Evidence map›Paper›PMID 38238292›Full record

ArticleTranslational psychiatry2024

Inflammatory biotype of ADHD is linked to chronic stress: a data-driven analysis of the inflammatory proteome.

Isabel Schnorr, Anne Siegl, Sonja Luckhardt, Söri Wenz, Hendrik Friedrichsen, Hiba El Jomaa, Annebirth Steinmann, Tünde Kilencz, Gara Arteaga-Henríquez, Carolina Ramos-Sayalero and 15 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

25 authors.

Isabel SchnorrGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Anne SieglGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Sonja LuckhardtFraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Söri WenzGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Hendrik FriedrichsenGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Hiba El JomaaGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Annebirth SteinmannGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Tünde KilenczSemmelweis University, Department of Psychiatry and Psychotherapy, Budapest, Hungary.
Gara Arteaga-HenríquezDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Carolina Ramos-SayaleroDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Pol Ibanez-JimenezDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Silvia Karina Rosales-OrtizDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
István BitterSemmelweis University, Department of Psychiatry and Psychotherapy, Budapest, Hungary.ORCID 0000-0002-9464-4709
Christian FadeuilheDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Marc FerrerDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Catharina LavebrattDepartment of Molecular Medicine and Surgery, Karolinska Institutet, and Center for Molecular Medicine, Karolinska University Hospital Solna, Stockholm, Sweden.ORCID 0000-0003-4987-2718
János M RéthelyiSemmelweis University, Department of Psychiatry and Psychotherapy, Budapest, Hungary.
Vanesa RicharteDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.
Nanda RommelseGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Josep Antoni Ramos-QuirogaDepartment of Mental Health, Hospital Universitari Vall d´Hebron, Barcelona, Catalonia, Spain.ORCID 0000-0003-1622-0350
Alejandro Arias-VasquezDepartment of Human Genetics, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Nijmegen, The Netherlands.ORCID 0000-0002-4786-0169
Eduard ReschFraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Andreas ReifGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.ORCID 0000-0002-0992-634X
Silke MaturaGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany.
Carmen SchiweckGoethe University Frankfurt, University Hospital, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Frankfurt, Germany. schiweck@med.uni-frankfurt.de.ORCID 0000-0003-4215-0448

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 667302EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 728018EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 964215
6 · The paper itself

Abstract

The association between Attention Deficit Hyperactivity Disorder (ADHD) and low-grade inflammation has been explored in children but rarely in adults. Inflammation is characteristic of some, but not all, patients with ADHD and might be influenced by ADHD medication but also lifestyle factors including nutrition, smoking, and stress. It is also still unclear if any specific symptoms are related to inflammation. Therefore, we assessed 96 inflammatory proteins in a deeply phenotyped cohort of 126 adult ADHD participants with a stable medication status using OLINK technology. A data-based, unsupervised hierarchical clustering method could identify two distinct biotypes within the 126 ADHD participants based on their inflammatory profile: a higher inflammatory potential (HIP) and a lower inflammatory protein potential (LIP) group. Biological processes that differed strongest between groups were related to the NF-κB pathway, chemokine signaling, IL-17 signaling, metabolic alterations, and chemokine attraction. A comparison of sample characteristics revealed that the HIP group was more likely to have higher levels of chronic stress (p < 0.001), a higher clinical global impression scale score (p = 0.030), and a higher risk for suicide (p = 0.032). Medication status did not influence protein levels significantly (p ≥ 0.074), but psychotropic co-medication (p ≤ 0.009) did. In conclusion, our data suggest the presence of two distinct biotypes in adults with ADHD. Higher levels of inflammatory proteins in ADHD are linked to higher levels of chronic perceived stress in a linear fashion. Further research on inflammation in adults with ADHD should take stress levels into account.

Indexed as

Attention Deficit Disorder with HyperactivityAdultChemokinesChildHumansInflammationProteomeSmokingChemokinesProteome

Identifiers

PMID38238292
PMCPMC10796401

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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.