Evidence map›Paper›PMID 30184299›Full record

ArticleDepression and anxiety2018

Progesterone and plasma metabolites in women with and in those without premenstrual dysphoric disorder.

Arianna Di Florio, Danny Alexander, Peter J Schmidt, David R Rubinow

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  4. 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

4 authors at 2 institutions in 2 countries.

Arianna Di FlorioDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Danny AlexanderMetabolon, Inc., Durham, North Carolina.
Peter J SchmidtDepartment of Health and Human Services, Section on Behavioral Endocrinology, NIMH, Bethesda, Maryland.
David R RubinowDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0003-0815-2263
University of North Carolina at Chapel Hill · USMetabolon (United States) · US

Funding

Reproductive Endocrine Related Mood Disorders-Differential SensitivityZIAMH002865 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER · 2009 to 2025
$11.9M
The Neuroregulatory Effects of Gonadal Steroids in HumansZIAMH002874 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER · 2009 to 2024
$9.5M
Reproductive Endocrine Related Mood Disorders-Differential SensitivityZ01MH002865 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SCHMIDT, PETER J · 2006 to 2008
$1.6M
Intramural NIH HHS Z01 MH002865NIMH NIH HHS MH002865
6 · The paper itself

Abstract

backgroundThe molecular mechanisms underpinning the progesterone-triggering mood symptoms in women with premenstrual dysphoric disorder (PMDD) are unknown. Cell metabolism is a potential source of variability. Very little is known about the effect of progesterone sensitivity on the metabolome. In this study, we aimed to characterize the effects of progesterone on the global metabolic profile and explore the differences between women with PMDD and controls.

methodsPlasma was obtained from 12 women with prospectively confirmed PMDD and 25 controls under two hormone conditions: (1) gonadal suppression induced by leuprolide acetate (3.75 mg IM monthly) and (2) add-back phase with leuprolide and progesterone (200 mg twice daily by vaginal suppository). The global metabolic profile was obtained using liquid and gas chromatography followed by mass spectrometry. Differences between groups and time points were tested using repeated measures analysis of variance. The false discovery rate was calculated to account for multiple testing.

resultsAmino acids and their derivatives represented 78% (28/36) of the known compounds that were found in significantly lower plasma concentrations after progesterone administration than during gonadal suppression. The concentration of tyrosine was nominally significantly decreased after progesterone add-back in controls, but not in cases (P = 0.02).

conclusionPlasma levels of some amino acids are decreased in response to progesterone. Albeit preliminary, evidence further suggests that progesterone has a different effect on the metabolic profiles of women with PMDD compared to controls. Further research is needed to replicate our findings in a larger sample and to identify the unknown compounds, especially those differentially expressed.

Indexed as

AdultAmino AcidsFemaleHumansMetabolomeMiddle AgedPremenstrual Dysphoric DisorderProgesteroneProgestinsAmino AcidsProgesteroneProgestinsamino acidsleuprolidemenstrual cyclemetabolomicswomen's health

Identifiers

PMID30184299
PMCPMC7440927
OpenAlexW2886612901

What OpenQuestion holds

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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.