Evidence map›Paper›PMID 42835314›Full record

ArticleFrontiers in endocrinology2026

From metabolic network to brain loop: unraveling the neuro-metabolic correlates in PCOS-related depression.

Yi Cao, Zhaoying Li, Yuxing Zhang, Qian Wen, Yuanyuan Shi, Jing Xie, Dongfeng Zhang

Abstract read
In one paragraph

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

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0citing papers in PubMed
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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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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

7 authors.

Yi CaoWomen and Children's Hospital, Qingdao University, Qingdao, Shandong, China.
Zhaoying LiWomen and Children's Hospital, Qingdao University, Qingdao, Shandong, China.
Yuxing ZhangWomen and Children's Hospital, Qingdao University, Qingdao, Shandong, China.
Qian WenBiomedical Center of Qingdao University, Qingdao, Shandong, China.
Yuanyuan ShiBiomedical Center of Qingdao University, Qingdao, Shandong, China.
Jing XieWomen and Children's Hospital, Qingdao University, Qingdao, Shandong, China.
Dongfeng ZhangDepartment of Epidemiology and Health Statistics, Public Health College, Qingdao University, Qingdao, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Polycystic ovary syndrome(PCOS) is increasingly recognized for its substantial depressive burden, however, the underlying mechanism remains unclear. In this study, the neuro-metabolic pathway was explored to unravel the mechanism in PCOS-related depression. Methods: Participants recruited from the UK Biobank comprised a cross-sectional population, the outcome as female depression, with 2,826 individuals among whom 471 diagnosed with PCOS. Progressive regression, interaction and mediation analyses, linearity and threshold examinations, relative weight analysis and principal component analysis(PCA), as well as stratified analyses were conducted in this study. Results: The two brain magnetic resonance imaging(MRI) metrics as volume of grey matter in frontal orbital cortex(FOC GMVol) and mean thickness of caudalanteriorcingulate(CaudalAntCing Thk) showed prominent links with PCOS-related depression, with CaudalAntCing Thk serving as the final common executor to depression. FOC GMVol and CaudalAntCing Thk interacted with PCOS in a metabolic-dependent and a metabolic-independent way respectively. A PCOS×free androgen index(FAI)×FOC GMVol three-way interaction was observer only in normal body mass index(BMI) individuals with high FAI. The FOC GMVol-CaudalAntCing Thk association, correlated with concurrent increases in BMI and FAI, existed exclusively in non-PCOS. Metabolic factors exhibited mediating effects (BMI and FAI) and formed a network among which BMI served as a hub linking the antagonistic FAI and the auxiliary triglyceride-glucose index(TyG), while systemic immune-inflammation index(SII) acted as an independent risk factor irrelevant to PCOS. A two-tiered brain protective hypothesis was proposed against depression: neural compensation reflected the protective FOC GMVol-CaudalAntCing Thk coupling in non-PCOS, and protective threshold patterns of both FOC GMVol and CaudalAntCing Thk in PCOS, with FAI playing pivotal and distinct roles at both peripheral and central levels across the entire pathways. Conclusion: Given the intricate neuro-metabolic correlates underlying PCOS-related depression, further studies were warranted and a synergistic therapeutic strategy of androgen suppression plus weight management might be considered.

Indexed as

BrainDepressionMetabolic Networks and PathwaysPolycystic Ovary SyndromeAdultCross-Sectional StudiesFemaleGray MatterHumansMagnetic Resonance ImagingBMIdepressionhyperandrogenisminflammationinsulin resistanceneuroimagingneuro-metabolismPCOS

Identifiers

PMID42835314
PMCPMC13635201

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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.