Evidence map›Paper›PMID 34798692›Full record

SynthesisTrends in psychiatry and psychotherapy2023

Serum plasminogen activator inhibitor-1 levels in patients with major depressive disorder vs. healthy controls: a systematic review and meta-analysis.

Mohamed Elsayed, Khaled A Mohamed, Khaled T Dardeer, Dalia K Zaafar, Soha Osama Hassanin, Ramy Abdelnaby, Carlos Schönfeldt-Lecuona

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Trends in psychiatry and psychotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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.

Mohamed ElsayedDepartment of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.
Khaled A MohamedFaculty of Medicine, Cairo University, Cairo, Egypt.
Khaled T DardeerFaculty of Medicine, Cairo University, Cairo, Egypt.
Dalia K ZaafarFaculty of Pharmacy, Modern University for Technology and Information (MTI), Cairo, Egypt.
Soha Osama HassaninDepartment of Biochemistry, Faculty of Pharmacy, MTI, Cairo, Egypt.
Ramy AbdelnabyDepartment of Neurology, RWTH Aachen University, Aachen, Germany.
Carlos Schönfeldt-LecuonaDepartment of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMajor depressive disorder (MDD) is a severe mental health condition that affects millions of people worldwide. Etiologically, several factors may play a role in its development. Previous studies have reported elevated plasminogen activator inhibitor-1 (PAI-1) levels in patients with depression, suggesting that PAI-1 levels might be linked to the etiology of MDD.

methodsWe systematically searched the following online databases: MEDLINE, Scopus, and Web of Science up to September 10, 2020, to identify studies in which PAI-1 levels were reported in subjects with MDD. Subsequently we used RevMan 5.3 to perform a meta-analysis of data extracted from the included studies using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and PICO criteria for the search and analysis.

resultsSix studies that reported mean ± standard deviation (SD) were included in the analysis, with a total of 507 MDD patients and 3,453 controls. The overall standardized mean difference (SMD) was 0.27 (95% confidence interval [95% CI] 0.01-0.53). PAI-1 serum levels were 0.27 SDs higher in MDD patients than in controls. The test for overall effect was significant (z = 2.04, p = 0.04). Substantial heterogeneity was detected among the studies, demonstrated by the inconsistency test (I² = 72%) and the chi-square test (χ² = 18.32; p = 0.003).

conclusionsThis systematic review and meta-analysis showed that MDD might be related to elevated PAI-1 levels. We propose larger prospective clinical studies to further investigate this clinical correlation and validate the clinical significance of these observations.

Indexed as

Major Depressive DisorderHumansPlasminogen Activator Inhibitor 1Prospective StudiesPlasminogen Activator Inhibitor 1SERPINE1 protein, humanBDNFmajor depressionmeta-analysisPlasminogen activator inhibitor-1SERPINE1tissue plasminogen activator

Identifiers

PMID34798692
PMCPMC10597387

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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.