Evidence map›Paper›PMID 38544486›Full record

ArticleHuman brain mapping2024

Molecular basis underlying default mode network functional abnormalities in postpartum depression with and without anxiety.

Kexuan Chen, Jia Yang, Fang Li, Jin Chen, Meiling Chen, Heng Shao, Chongjun He, Defang Cai, Xing Zhang, Libo Wang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
11.0field-weighted citation impact, top 1% of its field
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Psychedelic therapy and postpartum depression: priorities and prospects.Therapeutic advances in psychopharmacology · 2026
    Review
  6. Article
  7. Biomarkers of reproductive psychiatric disorders.The British journal of psychiatry : the journal of mental science · 2025
    Review
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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

13 authors at 2 institutions in 1 country.

Kexuan ChenFaculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, China.ORCID 0000-0002-4771-2676
Jia YangState Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine, Kunming University of Science and Technology, Kunming, China.
Fang LiMedical School, Kunming University of Science and Technology, Kunming, China.
Jin ChenState Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine, Kunming University of Science and Technology, Kunming, China.
Meiling ChenDepartment of Clinical Psychology, the First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.
Heng ShaoDepartment of Geriatrics, the First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.
Chongjun HePeople's Hospital of Lijiang, the Affiliated Hospital of Kunming University of Science and Technology, Lijiang, China.
Defang CaiThe Second People's Hospital of Yuxi, the Affiliated Hospital of Kunming University of Science and Technology, Yuxi, China.
Xing ZhangThe Second People's Hospital of Yuxi, the Affiliated Hospital of Kunming University of Science and Technology, Yuxi, China.
Libo WangThe Second People's Hospital of Yuxi, the Affiliated Hospital of Kunming University of Science and Technology, Yuxi, China.
Yuejia LuoMedical School, Kunming University of Science and Technology, Kunming, China.
Bochao ChengDepartment of Radiology, West China Second University Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-9923-5509
Jiaojian WangState Key Laboratory of Primate Biomedical Research, Institute of Primate Translational Medicine, Kunming University of Science and Technology, Kunming, China.ORCID 0000-0002-0421-5709
Kunming University of Science and Technology · CNSichuan University · CN

Funding

Kunming University of Science and Technology & People's hospital of Lijiang Joint Special Project on Medical Research KUST-LJ2022002YKunming University of Science and Technology & The second people's hospital of Yuxi Joint Special Project on Medical Research KUST-YX2022001Kunming University of Science and Technology & The second people's hospital of Yuxi Joint Special Project on Medical Research KUST-YX2022003National Natural Science Foundation of China 31920103009Natural Science Foundation of Yunnan Province 202102AA100053Shenzhen-Hong Kong Institute of Brain Science & Shenzhen Fundamental Research Institutions 2022SHIBS0003the Major Project of National Social Science Foundation 20&ZD153the National Natural Science Foundation of China 62176044Yunnan Fundamental Research Projects 202201BE070001-004
6 · The paper itself

Abstract

Although Postpartum depression (PPD) and PPD with anxiety (PPD-A) have been well characterized as functional disruptions within or between multiple brain systems, however, how to quantitatively delineate brain functional system irregularity and the molecular basis of functional abnormalities in PPD and PPD-A remains unclear. Here, brain sample entropy (SampEn), resting-state functional connectivity (RSFC), transcriptomic and neurotransmitter density data were used to investigate brain functional system irregularity, functional connectivity abnormalities and associated molecular basis for PPD and PPD-A. PPD-A exhibited higher SampEn in medial prefrontal cortex (MPFC) and posterior cingulate cortex (PPC) than healthy postnatal women (HPW) and PPD while PPD showed lower SampEn in PPC compared to HPW and PPD-A. The functional connectivity analysis with MPFC and PPC as seed areas revealed decreased functional couplings between PCC and paracentral lobule and between MPFC and angular gyrus in PPD compared to both PPD-A and HPW. Moreover, abnormal SampEn and functional connectivity were associated with estrogenic level and clinical symptoms load. Importantly, spatial association analyses between functional changes and transcriptome and neurotransmitter density maps revealed that these functional changes were primarily associated with synaptic signaling, neuron projection, neurotransmitter level regulation, amino acid metabolism, cyclic adenosine monophosphate (cAMP) signaling pathways, and neurotransmitters of 5-hydroxytryptamine (5-HT), norepinephrine, glutamate, dopamine and so on. These results reveal abnormal brain entropy and functional connectivities primarily in default mode network (DMN) and link these changes to transcriptome and neurotransmitters to establish the molecular basis for PPD and PPD-A for the first time. Our findings highlight the important role of DMN in neuropathology of PPD and PPD-A.

Indexed as

Depression, PostpartumAnxietyBrainBrain MappingDefault Mode NetworkFemaleGyrus CinguliHumansMagnetic Resonance ImagingNeurotransmitter AgentsNeurotransmitter Agentsfunctional connectivitymolecular basispostpartum depressionpostpartum depression with anxietysample entropy

Identifiers

PMID38544486
PMCPMC10973776
OpenAlexW4393269623

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.