Evidence map›Paper›PMID 28209543›Full record

ArticlePsychoneuroendocrinology2017

HPA-axis and inflammatory reactivity to acute stress is related with basal HPA-axis activity.

Xuejie Chen, Danielle Gianferante, Luke Hanlin, Alexander Fiksdal, Juliana G Breines, Myriam V Thoma, Nicolas Rohleder

Abstract read
In one paragraph

Article in Psychoneuroendocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Effects ofNutrients · 2024
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  11. Emerging Therapeutic Interventions for Treatment‑Resistant Depression.Advances in experimental medicine and biology · 2026
    Review
  12. Phenomenon of hypocortisolism in individuals with obesity.Comprehensive psychoneuroendocrinology · 2025
    Article
  13. Article
  14. Review
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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.

Xuejie ChenDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States.
Danielle GianferanteDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States.
Luke HanlinDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States.
Alexander FiksdalDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States.
Juliana G BreinesDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States.
Myriam V ThomaDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States; Division of Psychopathology and Clinical Intervention, University of Zürich, Zurich, Switzerland.
Nicolas RohlederDepartment of Psychology and Volen National Center for Complex Systems, Brandeis University, Waltham, MA, United States; Chair of Health Psychology, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany. Electronic address: nicolas.rohleder@fau.de.

Funding

Brain-Body-Behavior Interface in Learning and Development Across the LifespanT32GM084907 · NIGMS · BRANDEIS UNIVERSITY · PI SEKULER, ROBERT · 2009 to 2018
$1.5M
NIGMS NIH HHS T32 GM084907
6 · The paper itself

Abstract

introductionInflammation is drawing attention as pathway between psychosocial stress and health, and basal HPA axis activity has been suggested to exert a consistent regulatory influence on peripheral inflammation. Here we studied the relationship between basal HPA axis activity and inflammatory and HPA axis acute stress reactivity.

methodsWe recruited 48 healthy individuals and collected saliva for diurnal cortisol sampling at 6 points. Participants were previously exposed to the Trier Social Stress Test (TSST) on two consecutive days. Plasma interleukin-6 (IL-6) and salivary cortisol reactivity to acute stress were measured, and their relationships with basal HPA axis activity were analyzed.

resultsSteeper cortisol awakening response (CAR) linear increase was related with stronger cortisol stress reactivity (γ=0.015; p=0.042) and marginally significantly with greater habituation (γ=0.01; p=0.066). Greater curvilinearity of CAR was related with stronger cortisol reactivity (γ=-0.014; p=0.021) and greater cortisol habituation (γ=-0.011; p=0.006). Steeper daily linear decline was related with significant or marginally significantly stronger cortisol and IL-6 reactivity (cortisol: γ=-0.0004; p=0.06; IL-6: γ=-0.028; p=0.031) and greater habituation (cortisol: γ=-0.002; p=0.009, IL-6: γ=-0.015; p=0.033). Greater curvilinearity of daily decline was related with stronger IL-6 reactivity (γ=0.002; p=0.024) and also greater cortisol and IL-6 habituation (cortisol: γ=0.00009; p=0.03, IL-6: γ=0.001; p=0.024).

conclusionsPatterns of basal HPA axis activity that are related with healthier outcomes were found to be related with stronger initial cortisol and IL-6 reactivity and greater habituation. This is an important step in understanding the long-term health implications of acute stress responsiveness, and future studies should employ longitudinal designs to identify the direction of these relationships.

Indexed as

AdolescentAdultBiomarkersFemaleHumansHydrocortisoneHypothalamo-Hypophyseal SystemInflammationInterleukin-6MaleMiddle AgedPituitary-Adrenal SystemSalivaStress, PsychologicalWakefulnessYoung AdultBiomarkersHydrocortisoneInterleukin-6

Identifiers

PMID28209543
PMCPMC5375039

What OpenQuestion holds

Textmetadata
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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.