Evidence map›Paper›PMID 31276078›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Neurosteroid Levels in the Orbital Frontal Cortex of Subjects with PTSD and Controls: A Preliminary Report.

Dianne A Cruz, Leisa A Glantz, Kara D McGaughey, Gillian Parke, Lawrence J Shampine, Jason D Kilts, Jennifer C Naylor, Christine E Marx, Douglas E Williamson

Open access · goldAbstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

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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 2 institutions in 1 country.

Dianne A CruzDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Leisa A GlantzDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Kara D McGaugheyDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Gillian ParkeDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Lawrence J ShampineDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Jason D KiltsDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Jennifer C NaylorDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Christine E MarxDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Douglas E WilliamsonDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USMental Illness Research, Education and Clinical Centers · US

Funding

Complementary Neurosteroid Intervention in Gulf War Veterans Illnesses (GWVI)I01CX000794 · VA · DURHAM VA MEDICAL CENTER · PI MARX, CHRISTINE E. · 2014 to 2019
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CAP - Consortium to Alleviate PTSD- STVHCS Biomarkers & Genomics CoreI01CX001141 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI WILLIAMSON, DOUGLAS E · 2014 to 2021
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Neuroactive Steroids and TBI in OEF/OIF VeteransI01RX000571 · VA · DURHAM VA MEDICAL CENTER · PI MARX, CHRISTINE E. · 2011 to 2015
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CSRD VA I01 CX000794CSRD VA I01 CX001141RRD VA I01 RX000571
6 · The paper itself

Abstract

Background: Neurosteroids mediate stress signaling and have been implicated in the pathogenesis of post-traumatic stress disorder (PTSD) in both preclinical and clinical studies. Compared to controls, subjects with PTSD exhibit altered neurosteroid levels in peripheral blood and cerebrospinal fluid as well as hypoactivity in the medial orbital frontal cortex (mOFC). Therefore, the aim of this study was to compare neurosteroid levels in the mOFC of subjects with PTSD (n = 18) and controls (n = 35). Methods: Gray matter was dissected from fresh-frozen mOFC, and levels of the neurosteroids pregnenolone, allopregnanolone, pregnanolone, epiallopregnanolone, epipregnanolone, tetrahydrodeoxycorticosterone, and androsterone were determined by gas chromatography - tandem mass spectrometry (GC/MS/MS). Results: Analyses of unadjusted levels revealed that males with PTSD had significantly decreased levels of allopregnanolone ( Conclusions: To our knowledge, this is the first report of neurosteroid levels in postmortem brain tissue of subjects with PTSD. Although replication is required in other brain regions and in a larger cohort of subjects, the results suggest a dysregulation of allopregnanolone and androsterone in males with PTSD and pregnanolone in females with PTSD in the mOFC.

Indexed as

frontal cortexhuman postmortem brainneurosteroidspost-traumatic stress disordersex differencesstress

Identifiers

PMID31276078
PMCPMC6604657
OpenAlexW2935762642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.