PMID- 32806924 OWN - NLM STAT- MEDLINE DCOM- 20210721 LR - 20220402 IS - 1552-4175 (Electronic) IS - 1099-8004 (Print) IS - 1099-8004 (Linking) VI - 23 IP - 2 DP - 2021 Apr TI - Sex Hormones, BDNF, Leptin, and TGF-beta1 in Females With IBS: A Pilot Investigation. PG - 231-237 LID - 10.1177/1099800420948589 [doi] AB - BACKGROUND: Irritable bowel syndrome (IBS) is a chronic gastrointestinal condition predominantly affecting the female sex, and is characterized by brain-gut axis dysregulation. Relevance of hormones along the hypothalamic-pituitary gonadal axis and hypothalamic-pituitary adrenal axis to IBS symptomatology remain unclear, as does the significance of other modulators including brain derived neurotrophic factor (BDNF), leptin, and transforming growth factor betaeta 1 (TGF-beta1). METHODS: Females with IBS were compared with female healthy controls (HC) on age, race, hormonal contraceptive use, body mass index, adrenocorticotropic hormone, cortisol, estradiol, follicular stimulating hormone, luteinizing hormone, progesterone, total cholesterol, Center for Epidemiological Studies Depression Scale (CES-D) and Perceived Stress Scale (PSS). BDNF, leptin, and TGF-beta1 were quantified using enzyme-linked immunosorbent assay. Descriptive statistics, non-parametric techniques, and regression analyses were performed. RESULTS: Participants with IBS (n = 12) displayed higher estradiol (p = .027) than did HC (n = 21). Direction of associations among study variables often differed between groups: BDNF and progesterone in HC (r(s) = .623) and in IBS (r(s) = -.723). The relationship between log (CES-D) and log (estradiol) varied by IBS status (interaction term p = 0.019). DISCUSSION: Elevated estradiol in participants with IBS, and differential patterns of biological and psychological indices between groups, encourages further inquiry on the relevance of sex hormones, BDNF, leptin, and TGF-beta1 to symptoms of IBS. Future research endeavors should conduct longitudinal quantification of sex hormones with subjective symptom assessment to facilitate insight on the pathophysiology and female sex bias in IBS. FAU - Weaver, Kristen R AU - Weaver KR AUID- ORCID: 0000-0002-8757-8758 AD - 12265University of Maryland, School of Nursing, Baltimore, MD, USA. AD - National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA. FAU - Boulineaux, Christina M AU - Boulineaux CM AD - 1811Harvard Medical School, Boston, MA, USA. FAU - Robinson, Jeffrey M AU - Robinson JM AD - Translational Life Science Technology Program, 205813UMBC at The Universities of Shady Grove, Rockville, MD, USA. FAU - Butler, Kierra AU - Butler K AD - National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA. FAU - Heitkemper, Margaret M AU - Heitkemper MM AD - Department of Biobehavioral Nursing and Health Informatics, 7284University of Washington, School of Nursing, Seattle, WA, USA. FAU - Henderson, Wendy A AU - Henderson WA AUID- ORCID: 0000-0003-3924-7118 AD - Center of Nursing Scholarship and Innovation, 7712University of Connecticut, School of Nursing, Storrs, CT, USA. LA - eng GR - T32 NS070201/NS/NINDS NIH HHS/United States GR - UL1 TR001079/TR/NCATS NIH HHS/United States GR - ZIA NR000018/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20200818 PL - United States TA - Biol Res Nurs JT - Biological research for nursing JID - 9815758 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Gonadal Steroid Hormones) RN - 0 (Leptin) RN - 0 (Transforming Growth Factor beta1) RN - 9002-60-2 (Adrenocorticotropic Hormone) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adrenocorticotropic Hormone/blood MH - Adult MH - Brain-Derived Neurotrophic Factor/*blood MH - Depression/blood/psychology MH - Female MH - Gonadal Steroid Hormones/*blood MH - Humans MH - Hydrocortisone/blood MH - Irritable Bowel Syndrome/*blood/psychology MH - Leptin/*blood MH - Pilot Projects MH - Transforming Growth Factor beta1/*blood PMC - PMC8264858 OTO - NOTNLM OT - BDNF OT - IBS OT - TGF-beta1 OT - irritable bowel syndrome OT - leptin OT - sex hormones COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2020/08/19 06:00 MHDA- 2021/07/22 06:00 PMCR- 2022/04/01 CRDT- 2020/08/19 06:00 PHST- 2020/08/19 06:00 [pubmed] PHST- 2021/07/22 06:00 [medline] PHST- 2020/08/19 06:00 [entrez] PHST- 2022/04/01 00:00 [pmc-release] AID - 10.1177_1099800420948589 [pii] AID - 10.1177/1099800420948589 [doi] PST - ppublish SO - Biol Res Nurs. 2021 Apr;23(2):231-237. doi: 10.1177/1099800420948589. Epub 2020 Aug 18.