Evidence map›Paper›PMID 39627209›Full record

SynthesisScientific reports2024

Circulating prolactin levels and the effect of dopaminergic agonists in systemic lupus erythematosus: a systematic review and meta-analysis.

Álida Alves Dos Santos, Lucas Faria de Castro, Caroline Lourenço de Lima, Lucilia Domingues Casulari da Motta, Luiz Augusto Casulari Roxo da Motta, Angélica Amorim Amato

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
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.

Álida Alves Dos SantosRheumatology Division, University Hospital of Brasília, University of Brasília, Brasília, Brazil.
Lucas Faria de CastroEndocrinology Division, University Hospital of Brasília, University of Brasília, Brasília, Brazil.
Caroline Lourenço de LimaLaboratory of Molecular Pharmacology, Department of Pharmaceutical Sciences, University of Brasília, Brasília, Brazil.
Lucilia Domingues Casulari da MottaGynecology and Obstetrics Division, University Hospital of Brasília, University of Brasília, Brasília, Brazil.
Luiz Augusto Casulari Roxo da MottaEndocrinology Division, University Hospital of Brasília, University of Brasília, Brasília, Brazil.
Angélica Amorim AmatoLaboratory of Molecular Pharmacology, Department of Pharmaceutical Sciences, University of Brasília, Brasília, Brazil. angelicamato@unb.br.ORCID 0000-0002-8454-5504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review of clinical studies investigated whether circulating PRL levels differed between subjects with systemic lupus erythematosus (SLE) and healthy controls, the correlation between circulating PRL and SLE activity, and the effect of dopaminergic agonists as adjuvant therapy for SLE. We searched PubMed, Scopus, Web of Science, Cochrane, Embase, and Google Scholar for case-control and cross-sectional studies investigating circulating PRL levels in subjects with SLE and/or its correlation with disease activity, and clinical trials examining the effect of dopaminergic agonists on SLE activity assessed by the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score. Forty-five studies addressing circulating PRL levels in SLE met our inclusion criteria. SLE was associated with an increased odds of hyperprolactinemia (OR 11.69, 95%CI 5.64-24.22) and circulating PRL levels were significantly higher in subjects with SLE than in controls (standardized mean difference of 1.62, 95%CI 1.14-2.09). Circulating PRL was positively correlated with SLE activity assessed by the SLEDAI (correlation coefficient 0.38, 95% CI 0.26-0.48). Two randomized clinical trials with bromocriptine and three prospective open-label trials with quinagolide reported that treatment with dopaminergic agonists was associated with reduced frequency of disease flares and decreased SLEDAI score. Circulating PRL levels were higher in subjects with SLE than in healthy controls and were significantly associated with disease activity. In addition, treatment with the dopaminergic agonists bromocriptine and quinagolide reduced SLE disease activity in small studies and may be a beneficial adjuvant therapy for the disease if larger trials confirm these findings. This review was registered in PROSPERO (CRD42021237156).

Indexed as

Dopamine AgonistsLupus Erythematosus, SystemicProlactinAminoquinolinesBromocriptineFemaleHumansHyperprolactinemiaAminoquinolinesBromocriptineDopamine AgonistsProlactinquinagolideBromocriptineDisease activityDopaminergic agonistsProlactinQuinagolideSystemic lupus erythematosus

Identifiers

PMID39627209
PMCPMC11615349

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.