Evidence map›Paper›PMID 29588232›Full record

Trial reportBrain, behavior, and immunity2018

The effect of beta-adrenergic blockade on inflammatory and cardiovascular responses to acute mental stress.

Andrew Steptoe, Amy Ronaldson, Karen Kostich, Antonio I Lazzarino, Livia Urbanova, Livia A Carvalho

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain, behavior, and immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06263452 (Beta-Blocker Influences on Inflammatory and Neural Responses to Stress), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 34% 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.

NCT06263452 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Beta-Blocker Influences on Inflammatory and Neural Responses to Stress

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2026Enrolled120ConditionsCardiovascular DiseaseArmsPropranolol, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Beta-adrenergic blockade blunts inflammatory and antiviral/antibody gene expression responses to acute psychosocial stress.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. A dyadic stress induction tool for experimental investigation of adult patients with cancer and their family caregivers.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Anger recall mental stress decreasesJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  12. Brainstem dysfunction in critically ill patients.Critical care (London, England) · 2020
    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

6 authors at 1 institution in 1 country.

Andrew SteptoeDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK. Electronic address: A.steptoe@ucl.ac.uk.
Amy RonaldsonDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
Karen KostichDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
Antonio I LazzarinoDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
Livia UrbanovaDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
Livia A CarvalhoDepartment of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
University College London · GB

Funding

British Heart Foundation FS/13/40/30343British Heart Foundation RG/10/005/28296
6 · The paper itself

Abstract

Acute mental stress elicits increases in plasma cytokine concentrations in humans, but the underlying mechanisms remain poorly understood. We assessed the impact of beta-adrenergic blockade on plasma interleukin 6 (IL-6) and IL-1 receptor antagonist (IL-1Ra) responses in a parallel group, double-blind randomised placebo-controlled trial involving 64 healthy young adult volunteers. Participants were administered 80 mg slow-release propranolol or placebo daily for 7 days before the stress testing session in which responses to 3 behavioural challenges (public speaking, mirror tracing, mental arithmetic) were evaluated. Propranolol administration was associated with reduced baseline levels of heart rate and IL-1Ra, and systolic blood pressure (BP) in men. Tasks stimulated increased plasma IL-6 concentrations sampled 45 min and 75 min after challenge, but these responses were blocked by propranolol in men (p < 0.001). Propranolol did not influence IL-6 responses in women, or IL-1Ra in either sex. Blood pressure and heart rate increased markedly during the tasks, but there was no differential stress reactivity in propranolol and placebo conditions. The results of the study support a role of sympathetic nervous system activation in stimulating acute IL-6 responses to stress, but only in men. The reasons for the differences between men and women remain to be resolved.

Indexed as

Adrenergic beta-AntagonistsAdultBlood PressureCardiovascular SystemDouble-Blind MethodExercise TestFemaleHealthy VolunteersHeart RateHumansInflammationInterleukin-1Interleukin-6MalePlacebo EffectPropranololAdrenergic beta-AntagonistsIL6 protein, humanInterleukin-1Interleukin-6PropranololBlood pressureInflammationPharmacological blockadeSex differencesStressSympathetic nervous system

Identifiers

PMID29588232
PMCPMC5965252
OpenAlexW2793975977

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.