Evidence map›Paper›PMID 42500658›Full record

ArticleFrontiers in immunology2026

Cortisol-CX

Elena R Serrano-Ibáñez, María Flores-López, Laura Martín-Chaves, Tania Corrás-Vázquez, Inés Antúnez-Muñoz, Javier Samper-Zapata, Ada Del Mar Carmona-Segovia, Raquel Reviriego, Manuel Jiménez-Navarro, Fernando Rodríguez de Fonseca and 2 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Elena R Serrano-Ibáñez *IBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
María Flores-López *IBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Laura Martín-ChavesIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Tania Corrás-VázquezFacultad de Ciencia, Tecnología y Gestión de la Salud, Universidad Intercontinental de la Empresa, Santiago de Compostela, Spain.
Inés Antúnez-MuñozFacultad de Medicina, Universidad de Málaga, Málaga, Spain.
Javier Samper-ZapataFacultad de Medicina, Universidad de Málaga, Málaga, Spain.
Ada Del Mar Carmona-SegoviaIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Raquel ReviriegoIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Manuel Jiménez-NavarroIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Fernando Rodríguez de FonsecaIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Antonia SerranoIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Francisco Javier Pavón-MorónIBIMA Plataforma BIONAND, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychological distress may be associated with systemic immune regulation through neuroendocrine-immune pathways. Emergency medical services (EMS) personnel represent a high-demand occupational group, but their circulating cytokine and chemokine profiles and their relationship with psychological distress remain poorly characterized. This exploratory cross-sectional study examined inflammatory and physiological markers in EMS personnel compared with matched controls, with particular attention to the association between cortisol and CX Methods: Seventy-eight participants, including 39 EMS personnel and 39 matched controls, underwent assessment of blood pressure, plasma cortisol, cytokines, chemokines, soluble adhesion molecules, and an exploratory panel of cardiovascular-related proteins. Psychological distress, including depression, anxiety, and stress symptoms, was assessed using the Depression, Anxiety and Stress Scale-21 in EMS personnel. Plasma concentrations of inflammatory mediators were analyzed after log10 transformation using two-way analysis of variance with group and sex as fixed factors. Spearman correlation analyses were used to explore associations between cortisol and inflammatory mediators. Results: The EMS group showed higher systolic blood pressure and cortisol levels than the control group. The EMS group also exhibited a broad cytokine-chemokine alteration characterized by increased concentrations of several cytokines, including GM-CSF, IFN-α, IL-1α, IL-1β, IL-6, IL-10, and IL-13, and chemokines, including CCL2 and CX Conclusion: EMS personnel exhibited an altered systemic cytokine-chemokine profile together with physiological changes and exploratory sex-related patterns. The selective association between cortisol and CX

Indexed as

Chemokine CX3CL1CytokinesEmergency Medical ServicesHydrocortisoneAdultBiomarkersBlood PressureChemokinesCross-Sectional StudiesFemaleHumansMaleParamedicsStress, PsychologicalBiomarkersChemokine CX3CL1ChemokinesCX3CL1 protein, humanCytokinesHydrocortisonechemokinescortisolCX3CL1cytokinesemergency medical servicesfractalkineinflammationpsychological distress

Identifiers

PMID42500658
PMCPMC13395661

What OpenQuestion holds

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LicenceCC BY
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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.