Evidence map›Paper›PMID 31736187›Full record

ArticleAddiction biology2020

Stress-related suppression of peripheral cytokines predicts future relapse in alcohol-dependent individuals with and without subclinical depression.

Helen C Fox, Verica Milivojevic, Alicia MacDougall, Heather LaVallee, Christine Simpson, Gustavo A Angarita, Rajita Sinha

Open access · greenAbstract read
In one paragraph

Article in Addiction biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 50% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Inflammatory cytokines and alcohol use disorder: systematic review and meta-analysis.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2022
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Early alcohol abstinence symptoms and the role of cumulative adversity.Alcohol, clinical & experimental research · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
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

7 authors at 2 institutions in 1 country.

Helen C FoxDepartment of Psychiatry, School of Medicine, Stony Brook University, Stony Brook, NY, USA.ORCID 0000-0002-3607-439X
Verica MilivojevicThe Yale Stress Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Alicia MacDougallThe Yale Stress Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Heather LaValleeThe Yale Stress Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Christine SimpsonDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Gustavo A AngaritaClinical Neuroscience Research Unit, The Connecticut Mental Health Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Rajita SinhaThe Yale Stress Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Yale University · USStony Brook School · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chronic Alcohol and Brain Stress Circuit ResponseR01AA013892 · NIAAA · YALE UNIVERSITY · PI Rajita Sinha · 2003 to 2026
$10.1M
Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
Neuroactive Steroid Potentiation to Decrease Alcohol Craving, Normalize HPA axis function and Prevent Alcohol RelapseR01AA026514 · NIAAA · YALE UNIVERSITY · PI SINHA, RAJITA · 2018 to 2021
$2.8M
Effect of Prazosin on Alcohol Craving, Stress Dysregulation and Alcohol RelapseR01AA020504 · NIAAA · YALE UNIVERSITY · PI FOX, HELEN CECILIA, SINHA, RAJITA · 2012 to 2016
$2.7M
Chronic Alcohol, Stress Inflammatory Response and Relapse RiskR01AA020095 · NIAAA · YALE UNIVERSITY · PI FOX, HELEN CECILIA, SINHA, RAJITA · 2011 to 2015
$1.7M
The role of neuroactive steroids in stress, drug craving and drug use in cocaine use disordersK01DA046561 · NIDA · YALE UNIVERSITY · PI MILIVOJEVIC, VERICA · 2019 to 2023
$913k
Cognitive targets for medications development in early abstinent alcoholicsK02AA023566 · NIAAA · STATE UNIVERSITY NEW YORK STONY BROOK · PI FOX, HELEN CECILIA · 2016 to 2020
$643k
Guanfacine to reduce relapse risk in women with alcohol use disorder (AUD)R21AA024880 · NIAAA · STATE UNIVERSITY NEW YORK STONY BROOK · PI FOX, HELEN CECILIA · 2017 to 2018
$417k
Stress system changes in alcoholics with and without depressive symptomatologyR03AA022500 · NIAAA · YALE UNIVERSITY · PI FOX, HELEN CECILIA · 2013 to 2014
$140k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K02 AA023566NIAAA NIH HHS R01 AA013892NIAAA NIH HHS R01 AA020095NIAAA NIH HHS R01 AA020504NIAAA NIH HHS R01 AA026514NIAAA NIH HHS R03 AA022500NIAAA NIH HHS R21 AA024880NIDA NIH HHS K01 DA046561NIDA NIH HHS T32 DA007238
6 · The paper itself

Abstract

Chronic alcohol abuse and depressive symptoms are both associated with peripheral cytokine changes. Despite this, cytokine adaptations have not been assessed in co-morbid populations or prospectively as predictors of relapse. We examine cytokine responses to stress in alcohol-dependent individuals and social drinkers, both with and without subclinical depression. We also examine the potential link between cytokine adaptations in response to stress and prospective alcohol relapse risk. Thirty-three, alcohol-dependent individuals (21 with and 12 without high depressive symptoms) and 37 controls (16 with and 21 without high depressive symptoms) were exposed to two 5-minute personalized guided imagery conditions (stress and neutral) across consecutive days in a randomized and counterbalanced order. Alcohol craving and serum measures of tumor necrosis factor alpha (TNFα), tumor necrosis factor receptor 1 (TNFR1), interleukin-6 (IL-6), and interleukin-1 receptor antagonist (IL-1ra) were collected prior to and following imagery exposure. Following treatment discharge, follow-up interviews were conducted over 90 days to assess relapse. Dampened IL-1ra and IL-6 in response to stress was observed as a function of alcohol dependence and not moderated by depressive symptoms. Lower levels of IL-6 following stress also predicted greater drinking days following treatment. Conversely, high depressive symptomatology was associated solely with pro-inflammatory adaptations. Stress-related suppression of TNFα predicted drinking severity only in alcohol-dependent individuals with subclinical depression, and suppressed TNFR1 following stress was only seen in individuals with subclinical depression. Stress-induced suppression of pro-inflammatory TNF markers may indicate a risk factor for alcohol-dependent individuals with co-occurring depressive symptoms.

Indexed as

CravingImagery, PsychotherapyAdultAlcoholismCytokinesDepressionFemaleHumansMaleStress, PsychologicalCytokinesalcohol dependenceanti-inflammatorycytokinesdepressive symptomatologypro-inflammatorystress

Identifiers

PMID31736187
PMCPMC7371343
OpenAlexW2986304174

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.