Evidence map›Paper›PMID 28161475›Full record

ArticleBrain, behavior, and immunity2017

Peripheral inflammatory cytokines and immune balance in Generalised Anxiety Disorder: Case-controlled study.

Ruihua Hou, Matthew Garner, Clive Holmes, Clive Osmond, Jessica Teeling, Laurie Lau, David S Baldwin

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

106 citing papers in PubMed, 4 syntheses or guidelines pooled it, 180 citations in OpenAlex.

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  9. Revisiting 'environmental effects': Directions for multidisciplinary investigations of air quality and psychopathology.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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46 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 2 countries.

Ruihua HouClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, United Kingdom. Electronic address: r.hou@soton.ac.uk.
Matthew GarnerClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, United Kingdom; Department of Psychology, University of Southampton, United Kingdom.
Clive HolmesClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, United Kingdom.
Clive OsmondMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, United Kingdom.
Jessica TeelingBiological Sciences, University of Southampton, United Kingdom.
Laurie LauClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, United Kingdom.
David S BaldwinClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, United Kingdom; University Department of Psychiatry and Mental Health, University of Cape Town, South Africa.
University of Southampton · GB

Funding

Medical Research Council MC_U147574242Medical Research Council MC_UP_A620_1016Medical Research Council MC_UU_12011/3
6 · The paper itself

Abstract

introductionPrevious investigations have demonstrated that major depression is associated with particular patterns of cytokine signalling. The primary aim of this study was to examine peripheral pro-inflammatory and anti-inflammatory cytokines and immune balance in Generalised Anxiety Disorder (GAD).

methodsA case-controlled cross-sectional study design was employed: 54 patients with GAD and 64 healthy controls were recruited. Participants completed self-report measures of anxiety and depression. Two pro-inflammatory and two anti-inflammatory cytokines were measured using multiplex technology.

resultsCase-control logistic regression analyses revealed significant differences in serum levels of IL-10, TNF-α, and IFN-γ between GAD and control groups after adjusting for age, gender, body mass index, smoking and alcohol consumption: these group differences were independent of the presence or degree of depression. Comparison of pro-inflammatory to anti-inflammatory cytokine ratios indicated that there were significantly higher ratios of TNF-α/IL10, TNF-α/IL4, IFN-γ/IL10, and IFN-γ/IL4 in the GAD group compared to the control group.

conclusionsThis study is the first to investigate both pro- and anti-inflammatory cytokines and their balance in patients with GAD in comparison to healthy controls. The findings indicate a relatively increased pro-inflammatory response and decreased anti-inflammatory response and provide the first demonstration of an altered cytokine balance in GAD. Serum cytokine levels in GAD were independent of the presence of depression.

Indexed as

AdolescentAdultAgedAnxietyAnxiety DisordersCase-Control StudiesCross-Sectional StudiesCytokinesDepressionFemaleHumansInflammationInflammation MediatorsMaleMiddle AgedSelf ReportCytokinesInflammation MediatorsAnti-inflammatory cytokineCytokine ratiosGeneralised Anxiety DisorderInflammationPro-inflammatory cytokine

Identifiers

PMID28161475
PMCPMC5373436
OpenAlexW2584247552

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.