Evidence map›Paper›PMID 36916695›Full record

ArticleHistology and histopathology2023

Women with psychotic episodes during pregnancy show increased markers of placental damage with Tenney-Parker changes.

Miguel A Ortega, Oscar Fraile-Martinez, Cielo García-Montero, Sonia Rodriguez-Martín, Rosa M Funes Moñux, Leonel Pekarek, Coral Bravo, Juan A De Leon-Luis, Miguel A Saez, Luis G Guijarro and 8 more

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In one paragraph

Article in Histology and histopathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

18 authors at 7 institutions in 1 country.

Miguel A OrtegaDepartment of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Spain. miguel.angel.ortega92@gmail.com.
Oscar Fraile-MartinezRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Cielo García-MonteroRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Sonia Rodriguez-MartínDepartment of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Spain.
Rosa M Funes MoñuxDepartment of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Spain.
Leonel PekarekRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Coral BravoDepartment of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, Madrid, Spain.
Juan A De Leon-LuisDepartment of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, Madrid, Spain.
Miguel A SaezRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Luis G GuijarroRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Guillermo LaheraRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Jorge MonserratRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Roberto Rodriguez-JimenezDepartment of Legal Medicine and Psychiatry, Complutense University, Madrid, Spain.
Jose V SazDepartment of Biomedicine and Biotechnology, Faculty of Medicine and Health Sciences, University of Alcalá, Spain.
Julia BujanRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Natalio García-HonduvillaRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Melchor Alvarez-MonRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Miguel Angel Alvarez-MonRamón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.
Universidad de Alcalá · ESInstituto Cajal · ESInstituto Ramón y Cajal de Investigación Sanitaria · ESCentro de Investigación Biomédica en Red de Salud Mental · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Príncipe de Asturias · ESUniversidad Complutense de Madrid · ES

Funding

Instituto de Salud Carlos III 2020-2027MITIC-CM (Comunidad de Madrid) P2022/BMD-7321
6 · The paper itself

Abstract

Psychosis is a hazardous and functionally disruptive psychiatric condition which may affect women in pregnancy, entailing negative consequences for maternofetal well-being. The precise pathophysiological basis and consequences of a psychotic episode in pregnancy remain to be further elucidated. The placenta is a pivotal tissue with many functions in the gestational period, critically influencing the fate and development of pregnancy. Although detrimental alterations have been observed in women undergoing severe psychiatric disorders in pregnancy, there are little studies evaluating the consequences of suffering from a psychotic episode in the placental tissue In this work, we have evaluated the histopathological consequences of a first episode of psychosis in pregnancy (FE-PW; N=22) and compare them with healthy pregnant women (HC-PW; N=20) by using histological, immunohistochemical and gene expression techniques. Our results define that the placental tissue of FE-PW display an increase in the number of placental villi, bridges, syncytial knots and syncytial knots/villi. Besides, we have also observed an enhanced gene and protein expression in FE-PW of the hypoxic marker HIF-1α, together with the apoptotic markers BAX and Bcl-2. To our knowledge, this is the first study demonstrating significant histopathological changes in the placenta of women suffering a new-onset psychotic episode in pregnancy. Further studies should be aimed at deepening the knowledge about the pernicious effects of psychosis in the maternofetal tissues, as well as the potential implications of these alterations.

Indexed as

PlacentaPsychotic DisordersChorionic VilliFemaleHumansHypoxiaPregnancy

Identifiers

PMID36916695
OpenAlexW4324130316

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.