Evidence map›Paper›PMID 39983774›Full record

ArticleJournal of affective disorders2025

The effects of estradiol on subcortical brain volumes in perimenopausal-onset depression.

Kathryn Gibson, Melissa Walsh, Megan Hynd, Tory Eisenlohr-Moul, Erin Walsh, Erin Bondy, Reese Gray, James Brierley, Joshua Bizzell, Martin Styner and 2 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2025. 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

12 authors.

Kathryn GibsonDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA. Electronic address: kathryn_gibson@med.unc.edu.
Melissa WalshDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA.
Megan HyndDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA.
Tory Eisenlohr-MoulDepartment of Psychiatry, University of Illinois Chicago, Chicago, IL 60612, USA.
Erin WalshDepartment of Psychiatry, University of Illinois Chicago, Chicago, IL 60612, USA.
Erin BondyDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA.
Reese GrayDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA.
James BrierleyDepartment of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA.
Joshua BizzellDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA.
Martin StynerDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA.
Gabriel S DichterDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA; Department of Psychology and Neuroscience, University of North Carolina-Chapel Hill, Chapel Hill, NC 27514, USA; Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, Chapel Hill, NC 27510, USA.
Crystal E SchillerDepartment of Psychiatry, University of North Carolina Chapel Hill, Chapel Hill, NC 27514, USA.

Funding

North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
Examining the Effects of Estradiol on Neural and Molecular Response to Rewards in Perimenopausal-Onset Anhedonia and PsychosisR01MH128238 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GABRIEL S DICHTER, DAVID S LALUSH · 2022 to 2026
$3.6M
Neuroinflammatory Mechanisms of Anhedonia in Major DepressionK23MH113733 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WALSH, ERIN · 2018 to 2023
$866k
Effects of Estradiol on Neural Reward System and Depression in the PerimenopauseK23MH105569 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SCHILLER, CRYSTAL EDLER · 2015 to 2017
$415k
NCATS NIH HHS UM1 TR004406NIMH NIH HHS K23 MH105569NIMH NIH HHS K23 MH113733NIMH NIH HHS R01 MH128238
6 · The paper itself

Abstract

backgroundPerimenopause is associated with increases in depressive and vasomotor symptoms (VMS), which can be alleviated with transdermal estradiol (TE2) administration. Subcortical brain regions are commonly implicated in depression, are dense with E2 receptors and are susceptible to volumetric changes resulting from E2 regulation of synaptic density. No studies have examined linkages among TE2 administration, perimenopausal-onset major depression (PO-MDD) and subcortical brain volumes.

methodsThis is an exploratory data analysis of change in subcortical brain volumes measured via 3 T MRI before and after three-weeks of TE2 administration in 14 women with PO-MDD and 17 euthymic controls. Regions of interest were the hippocampus, amygdala, putamen, thalamus, and caudate nucleus. Multilevel models examined relations between baseline volumes and volumetric changes with symptom trajectories in the PO-MDD group.

resultsIn the PO-MDD group, anhedonia (p < 0.004) and VMS (p < 0.001) significantly reduced following TE2 administration. There was a significant Group X Time interaction in the right hippocampus (p < 0.01), driven by volume increases in the control group (p < 0.001). In the PO-MDD group, change in right hippocampal volumes significantly predicted decreases in anhedonia trajectories from baseline to week 2 and week 3 (p's < 0.001) and decreases in VMS across all timepoints (p's < 0.001). DISCUSSION: Women with PO-MDD, who presented with more severe baseline anhedonia and VMS, experienced greater reductions in anhedonia, VMS, and hippocampal volumes, demonstrating a greater response to E2. Hippocampal volume change may be a candidate for predicting treatment response to E2 for anhedonia and vasomotor symptoms in women with PO-MDD. These findings should be validated with a placebo-controlled trial.

Indexed as

BrainEstradiolMajor Depressive DisorderPerimenopauseAdministration, CutaneousAdultAmygdalaAnhedoniaCaudate NucleusFemaleHippocampusHumansMagnetic Resonance ImagingMiddle AgedPutamenThalamusEstradiolAnhedoniaDepressionhippocampusMenopauseVasomotor

Identifiers

PMID39983774
PMCPMC11997973

What OpenQuestion holds

Textmetadata
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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.