Evidence map›Paper›PMID 28690949›Full record

ReviewCureus2017

Role of Sex Hormone Levels and Psychological Stress in the Pathogenesis of Autoimmune Diseases.

Salman Assad, Hamza H Khan, Haider Ghazanfar, Zarak H Khan, Salman Mansoor, Muhammad A Rahman, Ghulam H Khan, Bilal Zafar, Usman Tariq, Shuja A Malik

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
1.5field-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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Psychological Stress and Cellular Aging in Cancer: A Meta-Analysis.Oxidative medicine and cellular longevity · 2019
    Pooled it
  4. Review
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  20. Stress, pseudoallergens, autoimmunity, infection and inflammation in chronic spontaneous urticaria.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019
    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.

Salman AssadDepartment of Medicine, Shifa International Hospital, Islamabad, Pakistan.
Hamza H KhanGraduate, Shifa International Hospital, Islamabad, Pakistan.
Haider GhazanfarDepartment of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan.
Zarak H KhanDepartment of Medicine, Shifa College of Medicine.
Salman MansoorDepartment of Neurology, Shifa International Hospital, Islamabad, Pakistan.
Muhammad A RahmanStudent, Shifa International Hospital, Islamabad, Pakistan.
Ghulam H KhanInternal Medicine, Shifa College of Medicine.
Bilal ZafarInternal Medicine, Shifa College of Medicine.
Usman TariqInternal Medicine, Shifa College of Medicine.
Shuja A MalikDepartment of Medicine, Shifa International Hospital, Islamabad, Pakistan.
Shifa International Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this review article is to assess the connection between psychological stress and sex hormones and their effect on the development of autoimmune diseases. Psychological stress describes what people feel when they are under mental, physical, or emotional pressure. We searched for online articles using MEDLINE®, Embase, Cochrane Library and Google Scholar. Our research yielded a total of 165 articles out of which 30 articles were considered for further perusal. The articles were reviewed from February 2016 to February 2017. Case reports and patients suffering from hematolymphoid malignancies and active infections were excluded from the review. Estrogen and testosterone are potential physiological regulatory factors for the peripheral development of CD4+CD25+ T regulatory cells. Stress at any age leads to the depletion of estrogen and testosterone stores in the body, leading to the loss of expansion of T regulatory cells, making the immature B cells evade the negative selection at the germinal center, or in other words, leading to the loss of central tolerance, a triggering event in autoimmune diseases like systemic lupus erythematosus. Autoimmune diseases in women are most likely due to changes in estrogen levels during mental, physical, pre-menopausal, post-menopausal, and pregnancy-induced stress. We conclude that modulating estrogen in females (pre-menopausal and post-menopausal) and testosterone in males can be used to treat stress-related immune imbalance resulting in autoimmune diseases in both sexes.

Indexed as

autoimmunitycentral tolerancemultiple sclerosisperipheral tolerancesystemic lupus erythematosus

Identifiers

PMID28690949
PMCPMC5498122
OpenAlexW2622837773

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.