Evidence map›Paper›PMID 31144599›Full record

ReviewTherapeutic advances in cardiovascular disease

Inflammation, depression and cardiovascular disease in women: the role of the immune system across critical reproductive events.

Gabriella F Mattina, Ryan J Van Lieshout, Meir Steiner

Abstract readReview
In one paragraph

Review in Therapeutic advances in cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

3 authors.

Gabriella F MattinaNeuroscience Graduate Program, McMaster University, 1280 Main Street West, ON L8S 4L8, Canada.ORCID https://orcid.org/0000-0002-6205-4261
Ryan J Van LieshoutNeuroscience Graduate Program, McMaster University, ON, Canada.
Meir SteinerWomen's Health Concerns Clinic, St. Joseph's Healthcare, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0001-7838-2246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women are at increased risk for developing depression and cardiovascular disease (CVD) across the lifespan and their comorbidity is associated with adverse outcomes that contribute significantly to rates of morbidity and mortality in women worldwide. Immune-system activity has been implicated in the etiology of both depression and CVD, but it is unclear how inflammation contributes to sex differences in this comorbidity. This narrative review provides an updated synthesis of research examining the association of inflammation with depression and CVD, and their comorbidity in women. Recent research provides evidence of pro-inflammatory states and sex differences associated with alterations in the hypothalamic-pituitary-adrenal axis, the renin-angiotensin-aldosterone system and the serotonin/kynurenine pathway, that likely contribute to the development of depression and CVD. Changes to inflammatory cytokines in relation to reproductive periods of hormonal fluctuation (i.e. the menstrual cycle, perinatal period and menopause) are highlighted and provide a greater understanding of the unique vulnerability women experience in developing both depressed mood and adverse cardiovascular events. Inflammatory biomarkers hold substantial promise when combined with a patient's reproductive and mental health history to aid in the prediction, identification and treatment of the women most at risk for CVD and depression. However, more research is needed to improve our understanding of the mechanisms underlying inflammation in relation to their comorbidity, and how these findings can be translated to improve women's health.

Indexed as

Cardiovascular DiseasesDepressionFemaleHumansHypothalamo-Hypophyseal SystemImmune SystemInflammationInflammation MediatorsKynureninePituitary-Adrenal SystemRenin-Angiotensin SystemReproductionSerotoninSignal TransductionInflammation MediatorsKynurenineSerotonincardiovascular diseasesdepressioninflammationmenopausemenstrual cyclepregnancysex differenceswomen

Identifiers

PMID31144599
PMCPMC6545651

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.