Evidence map›Paper›PMID 40839053›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2025

Longitudinal metabolic profiling of women using selective serotonin reuptake inhibitors during pregnancy.

Anna Itkonen, Olli Kärkkäinen, Heidi Sahlman, Leea Keski-Nisula, Jaana Rysä

Abstract read
In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Anna ItkonenSchool of Pharmacy, University of Eastern Finland, Yliopistonrinne 3, 70210, Kuopio, Finland.
Olli KärkkäinenSchool of Pharmacy, University of Eastern Finland, Yliopistonrinne 3, 70210, Kuopio, Finland.
Heidi SahlmanSchool of Pharmacy, University of Eastern Finland, Yliopistonrinne 3, 70210, Kuopio, Finland.
Leea Keski-NisulaInstitute of Clinical Medicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Jaana RysäSchool of Pharmacy, University of Eastern Finland, Yliopistonrinne 3, 70210, Kuopio, Finland. jaana.rysa@uef.fi.ORCID http://orcid.org/0000-0003-2205-6323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelective serotonin reuptake inhibitors (SSRIs) are the most prescribed antidepressants for pregnant women. While SSRIs are known to alter the circulating metabolic profile in non-pregnant individuals, the association between SSRIs and the changes in circulating metabolome during pregnancy remains unstudied. Pregnancy itself induces significant metabolic adjustments to meet the increased nutritional demands, and these maternal metabolic changes are crucial for the normal development and growth of the fetus.

objectivesTo study the impact of SSRI usage on circulating maternal metabolome during pregnancy.

methodsA targeted nuclear magnetic resonance (NMR) spectroscopy method was used to analyze maternal serum samples obtained from the first trimester of pregnancy and at the time of the delivery from both SSRI users (n = 122) and non-depressive controls without antidepressants (n = 117) for concentrations of metabolites and lipoproteins.

resultsDuring the first trimester of pregnancy, SSRI usage was associated with increased lipid content in sixteen very low-density lipoprotein (VLDL) and chylomicron subtypes. At delivery, SSRI users exhibited alterations in lipoprotein lipid and fatty acid ratios. Similarly, while investigating the influence of SSRI usage on the pregnancy-driven changes in the metabolome, the interplay between pregnancy progression and SSRI usage lowered the lipoprotein lipid ratios.

conclusionOur analysis revealed a significant association between SSRIs and lipid metabolism. However, the observed changes were minor, suggesting a limited clinical impact. The findings enhance our understanding of the safe usage of SSRI medication during pregnancy.

Indexed as

MetabolomeSelective Serotonin Reuptake InhibitorsAdultAntidepressive AgentsFemaleHumansLongitudinal StudiesMetabolomicsPregnancyPregnancy ComplicationsPregnancy Trimester, FirstAntidepressive AgentsSelective Serotonin Reuptake InhibitorsAntidepressantDepressionMetabolismMetabolomeTargeted metabolomicsVLDL

Identifiers

PMID40839053
PMCPMC12370871

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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.