Evidence map›Paper›PMID 34224821›Full record

ArticleBrain, behavior, and immunity2021

Linking stressful life events and chronic inflammation using suPAR (soluble urokinase plasminogen activator receptor).

Kyle J Bourassa, Line J H Rasmussen, Andrea Danese, Jesper Eugen-Olsen, HonaLee Harrington, Renate Houts, Richie Poulton, Sandhya Ramrakha, Karen Sugden, Ben Williams and 2 more

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Emotion regulation as a protective factor in the association between stress and inflammation in older adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. The Continuity of Adversity: Negative Emotionality Links Early Life Adversity With Adult Stressful Life Events.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Peer support as moderator of association between socioeconomic status and low-grade inflammation in adolescents.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  19. Article
  20. 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

12 authors at 6 institutions in 4 countries.

Kyle J BourassaCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, United Kingdom; Department of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom.
Line J H RasmussenDepartment of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom; Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark.
Andrea DaneseSocial, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, & Neuroscience, King's College London, London, United Kingdom; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom; National and Specialist Child and Adolescent Mental Health Services Trauma, Anxiety, and Depression Clinic, South London and Maudsley National Health Service Foundation Trust, London, United Kingdom.
Jesper Eugen-OlsenDepartment of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark.
HonaLee HarringtonDepartment of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom.
Renate HoutsDepartment of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom.
Richie PoultonDepartment of Psychology, University of Otago, Otago, New Zealand.
Sandhya RamrakhaDepartment of Psychology, University of Otago, Otago, New Zealand.
Karen SugdenDepartment of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom.
Ben WilliamsDepartment of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom.
Terrie E MoffittCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, United Kingdom; Department of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United Kingdom; Center for Genomic and Computational Biology, Duke University, Durham, NC, United Kingdom.
Avshalom CaspiCenter for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, United Kingdom; Department of Psychology & Neuroscience, Duke University, Durham, NC, United Kingdom; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, United Kingdom; Center for Genomic and Computational Biology, Duke University, Durham, NC, United Kingdom.
Durham University · GBDuke University · USUniversity of Otago · NZCopenhagen University Hospital · DKDuke Medical Center · USKing's College London · GB

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
STALLARD Admin Supp: Predicting Future Care Needs and Costs for Individual Medicare Enrollees with Incident Suspected Alzheimer's DiseaseP30AG034424 · NIA · DUKE UNIVERSITY · PI SCOTT M. LYNCH · 2009 to 2026
$12.2M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Medical Research Council MR/P005918/1NIA NIH HHS P30 AG028716NIA NIH HHS P30 AG034424NIA NIH HHS R01 AG032282NIA NIH HHS T32 AG000029
6 · The paper itself

Abstract

Stressful life events have been linked to declining health, and inflammation has been proposed as a physiological mechanism that might explain this association. Using 828 participants from the Dunedin Longitudinal Study, we tested whether people who experienced more stressful life events during adulthood would show elevated systemic inflammation when followed up in midlife, at age 45. We studied three inflammatory biomarkers: C-reactive protein (CRP), interleukin-6 (IL-6), and a newer biomarker, soluble urokinase plasminogen activator receptor (suPAR), which is thought to index systemic chronic inflammation. Stressful life events were not associated with CRP or IL-6. However, people who experienced more stressful life events from age 38 to 44 had elevated suPAR at age 45, and had significantly greater increases in suPAR from baseline to follow-up across the same period. When examining stressful life events across the lifespan, both adverse childhood experiences (ACEs) and adult stressful life events were independently associated with suPAR at age 45. ACEs moderated the association of adult stressful life events and suPAR at age 45-children with more ACEs showed higher suPAR levels after experiencing stressful life events as adults. The results suggest systemic chronic inflammation is one physiological mechanism that could link stressful life events and health, and support the use of suPAR as a useful biomarker for such research.

Indexed as

C-Reactive ProteinReceptors, Urokinase Plasminogen ActivatorAdultBiomarkersHumansInflammationLongitudinal StudiesMiddle AgedBiomarkersC-Reactive ProteinReceptors, Urokinase Plasminogen ActivatorAdverse childhood experiencesC-reactive proteinInflammatory biomarkersInterleukin-6Stress

Identifiers

PMID34224821
PMCPMC8453112
OpenAlexW3179407737

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.