Evidence map›Paper›PMID 30943938›Full record

ArticleBMC psychiatry2019

The cytokine profile of women with severe anxiety and depression during pregnancy.

P Leff Gelman, I Mancilla-Herrera, M Flores-Ramos, M F Saravia Takashima, F M Cruz Coronel, C Cruz Fuentes, A Pérez Molina, J Hernández-Ruiz, F S Silva-Aguilera, B Farfan-Labonne and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 85 citations in OpenAlex.

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  12. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
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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

13 authors at 4 institutions in 1 country.

P Leff GelmanInstituto Nacional de Pernatologia, Isidro Espinosa de los Reyes, Montes Urales # 800, Col Lomas de Virreyes, 11000, (Mexico City), CD MX, Mexico. pleff@ymail.com.
I Mancilla-HerreraHospital General de México, Dr. Eduardo Liceaga, 06720, (Mexico City), CD MX, Mexico.
M Flores-RamosInstituto Nacional de Psiquiatría, 14370, CD MX, (Mexico City), Mexico.
M F Saravia TakashimaHospital General de México, Dr. Eduardo Liceaga, 06720, (Mexico City), CD MX, Mexico.
F M Cruz CoronelHospital General de México, Dr. Eduardo Liceaga, 06720, (Mexico City), CD MX, Mexico.
C Cruz FuentesInstituto Nacional de Psiquiatría, 14370, CD MX, (Mexico City), Mexico.
A Pérez MolinaInstituto Nacional de Psiquiatría, 14370, CD MX, (Mexico City), Mexico.
J Hernández-RuizHIPAM-Unidad de Investigación en Medicina-UNAM, Hospital General de México Dr. Eduardo Liceaga, 06720, (Mexico City), CD MX, Mexico.
F S Silva-AguileraHIPAM-Unidad de Investigación en Medicina-UNAM, Hospital General de México Dr. Eduardo Liceaga, 06720, (Mexico City), CD MX, Mexico.
B Farfan-LabonneInstituto Nacional de Pernatologia, Isidro Espinosa de los Reyes, Montes Urales # 800, Col Lomas de Virreyes, 11000, (Mexico City), CD MX, Mexico.
D Chinchilla-OchoaInstituto Nacional de Pernatologia, Isidro Espinosa de los Reyes, Montes Urales # 800, Col Lomas de Virreyes, 11000, (Mexico City), CD MX, Mexico.
S Garza MoralesInstituto Nacional de Pernatologia, Isidro Espinosa de los Reyes, Montes Urales # 800, Col Lomas de Virreyes, 11000, (Mexico City), CD MX, Mexico.
I Camacho-ArroyoUnidad de Investigación en Reproducción Humana, Instituto Nacional de Perinatología-Facultad de Química, Universidad Nacional Autónoma de México, 04510, (Mexico City), CD MX, Mexico.
Hospital General de México · MXInstituto Nacional de Perinatología · MXInstituto Nacional de Psiquiatría · MXUniversidad Nacional Autónoma de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversial findings regarding the association between pro-inflammatory cytokines and depression have been reported in pregnant subjects. Scarce data about anxiety and its relationships with cytokines are available in pregnant women. To understand the association between anxiety and cytokines during pregnancy, we conducted the present study in women with or without depression.

methodsWomen exhibiting severe depression (SD) and severe anxiety (SA) during the 3rd trimester of pregnancy (n = 139) and control subjects exhibiting neither depression nor anxiety (n = 40) were assessed through the Hamilton Depression Rating Scale (HDRS) and the Hamilton Anxiety Rating Scale (HARS). Serum cytokines were measured by a multiplex bead-based assay. Correlation tests were used to analyze the data and comparisons between groups were performed. A general linear model of analysis of variance was constructed using the group as a dependent variable, interleukin concentrations as independent variables, and HDRS/HARS scores and gestational weeks as covariables.

resultsThe highest levels of Th1- (IL-6, TNF-α, IL-2, IFN-γ), Th17- (IL-17A, IL-22), and Th2- (IL-9, IL-10, and IL-13) related cytokines were observed in women with SD + SA. The SA group showed higher concentrations of Th1- (IL-6, TNF-α, IL-2, IFN-γ) and Th2- (IL-4, and IL-10) related cytokines than the controls. Positive correlations were found between HDRS and IL-2, IL-6, and TNF-α in the SA group (p < 0.03), and between HDRS and Th1- (IL-2, IL-6, TNF-α), Th2- (IL-9, IL-10, IL-13) and Th17- (IL-17A) cytokines (p < 0.05) in the SD + SA group. After controlling the correlation analysis by gestational weeks, the correlations that remained significant were: HDRS and IL-2, IL-6, IL-9, and IL-17A in the SD + SA group (p < 0.03). HARS scores correlated with IL-17A in the SA group and with IL-17A, IL-17F, and IL-2 in the SD + SA group (p < 0.02). The linear model of analysis of variance showed that HDRS and HARS scores influenced cytokine concentrations; only IL-6 and TNF-α could be explained by the group.

conclusionsWe found that the cytokine profiles differ when comparing pregnant subjects exhibiting SA with comorbid SD against those showing only SA without depression.

Indexed as

AdultAnxietyAnxiety DisordersCase-Control StudiesCytokinesDepressionFemaleHumansInterleukin-10Interleukin-17PregnancyPregnancy ComplicationsPregnant PeopleTumor Necrosis Factor-alphaYoung AdultCytokinesInterleukin-10Interleukin-17Tumor Necrosis Factor-alphaAnxietyCytokinesDepressionInflammationPregnancy

Identifiers

PMID30943938
PMCPMC6446269
OpenAlexW2943751833

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.