Evidence map›Paper›PMID 37773439›Full record

ArticleScientific reports2023

Lower levels of the neuroprotective tryptophan metabolite, kynurenic acid, in users of estrogen contraceptives.

Anne-Lise Bjørke-Monsen, Kristin Varsi, Sunniva Todnem Sakkestad, Arve Ulvik, Cathrine Ebbing, Per Magne Ueland

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 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
0.6field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 6 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

6 authors at 3 institutions in 1 country.

Anne-Lise Bjørke-MonsenLaboratory of Medical Biochemistry, Innlandet Hospital Trust, Lillehammer, Norway. almo@helse-bergen.no.
Kristin VarsiDepartment of Medical Biochemistry and Pharmacology, Haukeland University Hospital, Bergen, Norway.
Sunniva Todnem SakkestadDepartment of Infection, Haukeland University Hospital, Bergen, Norway.
Arve UlvikBevital AS, Bergen, Norway.
Cathrine EbbingDepartment of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway.
Per Magne UelandBevital AS, Bergen, Norway.
Haukeland University Hospital · NOBevital (Norway) · NOHelse Førde · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes in kynurenine metabolites are reported in users of estrogen containing contraception. We have assessed kynurenines, vitamin B6, vitamin B2 and the inflammation markers, C-reactive protein (CRP) and neopterin, in healthy, never-pregnant women between 18 and 40 years (n = 123) and related this to their use of hormonal contraception. The population included 58 women, who did not use hormonal contraceptives (non-users), 51 users of estrogen-containing contraceptives (EC-users), and 14 users of progestin only contraceptives (PC-users). EC-users had significantly lower plasma kynurenic acid (KA) and higher xanthurenic acid (XA) levels compared to non-users. Serum CRP was significantly higher and negatively associated with both vitamin B6 and B2 status in EC-user compared to non-users. No significant differences in any parameters were seen between PC-users and non-users (p > 0.1). The low KA and high XA concentration in users of estrogen containing contraception resemble the biochemical profile observed in vitamin B6 deficiency. The hormonal effect may result from interference with the coenzyme function of vitamin B6 and B2 for particular enzymes in the kynurenine metabolism. KA has been suggested to be neuroprotective and the significantly reduced concentration in EC-users may be of importance in the observed increased risk of mood disorders among users of oral contraceptives.

Indexed as

Kynurenic AcidKynurenineContraceptives, Oral, HormonalEstrogensFemaleHumansPregnancyPyridoxineTryptophanVitamin B 6Contraceptives, Oral, HormonalEstrogensKynurenic AcidKynureninePyridoxineTryptophanVitamin B 6

Identifiers

PMID37773439
PMCPMC10541439
OpenAlexW4387185758

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.