Evidence map›Paper›PMID 35883701›Full record

Trial reportCells2022

Citalopram Neuroendocrine Challenge Shows Altered Tryptophan and Kynurenine Metabolism in Migraine.

Kinga Gecse, Andrea Edit Édes, Tamás Nagy, Adrienn Katalin Demeter, Dávid Virág, Márton Király, Borbála Dalmadi Kiss, Krisztina Ludányi, Zsuzsanna Környei, Adam Denes and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cells, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 12 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

12 authors at 2 institutions in 1 country.

Kinga GecseDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.ORCID 0000-0002-3512-2572
Andrea Edit ÉdesDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Tamás NagyDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Adrienn Katalin DemeterDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Dávid VirágDepartment of Pharmaceutics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.ORCID 0000-0001-8411-0773
Márton KirályDepartment of Pharmaceutics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.ORCID 0000-0002-9792-663X
Borbála Dalmadi KissDepartment of Pharmaceutics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Krisztina LudányiDepartment of Pharmaceutics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Zsuzsanna KörnyeiMomentum Laboratory of Neuroimmunology, Institute of Experimental Medicine, Szigony Street 43, H-1083 Budapest, Hungary.
Adam DenesMomentum Laboratory of Neuroimmunology, Institute of Experimental Medicine, Szigony Street 43, H-1083 Budapest, Hungary.
Gyorgy BagdyDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.
Gabriella JuhaszDepartment of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Üllői Street 26, H-1085 Budapest, Hungary.ORCID 0000-0002-5975-4267
Semmelweis University · HUHUN-REN Institute of Experimental Medicine · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Altered tryptophan (TRP) metabolism may have an important role in migraine susceptibility through its main metabolites, serotonin and kynurenine (KYN). Both affect pain processing and stress response by interfering with neural and brain hypersensitivity and by interacting with chemokines and cytokines that control vascular and inflammatory processes. The involvement of these pathways in migraine has been widely studied, but acute citalopram neuroendocrine challenge on TRP metabolism and cytokine profile has not been investigated yet. In our study, females with episodic migraine without aura and healthy controls were studied before and after acute citalopram or placebo in a double-blind setting. At baseline, increased TRP/large neutral amino acid (LNAA) ratio and decreased RANTES chemokine concentration were detected in migraine patients compared to controls. The challenge induced a significant increase in TRP, KYN, and TRP/LNAA in healthy controls, but not in migraine patients. Furthermore, migraine attack frequency negatively correlated with KYN/TRP ratio and positively correlated with the neuroendocrine-challenge-induced KYN concentration increase. Our results support a decreased breakdown of TRP via KYN pathway and a failure to modulate TRP-KYN pathway during citalopram-induced acute stress together with an increased vascular sensitivity in migraine. These mechanisms may provide useful drug targets for future drug development.

Indexed as

Migraine DisordersTryptophanCitalopramDouble-Blind MethodFemaleHumansKynurenineSerotoninCitalopramKynurenineSerotoninTryptophanbiomarkercytokineheadacheneuroendocrine challengeRANTESstress

Identifiers

PMID35883701
PMCPMC9324582
OpenAlexW4286491059

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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.