNear East University, TurkeyRan2021 to 2023Enrolled60ConditionsEpilepsy, Reproductive IssuesArmsserum antimullerian hormone
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Rapid actions of anti-Müllerian hormone in regulating synaptic transmission and long-term synaptic plasticity in the hippocampus.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    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

9 authors at 5 institutions in 1 country.

Cynthia L HardenIcahn School of Medicine at Mount Sinai, 1428 Madison Ave, New York, NY, 11029, USA. Electronic address: charden@chpnet.org.
Page B PennellBrigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA. Electronic address: ppennell@partners.org.
Jacqueline A FrenchNYU School of Medicine, 462 1st Avenue, New York, NY, 10016, USA. Electronic address: Jacqueline.French@nyumc.org.
Anne DavisColumbia University Medical Center, 630 W 168th St, New York, NY, 10032, USA. Electronic address: ard4@cumc.columbia.edu.
Connie LauNorthwell Health, 611 Northern Boulevard, Great Neck, NY, 11021, USA. Electronic address: clau@northwell.edu.
Nichelle LlewellynBrigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA. Electronic address: nllewellyn@partners.org.
Benjamin KaufmanNYU School of Medicine, 462 1st Avenue, New York, NY, 10016, USA. Electronic address: bennyrkaufman@gmail.com.
Emilia BagiellaIcahn School of Medicine at Mount Sinai, 1428 Madison Ave, New York, NY, 11029, USA. Electronic address: emilia.bagiella@mountsinai.org.
Ariel KirshenbaumBrigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA, 02115, USA. Electronic address: ariel.kirshenbaum@gmail.com.
Brigham and Women's Hospital · USIcahn School of Medicine at Mount Sinai · USNew York University · USColumbia University Irving Medical Center · USNorthwell Health · US

Funding

Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
Maternal Outcomes and Neurodevelopmental Effects of Antiepileptic Drugs (MONEAD)U01NS038455 · NINDS · STANFORD UNIVERSITY · PI MATTHEWS, ABIGAIL GOREN, MEADOR, KIMFORD J · 2012 to 2022
$27.7M
NCATS NIH HHS UL1 TR000170NINDS NIH HHS U01 NS038455
6 · The paper itself

Abstract

objectiveTo determine if anti-mullerian hormone (AMH), a neuroactive peptide hormone and a measure of ovarian reserve, is different between women with epilepsy (WWE) and healthy controls (HC) seeking pregnancy and to evaluate epilepsy-related factors associated with AMH concentrations.

methodsSubjects were participants in Women with Epilepsy: Pregnancy Outcomes and Deliveries (WEPOD), a multi-center prospective, observational cohort study evaluating fecundity in WWE compared to HC, ages 18-40 years. WWE were divided into a Sz+ group or a Sz- group, dependent on whether they had seizures within the 9 months prior to enrollment. Serum was collected, and AMH concentrations were measured as an exploratory analysis. Linear and logistic regression models were used to assess associations and control for covariates.

resultsSerum AMH concentrations were measured in 72 out of 90 enrolled WWE and 97 out of 109 HC; the remaining subjects became pregnant before serum was obtained. Thirty WWE were in the Sz+ group and 40 in the Sz- group (retrospective seizure information was missing for two). All AMH concentrations were within the range, however, the normal inverse correlation between age and AMH was present in the HC and in the Sz- groups, but was lacking in the Sz+ group. Mean AMH concentration was higher in the Sz- group (3982pg/ml (SD+/-2452)) compared to the Sz+ group of WWE (2776pg/ml (SD+/-2308)) and HCs (3241 (SD±2647)). All values were within the expected range for age. In WWE, by linear regression, after controlling for age and BMI, seizure occurrence remained associated with AMH (p=0.025). In the prospective phase of the study, AMH concentrations were also associated with seizure occurrence during the menstrual cycle in which the serum sample was obtained (p=0.012). Antiepileptic drugs and other epilepsy factors were not associated with AMH concentrations. When analyzing the Sz- WWE group and the HC group by linear regression with AMH as the dependent variable, after controlling for age and BMI, the association with AMH was also present (p=0.017). AMH concentrations of the Sz+ group and HCs did not differ. SIGNIFICANCE: In this exploratory analysis, seizure freedom was associated with higher AMH concentrations compared to women with ongoing seizures and to HCs. Future studies should further investigate the mechanism of the association of AMH with seizure occurrence, whether AMH could have a direct seizure-protective neuroactive hormone effect, as well as implications of AMH concentrations as a biomarker for ovarian reserve in women with epilepsy.

Indexed as

AdultAnticonvulsantsAnti-Mullerian HormoneBiomarkersEpilepsyFemaleHumansLinear ModelsLogistic ModelsPregnancyProspective StudiesRetrospective StudiesSeizuresYoung AdultAnticonvulsantsAnti-Mullerian HormoneBiomarkersAMHAnti-mullerian hormoneEpilepsyOvarian reserveSeizures

Identifiers

PMID27565413
PMCPMC6411062
OpenAlexW2517092188

What OpenQuestion holds

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Registered trials

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.