Inflammatory biomarkers and perinatal depression: a systematic review

Detalhes bibliográficos
Autor(a) principal: Silva-Fernandes, Anabela
Data de Publicação: 2023
Outros Autores: Conde, Ana, Marques, Margarida, Caparros-Gonzalez, Rafael A., Fransson, Emma, Mesquita, Ana Raquel Marcelino, Figueiredo, Bárbara, Skalkidou, Alkistis
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://hdl.handle.net/1822/84289
Resumo: This article is a preprint and has not been peer-reviewed [what does this mean?]. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.
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spelling Inflammatory biomarkers and perinatal depression: a systematic reviewDepressionPregnancyPostpartumPerinatalImmune systemBiomarkersCytokinesInflammationCiências Sociais::PsicologiaThis article is a preprint and has not been peer-reviewed [what does this mean?]. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.Background: Approximately 10 to 20% of pregnant women worldwide experience perinatal depression (PND), a depressive episode with onset during pregnancy or after childbirth. We performed a systematic review to identify, summarize and discuss studies on inflammatory biomarkers described in relation to PND. Methods: Inclusion criteria defined the selection of observational studies written in English, French, Spanish or Portuguese, that evaluate analytical levels of inflammatory molecules (protein levels) in biological fluids in women, with a diagnosis of depression using ICD/DSM diagnostic criteria or depressive symptoms assessed by standardized psychometric instruments, during pregnancy and/or postpartum. Case reports, experimental studies, reviews, qualitative analysis, meta-analysis, gray literature or replicated data were excluded. Three electronic databases were used for search (Pubmed, Web of Science and PsychInfo) and quality assessment of selected studies were performed using the Newcastle-Ottawa Scale. Data extraction included study design; number of subjects; obstetric information; tools and timepoints of depression and inflammatory markers assessment. Results: 56 studies where the major aim was to analyze the association between depression and inflammatory biomarkers during pregnancy and postpartum period were included in this systematic review. Overall, the findings of our systematic review lend support to the hypothesis that several inflammatory markers may be associated with peripartum depressive symptoms. The associations were somewhat different looking at pregnancy compared to the delivery time-point and postpartum, and mainly referred to increased levels of IL-6, IL-8, CRP and TNF-α among depressed. Discussion: Our results revealed high heterogeneity in relation to the timing of biological sampling for markers, as well as timing and instruments used for depression assessment within the perinatal period for the different studies. Studies differed also in relation to use of biomarkers or depression as exposure and outcome respectively, and whether these were addressed at the same timepoint or separate ones. Given the high burden of PND on women, children and families, it is crucial to try to harmonize methods used in related studies, in order to be able to pool results that could give us insights into the pathophysiological mechanisms behind how the immune system and PND are connected; this could have great impact on early detection, prevention and even treatment of PND.AS-F was supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education, through the national funds, within the scope of the Transitory Disposition of the Decree No. 57/2016, of 29th of August, amended by Law No. 57/2017 of 19 July and previously through the fellowship grant SFRH/BPD/107732/2015. This paper is part of the COST Action Riseup-PPD CA18138 and was supported by COST under COST Action Riseup-PPD CA18138 (Virtual Mobility Grant).Cold Spring Harbor LaboratoryUniversidade do MinhoSilva-Fernandes, AnabelaConde, AnaMarques, MargaridaCaparros-Gonzalez, Rafael A.Fransson, EmmaMesquita, Ana Raquel MarcelinoFigueiredo, BárbaraSkalkidou, Alkistis2023-01-112023-01-11T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/84289engSilva-Fernandes, A., Conde, A., Marques, M., Caparros-Gonzalez, R. A., Fransson, E., Mesquita, A. R., ... & Skalkidou, A. (2023). Inflammatory biomarkers and perinatal depression: a systematic review. medRxiv, 2023-01.10.1101/2023.01.11.23284231https://www.medrxiv.org/content/10.1101/2023.01.11.23284231v1info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:07:06Zoai:repositorium.sdum.uminho.pt:1822/84289Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:57:57.101488Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Inflammatory biomarkers and perinatal depression: a systematic review
title Inflammatory biomarkers and perinatal depression: a systematic review
spellingShingle Inflammatory biomarkers and perinatal depression: a systematic review
Silva-Fernandes, Anabela
Depression
Pregnancy
Postpartum
Perinatal
Immune system
Biomarkers
Cytokines
Inflammation
Ciências Sociais::Psicologia
title_short Inflammatory biomarkers and perinatal depression: a systematic review
title_full Inflammatory biomarkers and perinatal depression: a systematic review
title_fullStr Inflammatory biomarkers and perinatal depression: a systematic review
title_full_unstemmed Inflammatory biomarkers and perinatal depression: a systematic review
title_sort Inflammatory biomarkers and perinatal depression: a systematic review
author Silva-Fernandes, Anabela
author_facet Silva-Fernandes, Anabela
Conde, Ana
Marques, Margarida
Caparros-Gonzalez, Rafael A.
Fransson, Emma
Mesquita, Ana Raquel Marcelino
Figueiredo, Bárbara
Skalkidou, Alkistis
author_role author
author2 Conde, Ana
Marques, Margarida
Caparros-Gonzalez, Rafael A.
Fransson, Emma
Mesquita, Ana Raquel Marcelino
Figueiredo, Bárbara
Skalkidou, Alkistis
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Silva-Fernandes, Anabela
Conde, Ana
Marques, Margarida
Caparros-Gonzalez, Rafael A.
Fransson, Emma
Mesquita, Ana Raquel Marcelino
Figueiredo, Bárbara
Skalkidou, Alkistis
dc.subject.por.fl_str_mv Depression
Pregnancy
Postpartum
Perinatal
Immune system
Biomarkers
Cytokines
Inflammation
Ciências Sociais::Psicologia
topic Depression
Pregnancy
Postpartum
Perinatal
Immune system
Biomarkers
Cytokines
Inflammation
Ciências Sociais::Psicologia
description This article is a preprint and has not been peer-reviewed [what does this mean?]. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-11
2023-01-11T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://hdl.handle.net/1822/84289
url https://hdl.handle.net/1822/84289
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Silva-Fernandes, A., Conde, A., Marques, M., Caparros-Gonzalez, R. A., Fransson, E., Mesquita, A. R., ... & Skalkidou, A. (2023). Inflammatory biomarkers and perinatal depression: a systematic review. medRxiv, 2023-01.
10.1101/2023.01.11.23284231
https://www.medrxiv.org/content/10.1101/2023.01.11.23284231v1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cold Spring Harbor Laboratory
publisher.none.fl_str_mv Cold Spring Harbor Laboratory
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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