Evidence map›Paper›PMID 37239199›Full record

ArticleBrain sciences2023

The Cytokine, Chemokine, and Growth Factor Network of Prenatal Depression.

Michael Maes, Yoshiko Abe, Wandee Sirichokchatchawan, Junpen Suwimonteerabutr, Ussanee Sangkomkamhangd, Abbas F Almulla, Sirina Satthapisit

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06123559 (Effects of Physical Exercise and Motor Activity on Depression and Anxiety in Post-Mastectomy Pain Syndrome), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.3field-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.

NCT06123559 completednot on this map

Effects of Physical Exercise and Motor Activity on Depression and Anxiety in Post-Mastectomy Pain Syndrome

TypeobservationalSponsorAzienda Ospedaliera Universitaria Policlinico "G. Martino"Ran2023 to 2023Enrolled160ConditionsChronic Pain
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
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  10. Review
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 at 3 institutions in 6 countries.

Michael MaesDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok 10330, Thailand.
Yoshiko AbeCollege of Public Health Sciences (CPHS), Chulalongkorn University, Bangkok 10330, Thailand.
Wandee SirichokchatchawanCollege of Public Health Sciences (CPHS), Chulalongkorn University, Bangkok 10330, Thailand.
Junpen SuwimonteerabutrDepartment of Obstetrics, Gynaecology and Reproduction, Faculty of Veterinary Science, Chulalongkorn University, Bangkok 10330, Thailand.ORCID 0000-0002-7187-0850
Ussanee SangkomkamhangdDepartment of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
Abbas F AlmullaDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok 10330, Thailand.ORCID 0000-0002-7667-6731
Sirina SatthapisitDepartment of Psychiatry, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
Chulalongkorn University · THKhon Kaen University · THThai Red Cross Society · TH

Funding

Rachadapisek Fund NA
6 · The paper itself

Abstract

backgroundNeuro-immune pathways are engaged in antenatal and postpartum depression.

aimsTo determine if immune profiles influence the severity of prenatal depression above and beyond the effects of adverse childhood experiences (ACE), premenstrual syndrome (PMS), and current psychological stressors.

methodsUsing the Bio-Plex Pro human cytokine 27-plex test kit, we assayed M1 macrophage, T helper (Th)-1, Th-2, Th-17, growth factor, chemokine, and T cell growth immune profiles as well as indicators of the immune inflammatory response system (IRS) and compensatory immunoregulatory system (CIRS) in 120 pregnant females in the early (<16 weeks) and late (>24 weeks) pregnancy. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess severity of antenatal depression.

resultsCluster analyses showed that the combined effects of ACE, relationship dissatisfaction, unwanted pregnancy, PMS, and upregulated M1, Th-1, Th-2, and IRS immune profiles and the ensuing early depressive symptoms shape a stress-immune-depression phenotypic class. Elevated IL-4, IL-6, IL-8, IL-12p70, IL-15, IL-17, and GM-CSF are the cytokines associated with this phenotypic class. All immune profiles (except CIRS) were significantly associated with the early EPDS score, independent of the effects of psychological variables and PMS. There was a shift in immune profiles from early to late pregnancy, with an increase in the IRS/CIRS ratio. The late EPDS score was predicted by the early EPDS score, adverse experiences, and immune profiles, mainly the Th-2 and Th-17 phenotypes.

conclusionsActivated immune phenotypes contribute to early and late perinatal depressive symptoms above and beyond the effects of psychological stressors and PMS.

Indexed as

affective disorderscytokinesinflammationmajor depressionneuro-immunepsychiatry

Identifiers

PMID37239199
PMCPMC10216549
OpenAlexW4367181876

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.