Evidence map›Paper›PMID 31805950›Full record

ArticleBMC pregnancy and childbirth2019

The effect of antenatal depression and antidepressant treatment on placental tissue: a protein-validated gene expression study.

Åsa Edvinsson, Charlotte Hellgren, Theodora Kunovac Kallak, Helena Åkerud, Alkistis Skalkidou, Elisabet Stener-Victorin, Romina Fornes, Olav Spigset, Susanne Lager, Jocelien Olivier and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 23 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

11 authors at 4 institutions in 3 countries.

Åsa EdvinssonDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden. asa.edvinsson@igp.uu.se.ORCID http://orcid.org/0000-0002-6246-7218
Charlotte HellgrenDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
Theodora Kunovac KallakDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
Helena ÅkerudDepartment of Immunology, Genetics and Pathology, Uppsala University, 751 85, Uppsala, Sweden.
Alkistis SkalkidouDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
Elisabet Stener-VictorinDepartment of Physiology and Pharmacology, Karolinska Institute, 171 77, Stockholm, Sweden.
Romina FornesDepartment of Physiology and Pharmacology, Karolinska Institute, 171 77, Stockholm, Sweden.
Olav SpigsetDepartment of Clinical Pharmacology, St. Olav University Hospital, 7006, Trondheim, Norway.
Susanne LagerDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
Jocelien OlivierNeurobiology, Unit Behavioral Neuroscience, Groningen Institute for Evolutionary Life Sciences, University of Groningen, 9747, AG, Groningen, The Netherlands.
Inger Sundström-PoromaaDepartment of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
Uppsala University · SEKarolinska Institutet · SENorwegian University of Science and Technology · NOUniversity of Groningen · NL

Funding

Födelsefonden ()Födelsefonden, Lions ()Vetenskapsrådet (VR:521-2013-2339)
6 · The paper itself

Abstract

backgroundAntenatal depression affects 10-20% of pregnant women. Around 2-4% of European pregnant women use antidepressant treatment, most commonly selective serotonin reuptake inhibitors (SSRIs). Poor pregnancy outcomes, such as preterm birth and low birth weight, have been described in women with antenatal depression and in pregnant women on SSRI treatment. However, the effects of antenatal depression and antidepressant treatment on the placenta are largely unknown. The aim of this work was to compare placental gene and protein expression in healthy women, women with untreated antenatal depression and women on antidepressant treatment during pregnancy.

methodsPlacental samples from 47 controls, 25 depressed and 45 SSRI-treated women were analysed by means of qPCR using custom-designed TaqMan low-density arrays (TLDAs) for 44 genes previously known to be involved in the pathophysiology of depression, and expressed in the placenta. Moreover, placental protein expression was determined by means of immunohistochemistry in 37 healthy controls, 13 women with untreated depression and 21 women on antidepressant treatment. Statistical comparisons between groups were performed by one-way ANOVA or the Kruskal-Wallis test.

resultsNominally significant findings were noted for HTR1A and NPY2R, where women with untreated depression displayed higher gene expression than healthy controls (p < 0.05), whereas women on antidepressant treatment had similar expression as healthy controls. The protein expression analyses revealed higher expression of HTR1A in placentas from women on antidepressant treatment, than in placentas from healthy controls (p < 0.05).

conclusionThe differentially expressed HTR1A, both at the gene and the protein level that was revealed in this study, suggests the involvement of HTR1A in the effect of antenatal depression on biological mechanisms in the placenta. More research is needed to elucidate the role of depression and antidepressant treatment on the placenta, and, further, the effect on the fetus.

Indexed as

AdultAntidepressive AgentsDepressionFemaleGene ExpressionHealthy VolunteersHumansImmunohistochemistryPlacentaPregnancyPregnancy ComplicationsPregnancy ProteinsPrenatal Exposure Delayed EffectsReal-Time Polymerase Chain ReactionReceptor, Serotonin, 5-HT1ASelective Serotonin Reuptake InhibitorsAntidepressive AgentsHTR1A protein, humanPregnancy ProteinsReceptor, Serotonin, 5-HT1ASelective Serotonin Reuptake InhibitorsAntenatal depressionAntidepressant treatmentImmunohistochemistryPlacental gene expressionPlacental protein expressionSelective serotonin reuptake inhibitorsTaqMan low-density array

Identifiers

PMID31805950
PMCPMC6896358
OpenAlexW2980760232

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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.