Evidence map›Paper›PMID 34423321›Full record

ArticleBrain, behavior, & immunity - health2021

Association of the neutrophil to lymphocyte ratio and white blood cell count with response to pharmacotherapy in unipolar psychotic depression: An exploratory analysis.

Cornelis F Vos, Tom K Birkenhäger, Willem A Nolen, Walter W van den Broek, Marieke J H Coenen, Sophie E Ter Hark, Robbert-Jan Verkes, Joost G E Janzing

Open access · goldAbstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 19 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

8 authors at 4 institutions in 2 countries.

Cornelis F VosDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands.
Tom K BirkenhägerDepartment of Psychiatry, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Willem A NolenDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Walter W van den BroekDepartment of Psychiatry, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Marieke J H CoenenDepartment of Human Genetics, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.
Sophie E Ter HarkDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands.
Robbert-Jan VerkesDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands.
Joost G E JanzingDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLErasmus University Rotterdam · NLUniversity Medical Center Groningen · NLUniversity of Antwerp · BE

Funding

ZonMw 848016004
6 · The paper itself

Abstract

Background: Low-grade inflammation occurs in a subgroup of patients with Major Depressive Disorder (MDD) and may be associated with response to antidepressant medications. The Neutrophil to Lymphocyte Ratio (NLR) and total White Blood cell Count (WBC) are markers of systemic inflammation which have not been investigated as predictors for outcome to pharmacotherapy in unipolar depression yet. Moreover, the association between inflammation and treatment response has not been studied in unipolar Psychotic Depression (PD). We conducted an exploratory analysis to examine the prognostic significance of NLR and WBC in pharmacotherapy of PD. Methods: Baseline NLR and WBC were examined in their association with response to seven weeks of treatment with antidepressants (venlafaxine or imipramine) and the combination of an antidepressant with an antipsychotic (venlafaxine plus quetiapine) in 87 patients with PD. Logistic regression models were adjusted for age, gender, Body Mass Index (BMI), depression severity, duration of the current episode and number of previous depressive episodes. Secondary outcomes were remission of depression and disappearance of psychotic symptoms. Results: Higher NLR was associated with increased response to pharmacotherapy (Exp(B) 1.66, 95 % CI 1.03-2.66, Conclusion: NLR may be a novel, inexpensive and widely available biomarker associated with response to pharmacotherapy in PD. The association between white blood cell measures and treatment outcome should be further investigated for different types of antidepressants in PD and in non-psychotic MDD.

Indexed as

Antidepressant activityNeutrophil to lymphocyte ratioPsychotic depressionWhite blood cell count

Identifiers

PMID34423321
PMCPMC7611545
OpenAlexW3190773039

What OpenQuestion holds

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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.