Evidence map›Paper›PMID 29314170›Full record

ArticleClinical endocrinology2018

Pulsatility of glucocorticoid hormones in pregnancy: Changes with gestation and obesity.

Laura I Stirrat, Jamie J Walker, Ksenia Stryjakowska, Natalie Jones, Natalie Z M Homer, Ruth Andrew, Jane E Norman, Stafford L Lightman, Rebecca M Reynolds

Open access · hybridAbstract read
In one paragraph

Article in Clinical endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  7. Current strategies for quantification of estrogens in clinical research.The Journal of steroid biochemistry and molecular biology · 2019
    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

9 authors at 4 institutions in 1 country.

Laura I StirratTommy's Centre for Maternal and Fetal Health, Medical Research Council Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-2965-8645
Jamie J WalkerHenry Wellcome Laboratories for Integrative Neuroscience and Endocrinology, University of Bristol, Bristol, UK.
Ksenia StryjakowskaTommy's Centre for Maternal and Fetal Health, Medical Research Council Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Natalie JonesUniversity/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Natalie Z M HomerMass Spectrometry Core, Edinburgh Clinical Research Facility, University of Edinburgh, Edinburgh, UK.
Ruth AndrewUniversity/BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Jane E NormanTommy's Centre for Maternal and Fetal Health, Medical Research Council Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Stafford L LightmanHenry Wellcome Laboratories for Integrative Neuroscience and Endocrinology, University of Bristol, Bristol, UK.
Rebecca M ReynoldsTommy's Centre for Maternal and Fetal Health, Medical Research Council Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6226-8270
MRC Centre for Reproductive Health · GBUniversity of Edinburgh · GBEngineering and Physical Sciences Research Council · GBUniversity of Bristol · GB

Funding

British Heart FoundationMedical Research Council MR/N008936/1Medical Research Council MR/N022556/1Wellcome TrustWellcome Trust WT105618MA
6 · The paper itself

Abstract

objectiveHypothalamic-pituitary-adrenal axis (HPA) activity is decreased in obese pregnancy and associates with increased foetal size. Pulsatile release of glucocorticoid hormones regulates their action in target tissues. Glucocorticoids are essential for normal foetal growth, but little is known about glucocorticoid pulsatility in pregnancy. We aimed to investigate the ultradian rhythm of glucocorticoid secretion during obese and lean pregnancy and nonpregnancy.

designSerum cortisol, cortisone, corticosterone and 11-dehydrocorticosterone were measured by LC-MS/MS from samples obtained at 10-minute intervals between 08.00-11.00 hours and 16.00-19.00 hours, from 8 lean (BMI <25 kg/m

resultsSerum cortisol AUC, highest peak and lowest trough increased significantly with gestation in lean and obese pregnant compared with nonpregnant subjects. Pulsatility of cortisol was detected in interstitial fluid. In pregnant subjects, interstitial fluid pulse frequency was significantly lower with advancing gestation in obese, but not in lean.

conclusionsWe demonstrate cortisol pulsatility in interstitial fluid. Pulse frequency is altered with increased gestation and BMI. This may be a novel mechanism to explain decreased HPA activity in obese pregnancy.

Indexed as

AdultCortisoneExtracellular FluidFemaleGlucocorticoidsHumansHydrocortisoneObesityPregnancyPregnancy ComplicationsCortisoneGlucocorticoidsHydrocortisoneglucocorticoidshuman pregnancyobesitypulsatility

Identifiers

PMID29314170
PMCPMC5887976
OpenAlexW2782760384

What OpenQuestion holds

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LicenceCC BY
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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.