Evidence map›Paper›PMID 40216094›Full record

Trial reportBrain, behavior, and immunity2025

Factors associated with inflammatory cytokines in family caregivers of allogeneic hematopoietic stem cell transplantation (HSCT) recipients.

Lena J Lee, Jennifer J Barb, Elisa H Son, Li Yang, Chantal Gerrard, Gwenyth R Wallen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain, behavior, and immunity, 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. Article
  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.

Lena J LeeTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States. Electronic address: jumin.park@nih.gov.
Jennifer J BarbTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States.
Elisa H SonTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States.
Li YangTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States.
Chantal GerrardTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States.
Gwenyth R WallenTranslational Biobehavioral and Health Disparities (TBHD) Branch, National Institutes of Health (NIH) Clinical Center, Bethesda, MD, United States.

Funding

stress reduction intervention in caregiversZIACL001196 · CLC · CLINICAL CENTER · PI LEE, LENA · 2016 to 2025
$0k
Intramural NIH HHS ZIA CL001196
6 · The paper itself

Abstract

backgroundFamily caregiving has been proposed as chronic stress that may lead to immune health risks through increased systemic inflammation. Cytokines are key modulators of inflammation via a complex network of interactions. However, most studies examined only a single to a few cytokines to determine whether they correlate with psychobehavioral variables of interest. This study aimed to investigate factors influencing multiple inflammatory cytokines in family caregivers of allogeneic hematopoietic stem cell transplantation (HSCT) recipients.

methodsBaseline data from a randomized controlled clinical trial at the National Institutes of Health Clinical Center were collected from caregivers of allogeneic HSCT recipients. The 20 serum cytokine levels were measured using multiplexed cytokine immunoassays. Multiple linear regression was conducted.

resultsCaregivers (N = 45) were 44.6 ± 15.4 years of age; primarily female (87 %), White (66 %), non-Hispanic (82 %), and a spouse/partner of the HSCT recipient (56 %). Caring for HSCT recipients with hematologic malignancy predicted higher IL-12/IL-23p40 than caring for non-malignant HSCT recipients (β = 0.291, p = 0.044). Medication use was associated with higher IL-15 (β = 0.425, p = 0.017). Caregiver BMI overweight (β = 0.342, p = 0.043) or obese (β = 0.411, p = 0.010), taking prescribed medications (β = 0.521, p = 0.007), caregiving 8 to 16 h (β = 0.396, p = 0.027) or more than 16 h per day (β = 0.510, p = 0.006) predicted higher TNF-α than the counterparts. DISCUSSION: These findings suggest inflammatory responses may be associated with providing care to an HSCT recipient, especially in caregivers who take medications, provide more hours of care a day and care for patients with hematologic malignancies. The results highlight a physiological response of stress and bring to light the importance of developing interventions focused on reducing time spent caregiving, such as a respite care program for family caregivers.

Indexed as

CaregiversCytokinesHematopoietic Stem Cell TransplantationAdultFemaleHumansInflammationMaleMiddle AgedStress, PsychologicalTransplantation, HomologousCytokinesCaregiverHematopoietic cell transplantInflammatory cytokines

Identifiers

PMID40216094
PMCPMC12212531

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.