Evidence map›Paper›PMID 28786978›Full record

Trial reportTranslational psychiatry2017

The steroid metabolome in women with premenstrual dysphoric disorder during GnRH agonist-induced ovarian suppression: effects of estradiol and progesterone addback.

T V Nguyen, J M Reuter, N W Gaikwad, D M Rotroff, H R Kucera, A Motsinger-Reif, C P Smith, L K Nieman, D R Rubinow, R Kaddurah-Daouk and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Affective Risk Associated With Menstrual Cycle Symptom Change.Frontiers in global women's health · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

11 authors at 6 institutions in 2 countries.

T V NguyenBehavioral Endocrinology Branch, NIMH IRP/NIH/HHS, Bethesda, MD, USA.
J M ReuterBehavioral Endocrinology Branch, NIMH IRP/NIH/HHS, Bethesda, MD, USA.
N W GaikwadDepartment of Nutrition and Environmental Toxicology, West Coast Metabolomics Center, University of California, Davis, Davis, CA, USA.
D M RotroffDepartment of Biostatistics, Bioinformatics Research Center, North Carolina State University, Raleigh, NC, USA.
H R KuceraDepartment of Nutrition and Environmental Toxicology, West Coast Metabolomics Center, University of California, Davis, Davis, CA, USA.
A Motsinger-ReifDepartment of Biostatistics, Bioinformatics Research Center, North Carolina State University, Raleigh, NC, USA.
C P SmithDepartment of Biostatistics, Bioinformatics Research Center, North Carolina State University, Raleigh, NC, USA.
L K NiemanDiabetes, Endocrine and Obesity Branch, NIDDK, NIH, DHSS, Bethesda, MD, USA.
D R RubinowDepartment of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
R Kaddurah-DaoukDepartment of Psychiatry, Duke University Medical Center, Durham, NC, USA.
P J SchmidtBehavioral Endocrinology Branch, NIMH IRP/NIH/HHS, Bethesda, MD, USA.
North Carolina State University · USUniversity of California, Davis · USDuke University · USMcGill University Health Centre · CANational Institutes of Health · USUniversity of North Carolina at Chapel Hill · US

Funding

Reproductive Endocrine Related Mood Disorders-Differential SensitivityZIAMH002865 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER · 2009 to 2025
$11.9M
Reproductive Endocrine Related Mood Disorders-Differential SensitivityZ01MH002865 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER J · 2006 to 2008
$1.6M
Steroid Hormone Action In Female ReproductionZIADK075118 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI NIEMAN, LYNNETTE · 2016 to 2021
$126k
Intramural NIH HHS Z01 MH002865
6 · The paper itself

Abstract

Clinical evidence suggests that symptoms in premenstrual dysphoric disorder (PMDD) reflect abnormal responsivity to ovarian steroids. This differential steroid sensitivity could be underpinned by abnormal processing of the steroid signal. We used a pharmacometabolomics approach in women with prospectively confirmed PMDD (n=15) and controls without menstrual cycle-related affective symptoms (n=15). All were medication-free with normal menstrual cycle lengths. Notably, women with PMDD were required to show hormone sensitivity in an ovarian suppression protocol. Ovarian suppression was induced for 6 months with gonadotropin-releasing hormone (GnRH)-agonist (Lupron); after 3 months all were randomized to 4 weeks of estradiol (E2) or progesterone (P4). After a 2-week washout, a crossover was performed. Liquid chromatography/tandem mass spectrometry measured 49 steroid metabolites in serum. Values were excluded if >40% were below the limit of detectability (n=21). Analyses were performed with Wilcoxon rank-sum tests using false-discovery rate (q<0.2) for multiple comparisons. PMDD and controls had similar basal levels of metabolites during Lupron and P4-derived neurosteroids during Lupron or E2/P4 conditions. Both groups had significant increases in several steroid metabolites compared with the Lupron alone condition after treatment with E2 (that is, estrone-SO

Indexed as

AdultCross-Over StudiesDesoxycorticosteroneEstradiolEstroneFemaleHumansLeuprolideMetabolomeMiddle AgedPregnanediolPregnanolonePremenstrual Dysphoric DisorderProgesteroneYoung AdultDesoxycorticosteroneEstradiolestradiol-3-sulfateEstroneLeuprolidePregnanediolPregnanoloneProgesterone

Identifiers

PMID28786978
PMCPMC5611719
OpenAlexW2744648892

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.